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PSI Diarrhea Prevention and Safe Water Approaches
 

PSI Diarrhea Prevention and Safe Water Approaches

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    PSI Diarrhea Prevention and Safe Water Approaches PSI Diarrhea Prevention and Safe Water Approaches Presentation Transcript

    •  
    • Why Worry About Water, Sanitation, and Hygiene? Unsafe Water: More than 884 million people worldwide lack access to improved water sources No Sanitation: 2.5 billion don’t have access to a latrine or toilet So What? : Every 15 seconds child dies from dehydration due to diarrhea.
    • Goal: Reduce Global Burden of Diarrhea
      • Every Year: 1.5 M children die from diarrheal diseases; 4,000 every day
      • 90% children under 5
      • 80% transmission from consumption of unsafe drinking water
      Graphic Citation: worldmapper.org Proportion of Worldwide Cases of Diarrhea (0 – 4 years of age)*
    • Ensuring the Water is Clean… When You Drink it
      • Even when water is delivered by wells to a community, water often becomes contaminated while being transported from the well to the home or while it is being stored in the household.
      • Low additional cost and widespread applicability make them a viable complement to infrastructure development
      • Enables households to manage their water quality
      Household Water Treatment (HWT): One Family at a Time
    •  
    •  
      • CDC ’ s Safe Water Solution (Sodium hypochlorite solution)
      • Low Cost: Less than a penny a day for a family of 6;
      • Builds Local Capacity: Produced locally ; thereby reducing production costs and improving sustainability.
      • NaDCC Aquatabs (NaDCC tabs)
      • Facilitates distribution : Light and easy to transport
      • Long Product Life: Five year expiration date
      • Individual sale possible: Facilitating purchase by consumers with little disposable cash
      • Flocculant – Disinfectant (PUR Purifier of Water®)
      • Facilitates distribution : Light and easy to transport
      • Long Product Life: Three year expiration date
      • Added Effectiveness: Also removes turbidity, other micro-organisms (i.e. giardia) and arsenic
      • Visual Cue: Enhances demand, especially rural audiences
      PSI’s current HWT Options: Ensuring household drinking water quality
    • Social • marketing (so shel • mar kit ing) n. 1. The application of marketing concepts and techniques to influence behavior among a target audi-ence in order to benefit themselves and society.
    • Communications + Product = Healthy Behavior
      • PSI’s Child Survival programs are in over 30 countries
    • Liters of water treated since PSI Safe Water programs began: over 60 billion
    • A Case Study: Enabling People in Madagascar to treat their drinking water
    • Applying Evidence to Improve HWT Uptake: Madagascar Sur’Eau use: 2004 and 2006
    • Challenges Encountered
        • Lack of developed commercial sector – limited reach of wholesalers
        • Lack of rural coverage
        • Low profit margins compared to other FMCG
        • Increased costs
        • Limited funding leading to modest A&P Budgets
        • “ Water treatment culture” is harder to create than thought
    • Hotely Sûr’e Sekoly Sûr’e Community-Based Distribution Agents
    • Using key determinants to drive behavior change:
      • Self efficacy :
        • Simply Instructions
        • More product demonstrations via CHWs and other
      • Social norms:
        • Develop a “Women Network” and revise packaging to promote Sûr’Eau use
      • Risk of diarrhea:
        • Implement concentrated IPC/ mass media campaign on negative effects of diarrhea
        • used radio spots, mobile video units, and interpersonal communication activities to educate about the dangers of diarrhea; implemented intensive IPC in high prevalence zones
    • Madagascar Sur’Eau use: 2004, 2006, 2008
    • Primary CS Indicators
      • Water treatment:
        • % of households with children under five ever using a PSI point of use treatment product to treat drinking water
        • % of households with children under five consistently treating drinking water using promoted method
        • % of households with children under five treating drinking water using promoted methods in the last 24 hours
          • Verified with chlorine residual testing
        • % of households with children under five correctly treating drinking water using promoted method
      • Water storage
        • % of households with children under five correctly storing treated drinking water
    • Primary CS Indicators
      • Handwashing
        • % of caregivers with children under five who wash their hands at critical times:
          • before preparing food
          • before feeding a child
          • before eating
          • after defecation
          • after changing a child
        • % of households with children under five who have soap present in the home
      • Hygiene
        • % of caregivers who used a toilet or latrine the last time they defecated
        • % of caregivers who always use a toilet or latrine for disposing of children’s feces
    • Taking HWT to Scale: Lesson Learned
      • Focus on key determinants
      • Constant communication of culturally-relevant aspirational messages
      • Partnerships are critical to success
      • Work through multiple channels to enable behavior change and increase product update
      • Monitoring and Evaluation of standard indicators is essential
      • Emergency Relief can serve as a launching pad and be leveraged for behavior change
    • Conclusion: These interventions are… Effective: Offer measurable reduction in diarrheal disease prevalence Offer measurable increase in good hygiene practices and beliefs Affordable From a penny a day to $0.20 a day for a family of 6 Scalable: Allow PSI to ensure that millions of people can drink a glass of clean, safe water every day.