wash needs assessment report · interviews using kobo collect forms to ensure the reliability of...
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WASH Needs Assessment Report
In Wusab Al Ali District of Dhamar Governorate
Conducted by
RDP & SULWAN
February, 2019
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Contents
1. Executive Summary ................................................................................................................................... 1
2. Background ................................................................................................................................................ 4
3. Objectives .................................................................................................................................................. 6
4. Approaches & Methodology .................................................................................................................... 6
5. Gender and Protection Mainstreaming ................................................................................................... 7
6. Risk and Assumptions ............................................................................................................................... 8
7.1 Field work ................................................................................................................................................ 8
7.2 Coverage area ......................................................................................................................................... 9
7.3 Data collection from the field and quality control .............................................................................. 10
7.4 Data management and analysis ........................................................................................................... 10
8. Key Findings and Results ............................................................................................................................. 11
9 Analysis and Demonstration ................................................................................................................... 12
9.1.1 General Situation data .............................................................................................................. 13
9.1.2 HH Interviews: ........................................................................................................................... 24
9.1.2.1 General Information ........................................................................................................... 24
9.1.2.2 Water .................................................................................................................................. 26
9.1.2.3 Sanitation ............................................................................................................................ 32
9.1.2.4 Hygiene ............................................................................................................................... 34
9.1.3 FGDs ........................................................................................................................................... 36
9.1.4 KIIs .............................................................................................................................................. 37
Challenges in accessing Water, Sanitation and Hygiene (WASH) services .................................. 37
Impact of Water, Sanitation and Hygiene (WASH) services ......................................................... 38
Coping mechanisms ........................................................................................................................ 38
Menstrual Hygiene Management .................................................................................................. 38
9.1.5 Health Section ............................................................................................................................ 39
9.1.6 Recommendations ..................................................................................................................... 42
10 Photos ...................................................................................................................................................... 44
11 References ............................................................................................................................................... 46
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List of Acronyms
EOR Emergency Operation Room
RRT Rapid Response Team
FGDs Focus Group Discussions
HC Host Community
HF Health Facility
HHs Households
IDPs Internally Displaced Persons
IPC Integrated Phase Classification
KIIs Key Informants Interviews
NA Needs Assessment
NGO Non-Government Organization
RDP Relief and Development Peer Foundation
WASH Water, Sanitation and Hygiene
AWD Acute Watery Diarrhea ARI Acute Respiratory Infection
UNICEF The United Nations International Children's Emergency Fund
HNO Humanitarian Needs Overview KM Kilometer
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1. Executive Summary This needs assessment was designed to be impartial, unbiased, comprehensive, context-sensitive, timely, and
up-to-date. It provides sound evidence based on the existing WASH situation in Wusab Al Ali district of
Dhamar Governorate in order to plan and prioritize the needs and adopt the appropriate and suitable
methodology of intervention.
RDP along with Sulwan Foundation have conducted this WASH needs assessment from Jan 26th to Feb 18th,
2019 in Wusab Al Aali district aiming to define and determine the WASH needs by providing in-depth WASH
operational information, statistical data about the WASH needs, and preferences of the affected community.
Wusab Al Aali district of Dhamar Governorate is one of the top 10 cholera priority districts according to
cholera response updates in January, 2019 from the Emergency Operation Room (EOR) and the
epidemiological situation at district level which considered Wusab Al Aali to be at highly risk level. Wusab Al-
Aali is also a district with socre-5 in WASH severity as indicated in Yemen Humanitarian Response Plan 2019.
