Document 521 PRE-ASSESSMENT REPORT CHAPTER: University of Minnesota COUNTRY: Uganda COMMUNITY: Mulobere, Masaka PROJECT: Water, Air, and Economic Projects in Rural Ugandan Communities TRAVEL DATES: January 5th – January 19th PREPARED BY Eric Hettler, Adam Both, Steve Hankey, and Amber Koskey November 14, 2009 ENGINEERS WITHOUT BORDERS-USA Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name www.ewb-usa.org Pre-Assessment Report Part 1 – Administrative Information 1.0 Contact Information Project Leads President Mentor #1 Mentor #2 Faculty Advisor (if applicable) Health and Safety Officer Assistant Health and Safety NGO/Communi ty Contact Education Lead 2.0 Name Eric Hettler Lauren Butler Matt Hansen Frank Aramatis Julian Marshall Email Hettl001@umn.edu butle226@umn.edu Phone 970-590-0616 847-345-7356 julian@umn.edu 612-625-2397 Chapter EWB-UMN EWB-UMN EWB-UMN EWB-UMN EWB-UMN Adam Both afboth@gmail.com 206-484-9532 EWB-UMN Eric Hettler Hettl001@umn.edu 970-590-0616 EWB-UMN John Mary Lugemwa Amber Koskey jmlugemwa@gmail.com 320-363-3949 EWB-UMN amaekoskey@gmail.com 715-570-1101 EWB-UMN Matt.Hansen@goodrich.com FrankArmatis@comcast.net Travel History Dates of Travel Assessment or Implementation Description of Trip Review the site for a rain harvesting system, investigate the local cost of supplies August 2007 Assessment 6/07/09-6/24/08 6/01/09 – 6/30/09 Phase I Implementation Rainwater harvesting system Phase II Implementation Groundwater supply and distribution 3.0 Travel Team Name E-mail Phone Chapter Eric Hettler Adam Both Steve Hankey Amber Koskey Hettl001@umn.edu afboth@gmail.com shankey1028@gmail.com amaekoskey@gmail.com 970-590-0616 206-484-9532 612-599-2361 715-570-1101 EWB-UMN EWB-UMN EWB-UMN EWB-UMN © 2007 Engineers Without Borders – USA. All Rights Reserved Student or Professional Student Student Student Student Page 2 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name 4.0 Safety 4.1 Travel Safety 4.1.1 State Department and International SOS Travel Warning A travel alert regarding riots in Kampala was issued September 11, 2009 and expired November 10, 2009. The riots resulted from conflicts between the central government of Uganda and the traditional tribal leadership of the Buganda Kingdom. Fifteen people were killed in three days of violence. Additionally, large crowds led to sporadic road closures surrounding Kampala. The riots lasted three days and ended around September 13th. Since that time, little unrest has been see in and around Kampala. The team will be aware of the situation but does not anticipate any problems because they will only be driving through the outskirts of Kampala on their way from the airport to the village. 4.1.2 Point to point travel detail Before departing the United States, the travel team will work with our partners at Hope Integrated Academy and Uganda Rural Fund to arrange a driver to meet at the airport in Entebee. The driver will then take the team directly to Hope Integrated Academy, which takes approximately three hours. Groups who have previously traveled to the communities have utilized this form of transportation with much success. 4.1.3 On-the-ground phone number and email for travel team The main on-the-ground phone number will be Hope Integrated Academy. The number is 256-772-952136. The travel team will have access to email. The on the ground email address will be enhettler@gmail.com. 4.2 Site Safety – Health and Safety Plan Safety Considerations Day to day safety plans include only traveling in groups of at least two people. All travel to the communities will be conducted with a guide from Hope Integrated Academy. If groups are separated they will meet at the Hope Integrated Academy. To prevent EWB team members from contracting diseases such as malaria and typhoid, measures were taken to insure all team members were correctly vaccinated and had the correct amount of malaria medication for the duration of © 2007 Engineers Without Borders – USA. All Rights Reserved Page 3 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name the trip. In the event that a team member’s malaria medication is lost, extra medication will be brought along with to ensure proper medication. Finally, the team is staying with a family who regularly prepares food for Western volunteers. The family practices safe food handling procedures and ensures everything is thoroughly cooked. On previous implementation trips, no member from the team came ill with gastrointestinal sicknesses. Nearest Hospital Contact Info As required by EWB-USA, the two health point persons will be fully certified in first-aid and CPR. In the case of a medical emergency, the injured or ill team member will be transported to a clinic or hospital depending on the severity. Doctors and nurses staff a clinic 3 km from the school. Two large district hospitals listed below in Masaka city have US State Department approval. Each are a 45-minute drive away from the assessment site. Transport will occur using the vehicle of an administrator who lives at the school. Kitovu Hospital P.O. Box 524, Masaka- Uganda Tel: 256-0481-20097 Masaka Hospital P. O.Box 18, Masaka, Uganda. Tel – 256-0481-20018 Nearest US Consulate Contact Info Plot 1577 Ggaba Road P.O. Box 7007 Kampala, Uganda Tel: (041) 25-97-91 /2/3/5 KampalaUSCitizen@state.gov https://travelregistration.state.gov/ibrs/ Emergency Phone Numbers: 256 414 259 791/5 256 414 306 001 Walk in Hours: M – Th 7:30 AM – 4:30 PM, F 7:30 AM – 12:30 PM 5.0 Budget 5.1 Cost Expense Airfare On Ground Materials Other Total 5.2 Total Cost $7,500 $1,500 $1,000 $10,000 $10,000 Hours © 2007 Engineers Without Borders – USA. All Rights Reserved Page 4 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Names # of Weeks Project Lead Eric Hettler, Steve Hankey, Adam Both, Amber Koskey Mentor (Matt Hansen, Kevin Huselid, Andrea Stransky) Other Team Members 5.3 10 Hours/Week (per person) 5 Trip Hours (per person) 120 10 2 0 60 10 2 240 640 680 Donors and Funding Donor Name Barr Engineering Detalk LLC Donations from individuals Total Amount Raised: 6.0 Total Hours Type (company, foundation, private, in-kind) Company Company Private Account Kept at EWB-USA? No No No Amount $7,000 $2,500 $3,200 $12,700 Project Location Longitude: 31o 22’ E Latitude: 0o22’ S 7.0 Project Impact Number of Persons directly affected: 150 Number of Persons indirectly affected: 2500 8.0 Mentor Resume © 2007 Engineers Without Borders – USA. All Rights Reserved Page 5 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Pre-Assessment Report Part 2 – Technical Information 1.0 INTRODUCTION During the past two years, the University of Minnesota chapter of Engineers Without Borders has been working closely with Hope Integrated Academy (HIA) in a rural area of the Masaka region in Uganda. Previous projects at HIA have involved water supply and sanitation. EWB-UMN plans to expand the work completed at Hope Integrated Academy by collaborating with the communities surrounding the school. The communities struggle with issues related to water supply, water quality, indoor air pollution, and poverty. To address these issues, EWB-UMN will partner with the communities to develop surface water and groundwater sources, provide point of use treatment for households, construct modified cookstoves in individual houses, and expand on agriculture and agricultural processing. 