Ministry of Public Health and
Sanitation
Department of Environmental
Health& Sanitation.
PROGRESS IN ACTUALIZATION OF GOALS ON
STRATEGIC INSTRUMENTS
(SANITATION POLICY & STRATEGY)
Dr. Kepha Ombacho
Chief Public Health Officer
1
SITUATION ANALYSIS
• Kenya is said to be losing 27 billion Shillings each
year or 0.9% of the national GPD due to poor
sanitation (WSP/JMP)
• 21 million Kenyans use unsanitary latrines
• 5.6 m Kenyans defecate in the open
• Open defecation cost Kenya $88m/year,
eliminating will require 1.2 latrines
• Kenya is off-track to meeting the MDG target 7
• Every 15 minutes a child dies of diarrhea
NESH POLICY GOALS
 Education to all Households to ensure
improved ESH practices for improved health
 Access to hygienic, affordable, functional,
and sustainable toilet and hand washing
facilities in schools, households and public
places.
 Clean households, free from solid waste and
unpleasant odours and have adequate
drainage.
 Drastically reduce the burden of
environmental sanitation and hygiene related
diseases.
ROAD MAP TO ACHIEVING THE GOALS
Political
will
Implementation
plan
Sanitation
Strategy
Policies
Rationale for roadmap
• Individual household contribution towards
disposal of waste already very high.
• Impact and or incidence of disease is very high
on individual households
• Emerging experience in Nyando, Siaya,
Rachuonyo, Bondo,Kisumu West and Busia
show that whole regions can become ODF
very rapidly
What next! Commitment by
stakeholder
•Synergize Gov’ts
•Mobilize financial resource
•Capacity building
•Mandate
•Capacity
•Enabling Env.
•Coordination
•Resource
•Advocacy
•Implementation
Gov’t
Community
•Start with community
•Start with what they have
•Build on what they have made
•Build them to build themselves
•Organize community structures
Dev
Partners
NGO’s /
CBO’s
•Capacity
•Financial Resources
•Long term planned activities
•Operate within AOP
•Implementation
•Regular reporting
What next! Joint Monitoring Results
Roles of each main S/holders
Gov’t/ DP
NGO’s/CS
Comm
•Strategic direction, policy, strategy, implementation plan & AOP
•Implementation at all levels
•Coordinate all stakeholders – ICC, mapping / fair distribution of services
•Act as a resource centre & prepare regular country report
•Have central coordination with sector representation
•Implement within their area of Jurisdiction – AOP
•Capacity building
•Liaise with Gov’t / adopt the strategic and report regularly
•fairly distributed
•Advice Gov’t on new development, support during
•Community must lead the process, no top down approach.
•Capacity within the community assessed and integrated into any sanitation approach
•Practice sustainable sanitation – starting with local resources and improving on it.
Way Forward & Conclusion
• Business as usual has left us with still about
half of Kenyans without adequate sanitation
• We need to change strategic thinking and
adopt a robust, BUT tried and tested approach
of CLTS/CATS
• Hope your are invigorated .