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Changing The Currency

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Helping the poor afford better health.

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Changing The Currency

  1. 2. Changing The Currency By Which Safe Water Is Purchased
  2. 3. Annual Per Capita Humanitarian Aid Funding Myanmar $3 Laos $67 Cambodia $47 Vietnam $29 Average Per Capita Annual Income Myanmar $130 Laos $580 Cambodia $540 Vietnam $790 Why?
  3. 4. And because at the 2005 HWTS Conference in Bangkok , Han Heijnen said: <ul><li>&quot;Education, training, and programmatic support to promote behavior change may be 90% of the issue in household water treatment and safe storage…….” </li></ul>
  4. 5. Background Thirst-Aid’s role in Myanmar Knowledge Transfer Scale-up QC Facilitate Ease of Adoption
  5. 6. Program Goals <ul><li>Develop a non-pecuniary means for beneficiaries to buy safe water. </li></ul><ul><li>Leverage available funding by increasing sustained use of HWTS technologies. </li></ul><ul><li>Effect positive and lasting behavior change relative to improved hygiene and safe water practices regardless of technology. </li></ul>
  6. 7. How? <ul><li>By promoting education and </li></ul><ul><li>knowledge as the principal tools </li></ul><ul><li>for safe-water intervention. </li></ul><ul><li>By assigning a value to education. </li></ul><ul><li>By making safe water and </li></ul><ul><li>improved hygiene </li></ul><ul><li>education accessible. </li></ul>
  7. 8. In short, we based the program on the assumption that: “ Educated people do not willing and knowingly drink contaminated water – much less give it to their children .”
  8. 9. Thirst-Ed
  9. 16. What Did We Learn? <ul><li>Behavior change begins at home! </li></ul><ul><li>Little did we know that the </li></ul><ul><li>biggest barrier to </li></ul><ul><li>behavior change </li></ul><ul><li>was going to be NGOs! </li></ul>
  10. 18. 110,000 CWFs were purchased and distributed in the 14 months following Cyclone Nargis <ul><li>Pre-distribution education varied greatly </li></ul><ul><li>Follow-up education, reinforcement </li></ul><ul><li>and monitoring practices varied greatly </li></ul><ul><li>Results varied greatly </li></ul>
  11. 19. NGO A – Zero pre-distribution education NGO B – Group classes, 10 to 20 people each, 20 to 30 minutes, no diploma required NGO C – Group classes, 10 to 20 people each, 20 to 30 minutes, diploma required. NGO D – Individual instruction – 45 min to 1 hr. per beneficiary, diploma required.
  12. 21. Contributing variables: NGOs A and D – Sample size of 400/500 HH, 90/100% coverage, filters had been in use for 12 months or more. NGOs B and C – Sample size of 43/56 HH, randomly selected, filters had been in use for only 6 months. Time of implementation post-cyclone.
  13. 22. <ul><li>Downside: </li></ul><ul><li>Education and follow-up </li></ul><ul><li>are time consuming and add </li></ul><ul><li>to initial costs. </li></ul><ul><li>Difficult to put a logo </li></ul><ul><li>on education </li></ul>
  14. 23. <ul><li>Benefits: </li></ul><ul><li>Education is a sound investment. </li></ul><ul><li>Education is never lost or wasted. </li></ul><ul><li>Education on improved hygiene alone is </li></ul><ul><li>known to produce positive health gains. </li></ul><ul><li>Education creates more jobs </li></ul>
  15. 24. Assumption The fiscal losses incurred due to product abandonment could be greatly reduced by following Han’s advice and investing more in education, training, and programmatic support.
  16. 25. Conclusions: There is a direct association between time spent educating beneficiaries and sustained use.
  17. 26. Using education as a currency appears to be as effective as monetary input, plus it has the added value that simply education alone can bring.
  18. 27. Thank You! <ul><li>Questions? </li></ul>

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