Sanitation Review Report: A Consolidation of Data and Analysis of Outcomes for Design and IEC Consultants Prepared By Belinda Abraham Consultant UNICEF-WES October 2001 N.B. Internal Use only. Not to be quoted. UNICEF-Lilongwe Sanitation Review Report: 1.0 Purpose: This report reviews the data collected by the three sanitation review teams in order to make recommendations for the design modifications of sanitation facilities in primary schools and households. 2.0 Outcome: While the information presented by the sanitation review teams is of varying of quality, it is clear that the process was innovative in attempting to evaluate sanitation facilities. The review presents a good starting point for the evaluation of technical options suitable for schools. The report also notes that children spoke very candidly about their sanitation facilities and gave good insights for improvements. From the findings, children appear to be effective and keen advocates for improved sanitation both in their schools and communities. Beyond technology options, the reports also gives indications that workmanship and cleanliness are two equal and important factors for students when it come their sanitation facilities in school. If children feel at risk that the latrine will collapse or feel it is disgusting, they will not use the latrine and will go to the bush. Technological factors can contribute to some degree to ensure better workmanship and maintenance. However, the most effective means to ensure that the facilities are in good working order is to combine latrine construction with a school organized monitoring and supervision activities, as well as, a school hygiene programme. Ideas on designing these programmes should be explored during the project orientations with teachers and school committees. This report is broken down in two sections. Section A is the outcome of focus groups and design recommendations. Section B is a tabular presentation of findings from site visits including sanitation options and costs. 3.0 Section A The focus groups with students were an integral part of the information collection and data analysis. Information came from the following schools: Children in Standards 6, 7, and 8 in Malenga Mzoma Full Primary School, Uhoho Junior Primary School, Lisale Full Primary School from Nkhata Bay District and Nkhata Bay Secondary School. Children from Lukali Full Primary School, and Kanyerere Full Primary School, Rumphi district Children from Zambwe Full Primary School, Nkhangira School: and Nkhangwa CDSS in Chitipa District: 2 UNICEF-Lilongwe Students from Masasa School- Mzuzu City Assembly Kapiriminyanga and Nzizia Schools in Kasungu District Mtenthera School in Lilongwe District Chauta School in Ntcheu District Chigoti School and Vocational Training and Rehab center in Chiradzulu District Kholongo Primary School in Chikwawa District Ndirande School in the City of Blantyre 3.1 Why Children do not use latrines and urinals? Children in Standards 6, 7, and 8 from Malenga Mzoma Full Primary School, said that some students did not use the latrines because of the smell and that the holes of the latrines were too big for small children. In the rainy season, students said that the traditional latrine floors become muddy and disgusting because of the leaky roof structure. The students from Uhoho Junior Primary School from Nkhata Bay District, did not like their traditional latrines because the grass roof leaks during the rains, wood poles rot, and the soil walls that dirty them. Moreover, the main problems associated with their latrines were the bad smell, flies, termites and the problems of latrines collapsing. Because of the fear of the latrine collapsing, the younger children did not use the latrines. However, teachers added from a school in Chitipa District that poor use and fear of the latrines stems from lack of exposure in their homes. When children first come to school they often misuse latrine by defecating on the floor and not into the hole. Normally, the male students construct the urinals in their school. Many boys from Uhoho Junior Primary School from Nkhata Bay District, do not use the urinals and prefer to use the bush because they feel that the facilities are not good. The major issue related to the urinals was the lack of privacy. They said that users can be seen, and the structure was poorly made as children constructed it. Some boys did not like the fact that urinals did not have a roof and the soak away pits became full with the rains. There is also a high risk that the urinal fences would collapse because it is made from grass and poles and subject to termite attack. In Lukali Full Primary School, Rumphi district, children mentioned three major groups who do not use the latrines: deaf, standard 1 girls, and lame/cripple students. Deaf children do not understand the important of using a pit latrine; standard 1 girls feel the hole is too big, and the lame have no support. Furthermore, traditional latrines were seen as not suitable for the blind because there were no clear demarcations for position of the hole, i.e. no footrests. Children in Standards 6, 7, and 8 from Malenga Mzoma Full Primary School, said that the disabled children in the school do not use latrines. In particular, the blind children have to go to the bush because of the poor state of the latrines. The blind children must crawl and feel their way toward the latrines. It is, therefore, seen as a better and more hygienic option for the blind children to use the bush. Blind 3 UNICEF-Lilongwe students also have a difficult time aiming into the hole, so for the sake of other users, it is better for them to use the bush. In Mzuzu city, children noted the importance of latrines but also pointed out that despite this urination and defecation is done indiscriminately, even with the presence of latrines and urinals. In Msasa School, many children did not use the latrines because of the poor hygienic condition of the latrines. Many children preferred to go in the banana groves or wait until they went home. 3.2 Why children like and use latrines and urinals? Children feel it is important to use a latrine for prevention of diseases like cholera. In addition, the latrine offers privacy and protection from snakes in the bushes. Having a latrine in the school was also seen as prestigious and places the school at a high status. Without a latrine children must travel far from classrooms to the bushes to defecate and therefore a latrine is also