Maggie Montgomery Water and Health Conference, Chapel Hill Oct 2015 International Network on Household Water Treatment and Safe Storage Regional Workshops Lessons learned and impact

Regional workshop overview Objectives –Provide a platform for diverse HWTS stakeholders (Government, international organizations, NGOs, private sector and academia) to discuss key issues –Develop national HWTS strategies and spark focused action –Support implementation of Network strategy Reach –East Africa (2011), Southern Africa (2012), West Africa (2013), South East Asia (2014) –16 countries involved, over 200 participants –Government representation from both Ministry of Health and Water-Sanitation MoH Kenya, John Kariuki

3 |3 | By 2015, 30 countries have established policies on household water treatment and storage. -Achieved (> 15 countries have targets, > 30 have policies) By 2015, strengthened evidence to guide effective and replicable HWTS programmatic approaches to achieve long-term widespread use and public health impact. -Achieved (evidence on health impact convincing; more operational evidence needed) By 2020, 50 countries have achieved country-wide scale up of project-based HWTS. -Not-achieved (boiling only intervention that has achieved scale; do we need scale up or effective targeting?) Reminder: Network Targets

4 |4 | Key workshop outcomes Increased knowledge –HWTS M&E Toolkit –Latest research on integration with HIV, emergencies, child/maternal health –HWT performance Draft national action plans presented on final day (East, West and Southern African workshops) Proposals for HWTS monitoring or integration work drafted (SE Asia) Global tools National HWTS plan framework

5 |5 | Key themes-Wordl from East Africa

Tools disseminated and developed through influence of workshops Does it work? How do we implement? (integration; HIV and Nutrition) Are we having an impact? Will launch in Nov 2015

7 |7 | Post workshop progress-Ethiopia Held focused national workshop on HWT evaluation and regulation (Feb 2013) Used WHO HWTS performance reccomendations to stop distribution of hundreds of thousands of non- performing product in cholera prone region (2014) Hosted training for national laboratories on strengthening HWT evaluation (2015) Developing stronger national regulations and labelling (ongoing)

8 |8 | Post workshop progress-Ghana Developed and published national strategy, scaling-up model and private sector collaboration framework (2014) Included HWTS in outbreak and national preparedness activities in the North Strengthening evaluation and targeted distribution and uptake, especially in cholera prone areas (ongoing)

9 |9 | Post workshop progress-Kenya Established a national technical working group on HWTS to provide leadership on integration of HWTS within health HWTS now linked with maternal and child health, cholera prevention and control, HIV and nutrition efforts Included HWTS on essential medicines list (enable easier distribution through health centers) Held series of national promotion events and supported improved safe storage design

Final note on evidence base: WHO Taskforce on HWTS (2013) Basis/Objectives Scaling-up impaired by debate of evidence; review evidence and recommend specific actions Participants WHO staff from maternal and child health, nutrition, malaria, neglected tropical diseases, HIV, emergency alert and response Recommendations -Reaching the global HIV target of treating 15 million by 2015 will require addressing safe drinking-water. -Increase implementation of HWTS to end preventable child deaths from pneumonia and diarrhoea by 2025 ( GAPPD) -Develop preventive interventions to address multiple diseases associated with water storage. (Dengue and Diarrhoea)

“Afya ni bora kuliko mali.” Thank you. Questions? Health is better than wealth. (Swahili Proverb)