Community Based Environmental Health Promotion Programme

COMMUNITY BASED ENVIRONMENTAL HEALTH PROMOTION PROGRAMME(CBEHPP)
Presented by Pascal Karemera
World Vision Rwanda

Objectives of CBEHPP
The purpose of this programme is to significantly reduce, by 2012, the debilitating national disease burden that currently exists and, in so doing, will contribute significantly to poverty reduction outcomes.
Use of 45,000 CHWs in the country

Cont..
CBEHPP empowers communities to identify their personal and domestic hygiene and environmental health related problems (including safe drinking water and improved sanitation)
Thereafter to actively participate in the process of solving them in their community hygiene clubs (CHCs).

CBEHPP vitally important for Local Communities
CBEHPP provides a practical opportunity for Government to achieve greater inter-ministerial and inter- sectoral collaboration at the district and sub-district levels.
Through efficient mobilization and use of existing human and material resources
CBEHPP focuses on basic development right down at the level of the family

The Implementation of CBEHPP
The implementation strategy is through strengthening the capacity of all 45,000 Community Health Workers (CHWs)
Close mentoring and supervision by Environmental Health Officers (EHOs) who are based at Health Centres.
The CHWs facilitate formation of Community Hygiene Clubs (CHCs)

Community Health Clubs (CHC)
Community based organisation, made of men and women dedicated to improving the health and welfare of the community through common understanding.

COMPOSITION OF COMMUNITY HYGIENE CLUBS
It comprises of 100 households
if members are found to be too many they can form another club
Preferably each household will be represented

COMMUNITY HYGIENE CLUB ACTIVITIES
A community hygiene club at each Cells level
Each community hygiene club develop a banner showing a map of their catchment area
CHC committee is comprised of chairperson, vice chairperson, treasurer, secretary and committee advisors

CHC Activities Conti..
Weekly meeting to discuss about hygiene and sanitation problems
Identify households with problems of hygiene and sanitation
Problem analysis, planning for solutions and implementation of planned activities
Visit to members homes to advise
After hygiene and sanitation problems are eliminated, the CHC members will be involved in income generating groups and trading

COMMUNITY HYGIENE AND SANITATION MONITORING
Performance in terms of adherence to recommended practices through household visits.
Record keeping on a monthly basis by the secretary to show:
Percentage of members who are adhering to recommended practices
When each member took up the practice relative to what was learnt in the session

Indicators
Increased use of hygienic latrines in schools and homes from 28% to 80%
Increased hand washing with soap at critical times from 34% to 80%
Improved safe drinking water access and handling in schools and homes to 80%
Establishment of CHCs in every villages to 100%
Safe disposal of children’s faeces in every household from 28% to 100%
Households with bath shelters, rubbish pits; pot drying racks and clean yards to increase to 80%

M&E Framework
Reflection and Application
Data Analysis
National WASH Status
Health Facilities
Quarterly WASH Report
National Saver (Database)
(National policy makers, newspapers, etc..
Community Health Workers
(Quarterly WASH Report)
Monthly Inventory checklist by CHC
Supervision
By CHC Chairman
Digital System (Mobile Phone Data collection by CHC
Community Members

Best Practices
Improve hygiene behaviours and prevent diarrhoeal diseases
Encourage community management of water and sanitation facilities
Communities mobilize themselves and achieve sustainable changes in a short time
A sense of pride and unity is fostered
Community Health Clubs involve very little investment and results in a very big impact and ownership and responsibility

Challenges
Limited or no budgetary allocation for hygiene and sanitation at different levels
Limited collaboration/coordination of local stakeholders
Some local leaders have limited knowledge about hygiene and sanitation and related dangers
Weak participatory monitoring

Placing CHC at centre of development

THANK YOU

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Community Based Environmental Health Promotion Programme

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