seen as convenient. The students from Uhoho Junior Primary School from Nkhata Bay District feel the presence of the latrine beautifies their school and latrines produce little odor. In a focus group in the Southern Region, latrines were described as giving dignity and a sense of respect to the user. This comment tied in with the common statements about latrines providing privacy or the need for privacy by the user. Children from Rumphi district appreciated the quality of the VIP latrine construction by GTZ. The cement floor was smooth and easy to mop. But as well, the boys and girls latrines are clearly separate. The children appreciated the design of the VIP latrines for a number of other reasons: no wooden planks so it would not rot, the pits were lined so will not collapse, and the hole was deep and it will not fill quickly. Also, the vent pipes decreased smell. Boys felt that the presence of urinals assisted in keeping the latrines clean and prevented misuse of latrines and decreased the numbers of latrine users. The children from a school in Rumphi district felt urinals had hygienic benefits and the smell in the latrines is decreased. Urinals for girls were also being considered for construction. Some students in Chitipa District did say that they like the traditional latrine with dirt platform because if soiled, the mess is absorbed. If the toilet is misused it is more noticeable with a cement finish. Teachers also felt the value of the traditional latrines was that children had the opportunity to build them and develop latrine building skills which could be used in their homes. 4 UNICEF-Lilongwe 4.1 There were a number of associated issues related to sanitation promotion design, use and planning 4.1.1 Security: Two main issues discussed repeatedly were the risk of collapsing latrines and also separating the school premises from neighboring settlements. In the peri-urban community of Masasa School, the close proximity to neighboring settlement has meant that children come into daily contact with strangers who try to frighten children, often taunting them with threats of witchcraft. The positioning of some of the latrines is in such away that some children feel unsafe and at risk. As a result of cases of harassment in the Masasa School, the headmaster has asked children to go to the latrine in pairs. The risk of collapsing latrines can originate from rotting wood eaten by termites, wood damaged by water or sandy loam soils. In Mzuzu, there were reported cases of children who had nearly fell into the latrines within the last year. In many schools visited by the sanitation review teams, the latrines had collapsed. 4.1.2 Cleanliness The issue of use and maintenance of facilities seems to be paramount over technology types and options. Cleanliness of latrines is a major problem, and as a result 50% of students do not use latrines. Students feel there should be disciplinary action for people who misuse facilities. With few latrines per school, more daily maintenance is needed. This work fell predominantly on girls. In some cases, girls must clean them more than twice a day. Two additional considerations come to light. First the time spent by girls to fetch water from a distance away from schools. Second, the health implications of frequent contact with unprotected water sources that could increase contraction of bilharzia and other parasites. It was noted that among the technology options, the maintenance of traditional latrines was more. Girls had the smear the mud floors daily and boys repaired the grass roof and rafters seasonally. 4.1.3 Gender Disparities: According to sanitation review teams, none of the interviews in the central or northern region reported any particular problem related to gender disparity. However, in the analysis of the information presented, there are some gender differences related to the operation, use and maintenance of sanitation facilities in schools. 5 UNICEF-Lilongwe In just about all schools visited, it was the schoolgirls primarily who cleaned the latrine. The official rhetoric was that both boys and girls cleaned the latrines, but with further investigation in most co-ed schools, it was the girls from Standards 3-8. For example, in Lukali Full Primary School in Rumphi District, girls between standard five and eight were responsible for cleaning latrines. However, the boys only have to clean latrines if they misuse it. Therefore, cleaning latrines is relegated to a chore for girls primarily or a punishment for boys. Furthermore, girls were given the primary responsibility of fetching water for cleaning, collecting materials for thatching and materials like leaves for cleaning. Boys would assist in collecting materials but were primarily responsible for construction of facilities. This follows the similar social allocation of roles within the household. The work of maintaining latrines in school is a heavy responsibility for girls if there are many users. Sometimes, Standard 3-8 girls are organized up to three times a day to clean the latrines as in Masasa Primary School, Mzuzu City. In Nkhangira School, Girls from Form 1-4 clean latrines twice a day drawing water from water from the borehole each time. Traditional latrines require even more work to keep clean because of collecting mud and smearing the surfaces, work the girls found strenuous. Adolescent girls did not feel that poor sanitation facilities deterred them away from attending school. It was rather the cultural belief related to menstruation, and that girls should not move about when they have their periods. When girls attend school during their menstrual cycle, they appreciate having water nearby the latrines, as found in hand washing facilities. If there are no latrines at the schools, girls use neighboring latrines from households in the community. It was found in some schools that boys preferred using the bush to the latrines, especially younger boys. It was stated in one school that sensitization on latrine usage should focus on boys, especially young boys. Teachers felt that girls are unlikely to use the urinals because of the decreased privacy for user. As such, adolescent girls are unlikely to use urinals. 