When Saadia started working as an engineer for a public water utility in Morocco, she was always “the only woman at the table,” she recalls.
Today, as a trainer at the International Institute of Water and Wastewater (IEA) in Rabat, she helps prepare young people — including many young women — to join her in a sector that has traditionally been dominated by men.
In line with USAID Administrator Samantha Power’s call for more inclusive development, H2O Maghreb and other USAID activities have helped partners in many countries break the bias against women and girls in the water and sanitation sector.
H2O Maghreb, for which Saadia served as a trainer, was at the forefront of efforts to boost women’s employment in water and sanitation in Morocco during the project’s four-year duration. More than three-quarters of the 112 young people who enrolled in the project’s training course in sustainable water management from November 2018 to February 2022 — and 78 percent of its 91 graduates — were women.
The status quo
A World Bank study that collected data from 64 water and sanitation service providers in 28 countries found that, on average, only 18 percent of the utilities’ workers were women. In Morocco, a study commissioned by H2O Maghreb in 2021 revealed that the number of women entering the sector is increasing, but only a quarter of the employees in the government’s three main water and sanitation agencies were women.
Moroccan women’s representation in technical jobs was even lower. For example, at the country’s largest water utility, the Office National de L’électricité et de L’eau Potable (ONEE), about 17 percent of employees and less than one percent of technical enforcement agents were women.
Salma Kadiri, Project Management Specialist with USAID/Morocco, explains that employers usually avoid hiring women for technical jobs because of traditional expectations about women’s place in society. “For security reasons and because of social norms here in Morocco, they prefer not to give women jobs when they have to travel and go to the clients,” she says.
The best candidates
Conducted at ONEE’s IEA training hub, H2O Maghreb’s six-month courses offered trainees a mix of theoretical learning and hands-on experience, including practice responding to emergencies through a virtual water treatment plant created for the project by its private sector partners, EON Reality and Fesco Didactic. USAID and its implementing partner the United Nations Industrial Development Organization also partnered with ONEE and several Moroccan government ministries under this project.
This public-private partnership designed the training course to help meet a critical need for state-of-the-art capacity in sustainable water management at a time when Morocco’s limited freshwater resources are under pressure from population growth, industrialization, urbanization, and climate change. Morocco is also facing the worst drought in decades, meaning sustainable water management is more important than ever.
USAID also saw the project as an opportunity to expand the inclusion of women, and H2O Maghreb actively recruited female trainees. The 2021 study found that providing safe accommodations and meals at the IEA made it possible for young people from all regions of the country to participate in the training, and they may have been the deciding factor for young women considering participation.
Ultimately, however, the predominance of young women among the trainees reflected their performance on the entrance exams, notes Kadiri. “There were some actions that encouraged female participation,” she says, “But also the transparency and open competition of the hiring process for H2O Maghreb helped to select the best candidates, which happened to be women.”
Mentors and role models
The experiences of the first group of women trainees aided subsequent recruitment efforts, as these graduates returned to speak to other trainee classes and spread the word among their peers that H2O Maghreb is an environment where women can thrive. To create that environment, the project recruited women to serve as trainers, raised awareness of gender issues during the training of both trainers and trainees, used gender-neutral language, and featured women in training videos and printed materials.
Kadiri emphasizes the importance of mentoring, particularly by the two women trainers, who are “very encouraging and supportive of young female students.”
Women who had achieved success in water management positions, including engineers, technicians, trainers, and managers, also served as role models by participating in workshops to share their experiences with the trainees. Those discussions, Kadiri says, were “really eye-opening for the young students and helped them to project themselves in the water sector.”
For Saadia, the training was an opportunity to share her own experiences as an engineer and her love of the field with young people, especially young women. “Our training programs go beyond just teaching the right techniques,” she says. “We motivate our students to be passionate about what they do.”
A new generation
The H20 Maghreb project ended in February 2022, but the approach it pioneered continues. The project collaborated with Mohammed VI Polytechnic University to adapt the curriculum for a new degree program in sustainable water management. The Ministry of Education has accredited the H2O Maghreb curriculum, and Morocco’s Office of Professional Training and Work Promotion plans to offer vocational training based on the curriculum in the Beni Mellal region.
Seventy-five percent of the 91 students who completed the H2O Maghreb training found employment within six months of graduation (before the COVID-19 pandemic, when hiring slowed). Overall, about 68 percent were employed at project completion.
The placement rate of women trainees was even higher (79 percent pre-COVID), particularly in the public sector, where female recruits excelled in the merit-based hiring system — including a written test. “Women have more chances to succeed in these tests, rather than in the private sector, where it goes through interviews and interpersonal relations and networking, where women are less privileged or less well placed than men,” Kadiri says.
Saadia is proud that many of the women who graduated from H20 Maghreb are now her colleagues. “When I joined ONEE, a female water technician network didn’t exist; it was a job for men,” she says. “It’s a real revolution.”
As of 2020, Vietnam had the highest levels of rural water coverage among any country of comparable economic level, with coverage equivalent to countries with two to three times its per capita Gross Domestic Product (GDP). We were curious: what was the contribution to this success by the billion dollar Asian Development Bank Water Sector Investment Fund (“the Fund”)?
To answer this question, we invited Hubert Jenny, formerly of the Asian Development Bank (ADB) and now consulting for UNICEF, for a conversation on the REAL-Water podcast (available on Anchor, Spotify, and Apple Podcasts, among other platforms).
Hubert designed and oversaw ADB’s ten-year, $1 billion loan fund initiated in 2010 to support Vietnamese water companies’ measures for improving performance. Set up as a Multitranche Financing Facility, the program was meant to support institutional reforms, most notably a 2007 central government decree mandating that Vietnamese public service providers achieve full cost recovery.
On the REAL-Water podcast, we consider questions of rural water supply through the lenses of governance, financing, and innovation. We asked Hubert how the Fund he managed came into being and what lessons the recent Vietnamese water sector experience can offer rural water supply development.
With respect to governance, we were struck by the role of champions — both key stakeholder institutions and individuals with commitment, motivation, and skills to make transformative change. The Vietnam Womens’ Union and the Vietnamese Fatherland Front both command enormous influence in the country, so persuading each group of the value of the Fund for improving water utility performance was instrumental to the Fund program’s embrace by government officials and communities. During 18 months of preparation, Hubert and his colleagues convened public stakeholder workshops (open to the media) every three months which, together with their regular contacts, turned these key groups into the Fund’s biggest supporters.
Individual champions can also play a critical role: Hubert pointed specifically to Truong Cong Nam, the President and Director of the Thua Thien Hue Construction and Water Supply Company (HueWACO), in central Vietnam. HueWACO, in which the Fund invested, is among the best performing provincial water utilities in Vietnam. We were fascinated to learn that Mr. Nam has been mentored by the acclaimed Cambodian engineer Ek Sonn Chan, who won international accolades for transforming the Phnom Penh Water Supply Company from a utility in ruins into one of the best performing in Asia.
Critically, strong governance builds trust in institutions, and this trust is essential when introducing the increases in monthly water fees that are often required to help the water utility break even. Hubert notes the commitment of water suppliers to raise fees with care, working with ADB to ask consumers what they are willing to pay for the service and conduct affordability studies to estimate the kinds of increases poor and marginalized customers could absorb.
In one remarkable account, Hubert describes the position of ethnic minorities in rural Vietnam who were legally not required to pay water fees. The responsible water service providers would not expand coverage to reach those communities because they would not be able to recover their costs, so the communities themselves made the case that they actually wanted to pay, knowing that this would make reliable water service possible.
Meanwhile, Hubert highlighted that full cost recovery by water service providers — while an essential management objective — can also represent a hazard to the public interest, insofar as it may remove the incentive to improve systems and expand coverage.
In the domain of innovation, Hubert pointed to research that Aquaya conducted as part of the Fund, examining the possibility of HueWACO assuming responsibility for rural water supply systems throughout Thua Thien Hue province, including the deployment of novel water treatment technologies (such as hollow-fiber ultrafiltration and in-line chlorination). This management change is an example of the kind of consolidation of multiple rural water supply systems that is now gaining credibility as a way to increase efficiencies, allowing for a cross-subsidy to support those systems for whom full cost recovery may continue to be a challenge. Vietnam’s 2021–2025 five year plan mandates its Ministry of Construction to integrate rural and urban water supply, in connection with the regulation of newly privatized large utilities.
Committed individual champions, securing the trust of influential civic organizations, supporting tariff reforms with reliable data on affordability and willingness-to-pay — all of these contributed to the success of ADB’s $1 billion water fund, and are lessons that can be tested in other settings. More broadly, however, widespread trust in institutions increased the ease with which these reforms could be implemented.
Keeping it REAL for the Future of Rural Water Services Delivery
Providing safe, reliable water supply to rural populations is among the most difficult challenges of international development. Water represents a fundamental human health need as well as a critical factor for maintaining household hygiene, enabling food production, and supporting the industries that allow societies to flourish.
While a formidable undertaking, there has certainly been progress. More than 40 years have now passed since the beginning of United Nations’ International Drinking Water and Sanitation Decade (1980–1990), and between 2015 and 2020, the proportion of rural populations covered by safely managed drinking water services did increase — by an average of 7 percentage points per year, according to the WHO/UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene (JMP)’s most recent progress report.
Still, as of 2020, less than a third (28 percent) of the rural population of Least Developed Countries (LDCs) has access to safely managed drinking water services. In sub-Saharan Africa, barely over one in ten rural households (13 percent) were served by safely managed supplies in 2020; indeed, less than half of the rural population of sub-Saharan Africa enjoyed access to even basic services, defined by JMP as drinking water from an improved source with under 30 minutes of collection time, including queuing. Worldwide, of the estimated 800 million people who lacked basic drinking water services in 2020, roughly 80 percent lived in rural areas, and half of those were in LDCs.
What policies, programs, and systems can accelerate and sustain the provision of safe water to rural populations? One of the ways that USAID seeks to answer this question is through its new centrally funded research project, Rural Evidence and Learning for Water (REAL-Water). Staffed by a consortium of academic researchers, practitioners, and sector analysts, as well as a global convening organization, REAL-Water will spend the next five years building the evidence base for increasing the performance of rural water supply systems, including protection and management of the water resources on which they depend.
Fifteen years after the end of its first declared water and sanitation decade, the United Nations pronounced the ten years between 2005 and 2015 the “Water for Life” decade. During these two celebrated water-focused periods, the dominant paradigm for rural water has shifted. Coming into the 1980s, central governments were commonly expected to build and operate rural water supply systems (even as sovereign budgets were nowhere near sufficient to meet that responsibility). Over the course of the 1990s and into the Water for Life decade, the notion of community involvement and management gained support, and along with it, an honest recognition of the limited capacities of rural populations to successfully and sustainably run their own water supply systems in the absence of financial and technical support. Of late, the community management imperative has begun to give way to the concept of service delivery. This directs focus past capital construction of pumps and pipes toward the professional operation and maintenance of water supply systems over time, along with the financial reserves required to support it. For example, the recently concluded USAID-funded Sustainable WASH Services Learning Partnership (via its partners IRC and Whave in Uganda, Fundifix in Kenya, and IRC in Ethiopia) made a convincing case that professionalized scheduled maintenance and repairs can substantially improve performance of rural water systems.
Building in part on the Sustainable WASH Systems Learning Partnership, REAL-Water consists of three main research domains. The first, led by Aguaconsult, Ltd., asks how government oversight, professionalized support to community-managed rural water services, and alternative management models can be employed to increase the sustainability, quality, and reach of rural water services.
The second domain, led by Aquaya, focuses on the models and factors for improving routine drinking water quality monitoring and drinking water safety in rural, resource-poor environments.
The Centre for Social and Environmental Innovation (CSEI) at India’s Ashoka Trust for Research in Ecology and the Environment (ATREE) leads research in the third domain on water resources planning, seeking to identify and overcome its most important obstacles at scales relevant to rural water service authorities in low- and middle-income countries.
Making sure that REAL-Water asks the most important rural water supply questions in the most sensible ways requires effective engagement with both local and global water sector actors. The Skat Foundation’s Rural Water Supply Network, with thousands of members worldwide, will be instrumental in this regard.
In addition, we are pleased to introduce the REAL-Water podcast. Tune in and check out the welcome episode now. Project Director Ranjiv Khush and Deputy Director Jeff Albert will co-host conversations asking the most important questions on rural water supply, featuring practitioners, analysts, government officials, and donors. The podcast will provoke discussions intended to “keep it REAL” by challenging our underlying assumptions, including scrutiny of the potential for research and evidence to drive big changes in policy and practice. The REAL-Water podcast will probe rural water challenges through three lenses: financing, governance, and innovation.
With respect to the first of these lenses, we must be sober about the reality that rural water supply systems are rarely financially viable. As Oxford University’s Rob Hope and colleagues have recently written, the economics of rural water are fundamentally different, because of the dual challenges of scale (low numbers of sparsely located customers) and uneven demand (a function of rural customers shifting their multiple water sourcing behaviors seasonally). The REAL-Water podcast will explore who currently pays for rural water supply services, whether they pay enough, and what service tariff “affordability” means. Under what circumstances are the collected tariffs sufficient for reliable service, where they are not, and how can we make up the difference? What do we know about how to direct public and donor funds in ways that maximize not only accountability, but also efficiency and performance?
The governance lens will probe how government institutions are equipped to deliver basic services. It will explore what kind of management arrangements are optimal in different contexts, from community-based management to public utility service provision, public-private partnerships, and delegated professionalized maintenance.
Finally, the innovation lens will examine what novel technologies and institutional arrangements can lead to better cost recovery, more consistent water quality monitoring and treatment, and ultimately more reliable rural water system performance.
We at REAL-Water are excited about this journey and hope you will join us!
As we enter the third year of the COVID-19 pandemic, many national and local governments are turning to a surprising source of data to track the latest surge of the virus: pathogens in the wastewater in their sewage systems.
This approach has long been used to help monitor the spread of diseases such as polio and typhoid, notes Joe Brown, an associate professor of environmental sciences and engineering at the University of North Carolina at Chapel Hill and principal investigator of the Maputo Sanitation (MapSan) trial.
“For about 100 years, we’ve been looking for pathogens in wastewater as a way of informing public health response,” he says. “And the data can complement clinical data in a variety of ways — for example, to generate data on infections that are primarily asymptomatic and therefore may be underestimated in other health surveillance.”
COVID-19 often goes undetected because it leads to mild or no symptoms in many people, and thus can spread quickly. The rise of the highly contagious Omicron variant has swamped testing resources in countries throughout the world, widening the gap between reported and actual cases.
Monitoring of COVID-19 in wastewater can inform health authorities by providing community-level data on trends in infections. The SARS-COV-2 virus that causes COVID-19 is shed in people’s feces, offering a source of data that does not depend on access to testing, healthcare-seeking behavior, or timely reporting of results.
Wastewater surveillance can identify COVID-19 hotspots, provide early warning of new outbreaks, and confirm trends in clinical data. Given these considerations, USAID launched a new activity under the Jordan Water Infrastructure project to enhance the Jordanian government’s capacity to conduct wastewater surveillance for COVID-19.
