Learning to Grow up with a Sanitation Culture A Case Study Of The Nepal School Sanitation and Hygiene Education Programme Shree Banganga High School Kapilvastu September 2001 Prepared by UNICEF, Nepal 1 ABBREVIATIONS CBO CDO DACAW DE DEO DSC DWSO DWSS HMG/N IEC INGO LDO NEWAH NGO SMC SSHE UNICEF VDC WHO Community Based Organization Chief District Officer Decentralized Action for Children and Women District Engineer District Education Office District Steering Committee District Water Supply Office Department of Water Supply and Sewerage His Majesty’s Government of Nepal Information, Education and Communication International Non-Governmental Organization Local Development Officer Nepal Water and Health Non Governmental Organization School Management Committee School Sanitation and Hygiene Education United Nations Children’s Fund Village Development Committee World Health Organization 2 CONTENT Executive Summary 4-5 1. 6-9 Introduction a) Why School Sanitation and Hygiene Education Programme? b) The Importance of SSHE Programme c) Objectives d) Methodology 2. The Project School 10-11 3. Outlook of the Students 12 4. Key Players for the Success of SSHE 13-16 4.1. District Steering Committee 4.2. 4.3. 4.4. School Management Committee Headmaster/Teachers Child Club 5. The Enabling Factors for the Success 17 6. Recommendations 18 7. Conclusion 19 8. The Case Story 20-23 8.1 8.2 9. A Rolling Success Story How Shameful She Was Annex 9.1. 24 List of the People Visited 3 Executive Summary In 1999 UNICEF in cooperation with Line Agencies and (I)NGOs reactivated the Nepal School Sanitation and Hygiene Education (SSHE) after numerous of such programme had been going on in isolation in the years before. The efforts were this year united and a national strategy was developed, adopted by HMG/N, UNICEF and other organizations. In 2000 UNICEF and HMG/N selected eight of the 75 districts, and four of these were (Dadeldhura, Kapilvastu, Sunsari and Chitwan) identified for focused implementation as lead districts for the newly developed SSHE programme. The main purpose of the programme is to contribute to reduction of the large-scale prevalence of diarrhea disease in the country, which claim 28,000 lives each year. The case study of the Shree Banganga High School Sidhipur in Kaplivastu District seeks to assess whether the programme activities have been followed as per the steps identified in the guideline and to document the sanitation status in the study area. Positive changes were observed in the school environment and behavior of school pupils, adopting better sanitary practices and positive changes in the role of the School Management Committee (SMC), Child Club, Steering Committee and Teachers. As part of the first phase of this programme 132 schools, 55% of total number of schools in the district were selected. The case study presents a detailed sanitation status report of one school the Shree Banganga High School Sidhipur, which has a total of 1182 students in grades 1-10. A Child Club has been formed with 50 members from class four to ten (25 boys and 25 girls) to drive the sanitation/hygiene and other health related programme. Other important partners in the school sanitation movement are SMC, VDC members with teachers, who received necessary orientation and training to implement and support the SSHE programme activities. The school building is a well-built structure though every classroom is filled to capacity of available seats. The school has a block of 10 latrines built with a septic tank, and is maintained well by the students/teachers and 4 latrines built especially for use during examinations. Moreover 12 urinal places are under construction with financial support of UNICEF. Four hand-pumps exist in the compound and a newly built one especially for primary level students, to provide water for washing and cleaning. Well-plastered platforms around the hand-pumps & drainage facilities allow the area to remain clean. A garbage pit, constructed by the school after the programme was launched, has made the disposal of the solid wastes easier and the greenery in and around the school compound has helped to make pleasant environment. Due to constant care shown by the Child Club Members, the classrooms/compounds and sanitation facilities are cleaned daily by the students themselves as per the schedule and norms that they developed, and there is good rapport between the students and teachers. Students are now exposed to better sanitation at their own village school. SSHE brings out a "Yearly Plan of Action" for regular propagation of the benefits and to help up process to bring about of good sanitation and hygiene practices, for students and local communities to adopt good habits. Given due focus and priority to this school programme, there is ample reason to believe that the school sanitation programme in Banganga High School will produce positive results, which on its own will have spontaneous replication to all adjoining schools. Better monitoring and follow up practices have to be developed and adopted by all concerned authorities so that the programme will get the necessary input and support. Better assessment of the lessons learned from the programme should be a step forward in the enhancement of the hygiene and sanitation programme in Nepal. 