4.1.5 Children’s Designs recommendations for Sanitation Technology For the disabled (crippled children), it was felt that pedestals on the latrines would assist and support them to use the latrine. Separate latrines that are kept clean for children with disabilities would also be important, since they have to crawl on the floor. Footrests could be designed to better guide blind students. Gloves could be given to lame to support themselves while touching the ground. In addition, children in a school for the handicap felt that rails were important and squat pans. 6 UNICEF-Lilongwe All children interviewed felt that an improved latrine with a cement slab facilitates regular cleaning and maintenance and eventual usage because clean latrines are likely to be used over dirty or smelly latrines. The children also added that the latrines should be designed to have adequate light, which allows for ventilation. Latrines should also have doors to prevent use of the latrines by outsiders who may dirty the premises and the responsibility falls on the girls to then clean up the mess. Moreover, children from Rumphi district noted regarding VIP latrine built by GTZ that even with the blind corners, the user could be interrupted. When asked if there was anything that they would change about their current facilities, the children in Standards 6, 7, and 8 from Malenga Mzoma Full Primary School, responded that they would prefer the improved latrines with cement floors, iron roofs and burned bricks because the required less maintenance and was easier to keep the latrine clean. They also noted that there are no place in the latrine to properly store tissues (leaves/papers) or ashes. There were some discrepancy on the size of the drop hole cover. Some children suggested that drop hole cover sizes should be made smaller. However, reports from Mtenthera School in Lilongwe District, was that the children felt the latrine size (approximately 90 cm) and drop hole size (10 cm) were too small. There are differing opinions among children. When the drop hole is too big, young children do not use them. Alternatively, if the hole is too small, the area around the drop hole becomes messy. Some other design modification suggested were better drains around the latrine and for aesthetic appeal the walls should be painted. Teachers feel that improvements in urinal designs were needed to improve drainage, privacy and greater usage. 4.1.6 Design Modifications Based on the outcomes of the focus groups and review of the interview guides from both households and schools, the following points have been highlighted for consideration in making design modifications to sanitation facilities: Spatial planning of latrines is very important and often overlooked in sanitation promotion. Latrines were viewed useful to students because of the close proximity to classrooms. Also it was latrines, away from regular supervision by school authorities, that are often prone to abuse by outsiders who either steal fixtures or indiscriminately use the latrines. Therefore, beyond the design specification, the Consultant will be requested to include some guidelines for spatial planning. Moreover, reduction of smell can be achieved by ensuring VIP latrines face the direction of the wind, this should form part of the construction guidelines. 7 UNICEF-Lilongwe Latrine spacing between girls and boys are important. The girl latrines that are very close to boy latrines or adjacent to them are often not used by the girls because of privacy and social factors like shyness. Therefore significant space should be made between latrines and girls. Under no circumstances should the boys and girls latrines be in the same block. The issue of theft in schools is a growing concern and affects the use and maintenance of facilities. In the designs, the Consultant will be asked to make modifications to minimize the use of doors, hinges, rafters, tiles and iron sheets. This will also save overall costs for construction of materials, which are constraints for communities. One option proposed is that for latrine blocks only one door, which could be constructed at the side, and blind corners be placed at each individual latrine. This would decrease costs and if the door was eventually stolen, the latrines still would still retain some privacy for the users. See the Lisale Full Primary School, Mankhanbira, Northern Region Review (page 7/20), as an example. Where possible, and where no risk of collapse exists and the soil is easy to dig, pit depths should be increased to a minimum of 20- 25 meters. Depth of pits and number of pits should be designed for a minimum life span of 10 years assuming that on average 50-80 students will use that latrine. The front walls of multi-chamber latrines could be modified and used as part of a wall to a urinal. This would require adequate drains around the latrine. The consultant is asked to review the feasibility of coming up with a latrine design, which incorporates a urinal (for use by girls also) with adequate privacy for users and suitable drainage. The roof from the latrine could be extended to shield the urinal users. The issue of privacy with latrines is continuously stated as being important. However households often cannot afford doors. The Consultant needs to consider some other adaptations beyond blind corners, including suggestions of low cost materials or alternatives that can substitute as doors. For example in Nkhata Bay use of banana wood could be used. 4.1.8 Disabled Children One simple modification in the latrine for disabled and young children is to remove all steps and any lifts. A second is the provision of supports when using the latrines. Clearly demarcated footrests, squat pans and pedestals were some of the additional suggestions by children. 4.1.9 Workmanship In the Southern sanitation review, it was noted in about 90% of the cases, poor workmanship was observed. This also related to the fact that there were a limited number of skilled laborers. This requires that the manuals and designs are as user 8 UNICEF-Lilongwe friendly and explicit for the lay laborer as possible. Poor latrine construction diminishes the confidence of children to use the facilities. Students from Uhoho Junior Primary School from Nkhata Bay District said that because of the poor construction, some of the children claimed that the san slabs often shake and are not sturdy. This gives the impression that the latrines are unsafe and young children do not use the latrine. The Consultant will be asked to prepare guidelines to ensure that san plats are properly placed on logs to make them sturdy. The issue of pools of urine collecting on san plats, or slabs was repeatedly mentioned. A minor modification is needed in san plat construction to ensure that excess urine drips down drop hole. It was noted in one of the focus group discussions in the Southern region that the external agencies should assist in the construction of the superstructure. In terms of workmanship, some assistance to schools and households is necessary to ensure sound and safe structures. 