The Somali RHB focused on enhancing the knowledge of district-level HMIS focal points on the 10 new national-level indicators in environmental health. Trained teams included 31 health staff from different woredas in the Somali region and were trained in Community-Led Total Sanitation and Hygiene (CLTSH), household water treatment and safe storage, and Health System (HIS) and HMIS. The training aimed to ensure all HMIS personnel knew and understood the current national indicator standards.

1. Page 1
Woredas HMIS focal points WASH
training Report.
Somali RHB
November,03 - 2022
The Somali RHB recently devised strategies to improve the health professionals allocated to woreda level
knowledge of the 10 new indicators in the environmental health portion of the DHS-II, which are the
current national level indicators. While planning the training, the RHB WASH department focused on
training district-level HMIS focal points who are fully responsible for the district's DHS-II data to report
HMIS reports. To ensure that every member of the health HMIS personnel knows and understands the
current national indicator standards, WASH teams cascaded the requirements of the newly promulgated
indicator to woreda HMIS focal points. Trained teams were 31 health staffs from different woredas of the
Somali region.
RHB-WASH training combined courses for HMIS focal points.
1. Community-Led Total Sanitation and Hygiene (CLTSH)
2. Household water treatment and safe storage.
3. Health System (HIS) and HMIS.

2. 02
04
Woredas HMIS focal
points WASH training
GODE TEAM trained health professionals from woredas
especially HMIS focal point to equip them ten new WASH
indicators aligned with the DHS-II. Training was proposed
to make health staffs to get well understanding the new
indicators to later report with in DHSII portal system.
Cascading WaSH training is nation issue that expecting
from regionals. Based on the courses of the training,
trainees were training different courses such as CLTSH, HH
water treatment and HMIS as well.
Health System, HIS and HMIS
Overview
Household water
treatment and safe storage
Community-Led Total
Sanitation and Hygiene
(CLTSH)
01
Community-Led Total Sanitation and Hygiene
(CLTSH)
Open defecation is presently reported to be at 32% nationwide,
according to a 2015–16 survey of Community–Led Total Sanitation
and Hygiene (CLTSH) throughout 8 Regions of Ethiopia. The
conversion of much of this coverage to "enhanced" or "safe" sanitation
represents the next significant hurdle while progress is still being
made.
Household water treatment and safe storage
Nearly two billion people utilize unimproved or faecal-contaminated
improved drinking water sources worldwide. Insufficient drinking
water is to blame for almost 500,000 diarrhea-related fatalities in low-
and middle-income nations, with children under five accounting for the
vast bulk of these deaths.
Household water treatment and safe storage (HWTS) is a crucial public
health measure to improve drinking water quality and lower diarrheal
disease, especially for people who depend on unimproved sources of
water and, in some situations, dangerous or unreliable piped water
supplies. Additionally, the majority of emergencies place a high value
on having access to safe drinking water, therefore HWTS can be a
useful emergency response strategy.
Health System, HIS and HMIS Overview.
Ethiopia's Health Management Information System (HMIS) is created
to collect and disseminate the core data for planning and performance
monitoring of the health system. This guide on the use of HMIS
information by the Regional Health Bureaus (RHB), Zonal Health
Departments (ZHD), Woreda Health Offices (WorHO), and Primary
Health Care Units (PHCU) is produced with the aim of improving the
use of HMIS information for planning and management purposes at
each level of the health system.

3. Community-Led Total Sanitation and Hygiene (CLTSH)
The main goal of the program is to "triggering" or "ignite" local populations to adopt new sanitation and hygiene
practices, including the construction and use of latrines as opposed to open defecation. In Ethiopia, CLTS served as
the model for CLTSH, a variant that includes a hygiene component. Similar to its predecessor, CLTSH runs without
funding and focuses on achieving open defecation-free (ODF) status in all communities across the nation.
C.L.T.S.H Training Modules.
HMIS health workers received training and equipment on all CLTSH approach requirements. For discussion of
CLTSH approaches and eventual cascading into the community just after trainees returned to their bases, teams were
categorically split into groups. Some teams performed role-playing exercises, community drawings, and sketches to
illustrate how a community might become self-contagious when open defecation becomes commonplace in the area
where people live.
Methods of the training cascaded.
• Self-assessment and reflection
• Small-group discussion.
• Plenary discussion and presentation.
• Materials for the training
• Flipchart, flip chart stand, markers (various colors

4. wash's F-diagram trained with HMIS trainees?
The F-Diagram is a useful tool for conveying information on water, sanitation, hygiene, and behavior change. It has
raised awareness of the deleterious effects of poor sanitation and hygiene practices among community members,
particularly youngsters. HMIS Focal points were trained on the F-Diagram which is the most comprehensive diagram
that can consolidate WASH primary barriers and secondary WASH barriers. Trained teams have been serious ways to
be managed open defecation problems overloaded community health burdens. Putting this below diagram was just
to figurately describe the importance of open defecation in this report because the diagram prospects what to be done
and how to be done following how they broader in terms of WASH barriers. Primary barriers in the first place are the
utmost important ways to brace WASH infections before the disease is transmitted to another host.
Figure 1 Figure 1Diagram showing how the environment is contaminated and the means to stop it.