2.0 PROGRAM BACKGROUND The Hope Integrated Academy (HIA) is supported by the Uganda Rural Fund, a registered 501 © (3) non-profit in Mulobere, Uganda. The Uganda Rural Fund is an all volunteer organization whose mission is to develop productive and sustainable communities by empowering children who are orphaned, needy, or marginalized. The Hope Integrated Academy currently serves students from nearby community but would like to expand its facilities to support orphaned and marginalized children. The school will eventually serve as a secondary school, vocational school, computer center, and health clinic for over 500 children and community members. Within the next five years, HIA Hopes to also provide overnight residence for 300 of the students, mainly AIDS orphans, and for school staff. A map and picture of the school location are provided in Figure 2.1 Figure 2.1. Hope Integrated Academy location and picture © 2007 Engineers Without Borders – USA. All Rights Reserved Page 6 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name When the school was first constructed, the only water sources near the school were turbid, contained bacteria, and fluctuated with the seasons. URF confronted EWB-UMN in February 2007 to address the issue of water supply. EWB-UMN has since implemented a rainwater harvesting and groundwater supply and distribution systems at the school. The project team hopes to expand the efforts to the community at-large during future assessment and implementation trips. Phase I Implementation: Rainwater harvesting for HIA In August 2007, two EWB-UMN students along with a professional mentor, traveled to the newly constructed Hope Integrated Academy to perform the project assessment. The following June, six students and two professional mentors returned to Uganda to construct water and sanitation systems with the school. The group implemented rainwater harvesting with collection, storage, and distribution systems. In addition, a dry composting eco-sanitation system with hand washing facilities was installed. Phase II Implementation: Groundwater for HIA In June 2009, a group of EWB-UMN students and a professional mentor returned to Mulobere to implement the second phase of the project. The second phase included a borehole with submersible, solar-powered pump and a modification of the existing sanitation system. Group members, including two public health students, performed community outreach in the form of community health assessments, community health education, point of use water treatment, and a malaria prevention initiative. The groundwater and rainwater harvesting systems will generate enough water to accommodate the future expansion of the school, and the sanitation modifications will enable students to better utilize the dry compositing sanitation facilities. In communities surrounding the school, insecticide treated mosquito nets were distributed. Community health assessments were conducted to obtain a better understanding of water sources, water treatment methods, hygiene and sanitation practices, and incidences of diarrhea. Phase III Assessment: Expanding to Communities For the dozen communities surrounding Hope Integrated Academy (HIA), the nearest water source is often a half a day’s walk away. The burden of water collection occupies a significant portion of one’s day and falls disproportionately on women and children. The few water sources that are available fluctuate with the seasons and are contaminated with harmful pathogens. The water sources used by some communities are shown in Figure 2.2. Without a means to treat this contaminated water, many individuals, especially young children, fall ill with waterborne diseases such as diarrhea and dysentery. In addition to water scarcity and contamination, many households experience health risks associated with indoor air pollution from inefficient cookstoves. The University of Minnesota chapter of EWB (EWB-UMN) is developing cohesive, locally sustainable solutions to address the air, water, and health concerns. © 2007 Engineers Without Borders – USA. All Rights Reserved Page 7 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Figure 2.2. Water sources for community members During the previous visits and the community health assessments, the community members identified a great need for water source and water treatment interventions. In addition, the community women’s groups formed by by URF identified a number of local hand pumps out of commission for one reason or another. In the summer of 2010, the team plans to address the water and health burdens that many of the community members face on a day-to-day basis. Current ideas include well remediation, surface water development, and implementation of point of use water treatment methods. In addition to the water related projects, the team will address the health effects associated with indoor air pollution by improving cookstove design and increasing household ventilation 3.0 OBJECTIVES OF SITE ASSESSMENT TRIP During the fall of 2009, the project team has worked to identify and study potential interventions for the water quantity, water quality, indoor air pollution, poverty, and public health issues in the communities. The main objective of the assessment trip is evaluating the feasibility of the numerous options. Objectives for each of the following areas of focuse are listed below. 1) Water Quantity: To evaluate water quantity, the team will determine the current water uses and water sources for the various communities surrounding the school in which URF works. The team will investigate the conditions and issues surrounding the hand pumps in these communities. 