Wastewater surveillance systems offer the possibility of earlier detection and rapid response to spikes in COVID-19 and new variants. In many cities, the surveillance data are being used to monitor the trajectory of the Omicron surge and determine when it has peaked. And some governments and universities have used these data to target testing services, refine health messages, and forecast clinical resource needs.
A global map maintained by the University of California Merced showed that by the end of March 2022, wastewater was being monitored for the virus in at least 3,393 sites in 64 countries. Almost two-thirds of those sites are in high-income countries, but wastewater surveillance can be even more useful in settings with limited resources for clinical surveillance, notes Brown, who is working with Mozambique’s national sequencing laboratory to add wastewater monitoring to its surveillance of COVID-19 variants in the city of Maputo.
Most households in Mozambique and other low- and middle-income countries are not served by sewer systems, but this lack of infrastructure may not be an insurmountable obstacle to community-level monitoring of COVID-19 and other pathogens, Brown adds. “What we need to do now is to adapt tools that can be applied at scale,” he says. “That means using these same methods on fecal sludges, impacted surface waters, drains, and other environmental matrices that are not wastewater but still contain fecal contamination.” A pre-COVID study among clusters of households participating in the MapSan trial suggests this approach holds promise for pathogen surveillance.
In Jordan, where more than 60 percent of the population is connected to a sewer system, Water Authority technicians began testing for SARS-COV-2 genetic material in wastewater in June 2020. However, they did not have a monitoring plan and lacked the necessary capacity for speedy processing of large numbers of tests.
USAID’s Jordan Water Infrastructure project worked with the Water Authority and the Ministry of Water and Irrigation to develop that capacity. Conducted from August 2020 to March 2021, this pilot project resulted in a doubling of the Water Authority of Jordan’s capacity to process wastewater samples for COVID-19 measurement.
The pilot began with the development of a plan for COVID-19 surveillance in the Ain Ghazal sewer system, which serves more than 2 million people in the city of Amman. The plan identifies locations for obtaining wastewater samples, outlines different levels of monitoring to be conducted based on clinical data, and includes actions to be taken when COVID-19 is detected at one of the monitoring locations.
USAID purchased the equipment and supplies required to improve testing sensitivity and efficiency at the Water Authority’s virology laboratory. Through practical training, the project developed the skills of the Water Authority technicians in all aspects of wastewater surveillance, from sample collection to analysis and reporting.
Water authority staff involved in the activity also received training in COVID-19 health and safety protocols to ensure safe handling of wastewater samples. (Although the virus shed in wastewater has not been shown to be infective, the use of personal protective gear and other precautions are recommended).
The lessons from the Ain Ghazal pilot project were shared during a virtual workshop on March 10, 2021. USAID and the Ministry of Water and Irrigation convened 50 experts from Jordan’s water sector, the Ministry of Health, the National Center for Security and Crisis Management, funding agencies, and academia to discuss how to use wastewater surveillance data as a supplement to clinical data on COVID-19. A member of USAID/Jordan’s water team explains that “Wastewater surveillance can identify COVID-19 hotspots, provide early warning of new outbreaks, and confirm trends in clinical data’’.
The project also used these lessons to develop a “road map” for expanding Jordan’s surveillance system to cover everyone in the country who is served by sewers. The road map, which is part of the project report, emphasizes the need to define specific public health actions to be linked to the wastewater data.
National testing can complement clinical testing data and help allocate critical public health resources to manage the spread of COVID-19. And because many other human pathogens can be measured in wastewater, development of wastewater surveillance capacity in Jordan will also be helpful for management of outbreaks of diseases — both known and unknown — other than COVID-19.
Abdi Ali, a farmer in Ninewa, proudly shows off a recently harvested pepper. USAID equipped Ali’s farm with a solar panel to pump water from his well, which helped him better irrigate his crops. Photo Credit: ICRI Ta’afi for USAID.
In Iraq, rising temperatures, reduced rainfall, and dropping water levels are all increasing the risk of drought and desertification. Growing water scarcity across the country threatens the health and livelihoods of at least seven million Iraqis. As water resources dry up, so too do the chances of long-term stability and prosperity.
Despite this harsh reality, hope remains where there is action. From rehabilitating wells and water treatment facilities to upgrading water networks to improve efficiency and increase water loss, here are ten ways USAID is helping to address water scarcity across Iraq.
Upgrading Water Treatment Plants in 11 Provinces. USAID improved operations and maintenance of 70 water treatment plants across the provinces of Anbar, Babil, Baghdad, Basra, Ninewa, Wasit, Najaf, Diyala, Muthanna, Erbil, and Sulaymaniyah, helping over 8 million Iraqis gain improved access to clean water.
A technician from the Ifras Water Center in Erbil adjusts the water intake settings according to the new operations and maintenance protocol introduced by USAID’s IGPA/Takamul project. IGPA supports water directorates across Iraq and the Iraqi Kurdistan Region better respond to citizens’ needs for potable water by improving water systems workflow and operations. Photo Credit: Maria Lourdes Luces, IGPA/Takamul Project for USAID.
2. Bringing Clean Water to Basrah. In 2018, after decades of overuse, pollution, and reduced rainfall from climate change, Basrah’s main water source became severely contaminated, sending 118,000 residents to the hospital due to water poisoning. In response to the water crisis, USAID rehabilitated nine of Basrah’s major water treatment plants to ensure they meet both local and international standards. The renovated treatment plants are bringing safe, clean water to more than 625,000 residents.
3. Modernizing Water Management. USAID is providing the Iraqi Ministry of Water Resources with a state-of-the-art water management system to help the Ministry make strategic decisions on water conservation and counter the impacts of climate change, such as drought and flooding. As a symbol of its steadfast partnership, USAID just signed a memorandum of understanding with the Government of Iraq to promote its ongoing commitment to ensuring more sustainable water management.
U.S. Ambassador to Iraq Matthew H. Tueller signs a Memorandum of Understanding between the United States and the Government of Iraq at the International Water Conference in Baghdad in early March 2022. The Memorandum of Understanding reinforces the ongoing partnership between USAID and the Iraqi Ministry of Water Resources. Photo Credit: IGPA/Takamul for USAID.
4. Rehabilitating Critical Water Infrastructure in West Mosul. When the Old West Water Project’s eight water pumps started failing, over half of West Mosul residents struggled to access enough water for their daily needs. USAID provided eight new water pumps and repaired the pump station building, which increased the Project’s pumping capacity, helping more water reach the 30 neighborhoods connected to the network.
A snapshot from a recent USAID-supported outreach activity in Mosul to raise awareness on the importance of water conservation. Photo Credit: ICRI Ta’afi for USAID.
5. Ensuring Safe, Potable Water in West Anbar. Western Anbar is one of the driest regions in Iraq. By rehabilitating water treatment plants and local distribution networks, USAID helped provide over one million Anbar residents with reliable access to safe, clean water.
6. Increasing Water Access in Soran. Soran is a city located in the Iraqi Kurdistan Region of Iraq and is home to about 125,000 residents. USAID and Coca-Cola, through the Water and Development Alliance (WADA), partnered with the Soran Water Directorate to improve water management practices, resulting in approximately 100 million liters of water saved annually and improving water access to 35,000 residents.
The team in Soran installs new water pipes across the city as part of the USAID-supported Water and Development Alliance, in partnership with Coca-Cola and the Soran Water Directorate. Photo Credit: WADA for USAID.
7. Saving Water in Five Governorates. USAID support to water directorates in Anbar, Babil, Baghdad, Basrah, and Ninewa have helped detect, document, and repair water losses more effectively and efficiently, resulting in up to 30 percent water savings.
8. Empowering Government Entities. The ISIS occupation left the water supply networks in Ninewa and Western Anbar seriously damaged and unable to meet residents’ needs. As a result households were forced to rely on expensive, unreliable, and low-quality water deliveries. USAID worked with the water directorates and equipped them with new water pumps, which increased the water supply to over 680,000 people across 46 residential areas.
USAID equipped the Ninewa Water Directorate with 8 low-flow water pumps, which increased the Directorate’s capacity in pumping water to residential areas. The head of the directorate confirmed, “After USAID support, the water station supply of water had increased from 5,000 m3/h to 9,000 m3/h”. Photo Credit: ICRI Ta’afi for USAID.
9. Boosting Awareness for Sustainable Consumption. Many Iraqis are not aware of how their personal water use can impact overall water scarcity. USAID launched a national online campaign with a series of educational videos to raise awareness of Iraq’s ongoing water crisis and promote more responsible water consumption. Since the start of the campaign, the videos have been viewed by over one million Iraqis. (See example below)
10. Pumping Up Irrigation to Farmers. Between climate change reducing rainfall and wells damaged by ISIS, farmers returning home to Ninewa and Western Anbar struggled to restart their activities. USAID fully operationalized 87 irrigation wells, which helped over 350 farming families start back up their farms and earn incomes for their families.
By Clara McLinden, Senior Development Outreach and Communications Specialist for USAID in Iraq.
New data revealing disparities in access to water and sanitation by ethnic group offer a powerful tool to help policymakers, program managers, and advocates take action to leave no one behind — the transformative promise of the 2030 Agenda for Sustainable Development and a central focus of USAID Administrator Samantha Power’s vision for inclusive development.
USAID is making water and sanitation equity data from the 2021 report on the Multidimensional Poverty Index (MPI) available on the Global Waters website to encourage their use. “We want to elevate this dataset so it can be used to address the gaps that marginalized people face,” says Brian Banks, WASH Analytics and Data Advisor with USAID’s Center for Water Security, Sanitation and Hygiene.
Multidimensional Poverty Index data now spotlight inequities
The MPI measures poverty using 10 indicators of deprivation, including lack of access to improved drinking water and sanitation (see Box 1). For the first time, this annual report from the Oxford Poverty and Human Development Initiative and the United Nations Development Programme (UNDP) disaggregates all of those indicators by ethnic group, race, or caste (available for 41 countries).
Figure 1. This map shows the 41 countries where MPI water and sanitation equity data are available. Explore the full map.
Most of the surveys included similar questions about ethnic group or tribe (e.g., Senegal), enhancing comparability, but a few focused instead on racial categories (Cuba), caste (India), or a combination of ethnic group and native language (Paraguay) (see Figure 2).
The ethnicity of the head of household was assigned to all members of a household because every survey collected that information but very few surveys collected individual ethnicity data. UNDP Statistics Specialist Cecilia Calderón, who performed the disaggregation by ethnicity, notes that reliance on information about heads of households is a potential limitation of the data. However, the results of a sensitivity analysis conducted for four countries that did collect data for all household members found that both approaches yielded similar results.
Identifying equity gaps
Catarina de Albuquerque, the Chief Executive Officer of Sanitation and Water for All, says the water and sanitation equity data help fill a need for more accurate, reliable data on who is being left behind. “Many countries don’t know who is being excluded from accessing water and sanitation services or why they are being excluded,” she says. “It’s very easy to focus on averages, because they allow you to [ignore] entrenched discrimination against certain population groups.”
Banks notes that the sector has made progress in understanding how marginalization affects access to water and sanitation, looking at differences by gender and urban versus rural areas, for example. However, having data disaggregated by ethnicity makes it possible to understand who is marginalized with greater precision (see Box 2).
“It opens the door for more people to think about whether their programs are actually addressing marginalized communities, because they can examine more substantive dimensions of marginalization,” Banks explains. “And that creates opportunities to reduce some of the systemic factors that have led to lack of access.”
The disaggregated data reveal the degree of disparity in access to water and sanitation among ethnic groups in each country. Data visualizations created by USAID’s Center for Water Security, Sanitation and Hygiene show that the national “equity gap” between those who are most deprived of access to drinking water and those who are least deprived ranges from 84% to 1.7%; for sanitation, the range of national equity gaps is 78% to 1.4% (Figure 3).
Figure 3. Highest and lowest drinking water and sanitation equity gaps
USAID is using visualizations like these to promote the use of the dataset in program design, implementation, and evaluation. Moving forward, the Center for Water Security, Sanitation, and Hygiene will support USAID missions to use the data to design programs that help improve equitable access to services.
“We’reexcited to collaborate with the broader sector to close equity gaps,” says Banks.
Banks emphasizes another way these data can help USAID realize the Administrator’s vision of inclusive development. “They can be used for policy making, but also to make sure marginalized people are represented and consulted about plans and decisions that affect their communities,” he says.
De Albuquerque says the dataset is an important advocacy tool that should be used by international and bilateral organizations, human rights advocates, and journalists to encourage policymakers to address inequalities through their policies, plans, and budgets.
Exploring these data allows WASH actors to understand new facets of equity in WASH services, and begin asking new questions, such as why some countries have such big differences in equity between water and sanitation (see Figure 4).
Figure 4. Difference between access to water and access to sanitation in Latin America
While USAID works on WASH programming in many of the countries covered in the report, USAID has designated 21 high priority countries for FY 2022 and more than one-third of them have data available in the report. Figure 5 shows the drinking water and sanitation equity gaps for the high priority countries where MPI equity data are available. As USAID continues to strengthen transformational programming in these countries, the new data can help ensure programs do not leave anyone behind.
Figure 5. Water and Sanitation Equity Gaps: FY 2022 USAID High Priority Countries
The data are a stark reminder, de Albuquerque adds, that countries will not achieve the Sustainable Development Goal of safe water and sanitation for all by 2030 without bringing people who have been marginalized to the forefront. “The data reinforce the urgent need to accelerate progress, in particular, for the most marginalized and the most vulnerable,” she says.
Sustaining Positive Handwashing Behavior Change During COVID-19 and Beyond
When the world was thrown into the unknown at the emergence of the COVID-19 virus, one thing remained true: handwashing is our first line of defense against the spread of infectious diseases. With nearly 2.3 billion people worldwide lacking access to clean water and soap in their homes, efforts to support communities and health facilities access handwashing resources became more important than ever.
Healthcare providers and public health professionals have continued to reiterate the message that handwashing can help prevent illness. With such a focus on improving hygiene behaviors to reduce the spread of COVID-19, many communities have been able to improve handwashing to prevent not only COVID-19 infection, but other infectious diseases as well.
USAID has been a critical part of the effort to improve handwashing in homes, communities, and health care facilities worldwide since the start of the pandemic.
As part of USAID’s COVID-19 response efforts in Ethiopia, local partnerships with manufacturers of home handwashing products and a robust marketing campaign resulted in more than 11,000 handwashing stations purchased by households to date.
In Benin, USAID’s Sanitation Service Delivery program teamed up with the Government of Benin’s COVID-19 task force, led handwashing campaigns within municipalities, and facilitated the delivery of handwashing systems, soaps, and hand sanitizer to homes. Through this partnership, USAID program staff worked alongside local authorities to launch COVID-19 awareness campaigns.
Access to handwashing resources in health care facilities is essential to provide quality, equitable health care but globally, globally, 42 percent of health care facilities do not have access to handwashing resources, and one in four health care facilities lack basic water services.
In response to COVID-19 and with USAID support, local committees in Nepal installed water drums and handwashing stations at health posts for patients to effectively wash hands with soap and water before entering. In addition, USAID built fully functioning water supply systems in 57 health posts across Nepal to assist health workers and patients in limiting the spread of infectious diseases through proper handwashing.
