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EXISTENCE OF PEOPLE LIVING WITH ACTIVE TRACHOMA TRICHIASIS: THE CASE OF NDITI VILLAGE IN NDITI WARD
About Nditi ward, Nditi village in specific Nditi village is one among five villages of Nditi administrative ward in Nachingwea district in Lindi Region. This village has a total population of 1133 with 512 households (HH) composed of 794 males and 969 females .The village has 30 TT patients who were identified by Case finders accepted treatment/surgiery others being refused. Male and female were equal.
There were 2 refusal cases mentioned with several reasons one being fear of care after being operated. The village has scattered settlement with its people involved in agricultural activities and livestock farming. Cashew nuts being the most popular commercial crop and other people being engaged in sedentary animal keeping due to abundance of the plots and grazing areas.
The cowsheds are normally located within 1025m which is significantly being in a close vicinity of the households. Mr. Merikizediki Valens Makoto and Ms Salma Mohamed who are the trained TT case finders in Nditi village reported that, said that As 90% out of the 30 households visited mentioned to have animal shed at that distance with fear of theft or for security reason during the night. There has been low usage of cow dung that could as well be used as energy source and lack of cleanliness of the cowshed of the household visited.
This tendency has resulted into accumulation of wet cow dung that make natural habitats and attracts flies like Musca domestica and Musca Sobers. These flies play an important role in the transmission of the trachoma disease. The Sanitation and hygiene profile in the ward is poor as 795 HH have an access to basic sanitation facilities, 90 of improved traditional pit latrine, 302 mentioned practise sharing (Ward data, 2015). Nditi village depending on the households’ location and distance from boreholes. Mr Rishid Hamis Libaba together with others close to him, they had an access to seasonal dug well.
Following drying up of their water source they has to move to search for water on the other location which is far approximately 500m. This is similar to Nditi primary school where the school children have to move about a kilometer to fetch water for classrooms cleanliness. This has been a great challenge for the majority of HH in the village as they find high congestion of people in yield borehole in this dry season. It has forced people to be use of papers/tree leaves for anal cleansing due to lack of enough water in line with other water use at household level. This makes people prioritize water use and neglecting hand washing at critical time especially after visiting the latrine.
Download Facial cleanliness and Environmental improvement (F&E) Project Peoples’ Development Forum’s Case Study QT 2- 2016/2017 (41 downloads) to read full Case Study.
EXISTENCE OF PEOPLE LIVING WITH ACTIVE TRACHOMA TRICHIASIS: THE CASE OF NDITI VILLAGE IN NDITI WARD
About Nditi ward, Nditi village in specific Nditi village is one among five villages of Nditi administrative ward in Nachingwea district in Lindi Region. This village has a total population of 1133 with 512 households (HH) composed of 794 males and 969 females .The village has 30 TT patients who were identified by Case finders accepted treatment/surgiery others being refused. Male and female were equal.
There were 2 refusal cases mentioned with several reasons one being fear of care after being operated. The village has scattered settlement with its people involved in agricultural activities and livestock farming. Cashew nuts being the most popular commercial crop and other people being engaged in sedentary animal keeping due to abundance of the plots and grazing areas.
The cowsheds are normally located within 1025m which is significantly being in a close vicinity of the households. Mr. Merikizediki Valens Makoto and Ms Salma Mohamed who are the trained TT case finders in Nditi village reported that, said that As 90% out of the 30 households visited mentioned to have animal shed at that distance with fear of theft or for security reason during the night. There has been low usage of cow dung that could as well be used as energy source and lack of cleanliness of the cowshed of the household visited.
This tendency has resulted into accumulation of wet cow dung that make natural habitats and attracts flies like Musca domestica and Musca Sobers. These flies play an important role in the transmission of the trachoma disease. The Sanitation and hygiene profile in the ward is poor as 795 HH have an access to basic sanitation facilities, 90 of improved traditional pit latrine, 302 mentioned practise sharing (Ward data, 2015). Nditi village depending on the households’ location and distance from boreholes. Mr Rishid Hamis Libaba together with others close to him, they had an access to seasonal dug well.