2) Water Quality: The project team will quantitatively analyze the quality of the current drinking water sources used in the communities URF works in using various methods for water quality testing. The team will also investigate the feasibility of different point-of-use water treatment methods. © 2007 Engineers Without Borders – USA. All Rights Reserved Page 8 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name 3) Indoor Air Quality: Cooking habits of community members and the incidences of indoor air quality will be documented. Methods for improved cookstoves and improved ventilation will also be presented to communities. 4) Economic Development: The current economic status of the communities will be evaluated. Additionally, different ideas for agriculture, food processing, and food storage will be discussed with the communities. 5) Public Health: Simple interventions regarding sanitation, hygiene, water quality, safe water storage, and water treatment methods will be discussed with community members. Other aspects of the communities including the social and political structure, economic status, priorities, and value system will be documented during the assessment trip. Ultimately, the design team will utilize the information about the community structure and the specific areas of focus to plan for the implementation of various projects. 4.0 COMMUNITY INFORMATION 4.1 Description of Community The area surrounding the school is drier than other areas in Uganda and the Masaka district. Local water engineers stated that only 25 percent of the population in the Lwengo sub-county (which contains the school) has access to clean water. In addition, many of the wells in the area are relatively shallow and do not provide water during the dry season. During an implementation trip in June 2009, a survey of the region was completed to compile population and water supply data. The following list provides an overview of approximately half of the local villages and communities surrounding the school. Children from these communities currently attend the after school programs at Hope Integrated Academy (HIA). The kids will attend HIA full time as the resources expand. • Mulobere lacks a year-round water source. The village consists of approximately 50 houses and 500 people. The school is located in Mulobere, but the village is small and not well known outside of the immediate area. A wealthy landowner in Mulobere does have an extensive rainwater harvesting system, but he does not share any of this water with the community. • One kilometer to the north is Kamutuza, with 30 houses and approximately 300 people - all without clean water. • One kilometer to the northwest is the trading center, Kyawaggonya. This small • trading center of approximately 30 houses and 300 people has no water. One kilometer to the south along Mbarara Road, which passes immediately to the north of the school property, is the large trading center Keytume. Keytume has a primary school, two secondary schools, a nursery and a bore well. Approximately © 2007 Engineers Without Borders – USA. All Rights Reserved Page 9 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name • 4.2 1000 people live in Keytume, but more come to buy and sell agricultural products and collect water from the shallow well. On the west side of Mbarara Road of Keytume is another community, Kalisizo. Kalisizo has a primary school with rainwater harvesting system with a 5000-liter polytank. This water is only for the school and is locked with a key. There is also a shallow bore well. Community/NGO Resources and Constraints Uganda Rural Fund (URF) is a registered 501 © (3) non-profit that was founded in 2005. URF’s stated mission is “to empower orphans, impoverished youth, and women in Uganda’s rural communities, through educational and sustainable development opportunities.” Since its inception, the organization has increased educational opportunities by constructing and staffing Hope Integrated Academy (HIA), provided childcare for orphans, empowered men and women, worked, improved access to water and sanitation for HIA, and opened cultural exchange between western volunteers and rural Ugandan communities. More information about URF can be found at www.ugandaruralfund.org. URF has three administrators who live on the Hope Integrated Academy site. Two of these administrators, Adrian Ssemukasa and Fred Ntale, are primarily responsible for the operating of the school. The other administrator, Maureen Nakalinz, is the Women’s Empowerment Program Direction. In a little under a year, Maureen has established strong women’s groups in the communities surrounding the community. Maureen and the women’s groups will provide a major resource for the sustainability of the next project phase. Additionally, the other URF administrators at HIA are native to the region and will provide invaluable insight and guidance throughout the next phase of the project. Community members also have much to contribute to the project. On previous implementation trips, the community members have expressed interest in the projects being completed at the school. This interest along with interest from women’s groups in the communities indicates the communities will be willing to commit time and labor to implement various projects. Unfortunately, people in the communities do not have extensive monetary resources to contribute to the project. The goal of the economic development projects is to create a sustainable source of income to help operate and maintain any systems implemented. Until a more defined economic structure is in place, however, the sustainability of a project will require low operation, maintenance, and replacement costs. 4.3 Community Relations During previous assessment and implementation trips, the project team has had quality interactions with the communities surrounding HIA. Since most of the time on previous trips was spent at the school, the majority of interactions have been with the children at the school. Interactions with the students provided not only an enjoyable break from work but also provided insight into the African culture. Team members have also engaged in © 2007 Engineers Without Borders – USA. All Rights Reserved Page 10 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name many different events that allowed them to interact with the members of communities surrounding the school Events included participating in soccer games, attending church, traveling to larger towns for supplies, and visiting different communities to conduct health surveys. The people of the surrounding communities have been very accepting of the members and very supportive of the work being done for the Hope Integrated Academy. While walking through the towns, people often offer a friendly wave and smile, and the children are fascinated with the international visitors. Overall, most community members have welcomed the team into their lives and have allowed them to get a closer look into their lifestyle. Maintaining this positive relationship with the communities is essentially for the future of the project because it provides insight into the routines, values, and challenges. Being integrated into the community displayed the community’s willingness to collaborate on this project and possibly projects in the future. 