Handwashing education and COVID-19 awareness campaigns are a critical part of USAID’s efforts to respond to the COVID-19 pandemic.
In Cote d’Ivoire, USAID supported a nationwide handwashing education campaign with the Ministry of Sanitation in markets, hospitals, and public places in 50 localities, reaching more than 10,000 people. USAID also partnered with 15 local radio stations, broadcasting more than 14,000 radio messages on the importance of safe hygiene practices.
In Indonesia, USAID worked to reduce the spread of the virus by partnering with community health clinics to share messaging about safe hygiene habits through mediums such as radio jingles and social media posts.
As part of Nigeria’s National WASH Response on COVID-19, USAID partnered with local telecommunication firms to share messaging about handwashing with millions of Nigerian cellphone users.
In order to build back better, sustained handwashing behaviors can help to limit the spread of all types of infectious diseases, including COVID-19, to keep communities healthy and thriving.
By Stephanie Mork, a Communications Analyst in USAID’s Bureau for Global Health
Confronting Climate Uncertainty Head On in the Philippines
“With new and improved data-driven analyses capabilities and better, more frequent reporting accompanied by resonating public communication campaigns, local actors may be motivated — even compelled — to improve water resource management that can benefit all Filipinos.”
A changing climate is forcing a reckoning across the Philippines — a sprawling island nation spread across more than 7,500 islands in the western Pacific where water is virtually everywhere and informs every facet of daily life. As the Philippines finds itself on the front lines of climate change, the country’s proximity to water is both a blessing and a challenge. With government officials and water resource managers navigating complex and interwoven climate challenges — such as shifting precipitation patterns, intensified cycles of flood and drought, coastal erosion, sea-level rise, and stronger typhoons — it has become crystal clear that water poses a pressing national security threat.
Decision-makers in the Philippines increasingly view water and its sustainable management as foundational in any successful long-term effort to build a more resilient country capable of withstanding — and indeed thriving in the face of — future climate shocks. To support the Philippine government’s water security efforts, USAID, through its five-year, $18.4 million Safe Water Project (SWP), has been working with national and local government partners, community leaders, municipal officials, water service providers, businesses, nongovernmental organizations (NGOs), and other partners around the country since 2019 to strengthen the country’s Philippines’ water security and climate resilience. Implemented in the provinces of Negros Occidental, Sarangani, and Palawan, the project provides new sustainable water resource management technology and techniques, improves access to a reliable, resilient water supply, and incentivizes more accountable, sustainable, and financially-disciplined water sector governance.
On the Front Lines
The effects of climate change on the Philippines have been anything but subtle. The extraordinarily powerful Typhoon Haiyan that made landfall in November 2013 registered as one of the strongest tropical cyclones in recorded history and caused widespread devastation. A severe drought in 2015 led many cities and provinces to declare a state of calamity due to serious water shortages. More recently, Typhoon Vamco brought intense and sustained rainfall to the islands in November 2020, threatening dams and triggering devastating flooding of large and small downstream farming communities.
With its high degree of vulnerability and exposure to various climate change impacts, the Philippines has renewed its commitment, through a whole-of-government approach, to better plan for and respond to future natural disasters.
Adding further stress to the country’s overall water security is the fact that even during years of relative water supply abundance, water rights are often fiercely contested. Competing demands for allocating the country’s finite water supply are intensifying under the pressures of population growth, urbanization, and economic modernization. As if that weren’t enough, many people must contend with serious public health threats on a daily basis affecting tens of millions of Filipinos who lack reliable access to safe water and sanitation services.
“The Philippines faces a number of water-related challenges,” explains Lawrence Hardy II, Mission Director for USAID/Philippines, Pacific Islands, and Mongolia. “Recent studies show that the Philippines has the lowest water availability per capita among Southeast Asian countries [and] projections suggest the Philippines will continue to see a high degree of water shortages through 2040. About 12 million Filipinos do not have access to clean drinking water, while 80 percent of the country’s 100 million people are not connected to wastewater treatment services, [and] waterborne diseases remain among the top ten leading causes of morbidity in the country.”
“Challenges often present unexpected opportunities.”
In spite of the gravity of the Philippines’ water security and public health challenges, confronting and preparing for grave threats can also help open the doors to a more sustainable future. “Challenges often present unexpected opportunities for USAID to be adaptive, creative, and responsive in its interventions,” says John Edgar, Director of USAID/Philippines Environment Office.
Climate Is Water
While the relationship between climate change and water supply may not seem particularly obvious, the two are in fact deeply intertwined. Climate change can degrade water supply in a variety of ways.
For example, the heavy sustained rainfall that accompanies typhoons can trigger landslides, accelerate riverbank erosion, and wash agricultural chemicals and other contaminants into waterways as storm runoff — degrading water quality and threatening the health of communities that depend on these same waterways for their drinking water supply. Closer to the coast, intensified storm surges, sea level rise, mangrove habitat loss, and coastal erosion can accelerate saltwater intrusion into aquifers, which serve as key water sources for many towns and cities. And prolonged droughts can cause surface water levels to drop, concentrating harmful pollutants and encouraging overreliance on groundwater as an alternative water source.
Regardless of the cause of water supply degradation, water service providers across the Philippines are bearing much of the expenses. They are struggling with both higher water treatment and infrastructure maintenance costs due to damage inflicted during extreme weather events whose effects are felt for months or even years. Mounting operating expenditures are one of the many reasons SWP has been working closely with cash-strapped water service providers, and conducting financial stress tests to help steer them onto the path of long-term fiscal health. This is particularly important at a time when many service providers are experiencing significant revenue loss due to the COVID-19 pandemic and postponing improvements and expansions as a result.
Creating a Resilient Water Supply
Drawing on guidance from USAID’s climate risk assessment and planning tools, SWP has placed climate considerations at the core of its evidence-based interventions for creating a more resilient, reliable water supply. “Building on our past experience responding to the impacts of Typhoon Haiyan and severe droughts, USAID ensured that climate resilience is an integral part of SWP’s design,” Edgar says. “USAID applies climate risk assessment in all its projects to understand and mitigate risks from climate change. SWP benefited from USAID’s robust assessment of climate risks, making it well positioned to integrate resilience across interventions [including] integrating climate considerations in water-system engineering designs to ensure that systems can withstand impacts of typhoons and flooding.”
“Poor data availability, management, and accessibility have been hounding water sector planning and policymaking.”
Since its launch, SWP has been collecting climate and hydrological data to monitor and analyze the condition of watersheds that serve as critical drinking water sources. This ongoing effort to fill in longstanding data gaps will go a long way toward improving water management in the three project sites, as well as elsewhere across the country, according to Roderick Planta, Assistant Secretary for Infrastructure Development of the National Economic and Development Authority (NEDA). As the Philippines’ planning agency, NEDA leads and coordinates water sector programming and serves as SWP’s key implementing partner. “Poor data availability, management, and accessibility have been hounding water sector planning and policymaking,” he admits. “Through the collection and subsequent analysis of these various data, a more informed and sound, scientific recommendation or decision can be expected. While the data to be gathered under SWP are context-specific, the tools and methods that will be developed may be further enhanced and scaled up at the national level.”
This month, SWP will present that data for the first time in a series of hydrological studies that seek to shape decision-makers’ thinking about water and hopefully lay the foundation for more sustainable water management practices. “With new and improved data-driven analyses capabilities and better, more frequent reporting accompanied by resonating public communication campaigns, local actors may be motivated — even compelled — to improve water resource management that can benefit all Filipinos,” says Hardy.
The new data-rich hydrological studies will shed further light on the islands’ delicate water balance and serve as “baseline data for more accurate and reliable predictions in the future,” says Francisco Alolod, a manager with the General Santos City Water District. This information in turn will empower water officials like Alolod to more effectively manage water supply in a manner that can withstand climate shocks and extreme weather events.
The studies “are crucial in establishing the baseline water security situation” of the three provinces where SWP is active, explains Alma Porciuncula, SWP’s director. “The reports include analyses of land cover and temperature and rainfall variations in the watersheds as factors impacting surface water runoff and recharge rates, establishing the current and projected conditions of the water resources. The findings of the studies will feed into policy actions, plans, and programs of the provinces.”
According to local SWP partners, better data can also go a long way toward shaping the design and implementation of more sustainable water management techniques and enhancing watershed protections. “Our local government will surely benefit from these hydrological analyses by using them as the basis for our future water-system projects and designs,” says Israel Delvo, an administrative officer in Alabel municipality. Delvo added that better access to hydrological data can help local officials — including emergency response personnel — identify patterns and more accurately predict and respond to future climate disruptions.
Facing Uncertainty, Well-Prepared
The path forward will not be an easy one, with all forecasts appearing to indicate rough weather ahead. “The Philippines is one of the world’s most vulnerable countries to the negative impacts of climate change,” points out USAID’s Joanne Dulce, who manages SWP. “Climate projections from the Philippine Atmospheric, Geophysical and Astronomical Services Administration indicate that increases in temperature, changes in rainfall, and extreme weather events nationwide will intensify between 2020 and 2050 and are likely to cause more droughts, floods, and storms.”
Despite the looming uncertainty, USAID’s partnerships in the Philippines are built for the long haul, drawing on a history of cooperation. After all, SWP “builds upon USAID’s previous successes that have promoted water security in the Philippines,” says Hardy. “Since 2013, USAID has invested $30 million to increase access to water supply and sanitation services for underserved communities alone.”
In the years ahead, SWP will continue to help better equip and position water managers across the Philippines to successfully respond to climate disruptions. Thankfully, the future looks bright. After all, Filipinos have demonstrated their collective resilience time and time again in response to a wide range of recent shocks, from typhoons and floods to droughts and COVID-19. “I have witnessed the Filipinos’ incredible resilience to bounce back from the wave of disasters that hit the country,” says Edgar. “While the economic recovery from the pandemic will be slow, I am fully confident that the Philippines will be able to adapt to a new and better normal.”
SWP and its partners are well-positioned to meet the moment and have ambitious plans: By the time SWP closes its doors in 2024, it expects to improve water and sanitation services for more than 1 million Filipinos, laying the foundation for a more resilient and prosperous future.
Burkina Faso and Niger have some of the lowest rates of access to safe water and sanitation in the world. Water scarcity and water resource mismanagement in both countries undermine farming and livestock livelihoods, and sometimes create conflict. Growing risks associated with droughts and floods, combined with populations that increasingly face internal displacement due to violent conflict, undermine the prospects for economic growth and poverty alleviation. People in these Sahel nations who face these shocks and stressors often suffer through one humanitarian crisis after another, and the impact of the COVID-19 pandemic has intensified these challenges.
USAID is working to break this cycle through an approach that combines emergency humanitarian aid with long-term development assistance. It is doing so through the second iteration of its Resilience in the Sahel Enhanced (RISE II) program, a broad five-year, more than $700 million program that is being implemented in Burkina Faso and Niger. RISE II addresses governance; water, sanitation, and hygiene (WASH); health; family planning; nutrition; food security; economic well-being; and empowering women and youth.
Water insecurity and pervasive shocks and stresses are two of Burkina Faso’s and Niger’s most critical challenges. RISE II includes the TerresEauVie (TEV) activity, whose central focus is water security. TEV, started in 2019, also focuses on food security, land access, and natural resources management. The $39 million activity has helped vulnerable populations effectively manage shocks and stresses such as droughts and floods and pursue sustainable pathways out of poverty.
TEV has three objectives: improved water security; productive land use; and improved management of shocks, risks, and stresses. “I think it’s actually the first [activity] of its kind in the Sahel,” says Maggie Janes-Lucas, director of the Sahel Collaboration and Communication project, which works in partnership with TEV. “It is quite unique and quite important.”
Building the Capacity of Local Government to Address Water Insecurity
TEV works mainly at the commune level — the rough equivalent of a county government in the United States. It also collaborates with other RISE II related projects as well as government agencies at the village, regional, and national levels. TEV’s goal is to build local capacity for long-term management of water and land resources along with shock preparedness and response. TEV focuses on 25 (out of 250) of Niger’s communes, or 4,100 villages, and 15 (out of 350) of Burkina Faso’s communes, or 700 villages.
As one of its first tasks, TEV assessed the capacity of commune officials to manage people’s concerns and expectations about water and land related issues. “With [commune officials], we are developing plans for their improvement, where they see their issues, where they see their strengths, and where they want to take this,” explains Harvey Schartup, TEV’s director. “Together, we develop a capacity-building plan.” He says that over the coming years, TEV will train commune officials and their staff to increase their management, collaboration, and planning skills. These enhanced skills are one puzzle piece in the overall systemic approach to help officials better manage and improve operations. They also allow them to better anticipate, prepare, and respond to the shocks associated with more frequent extreme climate events and insecurity situations.
Making Data for Planning Available and Usable
TEV is also working to improve the data available to communes so that they can make more informed decisions about water resources and WASH investments. In both Niger and Burkina Faso, communes are responsible for managing land, natural resources, and infrastructure development. These communes need to know the condition and location of all their health centers, water wells, roads, and cattle corridors. “All of this information that is dispersed, we are trying to bring it all together so the users would be able to have a systemic and long-range view of a particular geographic area,” explains Schartup.
Communes are particularly interested in using these data to develop local land use and natural resource and risk management plans that address water resources, whether for agricultural, industrial, or household use. Currently, local water agencies do not have this sort of management tool. “This is new for them, and they are very interested in using and adding to this information we are providing them,” says Patrice Beaujault, TEV deputy director.
For example, in southwestern Niger, officials in Filingué looked for ways to solve frequent conflicts over water sources. TEV, in collaboration with other RISE II implementers, helped communal authorities and stakeholders map out the various resources and competing interests in the area. Together they developed a plan and a series of administrative ordinances, called a Local Convention, that established fair water and land use. The commune adopted its Local Convention in January 2020.
Coping with the Pandemic
Burkina Faso’s capital city Ouagadougou reported the country’s first case of COVID-19 on March 9, 2020. In the days that followed, leaders from around the country struggled to respond. “I quickly issued a municipal order to close the markets and ban demonstrations that could potentially mobilize large numbers of people,” says Amadou Tamboura, mayor of Seytenga in the country’s north. “I also asked people to respect the measures taken by the government. But what more can we do with our resources? It was at this point that TerresEauVie proposed that we draw up a communal response and prevention plan to respond to COVID-19.”
COVID-19 plans like these serve as roadmaps for communes preparing for and implementing prevention and response. They also foster communal leadership in directing where development and government agencies should provide resources. For example, the Seytenga commune drafted its action plan by involving key actors at the communal level, including those in health services, aligning with existing national guidelines. A communal response committee also meets once a month to plan major activities.
“I also noticed that people now wash their hands when they arrive at the Health Center.”
As part of the resulting plan, TEV supported the commune in conducting an information campaign via local radio in partnership with the Ministry of Health. One program featured a local nurse, Ahmadou Maiga, answering questions from listeners. “Some people thanked me by phone and in person at the Health Center for the clarity of the explanations,” Maiga said. “I also noticed that people now wash their hands when they arrive at the Health Center.”