4 N E P A L Administrative Division Far Western Region Mid-Western Region D Humla Darchula Bajhang Mugu Baitadi Bajura Western Region Dadeldhura Jumla Kalikot Doti Dolpa Achham Mustang Kanchanpur Dailekh Jajarkot Kailali Rukum Surkhet Manang Central Region Myagdi Salyan Bardiya Rolpa Baglung Gorkha Kaski Eastern Region Lamjung Parbat Pyuthan Banke Dang Rasuwa Gulmi Syangja Tanahu Arghakanchi Dhading Nuwakot Sindhupalchoke Palpa Kapilbastu Rupandehi Dolakha Nawalparasi Kathmandu Bhakthapur Chitawan Solukhumbu Sankhuwasabha Lalitpur Kavre Makwanpur Taplejung Ramechhap Okhaldhunga Parsa Sindhuli Khotang Bhojpur Terhathum Panchthar Bara Kapilvastu District Rautahat Dhankuta Sarlahi Udayapur Mahotari Dhanusa Ilam Siraha Saptari Sunsari KM 0 50 100 5 Morang Jhapa 1. Introduction His Majesty's Government of Nepal (HMG/N) has prioritized improved hygiene and sanitation programme as one of the key components of the national development taking into consideration the high incidence of water and sanitation borne diseases like diarrhea, which has resulted to the high percentage of mortality and morbidity among children. With the financial and technical support from UNICEF Nepal, HMG/N and other organizations have accelerated interventions in hygiene and sanitation related activities in selected districts and schools. With the basic motto that well-motivated and educated children can bring effective changes in the community, with emphasis on the rural and semi-urban areas, the hygiene and sanitation programmes are being implemented in selected schools. Based on the guidelines developed by UNICEF, the school children are exposed to different learning processes and possibilities within the school time. School children are viewed as real frontline actors in the drive of improving personal hygiene among students and creating better environmental sanitation within the school premises. The school sanitation guidelines have been developed, based on experiences in Nepal and in many of the countries of the developing world and these have allowed the school sanitation in Nepal. The School Sanitation and Hygiene Education (SSHE) in Nepal has been implemented intensively in four districts (Dadeldhura, Sunsari, Kapilvastu and Chitwan) and Kapilvastu is the focus of this case study. As per the guideline, 132 schools of the district have been selected for this programme. The District Education Office (DEO) and a District Steering Committee headed by the DDC Chairperson is the overall body for regular supervision and monitoring apart from the periodic supervision and guidance provided by UNICEF. This case study on SSHE programme has been conducted in one of the schools the Shree Banganga High School Sidhipur of Kapilvastu District located in the Western Development Region. This particular school has been selected as one of the model schools for the assessment of the success or failure of the set objectives and processes being adopted as per the guideline. The programme started in early 2000 and has gone through different stages e.g. the formation of the School Management Committee (SMC), Training of Teachers, Formation of Child Clubs etc. 6 a) Why School Programme? Sanitation and Hygiene Education For the last 30 years, the government has included health education in the curriculum and textbooks. But no substantial changes have been observed in improved health among the majority of the school children in rural areas. School and school children have been identified as one of the effective channels for improving and enhancing the habits of health, hygiene and sanitation practices in society as a whole. Since 1997, the child to child approach has been used as a model approach for the enhancement of the health and hygiene status of the school children. This has been demonstrated by NRCS & NEWAH have received technical and financial support from UNICEF. There are more than 23,300 primary schools in Nepal and most of these schools have poor sanitary facilities. The majority of the schools has not given priority to health, sanitation and hygiene that has created a barrier for physical, mental and emotional growth of the children. "Prevention is better than cure" has been adopted as a slogan that is seen as key to the sustainable development of health and hygiene programmes in Nepal, and this is clearly one of the SSHE programme also. b) The Importance of the SSHE Programme. Children are very eager to learn and to help others through their active, energetic, enthusiastic and curious behaviour. So childhood is the best time to learn about hygiene and sanitation. Early childhood experience of pupils would help address the following: High rate of mortality and morbidity among young children in Nepal are mainly due to poor personal hygiene practices, unsanitary environment as well as unsafe drinking water. After the family, the school is the most important place where children learn. The knowledge they gain at school is obviously transmitted to other family members and the community as well. Teachers play a vital role in disseminating knowledge and skill to the children, so the SSHE programme focuses on these possibilities to accelerate the programme Children spend most of the active day time in schools. Therefore, it is important that the school environment is kept clean and good, workable sanitary facilities are provided in order to safeguard their health. It is not sufficient to create awareness and impart knowledge to the children, rather they should be motivated for bringing into practice by adopting better sanitary practices. 