4.4 Community Priorities Every person in the region is affected by the lack of an adequate water supply. On previous trips, the communities have indicated improving access to clean, reliable water sources is a major priority. Their desires have been also expressed to the administrators of URF. Adults in the communities are very concerned about the children of the region receiving adequate education. They have a clear understanding that education is the most important factor affecting a child’s ability to escape a life of poverty. The establishment of HIA was the first step in addressing this priority. Education, however, is affected by various other factors. Some children are unable to attend school because they must collect water, farm, or work to help support their families. To ensure all children have an equal opportunity to attend school, the underlying issues must also be addressed. Recently, access to fuel for cooking has become a concern in the communities. The majority of people in the region use wood or agricultural scraps as their fuel for cooking. Fuel sources have slowly been depleted, and the task of acquiring enough cooking fuel has become much more time-consuming and labor intensive. The project team has passively observed the community priorities listed above, and Uganda Rural Fund has verified the priorities. Nonetheless, a more detailed assessment of the community needs and priorities would provide the project team insight when evaluating the appropriateness of any project. The assessment will be completed with assistance from Maureen who has a strong relationship with the women’s groups located in the communities. © 2007 Engineers Without Borders – USA. All Rights Reserved Page 11 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name 5.0 DATA COLLECTION AND ANALYSIS 5.1 Site Mapping Previous project teams have completed detailed elevation surveys of the Hope Integrated Academy site, but details about the specific location of communities are not well known. Administrators at HIA have attempted to acquire maps identifying communities the region, but the maps have not been found. The administrators at HIA have explained maps are not common in the region, and the only maps for the region are generally created by westerners. The only map of the area the team has access to was created in 1960. For the purposes of the project, the assessment team will need to determine the locations of the various communities in which we plan to work. Most roads leading the communities are unmarked so GPS coordinates will be recorded at different landmarks in each community. Additionally, GPS coordinates will be recorded at the different water sources utilized by the communities. GPS coordinates will be compiled in GIS to generate a detailed map of the region for future project members to utilize. 5.2 Technical Data Collection and Monitoring and Evaluation Data During the four-week stay at Mulobere, Uganda in June 2009, the implementation team began compiling information about the communities by conducting community assessments at six of the tweleve communities surrounding Hope Integrated Academy. The six communities assessed include Bugonzi, Kajalubanda, Gankanga, Lwempama, Kyetume and Kalisizo. The assessments evaluated community demographics, available water sources, water treatment methods, hygiene and sanitation practices, and personal health. The initial assessment indicates drinking water sources are scare, often an hour’s walk away or more, and the available water is contaminated with high sediment loads and harmful pathogens. The assessment also illustrated that boiling is the standard means of water treatment in all of the communities surveyed. A summary of the data is included in Table 5.1. © 2007 Engineers Without Borders – USA. All Rights Reserved Page 12 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Table 5.1 Summary of information gathered from six community assessments Community Primary water source(s) Average distance/time to source(s) Water treatment method Bugonzi Swamp Chazanga (during dry season) ½ mile Takes entire day Boiling --- Kajalubanda Swamp Borehole (spoiled) Rainwater harvesting (at household level) 7 miles/half a days walk ----- Boiling ----- Gankanga Swamp Swamp 4 hours 1 mile Boiling --- Lwempama Ponds Chazanga (during dry season) 1 kilometer/1 hour 5 miles/7 hours Boiling --- Kyetume Swamp Swamp Borewell (no water present) 5 minutes 5 miles/4 hours --- Boiling ----- Kalisizo Dam 3 km/2 hours Boiling The next phase of the project will expand on the initial survey conducted during the implementation trip. The EWB-UMN project team has used the existing data to refine the topics to be addressed for the assessment trip. The topics include water supply, water quality, indoor air quality, economic scarcity, and public health. Each of these areas of focus will require detailed data so the feasibility of each can be evaluated. The following sections describe tasks and data collection techniques for each area. Descriptions of technical data collection and monitoring and evaluation data have been combined since they are closely related for this assessment trip. 5.2.1 Water Supply As previously described, the communities surrounding the school have to walk long distances to collect water from sources that sometimes go dry. Community members have indicated a desire for improved access to water. To address these concerns, the assessment team will map current sources of water, identify problems with broken wells, quantify water use per household, and quantify who collects water. Map Current Sources of Water Communities generally collect water from surface water sources. Various sources are located throughout the region, and each community utilizes different