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Water, water everywhere, but not a [safe] drop to drink! Achieving household point of use water treatment in Amazonian Peru Kenneth Peralta, MCS-USAID Elizabeth Younger, USAID HIP/AED/The Manoff Group March 3, 2009 IMPLEMENTATION ZONE Pilot


  1. Water, water everywhere, but not a [safe] drop to drink! Achieving household point of use water treatment in Amazonian Peru Kenneth Peralta, MCS-USAID Elizabeth Younger, USAID HIP/AED/The Manoff Group March 3, 2009

  2. IMPLEMENTATION ZONE

  3. Pilot and At-Scale Implementation Areas Healthy Municipalities and Communities Project REGION SAN MARTIN REGION HUANUCO REGION UCAYALI REGION JUNIN PILOT Curimana REGION AYACUCHO REGION CUSCO

  4. CURIMANÁ DISTRICT : TYPICAL HOUSES AND PLAZA

  5. CURIMANÁ DISTRICT : WATER MANAGEMENT AND SOURCES

  6. PRIMARY GOAL SAFE WATER • – Household treatment – Safe transportation, storage and use

  7. SECONDARY PROJECT GOALS Hand washing Proper feces disposal

  8. CHRONOLOGY: PROJECT DEVELOPMENT 2006 2007 2008 2009 July 2006 Research - Intervetnion At Scale Establish Design MSH/HIP - Water Quality Roll Out Agreement - Materials - Behavioral Development - Pilot

  9. RESEARCH WATER QUALITY Fecal Coliform Contamination

  10. RESEARCH BEHAVIORAL INTERVIEWS (mothers of children <5 years old) • BEHAVIORS: • Transport • Treatment • Storage • Serving • PERCEPTIONS/BELIEFS • Water Quality • Water Access • Diarrhea

  11. RESEARCH Key Findings So me time s  4% Bo iling S  12% (c hild re n/ e ld e rly) YE No  84 % So me time s  12% CHL ORINAT ION S  4% YE No  84% OT HE R ME T HODS Se ttling & De c a nting Clo th F iltra tio n Aluminum sulfa te flo c c ula nt Opuntia

  12. RESEARCH Water Treatment KEY FACTORS: • Taste • Time • Cost • Water characteristics • Household habits

  13. Evidence Based Programing INTERVENTION FOCUS Water Treatment - Chlorination - Boiling - SODIS - Water Retrieval and Transport - Water Storage - Serving Water - When treated water is consumed - Who drinks treated water -

  14. Small Do-Able Steps

  15. Program Design COMMUNITY VOLUNTEERS Implement TECHNICAL (JVC) Activities TEAM FAMILIES IN Train With COMMUNITY Community •MCS Volunteers •HIP Local Government 4 Meetings 1 Workshop Health Post Staff Follow-up and Monitoring

  16. TRAINING MATERIALS Training Manual Interactive Games Training Posters

  17. MATERIALS USED IN COMMUNITY Reminder Brochures Reference Guide

  18. DATA COLLECTION SYSTEM O X

  19. BAR GRAPHS

  20. RESULTS

  21. INFANT HEALTH INDICATORS Bi-Annual Data Points in 2006 - 2008 I sem 2006 II sem 2006 I sem 2007 II sem 2007 I sem 2008 II sem 2008 514 Communities 533 525 520 508 528 100 % 90 80 65.9 70 60 50 40 30 20 10 26.8 31.9 48.3 49.9 60.0 0 Children < 2 consuming safe water 7,853 6,909 5,746 5,719 5,592 5,635 1, 377 1,539 1, 369 1,977 1,661 1,497 Total children < 2 years Total children < 6 months Source: Community self evaluación, Management Information System MCS-Perú / 2006 – 2008

  22. ROLL OUT • 7 REGIONS • 557 COMMUNITIES • 37,000 FAMILIES

  23. CONTACT INFORMATION • KENNETH PERALTA (MCS/USAID) – Kperalta@msh.org – Skype: kenneth.peralta – www.comunidadsaludable.org – www.msh.org • ELIZABETH YOUNGER (HIP/USAID) – eyounger@aed.org – Skype: eyounger – http://www.hip.watsan.net

  24. THANK YOU - GRACIAS USAID ARD AED HEALTHY MUNICIPALITIES AND COMMUNITIES PROJECT MSH (LIMA and UCAYALI) THE MANNOF GROUP The people of the District of Curimaná

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