4.1.10 Design-recommendations: For schools, the Southern Region felt that multi-compartment latrines over a single pit was the most economical choice and still offered durability, safe, and hygienic to use and with limited maintenance of smearing School latrine designs recommended for the catalogue: Blair latrine / VIP using cement blocks Traditional improved pit latrine with dome slab/ san slab, and with a permanent superstructure. Double vault latrines All latrines should have lockable door or restricted access, plastered finish, made of durable materials, leak proof roofing materials, and smooth floor finish for easy cleaning. Pedestals for disabled persons and young children would assist in proper and regular usage. However at the same time, it would require more cleaning. Household latrine recommended for the catalogue: Traditional latrine with san plat, slab or dome slab Arborloo Skyloo Double vault VIP Urinals: No recommendations except need to improve privacy and workmanship. Hand washing facilities for schools: 9 UNICEF-Lilongwe In Lilongwe district, although hygiene messages were painted on the walls and students were encouraged to wash hands, the lack of water to fill 560 litres handwashing tank was a constraint. Therefore hand washing and effective sanitation could not be achieved The proposed model for hand washing facilities should be taken from CPAR’s site visit, which was a small cement tank with hose. There should be one hand washing facility by each block of latrines. This has four benefits. First, when water is scarce but in limited supply smaller tanks could be still filled. Second, it does not take a lot of effort for students to fill tanks. Third, the model/design has direct transfer to the household with modifications such as using locally made pots as the tanks. Fourthly, The presence of hand washing facilities close to the latrine promotes the habit of hand washing after latrine use. Notes: The expense for household labor construction in relation to the materials was relatively high to the total costs. In one focus group, women headed households had a greater constraint to sanitation because they had to pay laborers to construct their latrines. In schools, labor is not a constraint because many of the initiatives used students and school committee members. Instead, the materials and supplies were a problem because the needed quantities were high in schools. This was even more of a constraint for the materials that were not locally available. In all of the sites visited, cement was supplied by an external agency, either the NGO or government. For households, a big selling point for eco-sanitation designs is the ability to use manure for fruit trees with a potential economic value. In many cases, materials from old latrines are recycled to build new latrines. This practice should be encouraged in light of the high environmental costs of burning bricks. In the focus group discussions in the southern region, children had a difficult time responding to questions related to the improvement of latrine design. This points to the need for clear and simple designs to assist in making technology choices. It must be assumed that some of the children may not have had exposure to using a latrine in their homes. In women’s focus group, women expressed the lack of choices being offered to them. They would consider other sanitation options such as the double chamber composting latrine and the dome slab. There needs to be a greater consultation with schools on the needed technical designs. In cases, where collapsing was not a problem or not likely, pits were still be lined. There is an innate fear that latrines will collapse. Lining with bricks is an economically and environmentally costly option for schools and communities. The use of soil stabilise block makers are important to decrease the use of burned bricks. 10 UNICEF-Lilongwe Lastly, one way to address the poor workmanship is to involve the school committee in monitoring of the construction to ensure that quality structures are put in place. School committees should be given orientation and guides for construction so they know for example mortar mix, design specification, proper placement of doors and vents and appropriate gradients for drainage. School committee and contractors should hold a brief preliminary consultation so that communities’ expectations are incorporated in the designs, especially in the case of disabled children. 5.0 IEC messages for promoting sanitation and hygiene in schools These are based on the comments that came from respondents about what they liked most about their latrines. These messages should be directed at a target audience of school age children. 1. Latrines make school compounds clean. They give the school hold a higher status. (All standards) 2. Latrines are easier to access than the bush. You do not have to travel to far to use a latrine. The bushes might harbor snakes and things, so using a latrine is safer and less scary! (Lower standards) 3. Good latrines control flies and smell (all standards) 4. Latrines decrease disease like cholera and help students stay healthy (all standards) 5. Latrines offer more privacy than the bush (upper standards/ adolescents) 6. Improved latrines are easier to keep clean than traditional pit latrines. (Upper standards/ girls) 7. Improved latrines are safer and the risk of collapsing is less, especially when the pits are lined (all standards) 8. Good latrines are safe for small children to use (all standards, particularly lower standards) Messages that should be considered once the latrines have been constructed: 1. Cleaning latrines is everyone’s responsibility. It should also show a teacher cleaning a latrine, as well as young and old children. Children clean using mops, rags and water. Boys should be shown fetching water to fill hand washing facility and cleaning 2. Latrines are safe to use: it should show lined pits and solid construction 3. Everyone is responsible to keep the latrine in good order and use it properly. It could show an older child assisting a younger child to use the latrine and putting his/her feet on the foot rests. It could show a child replacing the drop hole cover after use. It could show a child putting ash in the latrine to decrease smell. 