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Community Based Environmental Health Promotion Programme
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Community Based Environmental Health Promotion Programme

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WASH 2011 conference: Pascal Karemera, World Vision Rwanda

WASH 2011 conference: Pascal Karemera, World Vision Rwanda

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    Community Based Environmental Health Promotion Programme Community Based Environmental Health Promotion Programme Presentation Transcript

    • 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