Following drying up of their water source they has to move to search for water on the other location which is far approximately 500m. This is similar to Nditi primary school where the school children have to move about a kilometer to fetch water for classrooms cleanliness. This has been a great challenge for the majority of HH in the village as they find high congestion of people in yield borehole in this dry season. It has forced people to be use of papers/tree leaves for anal cleansing due to lack of enough water in line with other water use at household level. This makes people prioritize water use and neglecting hand washing at critical time especially after visiting the latrine.
Download Facial cleanliness and Environmental improvement (F&E) Project Peoples’ Development Forum’s Case Study QT 2- 2016/2017 (41 downloads) to read full Case Study.
WHY INSTITUTIONAL TRIGGERING MATTERS IN ANY WASH (F&E) INTERVENTIONS?
Definition of Institutional triggering:
- Institutional triggering is an emotionally-based advocacy approach used to make authorities realize that poor sanitation and its related consequences is everyone’s concern.
- Similar to community triggering, institutional triggering targets institutional stakeholders at various levels (Ward, District, Regional or National Level)
- The approach shows participants that as long as open defecation persists and unhygienic environment and behaviors exist in their communities, they are unknowingly eating feaces, and unable to wash hand and face with soap which has a negative impact on their health and dignity.
- This realization provokes feelings of disgust, fear and shame and as a result, drives commitment and immediate action by the authorities.
- It is an effective tool to show the leader that they are having moral responsibility towards the people they govern and that failing to act to end the root causes puts people in danger.
- It is the best approach in technical leadership transfer to LGA leaders and community structures thus able to sustain project results.
- It was initially developed in Madagascar and then adopted in Senegal and Uganda where it has worked properly. PDF is currently integrating the approach in its sanitation projects to facilitate quick attainments of results and ensure community ownership and sustainability.
Anticipated changes as a result of institutional triggering:
- Effective institutional triggering leads to leader’s action in terms of signing a ‘statement of commitment’-Declaration.
- Designated Monitoring and field visits by heads of triggered institutions.
- ODF status achieved after agreed duration in communities that had been resistant to change
- Hand-Face Washing Facilities installed in all institutions and households in the community.
- WASH on the agenda in meetings between Leaders in the project areas.
- Marks the ends to misleading information and perceptions regardingthe program and political interference.
- No more demands of more payments or per diems on the work they were supposed to do on themselves. Effectively acceleration demand led approach in sanitation.
Appropriate level for PDF Projects
- Institutional Triggering will be effective at ward level. Here members of Ward Development committees and other key leaders from respective villagers, schools, health centers and representatives from the district and regional level may be joined together and triggered.
Why Ward Level?
- Real actors are at ward level and especially Ward Development Committees. If they are triggered, no risk of slippage and sustainability.
- Many decisions are done at ward level thus a need to make sanitation a ward level agenda and well included in all there interventions.
Definition of Institutional triggering:
- Institutional triggering is an emotionally-based advocacy approach used to make authorities realize that poor sanitation and its related consequences is everyone’s concern.
- Similar to community triggering, institutional triggering targets institutional stakeholders at various levels (Ward, District, Regional or National Level)
- The approach shows participants that as long as open defecation persists and unhygienic environment and behaviors exist in their communities, they are unknowingly eating feaces, and unable to wash hand and face with soap which has a negative impact on their health and dignity.
- This realization provokes feelings of disgust, fear and shame and as a result, drives commitment and immediate action by the authorities.
- It is an effective tool to show the leader that they are having moral responsibility towards the people they govern and that failing to act to end the root causes puts people in danger.
- It is the best approach in technical leadership transfer to LGA leaders and community structures thus able to sustain project results.
