WASH Cluster – Excreta Disposal E2 Session Plan E2 – Sanitation linkages Morning Session E0Introduction E1–Cluster intro 30 mins 30 mins E2-Sanitation E3-Sanitation E4-Immediate linkages assessment sanitation solutions 30 mins 45 mins 45 mins E5-Local regulations and best practice E6-Short term solutions: Case study 30 mins 45 mins Session-at-a-Glance Session Activities Group discussion on sanitation linkages and overlaps with other sectors Discussion on safe disposal and containment of excreta and barriers to transmission Discussion on health risks in an emergency Total time Approx. Time 10 mins 10 mins 10 mins 30 mins Instructional Activity Brainstorm in groups, collect ideas on cards Group discussion Plenary discussion Session Aims To establish links between sanitation, water supply, and hygiene promotion, and with other sectors - health, nutrition, shelter. The importance of safe sanitation, health risks in an emergency Session Objectives By the end of the session, participants will be able to: Discuss the linkages of sanitation and areas that overlap with other sectors. Describe the “F” Diagram, where safe disposal of excreta is a primary objective, Discuss the importance of hygiene promotion/ handwashing / water quality/ fly control & other objectives linked to the “F” diagram Session Materials Computer and projector Flipchart Enough cards for the group (at least 4 per person) Coloured markers F-diagram as a handout (1 per person) 1 WASH Cluster – Excreta Disposal E2 Key Messages Importance of combining water, hygiene and sanitation to maximise impact. Importance of understanding the specific contexts and designing programmes accordingly Overcrowded & unhygienic conditions can lead to rapid development & spread of diseases A population already weakened by the causes of the emergency is very vulnerable to disease Facilitator Guidance General texts: o Cairncross, S & Feachem, R (1999, 2nd edition) ‘Environmental Health Engineering in the Tropics, An Introductory Text’, John Wiley & Sons o Ferron, S, Morgan, J and O’Reilly (2007) ‘Hygiene Promotion, A Practical Manual for Relief and Development’ (updated version), ITDG Publications Session plan Slides 1-2 20 mins 1. Ask the group “What is sanitation”. Record answers on a flipchart 2. Group discussion activity. Split into small groups. Discuss the sanitation linkages and overlaps with other sectors. For example key links with health actors, esp. public health, water provision, shelter, education, nutrition, planning, public bodies eg council, municipality, local authorities. Hand out cards or post-its to each group to record their answers. When back in plenary cluster the cards together, hopefully in a series of overlapping circles. Lead into a discussion on ways of opening/maintaining communication avenues eg through events, regular meetings, combined strategies etc Slides 3-5 10 mins 3. In new groups discuss the ‘F’ diagram which should be provided as a handout. Ask them to discuss this and place the barriers to interrupt transmission. Make sure links to hygiene promotion and hand washing are mentioned. Session Plan – E2 2 WASH Cluster – Excreta Disposal E2 4. The graph represents the impact of different components of a water and sanitation programme on the incidence of diarrhoea - showing the importance of handwashing, sanitation, and household water quality. The data usually triggers a lot of controversy as it is difficult to separate out the different elements and all are important e.g. you cannot effectively wash hands without water. The studies also relate to the developmental context rather than to emergencies. Emphasis that these three components usually form the major focus of hygiene promotion in emergencies. 5. Using slide on emergencies ask group why sanitation is important in this situation. Include points on lack of basic facilities can lead to unsafe hygiene practices, overcrowding & unhygienic conditions can lead to spread of diseases, vulnerability of weakened population to disease. Session Plan – E2 3