4. Taking care of school property is everyone’s business. Could show a mischievous child throwing rocks on the tile roof of a latrine and 11 UNICEF-Lilongwe breaking it and other angry children around. This should express unacceptable behavior. 12 UNICEF-Lilongwe Section B: MK 80= 1 US$ Technology option Soil/ geological characteristic Estimated total costs Single vault VIP latrine: cement slab, brick and iron sheet for roofing Sandy/ loam soilsdifficult to digNkhata Bay. No risk of collapsing MK 8000 - Clay/ loam-difficult to dig. No risk of collapsing Nkhata Bay District Hand washing facility: cement tank, hose pipe on brick base and soak-away pit Nkhata Bay District Single vault VIP with 4 doors in a line Nkhata Bay District All male secondary school. School latrine ratio: 1:15 including Estimated community contribution N/a Strengths (likes) MK 1,800 N/a Close proximity to latrine, easy fill and cleaning. Will last a long time Labor: contractors MK 4,600 N/a Full privacy when in use, vent pipes and roof tiles were used to control heat Labor MK 650 Total costs for materials: MK 19, 342 Shortfalls (Dislikes) Innovations and improvements proposed Full privacy, and vent pipe to control flies and odor Tiles and bricks will be reused for another latrine. 13 Cement tank could be made bigger for schools. Adaptations using local pots can be made to transfer technology to households Minor repairs replacement of hinges, doors, rafters and painting; vent pipes were not working to control smell Short latrine life span: 5 years Choice of materials to ensure infrequent replacement e.g. doors and hinges. Number of doors in each facility should be decreased to avoid frequent repair costs; quality of UNICEF-Lilongwe water closets School: one unit of two vault VIP latrines Clay soils—no risk of collapsing Total cost excluding labor (Contractors): MK 51,396 MK 15710 (30%)- materials Pits depth 18-20 feet deep and expected to last 8-15 years. When full, will be demolished and fruit trees planted on site Operational expenses include repainting. Reliming, replacement of rafters, and doors. Vent pipes did not have screens Clay soils- no risk of collapsing. Labor (Contractors) Mk 11,800 Mk 17878 (20%)materials Pit depth is 18-20 metres and expected to last 5-8 years Operational expenses: hard broom needed and detergent for cleaning. Nkhata Bay District School latrine ratio: 1:60 School: one unit of 4 single vault latrines Nkhata Bay District Fairly easy to dig Total cost: Mk 90,711 Latrines are concentrated on one side of the school; latrines are close to neighboring houses. School latrine ratio: 1:60 Latrine does not offer full privacy such that if there is a user in the first stall, someone going to the second stall can see him/her. Vent pipes were not topped with screening 14 craftsmanshiptraining of artisans in proper construction and monitoring of construction; and tile roofs One door for multi-chamber latrines. If door is stolen, user is not in view when using latrines Multi-latrines with one door. Sidewall facing latrines could be modified and used as a urinal. UNICEF-Lilongwe Householdtraditional pit latrine Clay/ sand- easy to dig Collapsing not a problem Mzimba District Localhousehold/local contractor Mk 200 Total cost of materials: MK 178 To reduce odor, users put ash and sand after use. The latrine has a vent window and open doorway for good circulation. Reoccurring maintenance is acceptable because grass, poles and materials are locally available. Latrine quite dark and narrow entrance way. Operational/ maintenance issues: grass thatch must be replaced often and floors must be smeared weekly. Rafters and tying ropes are susceptible to termite attacks- possibly replaced every two years. Ensure strong roof, decrease use of logs (slabs) Adaptations to decrease flies (san plat/slab and improve ventilation and the amount of light Latrine is expected to last only two years. Household: Skyloo double vaults, six month rotation 99 Loam and difficult to dig soils Labor: MK 795, total cost of materials= 6,402.32 Facility is permanent Mzimba District 15 Problems with the amount of flies Operational/maintenance expenses: replacement of grass roof and cement repairs. Also need cement for sealing the back door, replacement of urine pipe and gloves for handling urine and faeces. Urine collection is difficult and cannot be handled well by childrenresponsibility of adults, difficult to find good containers to collect urine, poor construction design no gradient on the collection tanks and therefore material does Urinal in the squat hole needs a mesh so that the pipe cannot be blocked easily; needs a means to control odor UNICEF-Lilongwe Household: ArborlooMzimba Household: Arborloo Mzimba District Household: Arborloo Mzimba District Sandy soils, collapsing a problem especially during the rainy season Soils are clay, easy to dig and deep down stones are found. No risk of collapsing Soils were sandy loam and difficult to dig after one metre Labor cost= Mk 2250 Latrines are seen important to household for accessibility and also manure for fruit trees. Slab is easily transferred to another location. Wood is preferred for the superstructure Cost of materials= MK 2,540 CCAP= 50% of total material costs Labor cost for latrine= Mk 620 Total cost for materials= MK 812.22 CCAP contribution 51% Provision of manure, easily built latrine, and slab has a long life span Labor= Mk 620 Total costs of materials= 822.30 Contribution by CCAP= 377 46% School: 2 door traditional latrine- Mzimba District School Latrine ratio: Soils are loamy clay and prone to collapsing easily with VIP. Traditional latrines do not collapse Labor costs: Mk 2050 Total cost of materials: MK 13,547 not slide back,. Site is moved oftenevery six months Community contribution was not costed but provided bricks for platform and superstructure Manure could be used for agricultural purposes, depth of latrine hole shallow and, therefore easy to dig. Having a latrine keeps the household clean and can be used by visitors. Superstructure and slab are moveable VIPs considered more attractive, easy to clean with using mops and water and does not require smearing. Roof did not leak during rainy season 16 Design plans for local/ community builders- artisan training Door for privacy when using a latrine is crucial but often not affordable for households consideration of alternative, low cost