WASHplus Pilot Program Burkina Faso Renuka Bery Integration Manager, WASHplus July 21, 2016

General Objective To identify and propose WASH interventions to assist in eliminating and/or controlling trachoma, schistosomiasis and soil-transmitted helminths Trachome sont de (5,16% a Manni vs 2,27% Bogande) la Schistosomiase 18,83% pour les deux districts et l’ helminthiases telluriques 4,37% pour les deux districts Trachome Gayeri 8,39%, Les districts des Hauts Bassins Karangasso Vigue 11,32% pour le Trachome et 25% pour la Schistosomiase,  et tous les districts du Sahel ont une prévalence de 11,88% pour l’helminthiases telluriques. Burkina Faso has 16 of 17 NTDs with identified high prevalence areas • High levels of Schistosomiasis, Trachoma, and STHs • National NTD program focus on mass drug administration WASH sector is water focused (64.1% coverage in rural areas) • Poor sanitation coverage (6% in rural areas) Numerous private partners

Project Planning Understanding the context Engaging partners within and outside the government at different levels for collaboration NTDs prevalence and Partners mapping Where the needs are the most? Who is doing what? What can we build on? Baseline Study WASH-NTD integrated indicators by domain Results to orient behavior change activities Putting in place behavior change activities

Understanding the Context Explored the state of NTDs in Burkina Faso Mapped potential partners Chose the intervention zone Conducted a baseline study

Collaboration: Bringing local experiences to national stakeholders Ministries of Health, Education, Water and Sanitation Municipalities WASH and NTD NGOs Communities Bringing lessons to the national level Bringing lessons to the national level Engaging and collaborating at the local level Bringing lessons to the national level Engaging and collaborating at the local level The MOH wanted to see how it works a the local level before we can bring it a the national level. There’s a lot enthusiasm at the local level within the government representatives and the community members.

Selected Villages in Manni District MANNI Commune Manni Boudangou Dakiri Mopienga Tomonga COALLA Commune Boudabga Coalla Goulmodjo Kierga THION Commune Diaka Monlori Thion Tipoli

WASH-NTD Model

Information and Advocacy Targeted local provincial and district authorities High commissioner of Gnagna province Chief medical directors of Manni and Bogande Provincial director of agriculture, water and sanitation, Gnagna Provincial director of education, Gnagna Commune president for each commune Communities 1689 people reached with information and advocacy

Behavior Change Activities Developed WASH-NTD integration tools Trained and mobilized communities Trained specific groups Conducted Community Led Total Sanitation (CLTS) Assisted mass drug administration efforts Conducted a radio campaign to promote WASH-NTD messages The MOH wanted to see how it works a the local level before we can bring it a the national level. There’s a lot enthusiasm at the local level within the government representatives and the community members.

Chant de Femme Team National Level Project coordinator (Ouagadougou-based) Financial manager Local Project Team Technical supervisor 4 animators (recruited locally) Monitoring and evaluation manager

WASH-NTD Training for Specific Groups 25 Health workers 25 Community health workers 30 Teachers 24 Latrine user group members 1170 Villagers (90 per village) Materials to assist MDA efforts

Initial Results Communities engaged and taking steps to make improvements Local officials engaged National NTD leadership committed to advancing WASH within future NTD efforts Community has cleaned up their water point and created a perimeter around which people cannot walk. On the slab people must leave their shoes off. The PDS delegates feel invested in this activity. They requested their own set of counseling cards. They are linking with the health district workers. In addition, the officals in the two health districts committed to coordinating efforts so similar activities do not take place in the same villages and to assist in covering all villages, not just those chosen by project. Dr. Drabo, the head of the NTD unit has indicated that the World Bank is giving a grant for NTDs that will include communication and behavior change efforts. He is starting his advocacy now to make sure a significant WASH component will be designed into the activities.

Initial Results (2) USAID CAs and other NGO partners seeking ways to support WASHplus initial efforts. USAID/Burkina interested in project and will use ideas to develop new REGIS activity FHI 360 developing a case study to share with NNN WASH working group at the September 2016 meeting

Future Needs Limited support to continue follow-up activities for an additional 6-12 months Funding for an endline activity to provide more rigorous results (WASHPaLS?) USAID participation in NNN WASH-NTD working group Assistance to USAID/Burkina to include WASH in new RFA

Thank You “Thank you for coming up to us to understand our living conditions. These questions have helped us recognize some of our bad habits and behaviors and now we will try to change our practices..” —village mother