water sources. The © 2007 Engineers Without Borders – USA. All Rights Reserved Page 13 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name location of water sources for the different communities and the path taken to collect the water will be documented on the assessment trip. The information will be used to determine the time and effort required by individuals collecting water. If more accessible water sources are identified in the future, the baseline data will provide a means of comparison and show quantitative improvements. Routes from the various communities to their specific water sources will be measured using hand-held GPS units. The GPS units have the ability to track paths taken by the user. Members of the assessment trip can track the paths by following community members who are collecting water. Additionally, community members could be trained in the use of the GPS system so the information can be gathered. When the team returns from the assessment trip, the GPS data will be uploaded in a GIS program to quantitatively determine the distance required for water collection. Identify Problems with Broken Wells Previous attempts to alleviate the water supply issues involved drilling or digging shallow wells in the communities and installing hand pumps. The government sponsored many of the wells. Little or no follow up accompanied the projects, and most of the wells throughout the communities are not operational. The assessment team plans to identify the wells, document their location, and determine the reason they are no longer operational. Information about the existing wells will help the design team determine the practicality of developing ground water to help address water scarcity issues. Community members and URF administrators will help the project team identify and locate the well locations. The specific location of the wells will be documented using a GPS unit. To determine the reason wells are no longer operational, the existing hand pumps will be removed. A well sounder will be placed in the well to determine whether or not water is present in the well, and the depth to the water will be documented. If a well contains water and the well does not produce water, the pump will be inspected for broken parts. Quantify Water Use per Household Community members and URF have indicated water quantity is scarce. The volume of water used per household per day, however, has not been well documented. Determining the volume of water is important to understand the severity of the problem. Additionally, quality data regarding household water can be used in the future to easily quantify the effectiveness of different water supply projects. On a previous implementation trip, data regarding household water usage was collected on a previous assessment trip by using a door-to-door survey. The surveys provided preliminary quantitative data, but the surveys were time consuming and required an interpreter at all times. The assessment team is working with Maureen from URF to determine a less time and labor intensive method to collect data. Initially, we are © 2007 Engineers Without Borders – USA. All Rights Reserved Page 14 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name planning to have a sample of 10 households per community to track their daily water usage by document the number of 20L jerry cans they use per day. Quantify Who Collects Water Collection of water falls disproportionately on women and children. Currently, this statement is only qualitative and based on observations by URF and the project team. The assessment team hopes to quantify who is collecting water in the communities. If the demographic of people collecting water can be quantitatively described, the benefits of future water projects can be better understood. To determine who is collecting water, members of the assessment team will passively observe water collection. One or two members will sit at a water collection site during the busiest times and count the number of people in various demographic categories. The categories will include young children (<5 years), children (5 yrs – 13 yrs), adolescents (13 yrs – 18 yrs), and adults (>18 yrs). The gender of people collecting water will also be recorded. Since the counting will be done by passive observation, the results will rely on the opinion of the person counting. Nonetheless, this method provides a quick, efficient way to collect a large amount of fairly accurate data. 5.2.2 Water Quality The most common water source in the region is surface water, which is highly turbid and appears to be contaminated. The water may be associated with high incidences of gastrointestinal illnesses also indicate the water being consumed by the communities. Currently, boiling is the only practice used to treat water. The assessment team will address the water quality issues by quantifying water quality at sources and households, determining acceptance to PSI/Uganda products, testing and measuring the impact of various interventions, and collecting information about the cost and availability of materials. Quantify Water Quality at Sources and Households To verify the assumptions about water quality, bacterial water quality testing will be performed on various water sources in the region. Data from the water quality tests will be used to define the prevalence of water contamination and to determine the effectiveness of any future interventions. On-site microbiological assessment of water will be performed following the Technical Guidelines provided by EWB-USA. Specifically, the assessment team will use 3M Petrifilm E. Coli/Coliform Count Plates. Previous implementation teams have successfully utilized these films to quantify the water quality of various sources at the school. The E. Coli/Coliform tests will be conducted directly at community water sources and at the different households. Determine Acceptance to PSI/Uganda Products © 2007 Engineers Without Borders – USA. All Rights Reserved Page 15 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Maureen from URF has previously worked with PSI/Uganda. PSI/Uganda is a global health organization that works with rural communities throughout Uganda. Although they offer a wide range of services, the assessment team is specifically interested in their work with water safety. PSI/Uganda distributes liquid chlorine, powdered chlorine, and Pur Packets to improve water quality. The assessment team and URF hope to establish contact with PSI and get samples of the various products. The