Integrated WASH in MalawiAshley Latimer

May 1, 2012COREgroup Spring Meeting

Child mortality = 112 deaths per 1,000 live births

Pneumonia and diarrhea leading causes of death

18% of children suffering from diarrhea

Only 51% of households have improved sanitation facilities

17% of households have access to unimproved water sources

PAGE 2

Malawi Background

USAID funded – Child Survival Health Grants Program

Goal: To reduce morbidity and mortality from diarrheal diseases

Improvement of diarrhea case management

Focus on increased adoption of safe drinking water and improved hygiene and sanitation practices

Integrated Diarrhea Prevention Program

PAGE 3

Community based distribution channels– 2,500 “Safe Water &

Hygiene Promoters” PSI’s DELTA process (for

marketing planning)– Developed audience

profiles– Targeted messages to

caregivers

Implementation

page 4

2005 Baseline 2011 Evaluation

% of caregivers of CU5 who report that they treated their drinking water in the last week with WaterGuard

4.9 17.8

Increase of CU5 with diarrhea in the past 4 weeks who were reported to have received ORS

48.0 64.1

Increase of caregivers who practice immediate handwashing using soap after toilet/latrine use

52.0 33.8*

Results

page 5

Since 1999…– More than 1.7 million

diarrhea episodes averted– More than 10,000 deaths

averted– More than 6.7 million bottles

of WaterGuard distributed– More than 14.6 sachets of

Thanzi ORS distributed

Distribution

page 6

Targeted communities built handwashing stations

2,200 households built stations using local materials

Soap available at stations

School hygiene clubs

Hygiene and Sanitation Practices

page 7

Zinc is now approved as a diarrhea treatment– Will look to launch bundled

ORS + zinc Cost recovery mechanism

for WaterGuard and Thanzi Additional research to

understand decrease in handwashing

Thinking about the Future

page 8

1 1 2 0 1 9 T H S T R E E T , N W | S U I T E 6 0 0

W A S H I N G T O N , D C 2 0 0 3 6

P S I . O R G | T W I T T E R : @ P S I H E A LT H Y L I V E S | B L O G : P S I H E A LT H Y L I V E S . C O M

Questions?

PSI