TEV is doing similar work in Niger. In the Maradi region’s Chadakori commune, TEV worked with local officials to develop a simple framework for their COVID-19 contingency plan. Community members, including youth and women’s groups, worked together and led the data collection and analysis process to draw up the plan. TEV brought together the Crisis and Disaster Prevention and Management Sub-Regional Committee, the mayor, and communal technical services to review the first version of the plan together. This allowed them to go into greater detail around the plan’s objectives, vulnerability factors, and expected results, and to develop a more concrete working relationship between local and regional authorities.
“We have a contingency plan that meets our standards,” says Zeinabou Ibrahim, the commune’s secretary general. “We have now mastered the methodology for developing good contingency plans.” TEV has now begun supporting communes to transform their COVID-19 plans into communal multi-risk plans, encompassing a long-term perspective for addressing broader shock preparedness and response.
Goal Is Self-Reliance
In all of TEV’s work, the hope is to have a wider impact on water security in more than just the target communes in Burkina Faso and Niger. “Our vision goes beyond our targeted communities and those three component areas,” says Schartup. “We work with the communes and their support structures from day one, facilitating, mentoring, and assisting their efforts with the goal of long-term sustainable self-reliance. The aim is to develop successful, locally adapted models that the government will be able to expand beyond the 25 communes in Niger and 15 in Burkina Faso.”
“The idea at the end of the day is for self-reliance at the communal level,” agrees Beaujault.
Imagine a river basin — the rivers, tributaries, creeks, and wetlands that gather water and deliver it to the sea — as the vital network that all things, living and nonliving, are connected to and dependent upon. This complex ecosystem is ever-changing from human and natural forces, and its management is complicated by the fact that it often crosses political boundaries — state to state, province to province, and country to country.
Southern Africa’s Limpopo River Basin, the fourth largest on the continent, supports more than 18 million people in four countries — Botswana, Mozambique, South Africa, and Zimbabwe. The basin is also home to most of the region’s largest cities and economies and boasts a rich diversity of flora and fauna. But the pressures on this transboundary system — which include pollution, climate change, and population growth — are immense. As a closed basin, the river basin’s inability to provide enough water to meet the growing demand has profound implications for livelihoods, wildlife preservation, and food production.
USAID launched the five-year, $32 million Resilient Waters Program in 2018 to improve transboundary natural resources management and increase the water security and resilience of communities and ecosystems that depend upon the Limpopo and nearby Okavango basins.
Along the Limpopo River, USAID is tackling severe water and sanitation challenges in targeted municipalities and protected areas from the river’s source in South Africa to its mouth at the Indian Ocean on the coast of Mozambique. These challenges range from industrial pollution and its impact on the health of the river and the environment and inadequate sanitation upstream, to saltwater intrusion and depleted groundwater downstream. More frequent droughts, stronger cyclones, and intensified flooding related to climate change are further straining this vulnerable resource.
Reducing Contamination Upstream
Combating pollution is one of Resilient Waters’ priorities for improving access to safe drinking water and sanitation services at key points in the Limpopo River Basin. “In South Africa, climate change effects, such as shortages in potable water due to prolonged droughts and minimum rainfall, have necessitated a change in sanitation sector planning,” says Lusanda Agbasi, acting director for the National Directorate for Sanitation at South Africa’s Department of Water and Sanitation. “This means reconsideration of on-site sanitation and decentralized sanitation technologies as viable options for the longer term.”
Case in point is Polokwane, South Africa, a burgeoning municipality in the middle of the basin. The majority of Polokwane’s residents are not connected to sewerage systems, and like many of the region’s rapidly urbanizing areas, the city has outgrown its existing wastewater treatment options. Further complicating matters, without a formal system for emptying, transporting, treating, or disposing of fecal waste originating from households not connected to the sewer network, Polokwane’s untreated waste is either overwhelming the limited number of wastewater treatment plants or being dumped illegally, contaminating waterways. A lack of infrastructure and regulation endangers the local water resources and supply and threatens water security for downstream users. To address the impacts on river resources upstream of the basin, Resilient Waters recently partnered with Polokwane Municipality to enhance its knowledge base for decision-making around fecal sludge management or non-sewered sanitation for the municipality.
Using an evidence-driven approach, this collaboration is piloting a series of tools — a climate delivery assessment, sanitation safety plan, fecal flow diagram, and an urban resilience toolkit — to improve the management of fecal sludge. Leonellha Barreto Dillon, a senior partner at Seecon and an expert in sanitation safety planning, is working on the pilot project in Polokwane, and says that greater recognition of the impacts of poor sanitation on water resources is needed. “The impact of unsafe fecal waste flows on people, and the environment is unknown, and therefore, not fully integrated in decision-making on sanitation management within the [Polokwane Municipality] Water Services Authorities.”
With support from the Regional Department for Water and Sanitation, Polokwane Municipality has committed to improve and refurbish its sanitation infrastructure. The evidence to improve fecal sludge management, collected through this pilot project, is expected to be integrated into the municipality’s overall planning and decision-making for sanitation service and infrastructure upgrades.
These newly embraced approaches have applicability well beyond Polokwane. “The lessons learned will be used to feed into the development of the fecal sludge management strategy for South Africa at large, because there are many other cities and other areas experiencing similar problems,” says Chief Technical Advisor for Resilient Waters Nkobi Moleele.
Because the Resilient Waters program is regional, Chief Partnerships Advisor Kule Chitepo adds, “Whilst we do have interventions that might be local in a particular country, we always want to see what the downstream and transboundary implications are of that localized or national activity. We’re also very interested to see how that contributes to building [the] resilience of the basin as a whole in terms of downstream implications of upstream or urban areas like Polokwane.”
Adapting to Change and Conserving Biodiversity
While it is crucial to safeguard the scarce water resources of the Limpopo River Basin from contamination, it is equally important to conserve and protect the high-elevation catchment areas that serve as water towers for the entire basin.
“The reason why a high-altitude catchment area is important is that it produces a lot of water per unit area for the basin [100 times as much as low-lying areas], but also these high-altitude areas are major storehouses of biodiversity,” says Moleele. Protecting diverse ecosystems upstream improves the quality and quantity of water flowing downstream, contributing to the sustainability of the community livelihoods that are dependent on these ecosystems.
To manage vulnerable areas more sustainably, Resilient Waters provided grants to local organizations working within a number of protected areas to improve catchment management; support sustainable use of natural resources; and help governments, park personnel, and communities prepare for climate change pressures on biodiversity and water supplies.
For example, the Waterberg Biosphere Reserve, home to 5,500 species of plants as well as the endangered black rhino and wild dog, serves as an important water tower for three major catchments flowing into the Limpopo River. Resilient Waters is equipping staff with skills spanning field work, surveying, and Geographic Information System usage that will inform the implementation of a Strategic Environment Management Plan. A grant is also helping to engage traditional leaders and local municipalities to conduct socio-economic and water, sanitation, and hygiene surveys to determine upcoming climate change adaptation activities.
“This Strategic Environmental Management Plan is trying to look at all these challenges holistically with a view to ensure that water for all these different purposes is assured,” says Moleele.
To the east of the Waterberg lies another high-altitude catchment area, the Kruger to Canyons (K2C) Biosphere. This area is home to two of South Africa’s biggest tourist attractions in the basin, Blyde River Canyon and Kruger National Park, and it functions as a critical water source for a number of agricultural hubs. Pollution, invasive species, contaminated mine drainage, and poor waste management and sanitation are all threats to water security in the reserve. Resilient Waters supports the biosphere’s community-based environmental monitors to conduct village patrols, monitor river health, and raise awareness among the adjacent communities to increase the availability of clean water both locally and downstream. A recent clean-up campaign that involved more than 100 community members has led to some promising changes in waste collection and disposal practices. The program also supports restoration activities in the rivers, wetlands, and grasslands of the catchment.
Environmental stewardship is not limited to the high-catchment areas, however. The Limpopo River Basin is also home to numerous other parks and preserves, including the Greater Limpopo Transfrontier Conservation Area, shared among Mozambique, South Africa, and Zimbabwe, which connects almost a dozen parks and biodiversity hotspots adjacent to Kruger National Park, including Mozambique’s Limpopo, Banhine, and Zinave National Parks and Zimbabwe’s Gonarezhou National Park.
Climate change is wreaking havoc on these unique landscapes; the weather has become hotter and drier, depleting food supplies for grazers and watering holes. As part of its mandate to strengthen the ability of communities and key institutions to adapt to climate change, Resilient Waters co-hosted a training workshop with UNESCO on Climate Risk Informed Decision Analysis for South Africa’s parks department, local NGOs, and other regional institutions. These parties now have access to more than 40 global climate models and visualization tools that enable them to make data-driven decisions on local and regional water resources management. Putting its newly acquired knowledge into action, Kruger National Park management used the content of the training workshop to start planning for climate-related impacts on freshwater ecosystems. Resilient Waters also supported the participation of professionals from across southern Africa in the UNESCO Mozambique Flood and Drought Monitoring training, which uses global best practice systems and data sets to predict water-related natural disasters.
The Livelihoods Connection
Local communities are more likely to protect biodiversity and freshwater resources if doing so is connected to job creation and income generation. Supporting new livelihood strategies also helps people reduce their risk exposure in the face of a changing climate and increased water scarcity. Resilient Waters is building on livelihood strategies put in place by its USAID–funded predecessor, Resilience in the Limpopo River Basin (RESILIM), throughout the basin in locales as diverse as Polokwane, the buffer zones between communities and protected areas, and at the mouth of the Limpopo River in Xai Xai, Mozambique.
Upstream, a Resilient Waters grant is sharpening farmers’ skills to practice climate-smart agriculture and use water-wise farming techniques in an effort to boost income generation in areas where more severe droughts are predicted.
Downstream, the Limpopo River empties into the Indian Ocean in Xai Xai, a city of 120,000 people whose income depends upon viable fisheries and whose water supply depends upon available groundwater. All of the inputs upstream impact Xai Xai, including a heavy concentration of nitrates from poorly managed fecal sludge and reduced water flows from the Massingir Dam to the north. Saltwater intrusion from the sea further disrupts Xai Xai’s water supply, and the coastal town is increasingly vulnerable to flooding from more frequent and violent cyclones. The mangroves that once served as a natural buffer between the ocean and the river have been vanishing, eroding the area’s identity as a thriving estuary and limiting the ability of these vital coastal forests to provide natural flood protection.
“We are working to find ways to establish ecotourism activities that will also generate money for the communities so that they remain motivated to conserve the mangroves.”
“Mangroves are very productive ecosystems, they are also good spawning grounds for fish and many other things,” notes Moleele. “They also buffer the agricultural land from the intrusion of seawater…[and provide] many benefits. But as a result of a history of degradation from unregulated land uses as well as destruction from floods, the integrity of the Xai Xai mangrove ecosystems has been compromised.”
Through a grant to a local NGO, Resilient Waters is supporting local communities to restore the mangroves, work that began under RESILIM and which includes a strong livelihoods component. Women’s cooperatives are participating in conservation-based income-generation activities associated with the estuary, for example. “We are working to find ways to establish ecotourism activities that will also generate money for the communities so that they remain motivated to conserve the mangroves, because the mangroves play a critical function in that estuary,” says Moleele.
The Pandemic Challenge
A new challenge facing the basin emerged in 2020 — COVID-19. Activities previously seen as win-win approaches, such as linking biodiversity conservation with income-generating ecotourism in buffer zones, have ground to a halt.
“In this part of the world, in the Limpopo River Basin, a lot of the rural economies around the protected areas are built upon or reliant upon the ecotourism industry,” explains Chitepo. “And as you know, tourism has been very hard hit by the pandemic. So this has a direct effect on the livelihoods that are reliant upon the conservation area.”
Resilient Waters is having to adjust to this new normal, but with challenges come opportunities, according to Moleele. “We’re not just operating in a vacuum of what the needs are on the ground. And I think now more than ever, we have an opportunity to really ramp up our livelihoods work, especially given the impacts of the pandemic.”
Enhancing Transboundary Coordination
While many of the upstream and downstream challenges can be tackled at the local level, engaging national structures, such as water authorities, is critical to addressing water resources management and disaster risk reduction in the basin. Ultimately, the most pressing concerns must be coordinated at the transboundary level, whether such steps involve mapping an aquifer to explore groundwater depletion in each member country or devising robust early warning systems for the basin. To that end, Resilient Waters has embedded two technical experts within the Limpopo Watercourse Commission Secretariat, the structure put in place by the member states to govern the basin.
This level of coordination is “a lot of work,” admits Chitepo. “But the relationships are there, the intention is there, the political will is there, the countries themselves are contributing towards the costs. Obviously, some countries have got more resources than others to be able to contribute towards this functionality, but they work very well in terms of leaving no one country behind in their cooperation.”
Resilient Waters’ work to strengthen institutional connections, build up its partnerships, and address the shocks and stresses of climate change will help mitigate the pressures on the Limpopo River Basin for years to come. As the health of this vital ecosystem improves, so too will the resilience of the humans and natural systems that depend upon it.
USAID Water Security, Sanitation, and Hygiene Highlights from 2020
During a tumultuous 2020 that witnessed the emergence of the most deadly pandemic to sweep the globe in more than 100 years, USAID and partners have proven flexible and resilient in delivering safe water, sanitation, and hygiene (WASH) to the world’s most underserved and at-risk populations. Recognizing the importance of good handwashing hygiene and uninterrupted water service in containing the spread of COVID-19 and safely reopening economies, the Agency went above and beyond throughout the year to ensure that communities across the globe had the necessary information, strategic guidance, and WASH services they needed to protect themselves.
But the story of USAID’s WASH programming achievements cannot be viewed solely through the lens of COVID-19. This past year, the Agency expanded its evidence base to inform and strengthen current and future WASH programming. We released an expansive Water and Development Technical Brief Series and completed the research on a series of Ex-Post Evaluations that turned a critical eye toward long-closed WASH activities and examined the reasons why some interventions proved sustainable — and why some did not.
As we continue to learn, we also reflect on what has proven so impactful to date: USAID support since FY 2008 helped more than 53 million people gain access to sustainable water services, and 38 million people gain access to sustainable sanitation services. But our work is far from done. Between FY 2018 and 2019 alone, the Agency provided $835 million to support WASH activities in more than 50 countries. This year, USAID continued to make progress toward achieving its key development objectives under the U.S. Government Global Water Strategy. To accelerate our progress, we launched a private sector partnership with the global sanitation company LIXIL to help scale-up and speed access to affordable, sustainable WASH solutions around the world.
Don’t just take our word for it — let us show you the many ways USAID is helping transform lives. Scroll down to see how the Agency and its many partners have been busy harnessing the incredible power of WASH to enhance the quality of life, build more resilient and self-reliant communities, and create a healthier, more livable world for all, while protecting the environment.
In one of the world’s most water-stressed regions, USAID and partners are helping create more resilient communities by preparing them to stay one step ahead of the next drought.