7 c) Objectives of the Study The objectives of the case study are to determine the following: d) Whether the SSHE programme has been launched in the school or not. Whether the programme activities have been followed as per the steps mentioned in the guideline. Changes observed in the school environment and behaviors in adoption of better sanitary practices by the school children. Impact in the communities, through the students’ exposure and motivation on hygiene and sanitation. Impact of the programme in minimizing the incidence of communicable diseases, especially diarrhea cases among the children. Role of school teachers, SMC and VDC in the promotion of objectives set by the programme Effectiveness of School Child Clubs in the overall programme performance. Overall supervision and monitoring status of the programme Methodology/Field Visit The Shree Banganga High School was selected as object of the case study to assess the impact of SSHE programme. During the field visit to the school the required information was gathered through interview and physical verification. Meetings were conducted with the members of School Management Committee, VDC, Schoolteachers and Child Club Members. Interaction was done with the surrounding village dwellers regarding the impact of the programme on their school-going children and on the communities as a whole. Interviews were held with one boy and one girl form among the school children, as recommended by the club members. Thorough checklist on the procedures was followed throughout the study in consultation with the school management committee. 8 Kapilvastu District N Bhalawad Motipur Dubiya Legends Shiwapur Mahendrakot Shiwagdhi Gugauli Banganga Foc us V D Cs Other V DC s Barkhurpur Gajehada Budhi Kopuwa Chanai Jayanagar Hariharpur Patana Niglihawa birpur Thunhiya Hathausa Rajpur Khushuriya Bishunpur Manapur Patthardeiya Dhankauli Lalpur Jahadi Mahuwa Patariya Jawabhari Tilaurakot Phulika Udayapur Ganeshpur Dharmapaniya Maharajganj Ramnagar Bhalbari Kapilbastu Bhagawanpur Bahadurganj Pakdi Sauraha Dohani Ajigara Sisawa Dumara Baskhor Kajarhawa Shiwanagar Bhilmi Gauri Labani Sihokhor Sirsihawa Abhiraw Basantpur Buthuwa Somdih Titirkha Hardauna Bedauli Bijuwa Rangapur Pipara Hathihawa 9 3. The Project SchoolA Model Example The Shree Bangagna High School-Sidhipur selected for this case study is one of the leading government schools located in Gajehada VDC of Kapilvastu District. The school is located some 70-km West from the Bhairahawa airport. The total area covered by the school is about 2 bighas. The school building is a permanent type structure having sufficient rooms for classes. The school has a total of 1182 students (602 girls and 502 boys) ranging from class 1 to class 10. A majority of the students is from Brahmin and Chettri communities, only 6% of the total students are from indigenous communities of Tharus. 55% of the students are girls and 10 students are handicapped. Out of a total of 25 teachers 5 are female. During the field visit it was observed that the school has 14 latrines, the majority of which was constructed with the assistance of FINNIDA and DDC. All latrines with septic tank were observed to be properly used and well maintained by the students. Separate urinals for boys and girls are under construction with the financial support of UNICEF. There are five handpumps with concrete 10 platforms with proper drainage facilities for the wastewater. As per the information received, before introducing the programme the school had only 20% of the required number of toilets but since the programme started it has been increased to 40%. The overall school environment is attractive, due to a well-maintained garden and facilities. The school compound is relatively neat and clean and no dumping of solid waste was observed in the area. A garbage pit constructed within the premises has been used for dumping of waste. Greenery due to trees around the school compound has made the environment more appealing. COMMITMENT IS A KEY TO SUCCESS FOR THE PROGRAMME SSHE Structure RELATED TO THE Kapilvastu Banganga High School DISTRICT STEERING COMMITTEE Village Development Committee Students School Management Committee Family 11 4. The Outlook of Students Small Steps-Big Results The majority of the students were found to maintain a good personal hygiene. They appeared neat and clean and quite aware about the importance of health and sanitation, apparently as a result of the effective implementation of the SSHE programme. While questioned they answered that the knowledge they have gained in the subject matter was from the schoolteachers and the child club activities. According to them (from survey) and teachers, before the programme was implemented only 20% of the total students School Teachers School Club Community/Children who do not go to school were aware of the hygiene and sanitation but now it has gone up to 90%. Even students from poor families are also concerned about the personnel hygiene and have adopted good sanitary practices. The students were knowledgeable and practice regular hand washing with soap and use of latrine properly. There was no evidence of any defecation in and around the school area. Students not adapting the measures for better personal hygiene are singled out by other students and thus motivated to follow the practices required of a neat and clean child. The teachers and club members also maintain constant vigilance on the students who do not adopt proper personal hygiene. The students were having some kind of perception that in the reverse case, the teachers and the club members would punish them. Moreover students are curious on health, nutrition, child rights and first-aid related issues, because of the positive role of child clubs in the school. 