- It was initially developed in Madagascar and then adopted in Senegal and Uganda where it has worked properly. PDF is currently integrating the approach in its sanitation projects to facilitate quick attainments of results and ensure community ownership and sustainability.
Anticipated changes as a result of institutional triggering:
- Effective institutional triggering leads to leader’s action in terms of signing a ‘statement of commitment’-Declaration.
- Designated Monitoring and field visits by heads of triggered institutions.
- ODF status achieved after agreed duration in communities that had been resistant to change
- Hand-Face Washing Facilities installed in all institutions and households in the community.
- WASH on the agenda in meetings between Leaders in the project areas.
- Marks the ends to misleading information and perceptions regardingthe program and political interference.
- No more demands of more payments or per diems on the work they were supposed to do on themselves. Effectively acceleration demand led approach in sanitation.
Appropriate level for PDF Projects
- Institutional Triggering will be effective at ward level. Here members of Ward Development committees and other key leaders from respective villagers, schools, health centers and representatives from the district and regional level may be joined together and triggered.
Why Ward Level?
- Real actors are at ward level and especially Ward Development Committees. If they are triggered, no risk of slippage and sustainability.
- Many decisions are done at ward level thus a need to make sanitation a ward level agenda and well included in all there interventions.
CONSTRUCTION OF WATER STORAGE TANK AND HAND WASHING FACILITIES
Construction of water storage tank and hand washing facilities at Wazo Primary, Tegeta Dar Es Salaam, Tanzania, completed
In the most recent past, there was an increasing number of students at Wazo Primary school leading to a lot of challenges in accessing adequate water for consumption and thus exposed the disease outbreaks. The school managed to get a breakthrough and connected a water supply line to the school’s single water point. All the students accessed water through this one water point not consider the rationing days for the municipal water supply network and the number of pupils. Pupils lost significant time in trying to get access to water which has an effect on their study time and general cleanliness and school environment.
The above brought about the need to have a separate storage tank to cater for the times when rationing occurs and also a good hand washing facility for students before and after meal times.
With Jane Goodall engagement, PDF managed to construct hand washing facility and installation of water storage tank. Construction have been completed thus reducing time wasted queueing for water and also reduce spillage of water next to the building. Pupils are now freely using water on a daily basis regardless of the rationing since the storage capacity is enough to sustain basic water consumption for maximally 3 days. For more details read construction completion report by clicking link below.
Assignment Completion Report (63 downloads)
Construction of water storage tank and hand washing facilities at Wazo Primary, Tegeta Dar Es Salaam, Tanzania, completed
In the most recent past, there was an increasing number of students at Wazo Primary school leading to a lot of challenges in accessing adequate water for consumption and thus exposed the disease outbreaks. The school managed to get a breakthrough and connected a water supply line to the school’s single water point. All the students accessed water through this one water point not consider the rationing days for the municipal water supply network and the number of pupils. Pupils lost significant time in trying to get access to water which has an effect on their study time and general cleanliness and school environment.
The above brought about the need to have a separate storage tank to cater for the times when rationing occurs and also a good hand washing facility for students before and after meal times.
With Jane Goodall engagement, PDF managed to construct hand washing facility and installation of water storage tank. Construction have been completed thus reducing time wasted queueing for water and also reduce spillage of water next to the building. Pupils are now freely using water on a daily basis regardless of the rationing since the storage capacity is enough to sustain basic water consumption for maximally 3 days. For more details read construction completion report by clicking link below.
Assignment Completion Report (63 downloads)
PROGRESS REPORT ON IMPLEMENTATION OF SCHOOL WASH ACTIVITIES
RAPID IMPROVEMENTS OF HOUSEHOLDS SANITATION FACILITIES IN NJOMBE DISTRICT
Despite the fact that accessing improved sanitation facilities at house level is significant as far as living in a hygienic
and sanitary environment which is free from communicable diseases is concerned, communities in some areas in
Njombe Distict observed to be lacking access to improved sanitation facilities at households levels.
