1. 1 Ministry of Public Health and Sanitation Department of Environmental Health& Sanitation. PROGRESS IN ACTUALIZATION OF GOALS ON STRATEGIC INSTRUMENTS (SANITATION POLICY & STRATEGY) Dr. Kepha Ombacho Chief Public Health Officer

2. SITUATION ANALYSIS Kenya is said to be losing 27 billion Shillings each year or 0.9% of the national GPD due to poor sanitation (WSP/JMP) 21 million Kenyans use unsanitary latrines 5.6 m Kenyans defecate in the open Open defecation cost Kenya $88m/year, eliminating will require 1.2 latrines Kenya is off-track to meeting the MDG target 7 Every 15 minutes a child dies of diarrhea

3. NESH POLICY GOALS  Education to all Households to ensure improved ESH practices for improved health  Access to hygienic, affordable, functional, and sustainable toilet and hand washing facilities in schools, households and public places.  Clean households, free from solid waste and unpleasant odours and have adequate drainage.  Drastically reduce the burden of environmental sanitation and hygiene related diseases.

4. ROAD MAP TO ACHIEVING THE GOALS Sanitation Political will PoliciesStrategy Implementation plan

5. Rationale for roadmap Individual household contribution towards disposal of waste already very high. Impact and or incidence of disease is very high on individual households Emerging experience in Nyando, Siaya, Rachuonyo, Bondo,Kisumu West and Busia show that whole regions can become ODF very rapidly

6. What next! Commitment by stakeholder Capacity Financial Resources Long term planned activities Operate within AOP Implementation Regular reporting Start with community Start with what they have Build on what they have made Build them to build themselves Organize community structures Synergize Gov’ts Mobilize financial resource Capacity building Mandate Capacity Enabling Env. Coordination Resource Advocacy Implementation Gov’t Dev Partners NGO’s / CBO’s Community

7. What next! Joint Monitoring Results

8. Roles of each main S/holders Gov’t/ DP Strategic direction, policy, strategy, implementation plan & AOP Implementation at all levels Coordinate all stakeholders – ICC, mapping / fair distribution of services Act as a resource centre & prepare regular country report Have central coordination with sector representation NGO’s/CS Implement within their area of Jurisdiction – AOP Capacity building Liaise with Gov’t / adopt the strategic and report regularly fairly distributed Advice Gov’t on new development, support during Comm Community must lead the process, no top down approach. Capacity within the community assessed and integrated into any sanitation approach Practice sustainable sanitation – starting with local resources and improving on it.

9. Way Forward & Conclusion Business as usual has left us with still about half of Kenyans without adequate sanitation We need to change strategic thinking and adopt a robust, BUT tried and tested approach of CLTS/CATS Hope your are invigorated.