12 During interaction with the students, it was noticed that the SSHE has brought dramatic changes in their sanitation and personal hygiene practices thanks to sanitation facilities and systematic approach. The students not only had shown deep concern about needs to change for better attitudes and practices but also they were keen on pressurizing the other family members to follow the same. While asked whether they were influenced by the family members in maintaining good personnel hygiene, their reaction was negative. SMALL IS BEAUTIFUL AND CAN BE VERY HELPFUL 4. Key Players for the Success of SSHE Key for Success: Commitment and Desire The UNICEF has classified the SSHE in Shree Banganga High School-Sidhipur as one of the focal activities that, if made successful, could be replicated in many other schools elsewhere in the country. Joint efforts and commitment from the VDC, local community leaders and members of the SMC together with the school club members were the key factors that brought noticeable results from this programme in the school. Not only UNICEF, but also other donors are extending support to this programme; this has proved catalytic to the motivation of the schoolteachers and students as well. The stepwise process and activity adopted as per the guideline ensured that all stakeholders and partners are trained and capable to launch and maintain the programme more effectively. One of the motivating factors was a feeling of competition among the teaching staff; the school management had desired to stand in the front line among all other schools in the districts with regard to school sanitation and hygiene education programme. Some of the Key Players in the Effective Functioning of the Programme are: 4.1 District Level Steering Committee Behind the success of the programme in Shree Banganga High school, the District Steering Committee (DSC) has played a vital role in providing all kinds of support and supervision. The financial backup support through UNICEF funding is channeled to the SMC through this steering committee on a regular basis. The SMC informed that the 13 DSC members visited the school and given suggestions and recommendations to improve the programme functioning for which a monitoring format has been developed and used. As chief of the DEO is the coordinator of the DSC, it was felt easy and effective to develop better linkage and thus smooth functioning of the SSHE was ensured. In spite of some delay in the disbursement of the required fund from the DSC, the SMC has shown not less interest in the programme implementation. The DSC has provided IEC materials, to the extent that fulfills the demand of the project school. Moreover the District Steering Committee has been supporting School level innovative activities such as lottery for fund District Steering Committee Members discussing on SSHE raising, training equipment/materials for capacity building etc. In the coming days, it is expected that the DSC will produce and distribute the appropriate IEC materials to reinforce the programme . 4.2 The SMC/VDC The School Management Committee (SMC) was formed under the chairmanship of VDC chairperson one year ago in 2000. The VDC chairperson is one of the active members of SMC, who has been supporting to SSHE programme and wants to make a model VDC on sanitation. Other members of the SMC include representatives from government line agencies, local leaders and the school's headmaster. This committee has been the backbone of the whole programme being conducted in school and community. A one-day orientation was given to the SMC members by the resource person from UNICEF and other experts. This has made the SMC more responsive towards the programme. Their roles and responsibilities have been made clear and conducive to the local environment. As this programme was meant basically for the promotion of child health, there was positive support from the parents also. Continuous support and monitoring from the UNICEF and District Steering Committee, headed by the DDC chairperson and coordinated by the District Education Office (DEO) have been instrumental in making this SMC and VDC more activated and effective from the early detailed planning stage to each stage of 14 implementation, monitoring and evaluation. The SMC and VDC have provided financial support for the physical facilities such as the building, latrine construction, water supply and furniture etc. As the hygiene and sanitation programme in the VDC was a new programme, developed for the improvement of the health of the rural people, especially of children, it was accepted by all as a very challenging and interesting activity. Especially through the willingness of the mothers, the programme was backed and thus the local teachers were also made more responsive. A kind of festive environment was created within the villagers and the students. All VDC members were well motivated to participate and make all necessary support available to the SMC in order to make this programme a remarkable success. WHERE THERE IS PROBLEM THERE IS SOLUTION 4.3 School Headmaster/Teachers The SSHE has been designed with the active participation of the schoolteachers. Teachers are among the few -educated and respected persons in the community as well as in the villages, so the villagers and students take whatever they say and teach seriously. The SSHE in general, has been developed with the maximum involvement of the teachers and their role as the prime force to bring success to the programme objectives. Teachers were given a three-day training programme which was conducted to familiarize with the programme components, the objectives and