1. UNICEF supported WASH programme in Karamoja 5 Result areas Community level WASH WASH in primary schools WASH in Health units District and SC level coor Emergency Resources /UGX/ District partners DWO, primary DHO CDO DEO NGO partners Cooperation and Development (All except Moroto) Medair (Abim) Resourceplanneddisbursed Cash 2.44 Bill. 710 mil Supply 138 Mil Total2.579Bill 848 mil

2. Cash utilization by districts

3. Unite for Children Annual Review for UNICEF supported WASH programme in Karamoja in 2009 Mototo DWO 19 November 2009 Moroto Chamber Hall

4. Overview of WASH programme in Moroto District General District overview Water coverage Overall=58%, PS=67.7%(42/62), HU = 75% Operational status estimated 75% of 492 facilities Sanitation, general=10% Pupil stance ration 45:1 Basic hygiene, HWF ??? IRC,C & D,KADP,ADRA,Red Cross,ISP,W.F.P,SCiU, MADEFO 2009 UNICEF WASH prog Water supply for institutions, Latrine construction in Institutions, hygiene & sanitation improvement at institutional & community level, coordination & monitoring, EPRP Budget received = 149,278,000 and all utilized Other support- IEC materials & digging kits.

5. Achievement/Results/Targets Result area Planned target Result achieved Remark Construction of latrine blocks in institutions 2718Cost adjustment Training on PHAST2426 Sanitation and Hygiene promotion in parishes 22 Establish and train school health clubs 2526 Monitoring of School health clubs2526

6. Result area Planned target Result achieve d Remark Supporting Emergency preparedness & response plan 212 UNICEF organized Coordination and monitoring47 Training of District officers on PHAST/CLTS 34Organized by UNICEF

7. Best practices Construction of 19 latrines in Lokilala village and are so far being used setting a good example One community sanitation club has been formed in Kangole TC and they carry out cleaning of the trading centre and encourage good sanitation practice

8. Challenges Stopping Open defecation in the community Disparity among the school on Pupil: stance ratio despite the aggregate average (1:45) Few partners working in WASH concentrate on water supply but not sanitation Poor involvement of political leaders despite their commitment in meetings Poor community level O&M – lack of system on spare part Difficult areas (terrain/natural formation) and soil require alternative water technological option Under staffing at District and Sub-county levels. Poor data bases-inconsistence in information Capacity of the private sector to provide quality service

9. Cross cutting issues The sector has worked in collaboration with health sector and education in the promotion of sanitation and hygiene in schools and community The WASH sector has also responded in terms of emergency and worked with child protection (e.g. recent case of returnees), in the construction of sanitation facilities. The WASH also attends DDMC meetings to report emergencies

10. Alakara Nooi

11. Unite for Children Annual Review for UNICEF supported WASH programme in Karamoja in 2009 Kotido DWO 19 November 2009 Moroto Chamber Hall

12. Overview of WASH programme in Kotido General district overview Water coverage = 45% as of October, Sanitation, HH latrine, 2.7% as of October Pupil stance ratio, Girls 41:1,Boys 57.1(overall 49:1) Basic hygiene, HH level =2.7%,PS= 73% HC = 64.7% operational status 75%,376 wp OXFAM, IRC CARITAS, PU, C&D 2009 UNICEF WASH prog Institutional water supply/PS + HU/, Institutional sanitation/latrine construction/, community sanitation and hygiene promotion, coordination and emergency Budget received 18127500/= and utilized 9427500/ to be accounted Hep E response supply and digging kits

13. Achievement/Results/Targets Result area Planned target Result achieved Remark Training of HA’s HI’s CDO’s and community leaders on PHAST and CLTs 44 Training done Provision of water in 14 primary schools. 14 7 already complete Provision of 10-5 stance disability friendly latrine blocks separate for Boys and girls in 5 primary schools 10 Complete in the 5 primary schools The rest of planned activities have not been carried out

14. Challenges Delayed procurement process – construction of latrines Unfavorable geological soil structures –latrines Poor database and management Sanitation activities are inadequately prioritized and funded Inadequate coordination of WASH activities by the district and community Lack of system in spare parts management and supply chain Rigid cultures like No mixing of feaces and no sharing of latrines Despite the aggregate pupil :stance ratio results, there is still need for latrines in some schools (the aggregate result should not mislead since situations defer in different schools) HEP-E a emerging problem (11 cases and one death) Under staffing in DWO and transportation