products will be presented to the communities at community meetings, and the feedback will be recorded. Test and Measure the Impact of Various Interventions The team has identified possible water quality interventions, and a few of the ideas will be tested on the assessment trip. First, the team hopes to measure the acceptance and the performance of simple interventions such as filtering water through a folded cloth. The products supplied by PSI/Uganda will also be demonstrated and tested. Information from the pilot testing will help the team make decisions about appropriate interventions before the implementation of any projects. To measure the impact of various interventions, water quality tests will be performed. The quality of untreated water will be compared with the quality of treated water. The microbiological tests will be performed using the methods described above. Collect Information about Cost and Accessibility of Materials Water quality interventions initially considered by the project team include ceramic filters, sand filters, natural coagulants (Meringa plant seeds), chemical disinfectants, and flow-through water pasteurizers. The various interventions require specific materials, and the cost and accessibility of the materials must be determined. Data about materials will be used to evaluate the feasibility of the interventions. A complete list of required materials will be compiled for each device. Previously collected data about material cost and availability will be used initially. If information about specific materials is not available, the assessment team will travel to Masaka to locate the materials and document the costs. 5.2.3 Indoor Air Quality Indoor air quality was not studied during previous assessment or implementation teams. Nonetheless, many women spend hours inside cooking over open fires generated by wood and agricultural waste. Continuous exposure to the byproducts of combustion leads to both acute and chronic respiratory conditions. To address indoor air quality, the assessment team will document existing cooking practices, test the effectiveness of a pilot stove, and collect information about cost and availability of materials. Document Existing Cooking Practices URF has indicated the majority of families use wood or agricultural waste to make fires for cooking. For the team to evaluate improved cooking methods, existing cooking © 2007 Engineers Without Borders – USA. All Rights Reserved Page 16 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name practices must be evaluated. Cooking practices include not only how the food is cooked but also what type of fuel is being used to generate heat for cooking. The information about cooking practices will be utilized by the project team to evaluate the potential impact of various interventions being considered. The assessment team will be able to collect information about food preparation, household ventilation, and fuel source through active and passive means. To actively collect data, the team will partner with and administrator from URF to ask various community members about their cooking routine. The team will passively collect data by walking around the communities during cooking hours and observing the cooking practices utilized by various households. Test Effectiveness of Pilot Stove One of the interventions to reduce fuel use and health impacts associated with cooking over an open fire is using a stove to contain the fire. The team has already obtained designs for stoves that can be constructed from local materials. A pilot stove will be constructed at HIA, and the improvement in performance over current practices will be evaluated. The effectiveness of the pilot stove will be used to evaluate various options to address the indoor air quality situation. Once the pilot stove is constructed, the team will need a method to quantitatively determine the improvements from the stove and display these improvements to the community. After the stove is constructed, a simple boiling test will be performed. The boiling test is conducted by having two similar containers filled with water. One of the containers will be placed over the pilot stove and the other will be placed over a basic three-stone fire. Fires will be started beneath each stove, and the amount of time and mass of fuel to boil the water will be documented. Collect Information about Cost and Accessibility of Materials The project team has determined possible interventions to help improve the indoor air quality. The interventions include clays stoves, metal stoves, aluminum stoves, fuel source changes, chimneys, and ventilation fans. The various interventions require specific materials, and the cost and accessibility of the materials must be determined. Data about materials will be used to evaluate the feasibility of the interventions. A complete list of required materials will be compiled for each intervention. Previously collected data about material cost and availability will be used initially. If information about specific materials is not available, the assessment 5.2.4 Economic Scarcity and Agricultural Production Food scarcity and poverty have also been identified as problems in the area. Many families rely on subsistence farming, and the only source of income is selling excess crops. The most common crops for the area are corn, beans, cassava, potatoes, and © 2007 Engineers Without Borders – USA. All Rights Reserved Page 17 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name groundnuts. The feasibility of future projects will be evaluated by determining current crop production, documenting current agricultural practices, evaluating preservation and processing capabilities, and evaluating previous and current micro-enterprise projects. Determine Current Crop Production Although the team knows the types of crops produced in the region, the amount and proportion of the crops are not known. The team needs to quantify the type and amount of crops generally grown and consumed by families in the community. This information will be used to help evaluate the implementation of modified agricultural, food storage, and food processing practices. Since crops are seasonal, the team must rely on a general survey to determine the types and amounts of crops grown throughout the year. The most concentrated source of knowledge will be the administrators at URF. The team will also work with community leaders and women’s groups to complete this survey. Document Current Agricultural Practices