the roles and responsibilities of teachers. The training programme was conducted in the school with the support from UNICEF personnel and other resource person from the district. The health teacher was made the coordinator to guide all activities within the school and at the same time guide and monitor the students. The teachers were entrusted to give special attention to the handicapped students. The female teachers were found to be more motivated in the overall activities. The teachers were instrumental in the formation of child club and motivation of the students to actively participate in the club activities. During the site visit, it was noticed that majority of the teachers were keen on the hygiene and sanitation promotion through constant discussion and guidance to students. Any student not following the basic norms for sanitation and personnel hygiene was marked by the teachers and he/she was cautioned. Similarly teachers were sensitive to student behavior in protecting the school environment. It was informed that teachers should conduct regular meetings to examine and assess the status of the programme. The teachers were conscious about their behaviour and practices on better hygiene and sanitation in order to give impression to the students and villagers that personal 15 hygiene was important for better living. Not only inside the school premises the teachers have practiced giving useful messages on the importance of better sanitation but to whole communities, wherever possible e.g. in tea stall, shop vendors etc. Students listening to the teacher The teachers, on their own, have tried their best to convince students that they should disseminate the knowledge and skill to the family members and the community in whatever way possible. In totality, the school Headmaster and teachers have acted as the prime force in reinforcing the hygiene and sanitation programme in the Shree Banganga High School. TARGET AND PROCESS ARE LIKE FLESH AND BLOOD 4.4 Child Clubs- Wonder Workers In Shree Banganga High School, 50 students (25 girls and 25 boys) from class four to ten, are enrolled as the members of the child club. The child club members were given one full day orientation with the objective of training them on different aspects of sanitation, hygiene and basic communication skills. The training was conducted by the headmaster and teachers of the school. In the training, special attention was given to the child to child approach. Children cleaning school compound The child club members have been the role models for sanitation practices, constructing latrines, garbage pits etc. The club members are the leaders among the students in developing the yearly plan of action and its implementation. Under the guidance of the group leader, they plan the cleanliness of each classroom and school compound to be maintained by the student groups and regular checking of whether the plan has been followed or not. Status of the classroom cleanliness was reported through the notice board of the club. The 50 member club has been a key force to drive all students and the school management in keeping the school environment in a better condition. The club has initiated the construction of the garbage pit in the school compound and its proper use. The formation of the club and its functioning has been extremely fruitful to bring the child to child approach model into reality, imparting the knowledge and change in behaviour and practices among children. The harmonized relation between the teachers and the club members has been a stimulating force in successful planning and implementation of the programme. 16 The child club is divided into five groups in the school, to reach the purpose of students for improving child survival, growth and development, especially focusing on sanitation and hygiene. The groups are: (1) Environmental Sanitation, (2) Personal Hygiene, (3) Health & Nutrition, (4) Child Rights and (5) First Aid. It was observed that girl members were more persuasive in the overall performance of programme activities, which is a positive indication of the success. Their honesty and desire to bring changes among the school children and community have brought visible impact in the project area. The child club members have also conducted a baseline survey in the community, based on which they have mobilized students for campaign and other sanitation and hygiene promotion activities. The SMC has given full support (financially and technically) to the club and the health teacher has coordinated the club activities from the SMC side. If the club members worked in the same pace it is certain that the target and objective set by the SSHE programme will bring tremendously success in Banganga High School, so that this will have replication to the other schools of the district. Thanks to the strong commitment and motivation of the club members, students and families are being benefited by improvements in health and sanitation that will reduce the water and sanitation related diseases, which has prevailed so far in a high magnitude in the area. 5. The Enabling Factors for the success of the SSHE programme in Shree Banganga High School appears to be the following: Construction, use and maintenance of sanitation facilities such as latrine and urinals for boys and girls; water supply facilities with soap and a waste management system, garbage pits/drums etc. Development of sanitation norms for daily and weekly follow up routines for cleaning and maintaining purpose. Good leadership of the headmaster, teachers, child club coordinators, VDC, SMC as well as steering committee chairperson and members. Formation of the child club and the use of the child to child approach for primary to secondary grades for sanitation, hygiene and health related activities. Capacity building support for training, latrine and water supply construction and technical support from the district steering committee and VDC. Implementation of systematic and innovative SSHE programme activities from promotional and sustainable point of view as well as fund raising activities. 