Studies indicated that most households were characterized by relatively high level of household access to basic latrines with poor
standards and lack of access to safe water. Open Defecation outsides of latrines were noted in some bushes around
some communities.
This was posing not only environmental contamination but also contributed to increased diseases
within the communities. Communities lacked access to sanitation products and services in rural areas in the District.
Entrepreneurs didn’t recognize and appreciate sanitation as a business they can invest in and earn a living. Households
lacked demand to improve their sanitation facilities.
Despite the fact that accessing improved sanitation facilities at house level is significant as far as living in a hygienic
and sanitary environment which is free from communicable diseases is concerned, communities in some areas in
Njombe Distict observed to be lacking access to improved sanitation facilities at households levels.
and sanitary environment which is free from communicable diseases is concerned, communities in some areas in
Njombe Distict observed to be lacking access to improved sanitation facilities at households levels.
Studies indicated that most households were characterized by relatively high level of household access to basic latrines with poor
standards and lack of access to safe water. Open Defecation outsides of latrines were noted in some bushes around
some communities.
standards and lack of access to safe water. Open Defecation outsides of latrines were noted in some bushes around
some communities.
This was posing not only environmental contamination but also contributed to increased diseases
within the communities. Communities lacked access to sanitation products and services in rural areas in the District.
Entrepreneurs didn’t recognize and appreciate sanitation as a business they can invest in and earn a living. Households
lacked demand to improve their sanitation facilities.
within the communities. Communities lacked access to sanitation products and services in rural areas in the District.
Entrepreneurs didn’t recognize and appreciate sanitation as a business they can invest in and earn a living. Households
lacked demand to improve their sanitation facilities.
Peoples’ Development Forum (PDF) in collaboration with Njombe District Council (NDC) with funding from United Nations Children Fund (UNICEF), developed an intergrated Water Supply, Sanitation and Hygiene Project that among
others promote viable, affordable, cost effective and culturally appropriate sanitation facilities, incorporating
operation and maintenance of sanitation systems, need of children, women and people with disabilities in Njombe
District covering 39 villages in the first quarter out of 50 villages planned in the wards of Igongolo, Kichiwa and Idamba.
Interventions stated in late April 2015 with, baseline assessment, well designed community and LGA Leaders awareness and sensitization meeting on key issues of WASH, selection of existed local artisans, CORPS and enterprenurs,
developing and agreeing of timelines to improve sanitation facilities and linking local artisans and enterprenurs to
sanitation demands. Other activities included flagging households defacating in open or those with un improved
latrines.
Peoples’ Development Forum (PDF) in collaboration with Njombe District Council (NDC) with funding from United Nations Children Fund (UNICEF), developed an intergrated Water Supply, Sanitation and Hygiene Project that among
others promote viable, affordable, cost effective and culturally appropriate sanitation facilities, incorporating
operation and maintenance of sanitation systems, need of children, women and people with disabilities in Njombe
District covering 39 villages in the first quarter out of 50 villages planned in the wards of Igongolo, Kichiwa and Idamba.
others promote viable, affordable, cost effective and culturally appropriate sanitation facilities, incorporating
operation and maintenance of sanitation systems, need of children, women and people with disabilities in Njombe
District covering 39 villages in the first quarter out of 50 villages planned in the wards of Igongolo, Kichiwa and Idamba.
Interventions stated in late April 2015 with, baseline assessment, well designed community and LGA Leaders awareness and sensitization meeting on key issues of WASH, selection of existed local artisans, CORPS and enterprenurs,
developing and agreeing of timelines to improve sanitation facilities and linking local artisans and enterprenurs to
sanitation demands. Other activities included flagging households defacating in open or those with un improved
latrines.
developing and agreeing of timelines to improve sanitation facilities and linking local artisans and enterprenurs to
sanitation demands. Other activities included flagging households defacating in open or those with un improved
latrines.
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