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

2. 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

3. 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

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

5. 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.

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

7. WASH-NTD Model

8. 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

9. 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.

10. 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

11. 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

12. 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.

13. 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

14. 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

15. 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