5. Household water treatment and safe storage
Drinking water quality guidelines
•Water safety planning
•Drinking water quality regulation
•Small water supply management
Water Treatment Chlorination
•Why chlorinate
•Overview of chlorine-generating products
•Making a 1% solution
•Jar test to find out the dosage needed for drinking water
•Testing for free residual chlorine
•Using chlorine in CT Other disinfection methods
Household water treatment and safe storage training WHO modules
• MODULE 1 introduces HWTS. It presents research and evidence on the effectiveness
of HWTS for preventing diarrheal diseases, the economic impact of HWTS
interventions, and scaling up HWTS interventions by achieving coverage and sustained
uptake. It also discusses the need to target the most vulnerable populations and how
HWTS contributes to achieving the millennium development goals (MDGs).
• MODULE 2 presents different options for treating and storing water at the household
level and demonstrates how to use different technologies that are locally available.
Participants apply different tools to select HWTS options that are locally appropriate
and discuss the role of government in technology selection
• MODULE 3 explains the main components and requirements of successful HWTS
implementation needed to achieve widespread coverage and uptake. Topics include
creating demand, supplying products and services, monitoring and improving, building
human capacity, and program financing. As well, case studies are included to illustrate
the diversity of implementation approaches.
• MODULE 4 focuses on assessing the impact of HWTS. It explains direct and indirect
impact assessment methods and the suitability of each under different circumstances.
The module aims to highlight the challenges of measuring HWTS impact and suggests
ways in which HWTS might realistically be measured by the government. It also
provides some examples to help governments in developing plans to assess the impact
of HWTS programs in their countries.
• MODULE 5 discusses the role of government in developing and implementing a
national policy on HWTS to support implementation and scale-up.

6. Technically, the most important section of HHs water treatment equipped with trainees was the section
related to HHS level and bulk water treatment. During the training simply demystified that make health
staff grasp easily understand water treatment mechanisms; purposely making chlorine solution,
chlorine dose calculation
Health System, HIS and HMIS Overview.
Participants also taken a course on this crucial element, which most HMIS teams deal with when reporting
through the DHS-II interface.
Since indicators have been updated in accordance with health standards, environmental health indicators have
increased by 10, and they will now be consistent with the DHS-II portal data report.
Ten (10) indicators trained with participants.
1. Proportion of HHs with liquid waste management
2. Proportion of HHs with safe solid waste management
3. Proportion of kebeles declared ODF
4. Proportion of HHs having sanitation facilities
5. Proportion of HHs having hand washing facilities at the premises
6. Proportion of HHs with healthy housing
7. Proportion of water schemes for which water quality test conducted
8. Proportion of HFs with water service
9. Proportion of HFs with sanitation facilities
10. Proportion of HFs with healthcare waste management services.
During training course, team were trained and equipped with the ten indicators of Hygiene &
environmental Heath Indicators and tools.

7. List of HMIS focal points trained.
S.
No
Name of the participants Zone District Position Telephone
1 Kasim Farah Omar SHABELLE Godey-city HMIS 910163577
2 Abdinasir Osman Omar SHABELLE kalaffo HMIS 915084055
3 Abdinasir Sharif Mohammed SHABELLE Abaqorow HMIS
4 Hassan Adam Tur SHABELLE Addadle HMIS 91159727
5 Abdifarah Mohammed sherif NOGOB Haraarey HMIS 930737327
6 Mohammed Abdikadir Aden NOGOB Elweyne HMIS 915434330
7 Muhumed Hassan Haji SHABELLE Feerfeer HMIS 915638779
8 Hassan Abdirizak Hassen DOOLLO Galaadi HMIS 912103047
9 Mohammed Abdi Ahmed LIBAN Guradhamole HMIS
10 Khadar Cawil aden DOOLLO Galhamur HMIS 915059655
11 Abdullahi Mohammed Ahmed DOOLLO lehelyucub HMIS 921353849
12 Abdirahman Abdullahi Mohammed AFDHEER Dollo bay HMIS 912673835
13 Mohammed Ali Sheikh Ahmed LIBAN Dollo Addo HMIS 915620259
14 Hassan Ali Jibril LIBAN Boqolmayo HMIS 923910843
15 Kaahiye Abdi Osman LIBAN Filtu HMIS 916186282
16 Abdi Dubad Muhumed SHABELLE E-Emey HMIS 915814682
17 Mucawiye Muhumed DOOLLO Daratole HMIS 915114792
18 Ahmed Tahir Hassan DOOLLO wardheer HMIS 929252612
19 Abdisatar Bashir Sheikh SHABELLE Godey-WroHo HMIS 910337855
20 Merkinah Molabeta NOGOB Ayuun HMIS 912209047
21 Abdirizak Mohammed Muhummed SHABELLE Dennaan HMIS 915648839
22 Awal Aden Rabah SHABELLE HMIS 915057833
23 Abdijamal Hassen AFDHEER El-kari HMIS 910173190
24 Suldan Hassan Kamil SHABELLE Beercaano HMIS 922471661
25 Abdi Muhumed Raasin SHABELLE Godey-WroHo HMIS 911267563
26 Mohammed Farah Bare AFDHEER Barreey HMIS 915237346
27 Siyad Bashir Mohamud AFDHEER W-Emey HMIS 927971157
28 Ali Mohamud Farah AFDHEER Charati HMIS 904248029
29 Hamda Farah Mohamud AFDHEER Qoxleh HMIS 908101699
30 Abdiwahab Mohammed SHABELLE Elleleh HMIS 918748602