materials for use as a door Depth of the latrine hole (1 metre) could be more for a longer life span Latrine constructed by MASAF, design considered poor (craftsmanship), roof was not fixed to superstructure so it was easily stolen. No vent Size of the hole must be modified depending on the age group and increase latrine size, light and ventilation. UNICEF-Lilongwe 1: 60 14 operable latrines, 12 for boys and 7 for girls School: 2 door traditional latrine- Mzimba District School Latrine ratio: 1: 60 14 operable latrines, 12 for boys and 7 for girls School: Improved latrine with san slab pipe or cover to control flies and odor Soils: sandy and difficult to dig during dry season; low risk of collapsing Total cost of materials= Mk 4069, all provided by the students Sandy soils which easily collapse Nkhata Bay District Latrine ratio: 1:81, no breakdown given School: double vault VIP Nkhata Bay District Latrine ratio: 1: 103 people No specific Labor by children= Mk 1200 100% contribution by students in building and provision of materials Traditional latrines are seen as better than nothing and keeps the schoolyard tidy. However not the preferred technology by girls in particular because of the work involved in the maintenance Maintenance: Boys sweep and girls smear floors, grass to replace roof were difficult to find during the dry season Material costs provided by community MK 7940 (60%) N.B contribution by NGO was not fully quantified and therefore Structure is permanent and decomposed matter will be removed after two years. Girls clean the latrines three times a day and collect water from a source over 800 Km away Labor not costed built by school committee. Total cost of materials: MK 1,296, Slab supplied by CPAR (NGO) Sandy soils, heavy latrines have a high risk for collapse during rains Labor costs Mk 4820 Built by NGO Total costs for materials= Mk 13,350 17 Traditional latrines should be improved with a san slab and improved roofing structure. UNICEF-Lilongwe breakdown given School: urinal Nkhata Bay District would decrease the overall community contribution N/a Labor by students Mk 720 Total cost for urinal material= Mk 542 provided by school Users could be viewed easily- lack of privacy. Craftsmanship was poor because the students put it together. Girls did not use urinals School: single vault VIP Rumphi District Latrine ratio 1: 83 Boys 1:70 girls 1:9 teachers Soil is a combination of clay, sand and rock. Not easy to dig and water is often used to soften soil before digging. Collapsing is not a problem Labor cost= Mk 2,700 with local contractor Total cost of materials: Mk 12,411 Two items provided by GTZ were not quantified Total cost of materials supplied by community= Mk 5100 Approximately: 41% NB: two items provided by GTZ were not quantified. Craftsmanship really good-done by local builder under the supervision of GTZ VIP latrine is well positioned toward the wind that decreases odor. Vent pipe has screens which prevent flies 18 Improve privacy of urinals by taking advantage of latrine walls and positions. Urinals should come before latrines. Separation of urine from defecation is an important means to decrease smell of latrines, should be considered for girls as well Craftsmanship of latrines artisan training and positioning of facilities, in particular VIP should be facing the wind. Inside latrine, small ledges or places for tissues or putting sanitary towels are needed. Currently no place to put tissue, only on the UNICEF-Lilongwe floor and they can be soiled. School: urinal N/a Rumphi District School: Single Vault Blair latrine Rumphi District Soil is clay loam down to 50 cm, thereafter sand. Collapsing is a problem at the level of the sandy soil Latrine ratio: 1:150 Labor cost= Mk 1,250 urinals constructed by boys in schools Total costs for materials supplied by school and community was =MK 1000 Pit was dug by students and GTZ paid contractors to build structure 100% of materials provided by school and community Community contribution=Mk 16042, approximately 60% Urinals should be built of cement so that they drain properly Latrine is a permanent structure and therefore roof cannot be blown away or stolen Labor cost for pit latrines Mk 2400 Drainage around the latrine is a problem. Stagnant water may lead to collapse of latrine. Total cost for materials= Mk 27,767.00 Household: improved latrine with san plat Rumphi District Soils are clay loamy with some rocks. Collapsing is not a problem Labor cost by household owner: Mk 690 Total cost of materials for facility was Mk 1777. Rebar and cement was Latrine spacing between boys and girls latrines are poor. The old pits have not been closed and appear as a hazard. The old pits are being used a refuse pits. - Foot rests are deemed important to aid children to properly use adult latrine 19 Lack of foot rests, no drop hole covers and poor drainage Difficult to find grass and poles for latrines Design modification: students prefer painted walls, doors, drop hole covers, better air vents, smaller drop holes, and better drains around the latrines which decreases the risk of collapsing UNICEF-Lilongwe Household: Children’s latrine: Rumphi district School: Single vault VIP latrine Chitipa District School latrine ratio: 1=23 boys 1=18 girls 1=3 teachers Soils are clay loamy with some rocks. Collapsing is not a problem Soil is clay and difficult to dig. Requires picks to dig. Collapsing is not a problem provided by MoHP (37%) Labor cost: Mk 230 All provided by owner Total cost: Mk 135 Cost of labor: private contractors: Mk 15,550 Total cost of materials all provided by DFID= Mk 107,721 Latrine expected to last 15 years as it is 15 feet deep Children latrine for children between 2-3 years made of wooden planks in a dome shape. Ash placed to reduce flies and smell Private contractors built latrines. Craftsmanship described as excellent. Wooden hole cover to control odor and flies. Vent pipe, Chimney and doorway design also control odor and flies. Workmanship considered poor. Wood covers for drop hole are often misplaced by students An open latrine for young children is a good alternative for children who are too small or afraid to use latrine. Some modification could be drop hole covers and siting close to adult latrines to build practice of using latrine regularly. Consider designing a drop hole cover with an attachment to san plat to avoid misplacement or a wooden style toilet seat Adaptations for disabled children: potentially raised brick handles which guide