KNOWLEDGE ATTITUDES AND PRACTICES (KAP) END-LINE ASSESSMENT On Water, Sanitation and Hygiene LOLKUACH Village, IDPs of Akobo September-2012 DRC-Gambella WASH Team Conducted in the frame of an ECHO funded project “Improving access to short-term food security, safe drinking water, hygiene and basic household items in Ethiopia”
Wanthowa Worda, Gambella, Ethiopia September 30, 2012
TABLE OF CONTENTS 1 2 3
INTRODUCTION SUMMARY OF FINDINGS METHODOLOGY
Objectives of the Survey
1 2 3
General Background Information
5.1 5.2 5.3
WATER RELATED INFORMATION
Water Sources Water collection and storage Household Water Treatment
5 9 11
HEALTH AND HYGIENE
Diseases Washing Hands and Good Hygienic Practices
Defecation Waste and Waste Management
23 24 25
The 2012 report states that as of end of 2010: Over 780 million people are still without access to improved sources of drinking water and 2.5 billion lack improved sanitation. If current trends continue, these numbers will remain unacceptably high in 2015: 605 million people will be without an improved drinking water source and 2.4 billion people will lack access to improved sanitation facilities. An estimated 801,000 children younger than 5 years of age perish from diarrhea each year, mostly in developing countries. This amounts to 11% of the 7.6 million deaths of children under the age of five and means that about 2,200 children are dying every day as a result of diarrheal diseases. Unsafe drinking water, inadequate availability of water for hygiene, and lack of access to sanitation together contribute to about 88% of deaths from diarrheal diseases (UNICEF, WHO, 2012: 2; Center of Disease Control and Prevention, 2012). As to Andrea Naylor: although worldwide there have been thousands of projects to address water and sanitation issues as they relate to public health with continued improvements since the 1980’s, research has shown that due to lack of evaluation surveys on the effectiveness and success of these interventions, many are not sustainable . To this end, the essence of conducting end-line survey is very critical to gauge the effectiveness and success of the interventions of DRC-Gambella. The Gambella Region has an approximately population of 332,600 people, with 49,457 living in Akobo and Wantawo Woredas. These populations are subjected to water shortage and floods. Moreover the population is prevalently pastoralist and follows seasonal migration patterns for cattle grazing and protection of livestock from drought and floods. The perennial attacks by the Murle tribe, coupled with intra-clan conflicts among the Nuer tribes of Ethiopia and South Sudan, aggravates a situation of chronic displacement, making populations of bordering areas, especially Akobo, susceptible of massive and prolonged internal displacements. Conflicts, drought and floods are the key challenges to the populations in Akobo and in Wantawo. The consequent perennial movement makes the community vulnerable to food insecurity, disease and water shortage. It is in view of this that Danish Refugee Council seeks to address in the short term the basic needs of these populations by providing access to clean drinking water, and tools to improve hygiene and to build the capacity of the community to respond to these challenges.
From the period of July 2011 to June 2012, DRC implemented a Water, Sanitation and Hygiene project, funded by ECHO, with the goal of rehabilitating 7 hand pumps (and subsequently chlorinating the water), distributing NFI kits, hygiene kits, and implementing hygiene promotions.
DRC decided to conduct two in-depth KAP surveys (as a baseline and endline) to evaluate the impact brought by the implementation of the project in the targeted area. The baseline survey was...
References: 1. Amhara Regional State Health Bureau (2011). Training Manual on Hygiene and
Sanitation Promotion and Community Mobilization for Volunteer Community Health Promoters (VCHP)/ Draft for Review
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