17 6. Recommendations The monthly calendar has to be followed up in consultation with District Steering Committee, VDC and SMC. However the club members should also be taken into confidence in this regard. Provision should be made for exchange visit by the Teachers and Child Club Members in order to upgrade their knowledge/skills and know how on the subject matter and the importance of the school sanitation programme. The participatory baseline study of the school and community be properly done and recorded, based on which the impact of the programme should be assessed from time to time. Some reward mechanism has to be developed for students and teachers who have done a good job as a sanitation promoter. This will encourage children to come forward with more enthusiasm and competitiveness. A Sanitation Revolving Regular Fund (SRF) be created in the school to carry out different activities. For this resources from DDC, VDC, local communities and SMC could be mobilized. Emphasis should be given to prepare more IEC materials as part of the sanitation and hygiene promotional activities as per the local context. More frequent self monitoring and follow up mechanism would be nice by the DSSC and SMC/VDC for the betterment of the programme activities. 18 Some refresher training and orientation programme has to be developed for the teachers and club members. Knowledge about the appropriate technological options for sanitary facilities should be given to the students and teachers for dissemination to the villagers whenever required. Provision of soap for handwashing in the school after the use of latrine and before eating. For this mesh soap bag concept can be developed as an alternative. Mesh Soap Bag 7. Conclusion The child to child approach has been adopted as one of the prime activities in order to bring substantial change in the health and hygiene of the children in Nepal. Reaching parents and communities through child club and children is another goal set to achieve through the school sanitation programme that has proved effective and sustainable. In this direction, joint effort of the DDC/HMG of Nepal and UNICEF in 25 DACAW districts in coming days will be intensified and expected to show positive results. The concentrated efforts of all government line agencies, INGOs, NGOs and community leaders will be seen as a condition that will reinforce the programme in totality. The school sanitation programme in Banganga High School in Kapilvastu is trying to be a role model among the schools in the district. From the case study, the conclusion can be drawn that this programme is leading to a notable success. From the changes that are seen among the school children and villagers, it seems obvious that the programme has great positive impacts in their health condition. The guideline steps are being followed and still more activities are underway leading to the full-fledged accomplishment of the activities showing positive results in the improvement of hygiene and sanitation status within the school and community. However, the complete success will be dependent on the active involvement of all concerned actors with constant monitoring, follow up and supporting to morale development. The lessons learned from this school programme should be well documented by the District Steering Committee and they should be used as tool for other schools in the district. 19 8. The Case Story 8.1 Instinct within Amrit: The case of a rolling success story During the field visit, I had an opportunity to meet and talk with one of the outstanding boys from Shree Banganaga High School. His introduction is as follows: Name: Amrit Sharma Age: 16 years Class: 9 Parent's Occupation: Street Vendor Child Club Member since last one year No toilet experience before the programme This is a real story based on the interview with Amrit. Amrit Sharma's family did not have any toilet and there was no felt need. But after being the club member and listening to the teachers about the importance of sanitation and hygiene, he was so motivated that he insisted to build a toilet in the house. His parents responded negatively with the arguments that only rich families could 20 build and use it. But Amrit did not give up his effort and he went on convincing the parents that the poor families also could build a pit latrine at low cost. Only what was required was the change in the perception and belief for which Amrit was serious. He was absolutely a successful boy when he could motivate the parents and the toilet was built at last a “simple pit latrine”. Hand washing with soap after defecation was another practice he introduced to the family members. An example of reaching parents through children. Congratulations Amrit !!!! After success in the family, Amrit was so enthusiastic that he started convincing other villagers together with his friends to build and use the toilets. And in this effort, he is getting tremendous success. Let us hope that Amrit will be a real leader on sanitation. Amrit recalled an incidence that occurred in one of the poor