child to latrine and support child while on latrine. Raised bricks (3050 cm to avoid 20 UNICEF-Lilongwe contact on the ground. Removable pedestal for disabled or young children School: hand washing facility, tippy tap/ clay pot Chitipa District Cost of labor: Mk 135 Hand washing facility is used by most students Total cost of materials provided by students= Mk 50 for tippy tap Total cost for clay pot with leaky tin=Mk 90.50 School: urinal Chitipa District School: Blair latrine Chitipa District School latrine ratio: 1:17 Soil: clay and difficult to dig, hard underlying rock after one metre Cost of labor: Mk 240 Total cost for urinals provided by school= Mk 590.60 Private contractors identified by GTZ= MK 3730.00 Girls expressed willingness to use urinals Community contribution= Mk 4915 (approximately 305) Good ventilation, durable and roof does not leak Total costs for 21 Water containers and poles will have to be replaced often. The amount of water held is small and needs to be often replenished. When the water runs out of the boys’ hand washing facility they do not fill it and expect the girls to fetch water. Clay pots can easily break and water drawn from the clay pots can be easily contaminated when there are many users User is viewed, lack of privacy - - UNICEF-Lilongwe Household: improved pit latrine Karonga District Clay loam soils, difficult to dig and no risk of collapsing Household: Traditional latrine Karonga District Soil clay, difficult to dig, no risk of collapsing Household: traditional latrine with improved san slab Karonga district Sandy loamy soils, collapsing is a problem Household: traditional latrine Karonga district materials 15,669 Labor costs= Mk 1860 Total cost of materials= Mk 1382 Red Cross provided cement, rebar and soft wire Labor costs: Mk 3950 Labor costs= Mk 2,800 Total costs for materials= Mk 18,620 Soil is rocky sand, difficult to dig, yet collapses easily, area prone to flooding Labor= Mk 2,600 Owner provided approximately Mk 1000 worth of materials, cement, rebar and soft wire provided by the Red Cross - - Quality of construction average, could be improved - - Offer little privacy. The availability of poles, grass and mikambela is a major problem. Total costs provided by owner= Mk 17, 820 - Termites are a huge problem in the area, grass; poles are attacked by termites but are not easily found. A packet of sugar and a pail of boiled water are applied to latrine to control odor, as well as ashes. A san slab or dome slabs should be offered in areas where termite attacks are high and raw materials are expensive. The cost of logs was Mk 1,200 and water was Mk 10, 500, water is collected from Lake Malawi over 3 km away. Shortage of raw materials affects craftsmanship. Major problem is obtaining grass, thatch and reeds Total costs covered by owner Total costs for latrine= Mk 5,170 Highly susceptible to termite attack 22 A list of alternative materials for latrine construction should be compiled UNICEF-Lilongwe School: VIP latrines Mzuzu City Soils: clay, no risk of collapsing Total labor costs= Mk 3,900 Community contribution= MK 3320 Durability, strong, secure Total cost of materials= Mk 18, 533.50 School latrine ratio: Boys- 1:100 Girls- 1:92 Teachers- 1:7 Household: traditional latrine with san slab Nkhata Bay District Rocky with clay sections. Household: double Vault Kasungu District Sand loam Rock can be broken fairly easily with picks, hammer and chisels Labor costs= Mk 2,700 (Believed to be overestimated between MK 1300-1700 Total costs for materials= MK 9669.60. CPAR provided san slab Labour MK 1000 Provided by owner Superstructure was supplied by Plan International Poor maintenance of facility deters use and cancels any health benefits of the facility Operation and maintenance car oil used to control flies and smellcostly option. Life span for double vault expected to be 10 years One room is used as a latrine while the other is used as a bathroom. When the first toilet is filled the hole is shut and the room becomes a bathroom while a hole is open in the former bathroom to be used as a latrine. Combination of bathroom 23 The Superstructure will need to be repaired because of the poor mixture of cement/ mortar Technology is considered good but need to improve on footrests to guide the user to avoid spilling on the floor. UNICEF-Lilongwe School: Multichamber latrine - Structure provided by Plan International Kasungu District School latrine ratio: 1:46 Boys: 1:46 Girls: 1:45 School: Urinal Kasungu District Boys only= 367 School: Multichamber Kasungu District School latrine ratio: 16 latrines for students, eight for boys and eight for girls 4 latrines for teachers School: hand washing facility Kasungu Labour: - Labour Mk400 Loam The water table is high and soils can become water logged Labour: Mk 15,000 built by a contractor DFID Community contribution not ascertained Labour was contributed by students; boys standard 3-8 and latrine does not require annual construction of bath shelter Proximity to the homestead - - Latrine expected to last 10 years and design of latrine is appreciated with big windows, brick, mortar and iron sheets The hand washing containers has transferability to the 24 Problems of young children using the latrine, they tend to defecate any where Problems of boys urinating every where and not in the pit provided Because there are no doors it is used by the public - UNICEF-Lilongwe District Household: skyloo Sandy, loam soils Salima District Household: Arborloo Salima District Labour costs: Mk 1,500 Total cost of materials= Mk 2,026.75 Sandy soils Labour costs: Mk 350 Contribution by owner 1014 Total cost for materials= Mk 1795.66 Approximately 56% of costs A second alternative is the use of a lined basket which is removed periodically (2 metre) Cement and rings provided by Water Aid Household: clay pot and tin for hand Washing Salima District - Total costs for two pots and tin: Mk 71.50 community. Women can make clay pots and use old plastic containers Latrine is suitable in rocky and hard to dig areas. However suitability in sandy soils is also observed Permanent facility Cheap source of manure Makes having a latrine in difficult geographical areas possible Pedestal seat adaptation makes using facility easier. Dome slab, wire rings and drum to collect manure, permanent latrine 100% Owner found it easier and cheaper to construct latrine, depth of pit shallow, therefore decrease risk of collapse - 25 Drawback is the need to use ash and dirt, which may