Better management practices for agriculture have been shown to increase productivity, improve soil quality, and reduce water usage. To determine which specific practices may help, however, the farming techniques must be understood. With data about current farming practices, the team can determine if agricultural interventions will improve productivity and be culturally acceptable. Information about current agricultural practices will also have to be collected by surveying the URF administration and various community members who rely on subsistence farming. HIA also has a teacher solely focused on agriculture, and he will be an important resource when evaluating and determining agricultural practices. Evaluate Preservation and Processing Capabilities Preserving or processing food can increase the worth of crops. Compatible Technology International in Minneapolis specializes in food preservation and processing technologies and has operations in northern Uganda. Before CTI’s products can be implemented in the communities, the feasibility of the methods must be evaluated. The most important data for food preservation will include the crop production data described above. Additionally, the team will present the CTI techniques to URF and community members to determine the feasibility. Evaluate Previous and Current Micro-enterprise Projects URF has implemented micro-enterprise projects at the school and in the communities. The projects include farming, pig and chicken production, and basket making projects. Some of these projects have been successful, but some failed because they were not sustainable. The assessment team will work with URF and HIA to try to identify the main features of the successful and unsuccessful projects. This information will be used to evaluate the feasibility of the different micro-enterprise interventions planned. © 2007 Engineers Without Borders – USA. All Rights Reserved Page 18 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name 5.2.5 Public Health The assessment team hopes to expand on the public health surveys conducted during the previous implementation trip. From the previous experiences, several areas of investigation and intervention have been identified. The areas include providing education about public health, establish a “Clean Water Team,” conducting additional household surveys, and presenting the importance of safe water storage. Provide Education about Public Health Public health education will focus on water quality and sanitation issues such as hand washing, disinfection of jerry cans, water chlorination, and water testing. For all education/teaching, it will be important to work with community members, the women’s group, and HIA students to promote good sanitation and hygiene. Hand Washing: We will teach the community about general hand washing; when you should wash your hands, why it is important, and how to properly wash. Targeting the children will be especially useful. Disinfection of Jerry Cans and Safe Water Storage: Community members use their jerry cans everyday for multiple uses, however, often times they are not properly cleaned/maintained. To prevent cross-contamination and ensure clean water, we will teach about how to properly clean/disinfect the jerry cans, and the importance of maintaining the cleanliness of the water carriers and storage areas. Water Chlorination: If the use of chlorination tablets is implemented as a way to treat drinking water, we will need to provide education on how to use the tablets as well as address any fears or health concerns about the use of chlorination. It will be important for the Public Health group to demonstrate the use of the tablets and prove to the community that chlorinated water is safe to drink. Water Testing Kits: The use of indicators to determine clean water vs. contaminated water will be important to teach the community the difference between good and bad water sources and provide a visual stimulus. Establish a “Clean Water Team” A proposed method to disseminate the information regarding the intervention is to form a “Clean Water Team,” composed of HIA students or other community members. This team would be visible to the community and known as the resident “water experts.” The Team would first be given an extensive training on water quality issues such as: pathogens and how they cause disease, types of disease-causing pathogens, the importance of proper handwashing, sanitation techniques, proper water storage, and intervention training. For example, if the intervention was the use of chlorine tablets, the © 2007 Engineers Without Borders – USA. All Rights Reserved Page 19 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Team would hold sessions to teach others how to use the tablets and important maintenance information. The training would culminate in the awarding of a Clean Water Team certificate and the presentation of a highly visible, brightly colored team T-shirt and tools like water testing kits and educational materials. After certification, the Team may give educational sessions on clean water in its own community or nearby villages. The Team members may be in charge of monitoring the implementation and outcomes of the intervention, and may make home visits to check on the intervention status. If possible, it would be desirable to incentivize student participation on the Clean Water Team by allowing them to count the time as community service hours, rather than spending the one Sunday a month volunteering for other community-based tasks. Members from the Women’s Group would also make excellent Clean Water Team members. The benefits of training community members as experts are many: the intervention is much more likely to be sustainable, community members are more likely to listen to one of its own, and community members may feel more comfortable interacting with and issuing concerns with a familiar face. Additionally, the Team will better understand challenges that may arise and will be better suited to address community concerns to the EWB team. Although the assessment team will not have the time or resources to fully establish the “Clean Water Team” on this trip, the idea will be presented to Maureen, school administrators and students, and community members. Since these parties will be running the “Clean Water Team,” their involvement and interest will be necessary. General reactions will be used to assess the feasibility of the project in the future. Conduct Household Surveys Parameters for measuring an intervention’s