15. Best Practices 154 latrines at the manyttas in Nasinyon village– Kacheri S/County that can be taken as an example in up-scaling to neighboring communities - IRC supported

16. Cross cutting issues Schools being entry point for the various sectors and programmes: health, education, safe school initiative, child protection, HIV/AIDS The SMC’s,PTA’s promote sanitation activities in schools Schools promote the influence of the sanitation clubs to the neighboring communities In corporation of WASH activities in school curriculum.

17. Way forward Completion of committed projects which will spill over from 2009 work plan to 2010-drilling,latrine construction Hepatitis E control strategy in place Set up an updated data base inventory Have operation and maintenance plan-formation and gap analysis of the Hand pump mechanic associations

18. THANK YOU Alakara Nooi

19. Unite for Children Annual Review for UNICEF supported WASH programme in Karamoja in 2009 Abim District Water Office 19 November 2009 Moroto Chamber Hall

20. Overview of WASH programme in Abim General district Picture Water coverage = 47.8% (Otb.) PS=78%, HC=5.5% Sanitation, HH latrine, 37% (Oct) HC Latrine 100% Pupil stance ration, 86:1 (2008) to 73:1 (Oct.2009) Basic hygiene, HWF =?? HH, PS = 19%*, HC =100% Operational status=73% of 134 GOAL, WV, CARITAS, C&D and ADRA, Medair 2009 UNICEF WASH prog. Water supply, latrine in school, community level H&S promotion, SHSC, coordination and EPRP Budget UGX 82,569,999 and utilized UGX 85,439,499 Digging kits and supplies for HEP-E response

21. Achievement/Results/Targets Result area Planned target Result achieved Remark Training on participatory tools and new approaches35 VHTs, LC3, HA, SC technical ppl and heads of dep Establishment of model villages in sub-counties32 Aremobwala (Abim) Katala (Nyakway) Improve comm. Based manag’t structure 2029112 males and 91 females Schools sanitation and hygiene clubs formation … 25 Presentation of awards.

22. …. Cont’d achievement Result area Planned target Result achieved Remark Construction of 5-stance latrines in PS and HU 10 blocks 18 blocks10 in P/S, 5 in H/U-3 by madair Improve access to safe water in institutions - drilling 1919*10 on progress 14 PS + 5HU

23. Best practices Joint monitoring of programs with district leadership Drama show being attractive channel for community sensitization Provision of digging kits made communities to respond positively in construction of HH latrines in Adea parish Communities fencing water sources after rehabilitationn Community capital contribution towards water source promotes ownership like Kopo borehole.

24. Challenges Inactive water and sanitation committee some areas Land ownership posing a problem in latrine construction in displacement areas Lack of spare part dealer in the district hinders easy access to spares and community based O&M Insecurity in places like Nyakwae,Alerek. Lack of some community contribution towards Operation and maintenance lowers functionality of water sources. Procurement process has been very slow in Abim. Geological formation and soil type in some places like Lotuke,Nyakwae hinders calls for technology options Hepatitis – E Posing additional challenge (2 cases so far) Under staffing and long recruitment process

25. Cross cutting issues DDMC as a platform for cross sectoral issues In schools WASH has been calling up on education, health, community development and HIV/ADIS Gender consideration in water source user committee

26. Alakara Nooi

27. Unite for Children Annual Review for UNICEF supported WASH programme in Karamoja in 2009 Nakapiripirit DWO 19 November 2009 Moroto Chamber Hall

28. Overview of WASH programme in Nakapiripirit District. General district over view Water coverage,56.2% Sanitation, manyata latrine coverage; 2.9% Pupils stance ratio;1:60 (2008),56:1 (2009) Basic hygiene, HWF =68% in P/S H/C=70% Operational status;…70%. of 307. Partners; DWSCG, ADRA, C&D, KADEP. 2009 UNICEF WASH Improvement and management of wash facilities; construction of pit latrines in p/s and h/c. cordination and monitoring of WASH facilities; suport emergences. Budget received = 102,564,000/ accounted = 0

