1. Water, Sanitation and Children’s Health
Workshop on Environmental Threats to the Health of Children in the Americas
Water, Sanitation and Children’s Health
Horst Otterstetter

2. Water, Sanitation and Children’s Health
Malnutrition
54%

3. Water, Sanitation and Children’s Health WHY FOCUSING ON DIARRHEA
Preventable major burden on health care system
Important contributor to malnutrition in children under 5
Negative impacts on household economics, education, and time

4. Water, Sanitation and Children’s Health
Diarrhea
Weight
Age

5. Effectiveness of Hygiene Interventions
Water, Sanitation and Children’s Health
Effectiveness of Hygiene Interventions
Excreta Disposal
Facilities
Water Quantity
Intervention
Water Quality
Handwashing 10 20 30 40
Median reduction (%)
Source: Esrey et al. 1991; Hutley et al

6. Water, Sanitation and Children’s Health

7. Water, Sanitation and Children’s Health

8. Water, Sanitation and Children’s Health

9. Water, Sanitation and Children’s Health

10. Latin America: Population Estimates and Projection
Water, Sanitation and Children’s Health
Latin America: Population Estimates and Projection
(by year, age and both sexes)
Source: ECLAC, Jan 2003

11. Water, Sanitation and Children’s Health

12. Population Unserved in 2000
Water, Sanitation and Children’s Health
Population Unserved in 2000

13. Macro strategies Promote Regionwide processes
Water, Sanitation and Children’s Health
Macro strategies
Promote Regionwide processes
Associate water and children’s health with sustainable human development
Secure active participation of Health Services
Primary environmental care

14. Water, Sanitation and Children’s Health

15. Water, Sanitation and Children’s Health
Water and Sanitation
Halve, by the year 2015, the proportion of people without access to safe drinking water (reaffirmation of Millennium Development Goal).
Halve, by the year 2015, the proportion of people who do not have access to basic sanitation

16. PROMOTE NEW WATER AND SANITATION DECADE
Water, Sanitation and Children’s Health
PROMOTE NEW WATER AND SANITATION DECADE
Build on the successes of:
Charter of Punta del Este
Decade Health Plan
International Water and Sanitation Decade ( )

17. PROMOTE AND SUPPORT COMMUNITY ACTIONS
Water, Sanitation and Children’s Health
PROMOTE AND SUPPORT COMMUNITY ACTIONS
AIDIS has created AmSa (Ambientes Saludables) a commitment of AIDIS for life
Coordinate actions of NGOs

18. URGENT ACTION NECESSARY:
Water, Sanitation and Children’s Health
URGENT ACTION NECESSARY:
Data on morbidity
100 % Disinfection
National Drinking Water Quality Standards
National Recreational Water Quality Standards
Economic Data on Alternative Solutions

19. NEW SOURCES OF FINANCIAL RESOURCES
Water, Sanitation and Children’s Health
NEW SOURCES OF FINANCIAL RESOURCES
Public - Private Partnership
Resurgence of Multilateral investments

20. Investments of IDB in Sanitation
Water, Sanitation and Children’s Health
Investments of IDB in Sanitation
(in millions of US$)
145
140
135
130
125
120
115
110
2000
2001
2002