The Middle East and North Africa are among the most water-stressed regions on the entire planet. Water availability — or lack thereof — has shaped societies here in profound ways for thousands of years. Today water access remains an existential issue for many countries across this semi-arid and arid region, especially as they navigate the new uncertainties of a changing climate.
What looms largest in the minds of water resource managers is a chronic threat: drought. As an already parched region with relatively low water storage capacity, even modest downturns in water availability can result in outright water scarcity, meaning there is insufficient water physically available to meet the needs of the human population and the economy. More frequent and severe droughts associated with climate change are expected to intensify stress on all aspects of economic activity and daily life in the coming years and decades, even threatening food insecurity and social unrest in cases of extreme drought.
Despite the troublesome outlook, an innovative initiative launched in mid-2018 is increasing the capacity of several countries across the region to more effectively mitigate, manage, and even one day predict the next serious drought. With the support of USAID’s Middle East Bureau, the MENAdrought project is an ambitious collaboration pooling the resources and expertise of global leaders in the field of drought monitoring, forecasting, and management, including the International Water Management Institute (IWMI), NASA’s Goddard Space Flight Center, the National Drought Mitigation Center at the University of Nebraska-Lincoln, Johns Hopkins University, and others. Together, they are equipping water managers and engineers from Jordan, Lebanon, and Morocco with the training, data, tools, and planning skills needed to better respond to and endure the next major drought.
Putting the U.S. Global Water Strategy into Action
Since the release of the U.S. Government’s first-ever Global Water Strategy (GWS) in 2017, USAID has prioritized strengthening water security around the world in partnership with other federal agencies. Together, they have embraced and operationalized a whole-of-government approach structured around four key strategic objectives, including “encourage the sound management and protection of freshwater resources.” USAID and NASA collaboration in support of this objective lies at the heart of MENAdrought programming.
Launched within a year of the GWS, MENAdrought highlights the U.S. Government’s commitment to improving drought risk management, a key aspect of the overall vision to create a more water-secure world. To turn this vision into reality, MENAdrought is built on three “pillars” to institutionalize integrated drought management and strengthen countries’ self-reliance in the face of future droughts. Those pillars include developing drought monitoring and early warning systems; conducting impact and vulnerability assessments; and elevating the importance of drought mitigation, response, and preparedness.
Each project partner contributes to the greater whole. IWMI has worked with the National Drought Mitigation Center to adapt their drought monitoring system to the local environmental conditions of the MENA region, and co-designed it so that national partners are now able to operate it locally. The drought monitoring uses satellite data, and modeling from NASA’s Goddard Space Flight Center, to generate the monthly drought maps. Meanwhile the National Drought Mitigation Center used their expertise to support IWMI’s in-country convening of various “writeshops” to develop drought action plans that are co-designed across multiple ministries. This has been supported by extensive technical and policy training of participants from Jordan, Lebanon, and Morocco for in-person and virtual capacity-building workshops. With an eye toward sustainability, one of MENAdrought’s central aims has been to create national-level drought management capabilities that can guide decision-makers’ water management responses and choices during future events.
A Historically Dry Region Poised to Become Drier Still
“Climate change is having profound impacts on water availability across the MENA region,” says Strategic Program Director of Water, Climate Change, and Resilience at IWMI Rachael McDonnell. “Changes in key climatic variables already being experienced include declines in annual precipitation, delays to the start of the growing season with the onset of rains delayed by five to six weeks in many countries, increased frequency and intensity of droughts, and increased temperatures.”
For that reason, strengthening drought monitoring and management is urgently needed. “Droughts are a normal part of the climate cycle, and climate change is only going to ramp up this cycle and the extreme events that will follow,” says Dr. Mark Svoboda, director of the National Drought Mitigation Center at the University of Nebraska-Lincoln, who also serves as a MENAdrought project lead.
Drought impacts every aspect of economic activity and daily life, without exception. Even in periods of relative water abundance, many MENA countries struggle with balancing competing water demands from various sectors. “One of drought’s best-recognized impacts is on agriculture, which clearly impacts food security,” explains Dr. Christa D. Peters-Lidard, Deputy Director for Hydrosphere, Biosphere, and Geophysics and the Acting Chief Scientist with NASA’s Goddard Space Flight Center. “Beyond agriculture, drought-related water scarcity affects other sectors such as energy, transportation, and health. When drought causes food and energy prices to increase, the overall economy is impacted, which has downstream effects on household livelihoods.”
“The shocks of recent droughts, particularly since the turn of the century, have left all three countries grappling with these events,” says McDonnell. “Each of the countries has water stress from some common but also locally distinct conditions that make them prone to the impacts of drought.”
Staying Proactive: Developing Drought Monitoring and Early Warning Systems
Hydrological and land-use data from NASA informs MENAdrought efforts to strengthen drought monitoring. The project cross-references the resulting maps with on-the-ground observations and measurements of water levels, soil moisture, vegetation stress, and related indicators to produce a reliable picture of the extent and severity of drought conditions at any given moment. This information not only helps track the evolution of a drought as its grip eases or tightens, but it also guides water managers and relevant decision-makers spread across other government agencies as they work in concert to direct timely and effective mitigation measures or emergency response.
While effective drought monitoring can help ease the stress once a drought takes hold, decision-makers have requested more help with forecasting before the climate shock starts to impact locally.
Drought forecasting capabilities can help provide at least some advance notice of an impending drought, providing countries with a crucial window to mitigate a drought’s worst effects through measures like preemptive water supply reallocations that can help safeguard livelihoods and entire industries. “The models have been shown to reliably forecast precipitation anomalies about one month ahead and temperature anomalies about three months ahead,” explains Dr. Peters-Lidard.
Under MENAdrought, drought forecasting technology is combined with regular monitoring to create a flexible early warning system that produces results with a fairly high degree of accuracy, providing advance guidance to local decision-makers before a drought crisis fully takes hold. “Typically, drought is a slow-onset hazard, but not always,” says Dr. Svoboda. “A good drought early warning system is also going to include the day-to-day, week-to-week, and month-to-month monitoring, which serves as a bridge to the longer seasonal forecasts.”
Promoting Self-Reliance through Local Ownership of Drought Management Plans
One of the most important legacies of MENAdrought will be the creation of national drought management plans currently under development, which are informed by the project’s early warning systems and drought impact assessments. These plans, developed in close coordination with in-country partners, will serve as roadmaps for integrated drought management, guiding everything from preventative drought planning to emergency response.
“In terms of building self-reliance and resilience, ownership of the plans is critical.”
Crucially, the plans will belong to the participant countries, encouraging buy-in from key government decision-makers and water stakeholders. “In terms of building self-reliance and resilience, ownership of the plans is critical,” says McDonnell. “A central tenet of this project has always been to co-develop systems that are robust and operational in the working environments of the countries. The systems have been designed with the main agencies that will operate them, and capacity building has been a key activity throughout the project. The engineers, water managers, meteorologists and agricultural specialists have been keen, able, and enthusiastic colleagues bringing their local understanding to the development of the plans, and capabilities — and it has been particularly heartening with young female specialists who have worked closely with us in the development of the plans and management ideas.”
This big-tent, collaborative approach to designing the drought management plans is expected to pay dividends down the road, in terms of ensuring that all participants feel they have a stake in successfully integrating these plans into government decision-making processes. “With more [collaborative] drought action planning involving water utilities, ministries responsible for water, agriculture, and the environment, there is a real hope that proactive drought management will become integrated into planning of all of these organizations as roles and responsibilities do not sit with just one agency,” says McDonnell.
To help operationalize these plans, MENAdrought has introduced a powerful tool known as the Enhanced Composite Drought Indicator (eCDI). The eCDI draws upon drought impact assessments, monitoring capabilities, and early warning systems — as well historical, country-specific drought information — to provide decision-makers with the scientific guidance needed to gauge when to declare an official drought, and when to trigger certain policy actions or emergency measures to bring relief to communities and economic sectors based on real-time changes in water availability. To that end, the eCDI is capable of documenting drought occurrences while specifying locations and intensities of drought conditions with a high degree of accuracy, as shown below.
What’s more, the design and performance of the eCDI can be tailored to suit a country’s specific local needs and characteristics. One data input to the monitoring is soil moisture which is generated using an open source modeling software from NASA known as the Land Information System. “Through technical support of the MENAdrought project these modeling methods can be shared with the participant countries, so that they can customize them as needed,” says Peters-Lidard.
Toward a More Water-Secure and Resilient Future
Ultimately, the drought management plans and customized eCDIs will enable countries to make smart water management decisions even during times of relative water abundance. Equipped with these tools, MENAdrought participant countries will also be on the path to greater drought resilience once the project wraps up in 2021. As such, optimism abounds for what might be achieved in the years and decades ahead. “Proactive drought management as opposed to crisis-led responses have been consistently shown to be both more effective and less costly,” says McDonnell. “MENAdrought will give countries a strong basis for proactive and engaged drought resilience building.”
The technologies, processes, and planning tools introduced under MENAdrought are expected to have applicability to other drought-prone countries as well. As an example, Dr. Peters-Lidard points out that her agency’s Land Information System is “flexible and open-source” and therefore accessible to all, meaning “it would be possible to replicate the same methods across the region and throughout the world.” And it has been encouraging that many countries have already been expressing an interest in the project. “The tools are robust and operational, and the experiences in developing action plans could be used to help other countries deal with the ever-increasing threats from droughts,” says McDonnell.
In the end, greater awareness and preparedness cannot fully safeguard countries against the ravages of drought. But newly equipped with real-time data and powerful monitoring tools and plans, it is expected that even severe droughts can be navigated successfully in the future.
“Ultimately, we need to have good drought monitoring and early warning information systems in place that are tied to accountable action in drought mitigation plans,” concludes Dr. Svoboda. “The truth is drought should not sneak up on us…ever.”
Businesses and social enterprises are providing essential, low-cost water, sanitation, and hygiene (WASH) products in rural and peri-urban areas of Tanzania. Consumers not only need access to appropriate household latrines, but they also need trained professionals to install them in their communities. It seems simple enough, however, sanitation product companies face numerous barriers that prevent them from expanding into these markets — one of them is the high cost of creating and managing distribution networks.
To address this issue, USAID/Tanzania’s Water Resources Integration Development Initiative (WARIDI) began working with LIXIL, the maker of SATO (Safe Toilet) products, to hold marketing and supply chain development events connecting them with potential distribution partners down the supply chain. Tanzania’s National Sanitation Campaign has been instrumental in driving demand for improved latrines across the country, and this partnership was intended to reduce transaction costs and encourage LIXIL’s expansion into underserved areas.
LIXIL’s SATO products — including both a squatting and a sitting pan — are designed to improve sanitation for consumers. These products have a counter-weighted trap door that allows waste to flow through, then seals shut to keep out flies and prevent odors for an improved, safer user experience. SATO toilets can cost as little as one quarter of the price of ceramic toilets available in the Tanzanian market and are easier to install. They are ideal for the improvement of traditional pit latrines because the installation is a simple process of extending the pit latrine hole to fit the SATO and applying mortar to the edges and sides of the latrine after putting it in place. This can take as little as one hour of work.
Finding the Right Formula to Strengthen the Supply Chain
To expand LIXIL’s reach into rural and peri-urban markets, WARIDI facilitated the company’s involvement in 60 roadshow events in 20 Local Government Authorities (LGAs). LIXIL and other WASH product companies sent representatives to promote their products to consumers and local shopkeepers, ultimately reaching nearly 30,000 attendees.
However, the roadshow exposure did not end up driving SATO sales as expected, and in fact, LIXIL found it challenging to meet the many small orders it received from retailers through their existing supply chains. In response, WARIDI co-organized eight business-to-business meetings to link LIXIL directly to local wholesalers, retailers, and masons in eight LGAs. This included dozens of WARIDI–trained microenterprises — small pharmacies, building supply, and hardware shops operating in underserved communities. These events gave LIXIL a chance to demonstrate its products to potential supply chain partners and to negotiate 13 pricing and distribution agreements in areas where the company did not have business connections. Additionally, WARIDI and LIXIL collaborated to organize trainings on the installation of SATO latrine pans for 76 masons working in 10 LGAs to ensure customers could easily find a professional in their areas to help them set up their new SATO latrines.
“Working with USAID/WARIDI helped LIXIL reach many peri-urban and rural areas to establish a SATO distribution network and this has reduced transaction costs for expanding our market,” says Justine Mbowe, LIXIL’s country manager.
Developing a network of regional SATO distributors who can supply retailers in their area has helped simplify LIXIL’s distribution network and allows for joint ordering to reduce transaction costs, and ultimately to keep the price of SATO products low. WARIDI trained microenterprises, regional distributors, and local wholesalers who have sold nearly 5,000 of LIXIL’s improved latrine pan products. These sales resulted in improved access to sanitation for an estimated 25,000 people.
Reaching Customers Where They Are
WARIDI found sales per retailer to be highest in Mufindi, Mbarali, Njombe, and Iringa. Here, retailers achieved substantially higher volumes of SATO latrine pan sales than retailers in other LGAs. For example, retailers in Mbarali more than doubled the average sales of SATO reported by LIXIL’s small retailers across other WARIDI–monitored LGAs. Eager to learn from this example, WARIDI followed up with retailers in the area, who said they reached this volume of sales through proactive sales and marketing efforts. This included taking advantage of weekly village markets to sell products and, notably, actively coordinating efforts with local government during and after National Sanitation Campaign events to promote SATO latrines.
Government leaders in Mbarali took a very active role in sanitation activities, using a social media group to ensure engagement from the district commissioner and executive director down to ward-level executives and health officers. Participants exchanged feedback on sanitation activities, collaborated to troubleshoot challenges, and provided updates on the availability of SATO latrine products, which they saw as a key factor in achieving wider access to improved sanitation.
“I am glad to be part of the SATO supply chain in my area of Kinyanambo,” explains Musa Mgeni, owner of a microenterprise located in Mbarali. “This has helped me to increase [my] income through SATO sales. Thanks to WARIDI for connecting me to LIXIL through business-to-business meetings and the mason training.”
WARIDI’s collaboration with LIXIL demonstrates the need for market-based sanitation efforts to coordinate demand for SATO pans with product availability. While the road show provided good publicity for SATO products, LIXIL’s supply chains weren’t yet structured appropriately to meet demand in rural and peri-urban communities at that time. If supply chain strengthening activities had taken place first, the road show may have driven stronger sales results. In contrast, when WARIDI–trained microenterprises coordinated their marketing efforts with local government partners in Mbarali, they saw substantial sales of SATO products from consumers primed by the messages of the National Sanitation Campaign. This shows not only the importance of aligning supply and demand in market-based sanitation, but also the impact that can be achieved when the public and private sector are able to collaborate effectively as partners.
By Henry Jackson, Msafiri Chagama, and Nick McClure of Resonance
A small family-owned business becomes a leading sanitation service provider in Senegal.
Ibra Sow is the president of VICAS, a successful sanitation service provider (SSP) in Senegal. Ibra began his career in sanitation working as an apprentice driver in his father’s family-owned sanitation business. He went on to create VICAS in 2000, with the aim of providing specialized services for onsite and offsite sanitation, road maintenance, and industrial cleaning in Dakar, the country’s capital. Today, VICAS hasan annual revenue of approximately $4.5 million, a fleet of 22 trucks and other essential equipment, 29 full-time staff, and 300 seasonal workers, and is one of Senegal’s four largest SSPs.