not happen, in schools. It is a good type of latrine when there a fewer users. Grass thatch door well made and is a low cost alternative to ensuring privacy instead of wooden doors Need to use ash to decrease smell. Fills up quickly Removable pit lining is an alternative to the skyloo and traditional arborloo, ideal where collapsing poses a problem Owner would recommend the size of the dome slab (Diameter 80 cm, thickness 5 cm) be made bigger, also would consider a deeper pit. Tin and pot system could lead to possible contamination of water source. UNICEF-Lilongwe School: Multichamber with one vent pipe Sandy on top with hard underlying soils beneath Total cost of materials= Mk 264,110.00 Financial and technical assistance provided by Interaide Lilongwe District School latrine ratio: 1:110 students 1:10 teachers School: hand washing facility- cement tank, three taps Labour costs= Mk 5,170 - Lilongwe District Household: Traditional pit latrine with san plat Ntcheu District Stable soils Household hand washing facility: Suspended pot with tin can and soak away pit - Contribution by community was bricks, sand, stone not quantified Toilets are used as public toilets Size of drop hole and size of latrine should be increased. Each class should have their own latrine For effective sanitation, children felt they require borehole, bathroom, hostels, urinals for both girls and boys Water is a constraint so there was no water in hand washing facility Financial and technical assistance provided by Interaide Labour costs: Mk 725 Total cost of materials= Mk 1260 Labour costs= Mk 40 To completely fill tank requires 28 pails of water, approximately 560 litres Latrine expected to last for 20 years with a family of seven. It was built in 1989 Hand wash facility is easy to use by the youngest members of the family Total cost of materials=Mk 237.50 26 Must be filled often, as it holds only 1.8 litres of water. UNICEF-Lilongwe Ntcheu district School: traditional and Improved pit latrine with san plat Stony areas Total cost of materials= Mk 1036.92 Ntcheu District School latrine ratio: Boys- 1:50 Girls- 1:77 School: rain fed hand wash container large cement tank Ntcheu District School: urinal - - Boys only Ntcheu District Household: Dome slab improved pit latrine Labour: Mk 1100 100% provided by school with the exception of the cement Mk 85.00 provided by Concern Universal Concern Universal provided the cement for san plat All materials and labour provided by Concern Universal Labour costs: Approximately Mk 200 Total materials: Mk 542 Water logged, high risk of collapsing Labour costs: Mk 600 Total materials: Mk: 1305 70% of materials provided by owner Demonstration of san plat casting was done at the school. Facility was similar to that children would use at their homes. Labour intensive because of smearing of mud floors Two tanks: one which collects rain water and other which is hand wash facility Children find that filling large hand wash tanks is labour intensive - Grass thatch structure offers full privacy and is made of locally available materials. - - The provision of the slab has made cleaning easier - - Labour reduced for smearing Salima District Cement provided by Save-theChildren Fund Mk 375 27 UNICEF-Lilongwe School tertiary: Modifications of latrines for disabled Chiradzulu District Household: Mpemba: Improved pit latrine, round Mangochi District Household: Mpemba: Hand washing facility clay pot and cup Mangochi District Household: Makunje village VIP Blair latrine 6 bag type Blantyre District Sandy loam soils subject to collapsing Total cost for materials: Mk 4481.75 Total costs for labor: Mk 960 Total cost from Community for materials: Mk 2075 Frequent replacement of roof materials, e.g. polythene sheet and grass thatch. No full privacy N/A Purchased by owner Mk 70 MK 70 Needs to be filled about twice a day, water point with handpump is approximately 100 metres away. Loamy, sandy soils followed by red hard soils with sandy soil bedrock at the bottom Total costs for materials = MK 6763.50 Total cost of materials: Mk 2086 (31%) Estimate cost of labor ( private contractor and household)= MK 3200 Latrine does not require major maintenance, save plastering of walls and removal of vegetation growths on concrete roof. Problems related to the maintenance of the facility are the rising water table and the need to fetch water from long distances Roof slab was not well molded Constructed with assistance from Malawi Freshwater 28 Traditional clay pot holds 10 litres and cup used primarily for anal cleansing UNICEF-Lilongwe School: Nkholongo Improved pit latrine with dome slab Sandy soils on top 1.5 metres below loamy, slightly hard formation Total costs of materials = MK 891.25 Latrines were built by the children Total cost of labor = ? School committee material contribution 677.5 (approximately 76%) Chikwawa District Latrine ratio: 1 latrine = 32 boys 1 latrine = 60 girls School: Nkholongo Hand washing facility-cement tank Chikwawa District N/A Total cost for materials = Mk 7140 Total costs for materials by school committee Mk 2947 (41%) In school stealing of the drop hole covers and termites are a problem. Drop hole covers are the only mechanisms used to control smell and flies. No door or grass fence in front of latrines- offers poor privacy. Gravel put inside tank to reduce water flow. Because facility was built by children- the workmanship was considered poor and below average Taps have been replaced twice because of theft Cleaning of the tanks requires someone to go into a small opening. It is not done regularly because of the difficulty in cleaning tank. Total cost for labor = ? Constructed by School Committee with assistance by Concern Universal Cockroaches were seen inside tank Cement cover for the hand washing tank is very heavy and not easy to replace after filled 29 UNICEF-Lilongwe School: VIP (4 in 1) communal vent pipe Chiradzulu District Overall latrine ratio = 1:54 School: Hand washing facility: two pails on a wooden rack Loam soils at the top and red hard soils below 2 metres deep N/A No information of costs of materials/ supplies Block was built by government contractors Constructed by students made up of poles and sisal No community contribution Expected life span is 15 years Roof has blown off by wind Trespassers often use latrine, with disregards to cleanliness Plastic pails and cups provided by school committee: Mk 200 Water is collected three times a day. Chiradzulu District 30 - UNICEF-Lilongwe 31