success involve pre- and post-implementation surveys to determine the incidence of waterborne illness and peoples’ satisfaction with water quality. To measure the incidence and prevalence of waterborne illness, a household survey could be administered asking heads of households to detail the approximate frequency of diarrheal episodes over a defined period of time for each family member. To determine peoples’ satisfaction with water quality, a focus group meeting could be held prior to and after implementation of the point-of-use intervention. The following is an initial checklist regarding sanitation and hygiene practices and occurrence of disease. Means of handling water: Method of storing water: Regular washing and scrubbing of jerry cans? Covered storage container? Stored at ground level? Share water source with domestic animals? Access to cleaning/ disinfecting substances. © 2007 Engineers Without Borders – USA. All Rights Reserved By hand/ long handle ladles/ other Jerry can/ other Yes/ no Yes/No Yes/No Yes/No Yes/No Page 20 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Access to soap? Waterborne illness incidences: Did you have diarrhea/ were sick within the past month? Yes/No Present the Importance of Safe Water Storage Observational studies, field investigations of the impact on specific behaviors and water vessel characteristics on water quality and health, and intervention studies using modified storage vessels have repeatedly confirmed water contamination during home storage. Paired samples from individual water sources and household storage containers have indicated that pathogen concentrations were generally higher in stored water than in source water. Combining safe water treatment and safe water storage is paramount in preventing the transmission of waterborne diseases. To address these concerns, the efforts of the Public Health team will be twofold: (1) ensure the effectiveness of the water treatment interventions by assessing water quality using microbiological testing and (2) reduce the transmission of waterborne diseases by promoting safe water storage. The first effort will be addressed using techniques described in the Water Quality section, and the second will involve directly explaining the importance of safe water storage with community members. 6.0 SCHEDULE OF TASKS The assessment schedule was generated using the tasks described in the previous section. Members traveling on the assessment trip will leave Minneapolis Tuesday, January 5th and return on Tuesday, January 19th. Approximately a week and a half will be spent conducting the assessments in the communities. The preliminary schedule with dates, tasks, and member involved is provided in Table 6.1. © 2007 Engineers Without Borders – USA. All Rights Reserved Page 21 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Table 6.1 Schedule for assessment trip Date Task Members Involved Tuesday, January 5th Fly from Minneapolis to Entebbe All Wed., January 6th Travel from Entebbe to HIA, Contact PSI/Uganda Map Current Sources of Water, Identify Problems with Broken Wells Build Pilot Stove, Document Existing Cooking Practices Map Current Sources of Water, Identify Problems with Broken Wells All Thursday, January 7th Thursday, January 7th Friday, January 8th Friday, January 8th Friday, January 8th Saturday, January 9th Saturday, January 9th Sunday, January 9th Monday, January 10th Monday, January 10th Tuesday, January 11th Tuesday, January 11th Tuesday, January 11th Wed., January 12th Thursday, January 13th Friday, January 14th Saturday, January 15th 7.0 Quantify Water Use Per Household Information about Cost and Availability of Materials Quantify Who Collects Water, Quantify Water Quality at Sources and Households Determine Current Crop Production, Document Current Agricultural Practices General Observations of Community Quantify Who Collects Water, Quantify Water Quality at Sources and Households Discuss Storage and Processing Capabilities, Evaluate Existing Micro-enterprise Projects Determine Acceptance of PSI/Uganda Products, Test and Measure Impact of Interventions Information about Cost and Availability of Materials Collect Information about Public Health Test Pilot Stove, Collect Public Health Information, Complete Unfulfilled Tasks Collect Public Health Information, Complete Unfulfilled Tasks Collect Public Health Information, Complete Unfulfilled Tasks Depart from HIA Eric, Adam Steve, Amber Eric, Adam Amber and URF Admin. Steve and URF Admin. Eric, Amber Steve, Adam All Eric, Amber Steve, Adam Eric, Steve Adam Amber All All All All PROJECT FEASIBILITY Expanding our efforts to the communities will be more difficult than working directly with the school because the individual communities are not formally structured and are difficult to contact directly. Using Hope Integrated Academy and its staff as a focal point for the expansion into the communities is a pivotal to the success and sustainability of the project. Before any intervention is implemented, a thorough analysis of its feasibility will be completed. © 2007 Engineers Without Borders – USA. All Rights Reserved Page 22 of 23 Document 521 - Pre-Assessment Report Chapter Name Community, Country Project Name Along with considering various options for the different areas of focus, the project team has created decision-making matrices for the water source, water quality, indoor air quality, and economic development aspects of the project. The matrices are structured so that the different design alternatives are evaluated against criteria important to the effectiveness and sustainability of the projects. General criteria for the various areas are listed below. 1) Technical Feasibility of Intervention: Is the implementation technically feasible given the constraints of the communities? 2) Effectiveness of Intervention: Will the specific intervention provide measurable benefits to the community? 3) Cost of Implementation: How much will it cost to implement the intervention? 4) Cost of Operation and Maintenance: How much will each family have to save to operate and maintain the intervention? 5) Cultural Acceptance: Will the community be willing to change their current practices in favor of the new practices? 6) Accessibility to Materials: Are required materials readily available to the communities? 7) Possible Unintended Consequences: Will the implementation lead to any negative unintended consequences? 8.0 MENTOR ASSESSMENT © 2007 Engineers Without Borders – USA. All Rights Reserved Page 23 of 23