Businesses like VICAS need capital to grow. While traditional sources of financing such as government contracts, user fees, and international grants have supported SSPs in Senegal, a financing gap exists between the current government budget and the total investment needed in the sector. SSPs need access to capital for equipment and sustainable, climate-resilient infrastructure. According to a USAID Water, Sanitation, and Hygiene Finance (WASH-FIN) survey of 100 SSPs, many providers lack financial expertise and are not well-positioned to grow. Consequently, SSPs have found it challenging to access additional commercial finance to support capital improvements. USAID WASH-FIN meetings with financial institutions showed that local financiers have a limited understanding of investment opportunities in the urban sanitation subsector, and view sanitation projects as risky endeavors from a business perspective. A USAID assessment of the financial landscape further showed that only a small portion of financial institutions had pursued WASH investments in the past.
WASH-FIN is working with SSPs such as VICAS in Senegal to close the sanitation financing gap. In May 2019, with support from WASH-FIN, VICAS received the equivalent of $1 million in financing from Banque de Dakar to purchase machinery and support day-to-day operations.
The support to VICAS included the design of a new business plan, which also included a capital raising strategy, a financial model, and an analysis of potential investors. An initial assessment of the company’s business expansion and fundraising needs showed that VICAS could take on more debt than it presently had. With WASH-FIN’s support, VICAS negotiated and selected the most competitive loan offer from a local bank — Banque de Dakar. Through the loan, VICAS furthered its ability to maintain and repair its equipment and infrastructure, thereby improving the quality of sanitation services for the approximately 50,000 households VICAS serves.
“This partnership with USAID WASH-FIN resulted in the most significant loan closing in my career and increased my confidence in the potential for VICAS. I am now looking to expand VICAS operations in the region, in Guinea, Côte d’Ivoire, and Togo, as I already have strong partnerships with private sector actors in those countries,” notes Ibra.
Senegal’s Sanitation Sector
Senegal is among the few African countries with a WASH institutional framework that has been successful in extending services by embracing private sector participation. Despite this success, only 21 percent of the population had access to safely managed sanitation services in 2019, according to UNICEF estimates. Currently, the government is working to expand this model, but the expansion is at risk due to financial constraints, with UNICEF estimating a $329 million government budget gap. With more than half of the population lacking services, and public funding coming up short, expanded sources of funding are needed. But traditional banks and microfinance institutions are not yet ready to finance the sector at scale. Service providers are also not sufficiently prepared to engage with these institutions.
To improve the delivery of urban sanitation services, USAID WASH-FIN is helping ONAS, the Association des Acteurs de l’Assainissement au Sénégal (Association of Sanitation Operators) finalize a market-structuring strategy to identify private sector SSP opportunities in urban areas outside Dakar. In support of this strategy, the program undertook a study of best practices in public-service market structuring and analyzed the potential market size that would be necessary to establish a profitable subsector.
In Senegal, WASH-FIN is also working with the local commercial banking sector to increase its understanding of sanitation investment opportunities, and to grow the evidence-base that documents such opportunities. To achieve this, the program has hosted knowledge-sharing events and led a landscape review to explore a broad array of financing opportunities. As a result of continuous engagement with the potential pool of financiers, 15 Senegalese banks and three multinational banks or investment funds have openly expressed interest in the urban sanitation sector. In addition to the $1 million in financing that VICAS received, new transactions exceeding $6 million are currently under negotiation with other institutions.
Commercial lenders have stringent credit requirements for SSPs. Designed to meet the different needs and skill sets of large and small SSPs, WASH-FIN technical assistance focuses on increasing access to finance to expand urban service delivery. This support consists of: assessing creditworthiness; refining technical proposals; preparing financial models; and matching SSPs with suitable financing institutions.
“It is important to work with both financial institutions and service providers in order for both parties to have a better understanding of what is needed in terms of expanding WASH services and the key investment opportunities and what is required to mobilize private finance,” emphasized Jeff Goldberg, Director of the Bureau for Resilience and Food Security Center for Water Security, Sanitation, and Hygiene at USAID.
Converting Waste into Energy
In addition to VICAS, the program also supported another SSP, Delvic, in the commercialization of the Janicki Omni Processor (J-OP), a new waste-to-energy sanitation technology that is being piloted outside of Dakar. Given that only 21 percent of the Senegalese population has access to safely managed sanitation, investment is needed in new sanitation treatment options with the potential to expand services for entire communities. The J-OP is unique in that it processes sanitation waste, removing the pathogens, and produces energy, water, and ash as by-products. This technology is expensive compared to existing systems, but the ability to sell the by-products, or use them for industrial purposes, holds promise in terms of improving affordability for waste treatment. With additional capital, Delvic hopes to scale up the technology throughout Senegal. To help Delvic move the piloted J-OP to a commercially viable scale, USAID WASH-FIN prepared a market-based financial model using debt and equity sources. To date, grant capital has funded pilot operations, and the program has been working with Delvic and relevant stakeholders to raise additional capital.
In addition to supporting some of the largest SSPs in Senegal, the program is working to better understand the financial history, capacity, and interest of smaller SSPs in accessing financing. In partnership with ONAS and targeted financial institutions, WASH-FIN is supporting the development of a Fleet Renewal Program that would help replace aging sanitation trucks under affordable financing conditions. This multi-million-dollar fund is currently under negotiation, and, once finalized, is expected to mobilize investment to expand and increase the efficiency of service delivery.
Implications for Future Interventions in Senegal and Globally
In Senegal, USAID WASH-FIN is building on a strong foundation of government leadership, development partner support, learning, and vision that has positioned the country at the forefront of affordable sanitation service provision with private sector participation globally. By expanding local financing options, government budgets will be more efficient in leveraging domestic private capital. Most importantly, Senegalese citizens receive improved and appropriately priced services, and their health and the environment will benefit.
While few countries have a sector set-up with such intensive private participation, Senegal’s leveraging of its successful experience in water supply public-private partnerships (PPPs) to address the sanitation challenge shows that with political will and commitment, lessons from one sub-sector can be adapted to others. In this case, the government budget and local private capital are used more efficiently and blended through the public-private partnership (PPP) mechanism to improve services. When considering the alternatives of prohibitively expensive traditional networked sewerage and treatment systems, this solution is also practical and appropriate vis-a-vis the physical composition of dense urban areas and the local economic base.
In countries that lack a history of PPPs in WASH, bold leadership, strong governance, and appropriate incentives will be required to manifest a similar improvement in sanitation. For example, in Kenya, USAID supported an SSP to scale up its operations. The program worked with Sanivation to increase access to sanitation in low income areas and non-sewered urban areas. In South Africa, WASH-FIN helped connect a local technology company with a potential investor. In both Kenya and South Africa, the technology used by the SSPs is largely domestic and not prohibitive in terms of capital costs. Both of these experiences will be detailed in upcoming case studies that can be accessed on Globalwaters.org. To bring more advanced and higher cost treatment technologies like the J-OP into a market, it may be necessary to look at financing options beyond water PPPs, and look at other sectors for comparative learning (for example, the experience of financing innovative renewable energy or microgrid technologies).
Providing access to the 2 billion people globally that presently do not have basic sanitation facilities will undoubtedly pose a great challenge. The implications of inadequate or nonexistent sanitation are significant, with economic losses estimated at between 1–2.5 percent of GDP across 18 African countries, or as high as $5.5 billion per year. In rapidly urbanizing countries, relying on old thinking will not be enough; Senegal has shown this. With its successful model of public and private sector partnerships, Senegal is expected to continue to lead in bringing new technologies into the sanitation sector.
For more details on WASH-FIN’s work in Senegal, please read the newly published country brief.
By Farah Siddique and Stephen Sena, USAID WASH-FIN
Five Ways USAID Is Supporting Sustainable Sanitation
Despite the demonstrated health, economic, social, and environmental benefits that sanitation improvements provide, governments consistently underfund and place a low priority on sanitation. Though the challenges differ in urban and rural areas, the shortage of sanitation facilities and services is acute, and the solutions are complex. Ensuring more households have a toilet is not enough. At the current rate of progress, universal access to safely managed sanitation will not become a reality until the 22nd century, well beyond the global goal of 2030. However, with ongoing examination of emerging research, exploration of what has and has not worked in the past, and a commitment to identifying locally relevant and innovative solutions, USAID is working to close the sanitation gap.
USAID focuses on increasing sustainable access and use of safe sanitation services and promoting key hygiene behaviors through investments that generate the greatest health benefits in poor and underserved communities: improving basic access to sanitation services in households and institutions and management of fecal waste. Achieving widespread community coverage of basic sanitation and ending open defecation are critical priorities, as fecal contamination affects the community well beyond the household level. Where populations have greater access to basic sanitation, such as in urban areas, USAID emphasizes investing in safely managed sanitation, which focuses not only on containment but also on the emptying, transport, treatment, and safe disposal of waste.
USAID’s Water and Development Plan, part of the U.S. Government Global Water Strategy, set a target to help provide 8 million people with sustainable access to sanitation services by 2022 — a goal the Agency has already exceeded by 2.6 million people. As we celebrate World Toilet Day 2020, read about how USAID supports sustainable sanitation around the globe.
1. Partnering with the Private Sector
USAID announced a new partnership agreement with the global sanitation company LIXIL on October 14, 2020, to extend market-based solutions for sanitation and hygiene to underserved and vulnerable communities worldwide. This agreement outlines a framework and pathway to leverage the unique expertise, resources, and reach of USAID and LIXIL to advance their joint mission to combat the global sanitation crisis. LIXIL’s line of affordable, hygienic, and odor-free latrines for lower-income households includes the SATO Pan. The SATO Pan features a tiny self-closing flap at the bottom to block odors and keep away flies. This sanitation insert gives users peace of mind that their latrine is hygienic. It makes using a latrine a more dignified experience.
The partnership will scale LIXIL’s SATO latrine and toilet products in as many as 11 countries across sub-Saharan Africa and Asia, aim to strengthen sanitation supply-chains and markets, and create business opportunities for women entrepreneurs and small and medium-sized enterprises in emerging economies. “We are very excited to team up with LIXIL and their SATO brand to reach more people with the safe and dignified options they deserve,” says USAID Global Water Coordinator Jennifer Mack. “At the heart of our new global partnership is a strong commitment to, and prioritization of, sanitation and hygiene.”
2. Building Capacity of Local Entrepreneurs
Enabling viable sanitation enterprises is the focal point of making sanitation markets work. Functioning local markets are critical to a household’s ability to adopt improved sanitation facilities. Applying a market-based sanitation approach, USAID builds the capacity of entrepreneurs — such as masons, contractors, sales agents, pit emptiers, and manufacturers — to adopt sanitation as a profitable venture that often complements their existing business.
To promote toilet construction in Haiti, for example, the USAID Water and Sanitation Project recruits and trains entrepreneurs to take on sanitation as a business. Through instruction and coaching, budding entrepreneurs learn to create business plans and market household toilets. After completing the training, submitting a business plan, and building at least 15 toilets, a company can receive a performance-based grant and becomes eligible for additional grants once 25 new toilets are sold. One trainee, Elizée Pierre, owner of a small homebuilding company, became the first recipient to hit the microgrant milestone. “The best part of the training was the hands-on exercise,” says Pierre. “I learned that you have to create a market for your product. You can’t just sit back and wait for the customers to come to you.”
USAID evaluated the sanitation landscape in Uganda and found toilet building inconvenient, lengthy, and expensive. The process often led to a product of dubious quality. Designing attractive and affordable products provides a good foundation for market-based delivery. And organizing existing sanitation entrepreneurs to provide information and professional services to households streamlines the process. The Uganda Sanitation and Health Activity (USHA) used data-based, human-centered approaches to design products that strike a good balance between affordability and preferences of target customers. USHA then trained interested masons and linked them to “demand activators” — usually community health workers — that are considered a missing link between demand generation and basic toilet construction. USHA trains these activators to share tailored messages that resonate with potential customers. Once an activator generates a lead, the mason is responsible for meeting the customer and confirming the choice of sanitation product most suited to him or her. USHA encourages sanitation entrepreneurs to pay demand activators a small commission for every successful lead. This aggregated information-sharing is vital to making the construction process more transparent, easier, and cheaper for households.
3. Working within Systems of Government
In August 2020, USAID received special recognition for its work with the Government of India to develop a competitive monitoring framework that currently assesses 4,200 urban local bodies every quarter to measure improved sanitation outcomes as part of the annual cleanliness survey known as Swachh Survekshan. USAID’s involvement dates back to the first year of the cleanliness survey in 2016, when USAID supported the Ministry of Housing and Urban Affairs’ Program Management Unit to design and implement the survey in 73 cities across India. Every year since, the scope of this work has expanded significantly to become not only a pan-India survey but also one of the largest of its kind in the world. “Swachh Survekshan, or the cleanliness survey, is more than a survey — it has become an effective tool for good governance, helped India achieve the goal of ending open defecation, and transformed the way the Government of India works to achieve other key development goals,” says USAID/India Acting Mission Director Ramona El Hamzaoui. In fact, the survey has become such a success that the Clean India Rural Mission and other government programs have replicated the framework.
4. Applying Sanitation Research to Influence Policy and Practice
USAID conducts research and learning activities that expand what is possible in the water, sanitation, and hygiene (WASH) sector, both globally and locally. In a quest to unpack the drivers of sustainability in its programming, USAID supported a series of six Ex-Post Evaluations, five of which explored sanitation outcomes over the long term. The series identified challenges associated with sustaining reductions in open defecation and enabling people to access higher quality sanitation. Among the takeaways: poor latrine quality is a key factor related to the lack of sustainability, and effective sanitation interventions likely need to apply a combination of smart and targeted subsidies, behavior change, and market-based sanitation approaches in a context-specific way. The series intends to foster learning and improve evidence-based sustainable development assistance at USAID and among other WASH stakeholders.
Through operational research, small grants, and technical support, USAID’s Water, Sanitation, and Hygiene Partnerships and Learning for Sustainability (WASHPaLS) project collaborates with governments, key sector donors, and implementers to fill evidence gaps related to rural sanitation and behavior change. WASHPaLS’ applied research and learning activities influence both policy and practice so that sector stakeholders can more effectively and efficiently invest resources where they are needed most. The project’s foundational research on market-based sanitation has led to a widely used conceptual framework centered around creating viable sanitation enterprises. Tools to support policy-level decision-making on sanitation and ensure the viability of sanitation enterprises are already having an impact on USAID programming on the ground.
Finally, the Agency has issued a set of Water and Development Technical Briefs that provides new guidance on important topics for developing and implementing WASH activities in support of USAID’s Water and Development Plan, as well as recommendations for activity design, implementation, and monitoring. Two of these briefs are focused on rural sanitation and urban sanitation services, respectively.
5. Considering the Whole Sanitation Service Chain
Urban sanitation is about more than just toilets. USAID focuses on the entire sanitation service chain, from containment to safe disposal. Technologies and approaches for each step in the service chain are tightly linked, meaning that programs must consider the entire chain before designing interventions.
