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Wash in schools davos 18 nov 2013


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GRF 2nd One Health Summit 2013: Presentation by Natalie Roschnik, School Health and Nutrition Advisor, Save the Children

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Wash in schools davos 18 nov 2013

  1. 1. WASH IN SC H OOLS: Healthy to Learn and Learn to be Healthy Natalie Roschnik, School Health and Nutrition Advisor, Save the Children GRF, Davos, One Health Summit, 18 November 2013
  2. 2. Save the Children: Where we work Health and Nutrition Education & Child Development Child Protection & HIV AIDS Hunger and Livelihoods Humanitarian response In 2012, Save the Children helped more than 125 million children in nearly 120 countries
  3. 3. WASH in schools in 29 countries (School Health and Nutrition) Tajikistan Armenia Afghanistan United States (Domestic Programs) Egypt Pakistan Haiti Dominican Republic Guatemala Mali Sudan Yemen China Nepal Bangladesh Philippines El Salvador Burkina Faso S. Sudan Ethiopia Vietnam Kenya Malawi Bolivia Mozambique Indonesia
  4. 4. Outline  School age children and the education system  WASH situation in schools  WASH and girls education  The international FRESH Framework:  Healthy to learn, learn to be Healthy  Case study Mali  Menstrual Hygiene Management  Conclusion
  5. 5. Why focus on school age children?   They suffer from some of the highest burdens of diseases  80% have malaria School age children represent 26% of the population in Africa Which prevent them from learning and contribute to disease transmission in the population  School children are great agents of change within the community  They are the parents and leaders of tomorrow 65% are anemic 40% have hookworm
  6. 6. More children in school than ever before
  7. 7. What schools have to offer  There are more schools than health centers  A paid professional (usually) workforce in daily contact with school children and the community  Children with willingness and potential to bring change within their households and capacity  School Management Communities  Linkages with the health sector 7
  8. 8. With a few challenges…
  9. 9. ... And gender discrepancies exist
  10. 10. Discrepancies within and between countries and high drop out rates 69 million primary school-age children out of school (UNESCO) 75-101 million children in school are likely to drop out before completing primary school (UNESCO) 272 million school days lost each year due to diarrhoea alone (WHO) 2 out of 3 schools lack decent toilets in the developing world (UNICEF)
  11. 11. WASH situation in schools in Mali     Results from Dubai Cares funded WASH in schools project in 6 regions 80% of schools have latrines but only 12% have separate latrines that meet norms 48% have a water point but only 7% are functional and meet norms 32% have handwashing facilities but only 8% have water and soap Only 5% of students were observed washing hands after leaving the toilet
  12. 12. Latrines scolaires
  13. 13. Avoiding the hole
  14. 14. Open air defecation Latrines scolaires
  15. 15. Défécation en plein air
  16. 16. Défécation en plein air
  17. 17. A water point, but no water Points d’eau
  18. 18. A hand-washing facility, never used
  19. 19. Girls are most effected
  20. 20. 20
  21. 21. FRESH Framework: an international framework Focusing Resources on Effective School Health At the World Education Forum, Dakar, 2000 International Agencies agreed that School Health and Nutrition is essential for reaching Education For All goals and learning outcomes
  22. 22. The Four Pillars of FRESH Equitable School Health Policies WASH in schools (in 4 pillars) Safe Learning Environment Healthy to learn and learn to be healthy School based School Based Health and Nutrition health and nutrition services Services Skills based health education
  23. 23. WASH in schools in Mali • 1 400 schools • 6 regions • > 560 000 schoolchildren
  24. 24. Partnership and coordinator for scale up Interagency Steering Committee Coordination Unicef Care Oxfam - Interangency project coordinator - interagency MEL coordinator Save WaterAid - Project coordinator - Project coordinator - Project coordinator - Project coordinator - Project coordinator - Focal point ‘hard’ - Focal point ‘hard’ - Focal point ‘hard’ - Focal point ‘hard’ - Focal point ‘hard’ - Focal point ‘soft’ - Focal point ‘soft’ - Focal point ‘soft’ - Focal point ‘soft’ - Focal point ‘soft’ - Focal point ‘MEL’ - Focal point ‘MEL’ - Focal point ‘MEL’ - Focal point ‘MEL’ - Focal point ‘MEL’
  25. 25. Common infrastructure norms FAC ADE PR INCIPALE Norms:  Distance to the classrooms (20-30m), to waterpoint (minimum 15m) etc.
  26. 26. Common Materials
  27. 27. Community Led total Sanitation 27
  28. 28. Menstrual Hygiene Management
  29. 29. Hopes and Dreams
  30. 30. Very Young Adolescent Workbooks Puberty and MHM Gender Norms
  31. 31. Conclusions       School Health and Nutrition = Healthy to Learn and Learn to be Healthy WASH in schools is part of School Health and Nutrition It’s a partnership between education and health sector SHN important for Education and Health It is especially important for girls education Let’s not forget Menstrual Hygiene Management (MHM), part of WASH in schools
  32. 32. Thank You!