Regional Highlight. WASH Success in SAVA Though it started out as a call for WASH-friendly institution, a community took it to the next level to be a WASH-friendly community. The local women’s group felt that just 'group member benefits' were not enough. Result: All 102 households have access to a latrine, 3 latrines for 1 household. Hand washing stations are widely visible. The community is clean and proud of it. During the last quarter (Q4), MAHEFA focused on evaluating existing WASH-friendly partnerships to ensure the groups are actually implementing the three key behaviors mentioned above. For example, during FY13 MAHEFA recorded 1,926 new households using tippy taps, and 3,184 households where members practiced hand washing with soap. It also became clear that refresher trainings and incentives are needed to continue to motivate the groups to remain 'WASH-friendly'. XXXXXX has faced other challenges with the approach throughout the past year. Due to current restrictions on interacting with public school or state clinics, MAHEFA focused on private initiatives (clubs, churches, scouts, etc.). These groups are often more 'loose' structures; hence they feel restricted to establish more or less formalized partnerships (and MoUs). To counteract this challenge, XXXXXX is working on integrating the WASH Friendly approach into the KMSm process to encourage communities to become WASH friendly. For Boeny, TAs and CHWs will be working with WASH friendly targets. Increase participation in Community Led Total Sanitation (CLTS) approach (1.6) FY13 has been an eventful and insightful year for XXXXXX's CLTS interventions. The table below presents the process results that XXXXXX has recorded in the regions. It shows 710 triggering events conducted in villages by 1,169 trained local CLTS facilitators - normally, 2 CLTS facilitators conduct one triggering session. FY13 also shows at least one Natural Leader per triggering site identified, and an increase in follow-up visits as part of a stronger focus on post-triggering follow up. Table 1. CLTS Process Results FY12 Achieved by end of FY13 Local CLTS facilitators trained (2 per site) 48 1,169 Communities triggered CLTS 152 710 Number of Natural Leaders 0 740 Number of post triggering follow-ups conducted 160 1,277 While some good strides have been made there are lessons learned on managing and sustaining the approach: • Focusing primarily on latrine construction is likely to be unsustainable. Instead CLTS should support communities to adopt ...
Regional Highlight. CLTS Boeny A CLTS facilitator and CHW who lives 1 km from the triggered site visits twice a week on Tuesday and Thursday. When she visits, people ask many questions. She always throws the questions back “what do you think we might do? What is available to us locally?” Result: For 24 households there is 1 improved latrine and 7 simple latrines, 25% treat water, 7 households have soap and water for hand washing, and 15% are storing drinking water properly.
Regional Highlight. Strong lobbying for 'stages' in Melaky and Xxxxx In 3 districts in Melaky, official health centers (CSB) have closed down due to lack of resources. This caused difficulty for MEHEFA CHWs to complete their stage pratique in family planning. Strong lobbying from MAHEFA towards CSBs has been effective. Result: In Melaky 38 CHWs did their stage and at least 76 women are now 'new FP users'. In Xxxxx 92% of 1121 CHWs completed their FP4 stage in FY13. Note that FY12 training in c-IMCI was conducted by the National Strategic Application (NSA) for 5,377 CHWs. For those CHWs that did not receive c-IMCI training from NSA, MAHEFA will train at least the remaining 606 CHWs, since the NSA-2 project is not operational. As the graph below shows, XXXXXX has conducted the bulk of the training before and in Q3, with Nutrition and WASH 2 training commencing in Q3. FP/RH and MNCH training is slowing down since Q4, with 98% of CHWs being trained already. Also, the DEPOCOM and WASH 1 trainings have slowed down slightly after Q3, due to the challenges in completing the stages pratique, as explained hereafter. At the end of FY13, 45% of all CHWs trained in DEPOCOM (1,253/2,816) have been able to do their 'stage pratique'. In FY14, MAHEFA will prioritize the training of all remainder CHWs in DEPOCOM, Nutrition, and WASH. MAHEFA will place an extra emphasis on boosting the enabling environment (lobbying, local advocacy, FP awareness days) to assure more CHWs are able to complete their stages. Figure 5. CHW training trend per quarter in FY 13 2,000 1,800 1,600 1,400 1,200 1,000 800 600 400 200 0 CHWs trained in FP/RH and MNCH CHWs trained in DEPOC OM and WASH 1 CHWs trained in Nutrition and WASH 2 FY13 Q1 FY13 Q2 FY13 Q3 FY13 Q4 Total trained 5,983 Functional 4,765 Stage pratique 3,263 FP/RH FP/RH FP/RH Figure 5. Percentages of trained MAHEFA CHWs, functional, and % that completed stages pratiques Total trained 2,816 Functional 2,523 Stage pratique 1,253 DEPCOM DEPOCOM DEPO 80% 80% 45% 55% With XXXXXX's continued effort to equip CHWs with kits and supervise those, 80% of CHWs are now functional. The number of CHWs trained by XXXXXX who have been able to validate their stage pratique continues to increase steadily over Q4 - by the end of FY13, 55% for FP/RH (3,263/5,983) compared to 9% of FY12 (168/1969) and 45% for DEPOCOM (1253/2816). Challenges that have been described in earlier reports continue to prevail; including limited availability of clients and products at the Centre de S...