In Indonesia, most urban residents until recently depended upon informal, unregulated, on-call fecal sludge removal practices that were not only unsafe but also costly and harmful to the environment. To address this problem, USAID’s IUWASH PLUS project partnered with local governments to establish an innovative service for scheduled desludging of fecal waste, a process known as the Layanan Lumpur Tinja Terjadwal (LLTT). Endorsed by the Government of Indonesia, the LLTT guidelines now serve as the primary driver in formalizing Indonesia’s desludging services across the country. For the first time, 40 cities across Indonesia have instituted regulated, scheduled desludging services using the guidelines to benefit hundreds of thousands of households. Establishing, regulating, and monitoring scheduled desludging services at national and local levels has been a game changer for Indonesia’s urban centers, and demand for these services is expected to grow as the country continues to urbanize rapidly.
In the end, no universal solution can be applied to the world’s complex sanitation challenges. But as USAID and its partners look beyond World Toilet Day 2020, the Agency is dedicated to developing and implementing a mix of approaches to create locally relevant, innovative sanitation solutions that put customers first and establish an enabling environment in which these approaches can flourish and be sustained.
By Wendy Putnam
This photo essay appears in Global Waters, Vol. 11, Issue 5; for past issues of the magazine, visit Global Waters’ homepage on Globalwaters.org.
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A Clean Riverbed is Changing the Lives of Turkmen Farmers
“When there are floods, we have to build barriers to keep our land safe,” says Ataev Maksat, a 35-year old farmer from Saryyazy, a village in Mary, Turkmenistan. He is a third generation farmer, growing wheat and cotton on his ancestral land. He also raises livestock and tends to his household vegetable garden — all of which relies on the Murghab, a transboundary river that flows from Afghanistan to Turkmenistan.
The Murghab riverbed hasn’t been dredged in a long time. Over the past three decades, the riverbed has risen by nearly three meters. Additionally, the risk of flooding was exacerbated by changes in river flow due to climate change. Consequently, there has been an increase in floods and agricultural losses.
Engineer Atef Abdel Sayed is proud of his work to bring clean water and sanitation services to 25 million people in Egypt. “We have achieved much more than just construction,” says the 2020 USAID Water Warrior award winner.
Access to clean water and sanitation services is an ever-present challenge for Egyptians. While 97 percent of the population has access to potable water, consistent quality is a major concern, particularly in the rural areas that depend on groundwater wells. With just 25 percent of rural residents connected to sewer lines, groundwater contamination from leaky septic tanks is a constant threat.
Since 1978, USAID has invested more than $3.5 billion in water and sanitation services for more than 25 million Egyptians. One of the most recent examples is the Egypt Utilities Management program (EUM). The $440 million EUM program focused on water-related infrastructure projects, including more than 30 water and wastewater facilities. The program worked in two other key areas — sectoral reform at the national level and institutional development of the water and sanitation sector. “Early on, Egypt realized they can’t manage the facilities as a centralized governmental authority,” says Sayed, water, sanitation, and hygiene lead for USAID/Egypt. “Through EUM, USAID and the Egyptian Government started discussing a complete national reform of the water and wastewater sector.”
This national reform led to the decentralization of the water sector and the creation of a new water management platform. The government established a quasi-governmental National Holding Company for Water and Wastewater (HCWW) to improve operations, maintenance, planning, and expansion of water infrastructure. USAID worked with the HCWW to create 25 local, public utilities (companies) — and to transfer utility management from the central HCWW to these autonomous water and sanitation companies. “You must start with a legal and regulatory framework for the service provider to ensure sustainability, first of all for the services to the people and the quality, and then to ensure the sustainability of the taxpayers’ money that will be pumped into the sector,” explains Sayed. “This is not just for water, but every sector.”
Establishing a legal framework for decentralization of the new public utility sector and regulating water and wastewater services served as a critical first step on the path to self-reliance and sustainability. Next, USAID helped automate operations and billing systems while providing technical assistance and training for these local companies. As a result, the public utilities are able to forecast and budget for service expansion and can now recover at least 80 percent of their costs with revenues. In fact, many of the utilities have fully recovered their costs.
This will be increasingly important in 2021 when the Egyptian Government ends water subsidies. “These companies have to bring the resources to ensure that they cover their operation and maintenance costs and rehabilitation and replacement,” says Sayed. “If they do this, it will be the end of our program, and this will be a success.”
USAID continues to work with the local water companies through a new EUM–like program, which is scheduled to end in September 2024, to increase access to water and sanitation for nearly half a million people in the underserved communities of rural Upper Egypt, including Beni Suef, Minya, Assiut, Sohag, Qena, Luxor, and Aswan. USAID supports the construction of wastewater facilities to provide basic sanitation services, the installation and improvement of pipelines and household connections as well as to work with utility companies to improve their management.
Sayed stresses that building of both infrastructure and capacity are vital for a program’s success. Local people must understand how to properly manage the infrastructure and the systems that support it, and feel confident to innovate new solutions for their specific challenge. “You can’t just fund the infrastructure,” he says. “That would be a big failure.”
Sustainability of programs is the ultimate goal. For example, Sayed explains that a woman in rural Upper Egypt doesn’t care about the 100 kilometers of pipeline that USAID installed or the training that her water company staff completed. “She only knows one thing: she can open her tap and she can drink the water,” he says. “The service is our focus.”
Delivering Water Where It is Most Needed
Accessing a consistent and reliable supply of clean water has historically been a challenge for the Bedouin people of Egypt’s Sinai Peninsula. Thanks to USAID’s $50 million, six-year North Sinai Initiative, 450,000 people on the Sinai Peninsula no longer face this challenge. Six desalination plants, seven deep wells (up to 4,000 feet deep), regular truck deliveries, and three water reservoirs now provide year-round, potable water in this 10,000 square mile isolated region. In addition, USAID supported the procurement of 20 wastewater vacuum trucks for safe removal of wastewater in the Sinai’s urban areas.
The Egyptian government requested assistance to bring water infrastructure to an area with considerable security issues. Once USAID funding for the 16 separate infrastructure projects was in place, the Egyptian government and private companies did the work. In just four years, and under continued serious terrorist attacks in North Sinai and the resulting very tight security measures by the army and security forces, the Sinai Company for Water and Wastewater awarded and completed 35 different contracts. These interventions included four engineering contracts for design and construction management, several delivery contracts to procure trucks and equipment from the United States, and more than 25 construction contracts in all aspects from pipelines, deep well drillers, desalination specialists, water structures, and finally a solar power specialized firm. “They achieved the real goal,” says Sayed. “They did everything for themselves with USAID’s support and funding.”
The Sinai Company’s ability to complete these large scale infrastructure projects in such a short time can be attributed not only to their commitment and perseverance but also to USAID’s Egypt Utilities Management program which helped create the company and provided technical assistance and training to ensure the sustainability of the water sector in Egypt.
Every Oct. 15, Global Handwashing Day is celebrated around the world to increase awareness and understanding of the vital importance of handwashing with soap as an easy, effective, and affordable way to prevent the spread of illness and save lives. Join USAID and its partners in celebrating this year as we highlight the elevated importance of this hygiene behavior during the COVID-19 pandemic.
Handwashing with soap and water is a key prevention strategy to slow the spread of COVID-19. However, even this most critical behavior is out of reach for the nearly 3 billion people worldwide who lack access to clean water and soap in their homes.
Leveraging Local Networks, Strengthening Supply Chains
Since 2017, the USAID Transform WASH (T/WASH) activity has worked in Ethiopia to increase access to and sustained use of a wide spectrum of affordable water, sanitation, and hygiene (WASH) products and services, with a focus on sanitation. Its multipronged approach stimulates demand at the community level, strengthens supply chains, and builds an enabling environment for a vibrant private market for WASH products. As a result of USAID support, Ethiopia has networks of distributors, craftsmen, and retailers in place across 41 woredas, or districts, in 10 regions of the country. T/WASH leveraged these existing networks to respond quickly to the COVID-19 pandemic.
Earlier this year, T/WASH identified a need for handwashing products at the household level. It had begun to lay the groundwork to expand the range of products offered to communities just as the pandemic hit.
Throughout Ethiopia, COVID-19 has caused disruptions in the distribution of sanitation and hygiene products, inevitably affecting T/WASH’s operations. Whereas before, T/WASH’s local distributors could travel freely to pick up supplies from warehouses and transport them to their final destination, now, travel restrictions make it difficult to move from region to region. Additionally, the sudden increase in demand for hygiene products to combat the spread of COVID-19 put a strain on the supply chain and, in turn, made them too expensive for many consumers.
T/WASH saw its opportunity. The activity reached out to Excel Plastics, a manufacturer of home handwashing products based in Addis Ababa, and convinced the company’s distributors and retailers to provide a viable channel to reach households and tap into a new market for hygiene products.
T/WASH has also entered partnerships with Splash Social Enterprise, HappyTap, and Lixil to test market new varieties of consumer and institutional handwashing station products in Ethiopia. The partnership includes market assessments, product prototyping, and consultation on establishing manufacturing operations in the country.
“We knew we had something already in the works that would make a lot of sense for prevention of COVID,” says Monte Achenbach, T/WASH project director. “We could work with Excel to accelerate sales through our distributors and get the handwashing stations out as quickly as possible. The whole supply chain was set up already for us to be able to move quickly.”
To help stimulate demand, T/WASH developed a business-focused marketing campaign for the home handwashing products, which complemented the national public health messages being provided by the Government of Ethiopia and various NGOs.
“It’s one thing to raise awareness [for the behavior],” Achenbach says. “It’s another thing to market a product and to make people aware that in their communities there’s a local business who can supply them with what they need. We knew we needed to supplement what was being done on a broad level with specific product marketing with our business partners.”
This marketing includes outreach products retailers can distribute door-to-door throughout their communities, such as stickers, posters, banners, and billboards, as well as more far-reaching methods, like radio ads. The handwashing stations Excel produces vary in size and cost, allowing businesses to order and offer products that suit regional needs. For example, water-stressed areas might need a handwashing station with a larger capacity to reduce the need to refill as often. Prices for products range between $0.85 to $8.92 USD depending on their size. Thus, the marketing materials reflect the diverse range of products and can be customized by businesses to promote their specific product offerings.
In addition to their supply chain and demand development efforts, T/WASH also launched a design competition for no-touch handwashing products, which are generally too expensive for the average family or household. The ultimate goal of the design competition is to provide locally manufactured products that are affordable enough to be viable in local markets. T/WASH hopes to select a short list of designs to move to a prototyping phase, after which T/WASH would connect entrepreneurs to a manufacturer who could help them with the final design.
As a result of COVID-19 response efforts, more than 11,000 handwashing stations have been purchased by households to date.
Communication is Key in Benin and Côte d’Ivoire
USAID’s Sanitation Service Delivery (SSD) program has worked in Benin, Côte d’Ivoire, and Ghana since 2014 to create a more effective, sustainable, and inclusive sanitation market for the urban poor. Over the program’s life, SSD has engaged private sector service providers, trained artisans, helped business start-ups, designed sales strategies, trained sales agents, organized public awareness events, and conducted community marketing.
With local SSD–trained micro-entrepreneurs already in place to advertise, sell, and install latrines with handwashing devices for households in both countries, SSD was in a position to adapt and rapidly respond to COVID-19. Currently, SSD and its partners are marketing two different generations of handwashing stations.
Generation One stations have been sold alongside toilet products before and during the pandemic. These models consist of a plastic tank with a faucet and a funnel to catch and redirect wastewater. They are simple to install on toilet cabins, walls, and trees, making them a smart choice to add to kitchens and bathrooms. The low cost (around $12) makes them a popular option for consumers in Benin.
Specifically designed in response to the pandemic, Generation Two models consist of a plastic tank, faucet, and basin to catch wastewater affixed to a wooden stool. Some even have foot pedals for hands-free operation. While these models are more expensive (costing around $25) and more complex than the Generation One models, they are also a more durable option.
In addition to increasing production and distribution of handwashing facilities, SSD is working in both countries to raise awareness of the importance of handwashing with soap to protect against the spread of COVID-19.
At the beginning of the pandemic, SSD-Benin teamed up with the Government of Benin’s COVID-19 task force; led handwashing campaigns within municipalities; and facilitated the delivery of handwashing systems, soaps, and hand sanitizer to homes. This structure allows SSD entrepreneurs to work directly with local authorities in their COVID-19 awareness campaigns.
“The framework and approach of SSD in Benin made it easier to intervene and respond to COVID-19,” says Bernard Elegbe, Benin SSD team leader. “The program is run by SSD–identified micro-entrepreneurs who are trained to provide sanitation products and services to households.”
Communicating the importance of handwashing is key to SSD-Benin’s COVID-19 response, since handwashing is not a widespread practice for a large part of the population. When SSD sales agents install latrines and handwashing stations, they have always taught the household the importance of handwashing at critical times. After the COVID-19 outbreak, SSD started to include messaging in their sales agents’ toolkits that stresses the importance of handwashing with soap and water as a means to slow the spread of the pandemic. More than 3,600 news updates and interactive radio programs on COVID-19 prevention measures further bolstered handwashing promotion. According to SSD-Benin team leader Bernard Elegbe, frequent handwashing with soap and water has become increasingly commonplace since the COVID-19 outbreak.
SSD-Côte d’Ivoire teamed up with the Government of Côte d’Ivoire’s Ministry of Sanitation at the beginning of the pandemic on a COVID-19 education campaign, highlighting the importance of handwashing to combat the spread of the disease. This campaign was conducted in markets, hospitals, and public places in 50 localities and reached more than 10,000 people. As in Benin, SSD-Côte d’Ivoire partnered with 15 local radio stations for three months to broadcast more than 14,000 radio ads centered around the importance of basic public health practices.
“Demand for handwashing devices increased significantly in response to COVID-19 information campaigns”
At the community level, SSD-Côte d’Ivoire spearheaded a door-to-door handwashing awareness campaign and introduced a tele-coaching system to continue building the capacity of their entrepreneurs remotely to ensure they wear masks, practice social distancing, and wash their hands as they visit homes to install latrines and handwashing stations. While handwashing has become common practice in urban and peri-urban areas, challenges in rural areas due to water shortages and lack of infrastructure have led to slower uptake. Despite this, SSD already sees the fruits of their communication campaigns.
“Demand for handwashing devices increased significantly in response to COVID-19 information campaigns,” says Marcel Etchian Ayereby, SSD-Côte d’Ivoire team leader.
In the fight against COVID-19, both SSD and T/WASH are leveraging sanitation and hygiene markets in Ethiopia, Côte d’Ivoire, and Benin, which have been strengthened through both USAID–funded programs. They have identified and responded to both governments and beneficiaries’ emerging needs to quickly pivot their product line and marketing strategy to address the urgent demand for handwashing products. The durability and responsiveness of these sanitation market systems to meet their customers’ needs during a time of pandemic and beyond will help cement their place in their respective communities and hopefully leave a legacy of improved hygiene practices to mitigate further illness and outbreaks.