families of the village where a small kid was about to die due to diarrhoea and the parents were looking for help from a JHAKRI to save the child. But Amrit did not allow them to lose time and immediately, he explained that JIVAN JAJ is the only medicine to cure the child. The parents listened to him carefully and learned from him how to prepare and use it. Fortunately the kid was saved: What A great job Amrit did to the family !!! From this success, Amrit has been a hero among his friends and villagers. But he expressed anxiously that motivating villagers was a real difficult task and many did not listen to and accept his advice. But he has not lost his hope that though slow, he will win the race. Amrit is so motivated and committed that at this early age, he has been like a pioneer on sanitation in the school and in the village. For his everlasting success, what is needed is that all should render moral and other support to him and always encourage to do so in the future as well. Amrit was completely convinced about the need for following proper hygiene and sanitation practices before the programme started and he was included as a member of the child club. The knowledge and skill he acquired during the training and while working together with other club 21 members, his vision and behaviour changed. He thanks his teachers in bringing such change within himself. He believes that the school sanitation programme should be launched in almost all schools in the country. If given a chance, he would like to go to some other places and disseminate the messages to others. Illustrated by Amrit Sharma promoting the ideas to use latrine. 8.2. A GIRL : HOW A SHAMED SHE WAS !! S ita Neupane is a student of class nine in Shree Banganga High School and she is about 14 years old ( I guess ). I do not know her exact age because she did not like to say, may be because she was a girl. She is from a middle class family and her father is working at present in Japan. So her economic status is better than that of many other villagers and she lives in a pucca moderate house. While talking with me, Sita recalls an interesting incident which she would never forget in her entire life. One evening some of her relatives, including students came to her house visiting a guest from Kathmandu in vacation. She was delighted to welcome visitors of her age group. At night one of the girls named Sushma wanted to go to toilet and asked about it, but unfortunately Sita could not show the way as there was no toilet in the house. She had to take her to the open field inspite of the guest's disagreement. There was no alternative to it. Sita tried to explain that defecation in the open field is a normal practice in terai and that there was no question of any shame and discomfort. After hearing this, Sushma did not hesitate to 22 complain and express her painful feelings about defecating in the open field. Sushma insisted that she would leave the place next day early morning, as she could not stay there without a toilet. Sita was surprised when actually Sushma left the place the next day saying that she will never come to her house in the future. Sita had such a bad feeling that she could not control weeping and she was blaming her family members for not having built any toilet in the house. Though she had heard a lot about the need to build a toilet from the teacher and classmates in the school, she herself was not fully aware of such consequences. When she talked to her teacher and friends about the incidence they advised her to insist to her family members to build the latrine immediately. They requested her to be a member of the sanitation child club which was already initiated in the school. At last she joined the club and actively participated in many of the activities, through which she came to know about different aspects of hygiene and sanitation. After some days Sita was so determined that at any cost she would be able to convince her family members to build a latrine. How lucky she was that her convincing arguments were enough to let others build the latrine. A few days after, she could use the latrine at home. Sita was delighted to share her happiness with other friends and at the same time she insisted that other friends also have latrines in their house. She is now working on her own as a motivator in the village and many families listen carefully to what she says. There has been a success story where Sita has played a vital role in promotion of sanitary toilets in the village. Sita is convinced that Wealth will now come to the place, which is neat and clean. Sita also loves young children and she always cares for them, teaches them about better sanitary practices and helps to bring changes in the traditional behaviour. 23 Sita is waiting for the day when her friend Sushma will again visit her house !!!! Illustrated by Sita Neupane encouraging to use sanitation facilities. 24 Annex Name of the Persons visited Mr.Ananda Raj Pokhrel Mr.R.B. kunwar Mr.Sagar Shrestha Mr.Hari Sundar Shrestha Mr.Nanda Kishor Sukla Mr.Dwarika Prd. Mr.D.B. Rana Mr.K.B. Ranamagar Mr.L.N Aryal Mr.T.B.Shahi Mr.Umakanta Aryal Mr.Narayan Gyawali Mr.S.L.Pandit Mr.Ram Niwas Chaudhary Mr. Mahendra Shrestha Mr.Birendra Pradhan Community Members CDO VDC Chairperson SMC Chairperson DEO Head Master VDC Member VDC Member SMC Member VDC Member SMC Member Teacher Health Teacher Teacher DE Officer, DEO DFO, UNICEF Gajehada 25 Based on the field visit to Shree Banganga High School, Gajehada VDC, Kapilvastu September, 2001 By Er. Archana Neupane Consultant, UNICEF Nepal 26 27