29. Achievement/Results/Targets Result area Planned target Result achieved Remark Training on PHAST and CLTS24 SC, Dist. Support hygiene and sanitation improvement 33Ongoing Construction of 10-5stance pit latrines in p/s and 7 ECD centers. 17 Ongoing Establish and train 25 school health clubs in 25 p/s 25 Monitoring and supervision by HI22ongoing

30. Result area Planned target Result achieved Remark Improve access to WASH services in health centres,3 - 5stance pit latrine in 3 H/C 33Construction ongoing Empty OPD pit latrine at tokora11Pit latrine emptied Support district level emergency preparedness and response 11A draft emergency plan was developed to respond to identified disaster

31. Best practices Best Practices; - gender mainstreaming, Involvement of women in key positions in management of WATSAN. - Hand washing before and after meals -continued sensitization of the communities on o&m of WATSAN facilities. -personal hygiene practices -good drainage at homes/household -model village approach helping in setting exemplary community for WASH –Challenges –Cross cutting issues. E.g. Safe School initiatives –Way forward

32. Challenges High illiteracy level of wuc/wsc,members - Attitudes towards o&m of community owned facilities is generally poor dependency syndrome. Inconsistent data at various levels Collapsing soil formation Low commitment to implementation of WASH programme Coordination among the sectors and within DWO Delayed procurement of service for latrine construction

33. Cross cutting issues Joint planning with cdo,health, Community mobilization with extension staff I,e.HA,HI,CDO officers. Dialoque meetings with local community leaders Gender mainstreaming in WATSAN activities,in liasion with CDO, health. involving women and men

34. Alakara Nooi

35. Unite for Children Annual Review for UNICEF supported WASH programme in Karamoja in 2009 Kaabong DWO 19 November 2009 Moroto Chamber hall

36. Overview of WASH programme in kaabong district General district overview Water coverage 25%, P/S = 64%, H/U = 37% Operational status 88%, 266 Latrine cov 4.72% Pupil stance ration boys = 70.6:1, Girls 6.66:1(68.63) HWF P/S =56%, H/U = 70% Medair, Oxfam, caritas, C&D 2009 UNICEF WASH programm Improve access to WASH in institutions (PS +HU), Mang’t of WASH @ comm., Strengthen coordination and monitoring at all levels Budget received and utilized Amount received = 137,396,500/= Amount utilized =150,958,740 HEP-E supplies + UGX 43.5 Million

37. Achievement/Results/Targets Result area Planned target Result achieved Remark Construction of latrine blocks in PS and HC 30105 x 5PS 5 x 5HU Training of 25 school health clubs2527 Training on PHAST methodologies and CLTS concepts 2460 Sanitation and hygiene improvement 22 Support DWOs to establish sustainable private sector base system 20 Monitoring of SSHE in 25 p/s2527

38. ... Con’t Achievement/Results/Targets Result area Planned target Result achieved Remark Coordination and monitoring WASH activities 23 Train water office on data base mgt and GIS 55 Map all water points11 Support EPRP212 Monitoring of SSHE in 25 p/s2527

39. Best practices Communities of Karenga, Kapedo and Sidok are engaged in HH latrine construction and use Community women groups campaign on sanitation and hygiene drive. e.g TC and part of kaabong s/c

40. Challenges Poor groundwater resources in some areas/PS and HU/ Inconsistency of data HEP-E. Outbreak(142 cases, 10 death, index case 18/08/09) Under staffing. Transport Collapsing soil Huge gap on WASH services O&M of both water and sanitary facilities.

41. Cross cutting issues Water sector has been in collaboration with other sectors like health, community, education, DDMC, women groups in issues like -Community mobilization -Drama shows -Emergency responds -HIV/AIDS main streaming -sanitation and hygiene

42. Way forward for WASH – bridging period (Jan – Jun/2009) – Kaaramoja districts Carry-over from 2009 AWP Completion of committed activities in 2009 –Construction of latrines in PS + HU –Drilling operation which has already started District level commitments –HEP-E containment in North Karamoja districts and prevention by S.Karamoja –Ik spring dev’t in kaabong Start from new CP Inventory and setting database Resources mapping for new technology interventions Formation and gap analysis on pump mechanics to handle O&M Continued monitoring

43. Alakara Nooi