In Focus, part of the USAID Center for Water’s Global Water Stories, is an occasional series that takes a broader and more technical look at USAID water activities that have been in place for some time to share approaches, results, and lessons learned.
Locations: Ethiopia, Ghana, Madagascar, Mozambique, Senegal, Tanzania
Partners: Ministry of Water Irrigation and Energy and Oromia Water and Energy Resource Development Bureau (Ethiopia); Ministry of Sanitation and Water Resources (Ghana); Ministry of Water, Sanitation, and Hygiene (Madagascar); National Directorate of Water Supply and Sanitation (Mozambique); Directorate of Sanitation (Senegal); and Ministry of Health, Community Development, Gender, Elderly and Children (Tanzania)
Despite widespread knowledge of the importance of water security and sanitation to health and economic development, access to safe water and improved sanitation in sub-Saharan Africa is still very low.
Data suggest that the lack of adequate water, sanitation, and hygiene (WASH) services is not solely the result of insufficient funding or technology but mostly due to ineffective resource allocation. However, governments must have access to accurate, reliable, and timely data to effectively allocate those resources and inform policy and investment decisions. In many African countries, sound sector data are lacking, which hinders their ability to make data-driven decisions. Without data, policymakers cannot identify needs, develop appropriate policies and/or interventions, allocate resources toward the most urgent priorities, or monitor and evaluate the effectiveness of development interventions.
In 2016, WALIS initiated the Improving WASH Evidence-Based Decision-Making (IWED) program to encourage a shift toward sustainable services delivery, consistent with Sustainable Development Goal 6, through smarter use of data, better monitoring, greater emphasis on analysis, and evidence-building. The program also focuses on strengthening sector policies and strategies and encouraging sharing lessons learned and experience among African governments. As a first step, WALIS issued a call for Expressions of Interest from African countries that USAID designated as high-priority for WASH support. WALIS selected six countries — Ethiopia, Ghana, Madagascar, Mozambique, Senegal, and Tanzania — to receive an award of up to $250,000 to support demand-driven activities. Each award enabled government agencies to address key bottlenecks by developing tools and evidence-based decision-making processes to improve the performance of their WASH sectors. To ensure the sustainability of program achievements, IWED focused on collaboration with government structures and institutions. WALIS and the selected local implementing partners worked closely with government staff and supported WASH sector government agencies to execute the awards, while government agency representatives provided oversight in coordination with WALIS.
Because countries self-identified different needs, the IWED program took on different forms in each, as discussed in detail below.
Improved Knowledge Management for Ethiopia’s WASH Sector
It would take several hours for staff at Ethiopia’s Ministry of Water, Irrigation, and Energy (MOWIE) to locate a single document in its disorganized filing room. As a result, the ministry often lost important WASH sector information, resulting in duplicative work and a lack of knowledge sharing within the sector. Ethiopia’s ONE WASH National Program — a sector wide approach to planning, financing, and monitoring the Ethiopian WASH sector — recognizes the importance of knowledge management (KM) to create a coordinated countrywide WASH program. Therefore, one of the program goals is to create a robust KM system, which would strengthen sector capacity for planning, budgeting, and monitoring WASH services.
IWED support in Ethiopia focused on improving KM in the WASH sector, with a particular emphasis on MOWIE’s internal KM systems at the national and subnational level, and transferring knowledge to other stakeholders to make information available for management, planning, policy formation, and decision-making. The project team developed protocols, procedures, and workflows to guide the development, use, and sharing of knowledge among national-level ministries. WALIS also provided capacity development for staff to implement these practices at the national and subnational/regional level; the Oromia Water & Energy Resource Development Bureau (OWERDB) served as a regional pilot. Additionally, WALIS set up information and communications technology (ICT) infrastructure, including a high-end server and firewalls, to support the new KM system — a digitized version of the filing room that now allows users to easily find existing WASH sector resources, such as donor project reports and designs for drinking water systems.
Streamlining Data Collection and Management in Ghana
Ghana’s Ministry of Sanitation and Water Resources (MSWR) oversees the delivery of WASH services across the country, and coordinates sector activities to ensure efficient and productive use of resources. MSWR developed a Sector Information System (SIS) to provide key sector actors and the public with relevant WASH data for evidence-based decision-making. Poor data collection and management and fragmented data management systems (that did not feed into the SIS) undermined its function and usefulness as a decision-making tool. This made it difficult for MSWR to identify WASH service gaps at the national level and prioritize resources for filling these gaps.
To address this, WALIS supported MSWR to: (1) develop and implement standard WASH data collection, management, and reporting procedures and protocols from the local to national level; provide capacity building to different actors in the WASH sector to properly implement data collection procedures; (2) collect baseline data in selected regions; and (3) establish an integrated information system for the WASH sector that ensures data collected at the local level flows into the SIS at the national level. This improved system allows for the generation of sector reports and indicators the ministry requires to effectively target regions lacking improved WASH services.
Creating Better Access to “Water for All” in Madagascar
In 2017, Madagascar’s national and local leaders faced a major barrier to improving public health services for the country’s fast-growing population: incomplete or inaccurate data on access to safe water and sanitation sources. To help Madagascar’s Ministry of Water, Sanitation, and Hygiene reorganize the WASH sector and strengthen its systems, IWED supported the Budget Program per Regional Objective (BPOR) surveys for five regions in 2017. Before the BPOR process, some remote fokontany (districts) in these regions had never been officially surveyed. As a result, they had often been overlooked during planning and budgeting processes for WASH services and infrastructure.
The BPOR data collection process served as the foundation upon which the Government of Madagascar developed a more realistic sectoral plan that considers village-level WASH needs, based on the surveys of communities across all 22 regions of the country (with additional support from USAID and UNICEF).
A Powerful Data Tool for WASH in Mozambique
In Mozambique, WALIS supported the Water Supply and Sanitation National Directorate (DNAAS) to strengthen its National Water and Sanitation Information System (SINAS). DNAAS officially launched SINAS in 2009 and designed it to cover the entire WASH sector as a single, integrated, sectorwide mechanism. Through the provision of timely, reliable, and publicly available data to plan, track investment programs, and monitor the sustainability of services, DNAAS intended SINAS to bolster sector oversight and accountability. However, SINAS relied upon manual, paper-based collection, and management of data at the local level, resulting in a fragmented, out-of-date system. This led to challenges in data accuracy, consistency, analysis, and sharing, and made it difficult for DNAAS to plan and monitor sector investments effectively.
To strengthen SINAS’s functionality, IWED harmonized the methodologies of collecting, processing, analyzing, and sharing data, and stored it in a consolidated and centralized database so it would be useful for planning purposes. After an initial ICT assessment, the IWED team agreed that it would develop a complementary mobile data collection tool, m-SINAS, alongside the centralized database. Technicians trained under the IWED program used these tools to collect data on water sources, water supply systems, and community sanitation and hygiene, including: location, number of people served, existence of a governance structure for the system, and water quality parameters. The IWED team also consolidated data from several regional-level systems into the central database. With IWED support, DNAAS procured IT hardware and software, completed mobile data collection, furnished a server room, seconded a data technician, and developed both m-SINAS and a WebGIS platform (http://www.sinasmz.com).
Using Technology to Preserve Senegal’s Freshwater Ecosystem
Lac de Guiers is the centerpiece of a complex water ecosystem that supplies 70 percent of the water consumed by 4 million people in Dakar and its suburbs. Recent environmental shifts as well as the lake’s vital importance to the environment, agriculture, and water supply for millions of people, have driven the Government of Senegal to better plan and manage this vital resource through evidence-based decision-making. To support the government’s initiative, the IWED program currently works with the National Directorate of Water Resources Management and Planning to measure the change of Lac de Guiers’ water-related ecosystem over time, including water quality. The IWED team is using state-of-the-art satellite imagery to measure seasonal changes in the aquatic vegetation of Lac de Guiers and adjacent wetland areas to determine the effectiveness of efforts to reduce its spread. The team is also using water quality analysis test kits to monitor ambient water quality in the lake.
IWED is also working with the Directorate of Sanitation to develop an asset management inventory monitoring system for public sanitation facilities in schools and health care facilities. The directorate will host the completed inventory on a web-accessible application that is capable of georeferencing all public sanitation facilities to enable their improved management.
Transparency for Tanzania’s Water and Sanitation Data
To improve its WASH data collection, storage, and decision-making processes, Tanzania’s Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) developed an electronic National Sanitation and Management Information System (NSMIS) in 2012. The ministry intended NSMIS to disseminate information to a broader range of stakeholders and provide reliable and accurate data as an advocacy tool for decision-makers. However, only ministry staff with specific software skills and government log-in credentials could access the WASH data on the platform. This meant that other stakeholders, including regional and district-level officials, could not view or make decisions using WASH data collected across the country, thus undermining NSMIS’s objective to be a transparent tool for advocacy.
Through IWED, WALIS helped MOHCDGEC increase access to quality data via the development of a national WASH web portal. This initiative is in line with the Government of Tanzania’s constitutional commitment to make information easily accessible to all. The web portal now allows other agencies, like Tanzania’s National Bureau of Statistics (NBS), to easily access WASH data at a regional/district level, filling the gaps from the NBS survey data — which is only conducted once every five years. Furthermore, the regions and districts can now see how they are improving over time compared to the other regions and districts in the country.
IWED’s work to enhance the ability of each partner country to make data-driven decisions involved improving existing data collection, analysis, storage, and reporting procedures and systems. Where necessary, it also included upgrading ICT infrastructure. Refined and standardized data protocols in the focus countries have made it easier to collect data in a timely fashion and made access to these data easier for the relevant government ministries and other stakeholders who need it in their planning processes.
In Ethiopia, IWED digitized 2,469 ministry and OWERDB–generated WASH knowledge products. These knowledge products are now stored on a KM system that the IWED team synchronized with a new, higher-capacity server so that all end-users in both institutions can easily upload, access, and retrieve the data. These improvements increase the ministry’s online capacity to store generated knowledge, and enhance OWERDB’s ability to access information, including through remote access to their intranet. To support the sustainability of the new system and institutionalize a culture of KM within the WASH sector, IWED developed KM guidelines and a flexible training program for existing and new MOWIE and OWERDB staff and trainers.
In Ghana, 72 trained enumerators conducted a baseline WASH survey of 5,292 households across six selected regions — Savelugu, Kumbungu, Central Gonja, Juaben, Atwima Mponua, and Kumasi — using newly standardized data collection procedures. Data points for the survey included: the percentage of the population with at least basic access to drinking water, access to at least basic toilet facilities, and access to handwashing facilities; the WASH Economic Equity Index Score; and the WASH Gender Equity Index Score. Data collected from the household surveys and other secondary data were then imported into the central SIS, which the IWED team analyzed to come up with the baseline figures for MSWR indicators. This approach will allow MSWR to have proper tools and systems in place before going to scale at the national level.
For Madagascar’s BPOR process, 90 trained enumerators surveyed 20,159 villages in five regions — Diana, Vakianakaratra, Haute Matsiatra, Amoron’I Mania, and Vatovary Fitovinany — at the fokontany and hamlet level via focus groups. Using smartphones, the enumerators collected data electronically and integrated them via the Madagascar Water and Sanitation Monitoring online system. Surveyors found that in districts such as Vatovary Fitovinany, only 3.3 percent of the population had sufficient access to latrines, and less than1 percent of the population had access to the kind of ventilated, improved pit latrines necessary for improving health standards. While these numbers are not unusual for Madagascar, they help the government better identify the needs of communities for a more effective allocation of WASH resources and infrastructure during budgeting processes.
As a result, the BPOR process improved the government’s WASH services’ development and financial planning models. The Ministry of Water, Sanitation and Hygiene used the Results from the BPOR process in budget preparation and development of a revamped national WASH sector plan that takes into account the WASH needs of all citizens, and to identify the infrastructure needs and financial cost of achieving universal access to WASH by 2030.
In Mozambique, WALIS trained 84 provincial and district technicians on the newly developed data collection and management methodologies for SINAS using the new m-SINAS tool. Using tablets with preloaded questionnaires, the trained technicians surveyed the number of water sources, water systems, and communities across four provinces — Maputo, Sofala, Manica, and Cabo Delgado. The technicians using this mobile technology had far fewer data errors and greater reporting accuracy in their surveys. With the aim of scaling up nationally, WALIS supported the government’s expansion of the use of m-SINAS to six additional provinces on a new Open Data Kit platform that is more compatible, flexible, and financially sustainable than previous SINAS technologies. As of December 2019, technicians had conducted more than 6,500 surveys across all provinces using m-SINAS, and they registered about one-third of the country’s water sources.
As the integration of information from the various regional databases into SINAS continues, the system can more precisely pinpoint WASH infrastructure and services, which provides the districts, provinces, and national government with much-needed information to use in their policymaking, planning, and budgeting. As of project close in December 2019, 13,213 water sources had been added into the system. The success of m-SINAS has since seen the technology and methodology replicated across other government ministries and adopted as the national standard for data collection and management.
To support Senegal’s Directorate of Water Resources Management and Planning to measure the change of Lac de Guiers’ water-related ecosystem, the IWED program trained 15 directorate technicians on water quality data collection, analysis, and dissemination methods. Water sampling began in December 2019, and the technicians collected more than 132 samples. The directorate will use the results of the water sampling exercise to formulate a draft policy and strategy to better manage surface water in the areas studied, and to develop a polluters-pay policy and strategy, which will help counteract increasing pollution from anthropogenic sources.
In Tanzania, the new WASH web portal is the country’s first open-source repository for WASH data, which the IWED team rolled out in a series of training sessions held in December 2019. More than 130 participants attended the training sessions, including regional and district health officers within MOHCDGEC, research institutions, donor groups, local media, and higher learning institutions — all groups that previously could not access the WASH data housed in the NSMIS. The web portal has quickly become a key resource for research, planning, and informed decision-making for various stakeholders, enhancing the credibility of their work and that of the Government of Tanzania.
Supporting a demand-driven, government-led activity is the best way to ensure the sustainability of newly introduced systems or protocols. At the same time, collaborating with the relevant government agencies at the initiation of program design ensures that there is no duplication of existing country initiatives.
Multistakeholder collaboration requires the continuous engagement of all stakeholders throughout the project’s implementation. Setting up regular in-person meetings and check-in calls help maintain the project’s momentum and ensure project ownership at all levels. Similarly, when working with highly decentralized government structures, forming a national or regional task force that represents the key agencies or institutions allows for effective joint planning, coordination, implementation, and supervision of processes.
It is difficult to successfully conduct an exercise at the local or community level without engaging local and/or regional leaders. As community gatekeepers, local leaders are best placed to disseminate information to their communities and to mobilize community members to participate in national initiatives, and should be included in national-level planning processes.
A KM system is only as good as its data, so well-trained data collectors and validators are an invaluable part of the entire system. Building human resource capacity through training sessions and on-the-job training is important to reduce human error in data and knowledge processes and to ensure a system’s sustainability.
By Joanne Kihagi, WALIS Communications Specialist, Katie Connolly, WALIS Program Coordinator, and Alayne Potter, WALIS Deputy Chief of Party