A report of a meeting to review SCHOOL WASH and WASH-HIV integration data collection tools.

1. REPORT ON WASH-HIV INTEGRATION MEETING
Wednesday 25TH Nov. 2015

2. 1
Table of Contents
Introduction............................................................................................................................................1
Location and period of the meeting ......................................................................................................1
Attendance .............................................................................................................................................1
Opening ..................................................................................................................................................2
Workshop Session and Discussion.........................................................................................................2
Recommendations .................................................................................................................................4
Closing.....................................................................................................................................................5
Annexes ..................................................................................................................................................6
Annex II ...............................................................................................................................................6
Annex III ..............................................................................................................................................7
Annex IV..............................................................................................................................................8
Introduction
The purpose of this meeting was to review the WASH-HIV integration tools and
share with the participants their experiences with an aim to improve the
quality of data collected by the tools.
The session covered the following topics:
 WASH intervention in schools and challenges
 WASH-HIV integration at household level and challenges faced
 WASH data collection tools and suggestions on how to improve them
Location and period of the meeting
The meeting was held at the Chief’s camp hall next to Kazi Ngumu CBO offices
on Wednesday 25th
Nov. 2015
Attendance
The invited members were 3 WASH-HIV integration TOTs, 1 LCHV and the OVC
desk person from seven institutions/CBOs in Kisumu listed below.
See attendants list in ANNEX I
1. Make Me Smile
2. Kakodam

3. 2
3. Kidi Luanda
4. Jiu Pachi
5. Kazi Ngumu
6. Heart Nyakach
7. MEMEGRO
Opening
The overall goal of the meeting was to discuss the challenges faced by the
CBOs in rolling out WASH in the community –schools and households. The
persons in charge were Mr. Awiti Masiga and Madam Grace Otanga.
The meeting was opened at 10.30 a.m. with a welcome statement by Kazi
Ngumu desk person, Mrs. Elizabeth, who informed the meeting that Heart
Nyakach CBO would not be represented in the meeting as they had an activity.
Afterwards, Mr. Awiti discussed the logistics and finally asked the members to
individually introduce themselves.
Workshop Session and Discussion
Madam Grace introduced the participants to the topic of WASH
implementation in schools. Some highlights on the discussion were:
Question: What was the entry point into schools?
Answer: Aphiaplus first trained school teachers on WASH without involving the
CBOs. Later on, a training was done for TOTs on monitoring and evaluation and
the TOTs given a list of the trained teachers to identify and collect reports from
them.
Question: Are the teachers supportive in the implementation of WASH?
Answer: Yes, but the support is minimal.
Question: What other challenges are there in rolling out WASH in schools?
Answers:
(i) In some schools, the teachers who were trained on
WASH have been transferred or have passed on and
there is no longer any teacher responsible. This
makes the work of the CBO really difficult as the TOTs
or Lead CHVs in charge of WASH have to approach

4. 3
the deputy head teachers in such schools who may
have absolutely no idea on how to fill the data
collection tools, as is always the case.
(ii) The schools do not own the WASH project. There is
the mentality that WASH is an Aphiaplus or CBO’s
affair. Teachers in some schools even tell the TOTs
that WASH data collection tool is an additional
burden to them.
(iii) Some schools have just one hand washing
facility provided by World Vision –ADP and shared
among a population of over 200 pupils. This forces
the pupils to be in long queues which they leave
running to classes when the bell rings.
(iv) Unavailability of water and/or soap. Some
schools claim they receive high billing and would as a
result minimize the use of water which will
unfortunately include cutting down on the water that
is used in the hand washing facilities.
Some schools also expect to be provided with soaps
and detergents for cleaning the toilets.
The participants were also asked to share how they carry out WASH-HIV
intervention. The following topics were covered:
 Water treatment methods in households
 Water storage methods in households
 Waste disposal
 Setting up of hand washing facilities in homes
Question: Are there challenges in rolling out WASH in households?
Answer: Yes, there are.
First, the biggest challenge is theft. Most hand washing facilities,
e.g. tippy taps set up next to toilets have been stolen and the
caregivers get discouraged once they have set up HW facilities
twice or more and they are stolen.
Second, some households, more so those in Nyalenda, are in
slums and due to the informal setting those households cannot
set up hand washing facilities. A case was given of a caregiver who

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was told if they needed a toilet they should relocate to another
place with one.
Third, some toilets sink and hand washing facilities swept away by
water during rainy season.
Mr. Awiti asked some of the participant to volunteer and take the members
through the process of filling the WASH collection tools (ANNEX II, III and IV),
as highlighted below.
 WASH-HIV integration tool –Filled by CHV by Mrs. Tabitha of MEMEGRO
 WASH-HIV integration tool –Filled by LCH by Mrs. Lina of Jiu Pachi CBO
 SCHOOL WASH data collection tool by Mrs. Tabitha of MEMEGRO
Recommendations
1) It was recommended by Madam Grace that in future a different
approach to schools should be used, saying that the best way to
approach a school is through the ministry. She said the institutions ought
to have approached the ministry and share with them the activities
undertaken with the schools, including the names of the teachers
trained on WASH. This would help the ministry in making considerations
and ensuring the trained teacher trains another before being
transferred. She also added that this would also get rid of the mentality
that WASH is for Aphiaplus or the CBO’s affair.
2) It was recommended that teachers be motivated. This follows the
reports that have been made by TOTs of teachers frequently asking
them when trainings are going to be held, as that is the only time they
get to have some allowance in regard to the work.
3) Households to be provided with or referred to where they can get hand
washing facilities that are mobile; i.e. can easily be carried and kept in
the house at night to minimize theft of such facilities.
4) WASH TOTs, just like teachers, also need to be motivated. This follows
the incident that has seen most TOTs discouraged –they had been
promised a monthly allowance and even signed for the money but it
never came. This has had a significant influence on the delivery of
service by the TOTs.
5) It was recommended that CBOs establish a good relationship with
schools where their OVC are and even visit the schools frequently. This
would ease the process of obtaining reports from teachers.

6. 5
Closing
Mrs. Elizabeth thanked all the participants and the facilitators, after which Mr.
Awiti Masiga officially closed the meeting at around 2:00 p.m.

7. 6
Annexes
Annex II
WASH-HIV INTEGRATION – FILLED BY CHV
Reporting Period: ………………………………………..
Name of CHV ……………………………………………
Location/Zone……………………………………………..
Date……………………………………………………. Sign …………………………………….
# of
caregivers
sensitized
# of Hhs
reached/
sensitized
Total
Population
in the HHs
# of new
latrines as
result of
sensitization
# of Hhs
that have
provided
hand
washing
facilities as
result of
sensitization
# of Hhs
making
water safe
at home
(Chlorine,
Lifestraw
Filter)
Most common Main
source of water
(river/unprotected
spring/protected
spring/unprotected
well/protected well
Most common
container for
water storage
at home (Wide
mouth clay
pot/Wide
mouth plastic
bucket/Narrow
mouth clay
pot/plastic
jerrican(20L)/
# of cases
of diarrhea
reported in
the last 2
weeks(from
the time of
collecting
data)

8. 7
Annex III
WASH-HIV INTEGRATION – FILLED BY LEAD CHV
Reporting Period: Quarter ……………………….
Name of LCHV ……………………………………………
Location/Zone……………………………………………..
Date……………………………………………………. Sign …………………………………….
Name of CHV # of
caregivers
sensitized by
CHVs
# of Hhs
reached/
sensitized
by CHVs
Total
Population
in the HHs
# of new
latrines as
result of
sensitization
# of Hhs that
have
provided
hand
washing
facilities as
result of
sensitization
# of Hhs
making
water safe
at home
(Chlorine,
Lifestraw
Filter)
Most common Main
source of water
(river/unprotected
spring/protected
spring/unprotected
well/protected well
Most common
container for water
storage at home (Wide
mouth clay pot/Wide
mouth plastic
bucket/Narrow mouth
clay pot/plastic
jerrican(20L)/
# of cases of
diarrhea
reported in
the last 2
weeks(from
the time of
collecting
data)

9. 8
Annex IV
SCHOOL WATER, SANITATION AND HYGIENE (WASH) DATA COLLECTION TOOL (FILLED QUARTERLY)
Name of School………………………………………………………………………
Location/Zone ………………………………………………………………
Name of CHV ………………………………………………………………………………………………… Name of CBO ……………………………………………………..
(To be supported by Health/Health Club/Life Skills Patron)
Sign……………………………………………………… Date ……………………………
General
Population
Population of
OVC
supported by
APHIAplus
Type of Facility supported by
APHIAPLUS (indicate number)
Existing facilities supported by the
school /other partners (Indicate
number)
Hygiene education # of pupils absent
during quarter
Main reason for
absenteeism
VIP Latrine Water
Tank
(indicate
capacity)
HWFs Tank
(Indicate
capacity)
Latrines HWFs # of teachers
trained in
WASH by
APHIAPLUS
School has
health
club?
(Yes/No). If
yes, # of
pupils in
health club
# of hygiene
education
sessions in the
school
M F M F M F M F M F
Remarks (Report any other useful information on status/conditions of the facilities)
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………………………