There is a gap of WASH sanitary assessment and response interventions in Wusab Al Aali in Dhamar, where
only the RRT teams with UNICEF are working in WASH. The sample included a total number of 204 HHs
interviews in 62 sub-districts which are distributed into 8 Makhaleef; singular Mikhlaf which is an
administrative division, the sub districts are:
Mikhlaf/
Division
Name
Al-Jabajb
Al-Qayima
Bani Muslim Bani Al-hadad
Sub-districts
1. Ajbar Sawafil 2. Ajbar Awaly 3. Al-shuraka' 4. Al-manaruh 5. Bilad Alsadah 6. Eiraf 7. Yaris
1. Albayade’a 2. Al-Zahir 3. Al-kalibin Al-Janubiu 4. Al-Mahajir 5. Bani Alnamar 6. Bani Shanif 7. Jabal Matahan 8. Sanuh 9. Zafran 10. Ghythan
1. Al-dayadir 2. Al-sulul 3. Almuraba’ah 4. Qaeidah 5. Kalah Wa-Alahyam
1. Al-Asluh 2. Al-Jaraniu 3. Al-Ruwduh 4. Al-Utab 5. Al-Kalbiiyn 6. Al-Hijaruh 7. Dhallaf
Mikhlaf/ Division Name
Bani Shueayb
Jua’ar Kabud Naqadh
Sub-districts
1. Al-Jadaluh 2. Al-Sharqi 3. Al-Eanin
1. Alsyf 2. Al-Shiraqiu 3. Al-Gharbiu Al-saafil
1. Al-Ajbar 2. Al-Aawl 3. Zajid
1. Al-Athlwth 2. Al-Ajoud 3. Al-Sanah
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4. Al-Quati 5. Al-Mawasatuh 6. Al-Hatari 7. Thi Hamd 8. Zahar 9. Qashat Rimae 10. Mahzir
4. Al-Gharbiu Al-Aali 5. Bani Kanadah 6. Habar 7. Khadman 8. Sharqii Jaer 9. Maghram alwasat
4. Sabn Wa-Alraqei 5. Shjb 6. Sharqii Kabud 7. Gharbii Kabud
4. Al-Shuwaka' 5. Bani Almusanaf 6. Bani Rabieuh 7. Hemir
Community acceptance was captured from the FGDs and KIIs data which was directly fed into the findings
and recommendations of the NA to ensure accountability to affected population.
RDP and Sulwan Foundation have deployed one team of field enumerators for the NA which were trained
and led by RDP WASH Engineer, 14 enumerators in (9 male and 5 female) to conduct the FGDs and HHs
interviews using Kobo Collect forms to ensure the reliability of data. The team leader conducted the KIIs,
water sources assessment visits, and general information of each sub-district.
The comprehensive WASH NA included HHs interviews, Key Informants Interviews, Focus Group Discussions,
RRT’s reports and updates and General Situation information collection using the WASH cluster tools and RDP
customized tools. The sample covered high land and low land areas considering the geographical factors.
Water sources were identified and mapped as a baseline and to consider further assessment during the
intervention.
Key findings:
35.78% of the interviewed samples were IDPs where 18% of which are hosting other IDPs families. 32% of
the remaining 64.22% interviewed samples were host community - HHs hosting IDPs in their houses.
Water
Up to 34% of interviewed HHs in Wusab Al-Aali get water from unprotected wells, 92.86% of which
are having issues related to taste, appearance or smell of the water they obtain. Only 27% are treating
their drinking water using: water filters (14.55%), chlorine tablets (60%), and boiling water (27%). The
remaining 73% of HHs don’t treat their drinking water mainly due to lack of treatment materials
(84.56%) and lack of knowledge (30.20%).
The average person uses from 15-40 liters of water per day according to sphere standards. In a
district level, 49.51% of HHs are using less than 15 litter/person/day and 38.24% of HHs use between
15-40 litter/person/day which is much less than the minimum sphere standards. Only 12.25% of HHs
use more than 40 litter/person/day. This means that the whole district is in acute need of water
supply.
80% of HHs lack enough water for HH’s needs such as cleaning and other uses, and they adapt by
reducing drinking water 35% of HHs, reducing hygiene water 31%, and reducing cleaning water 32%.
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HHs spend a lot of time to bring water. Women and children are the responsible HHs members for
fetching water. In a district level, only 34% of HHs spend less that 30 minutes to bring water while
21% of HHs spend 1-2 hours to bring water and 38% spend between 30 minutes and 1 hour to bring
water.
64% of HHs have a problem with fetching water due to far distance and queuing time.
Women and children are the ones responsible for fetching water from water sources, and they spend
long time in fetching water. Women are not separated in lines from men. Children don’t go to schools
due to this issue.
Sanitation
In a district level, 22% of HHs don’t have access to functioning latrines while 65% indicated that only
some members of their families have access to latrines. Only 13% have enough latrines in the whole
district.
27% of HHs use flush latrine to the open (unimproved), 28% use pit latrine-open/without slab
(unimproved) and only 18% use pit latrine-covered/with slab (improved)
Waste water and sanitation is a main issue in Wusab Al-Ali district. In a district level, 77% of
households have issues with waste water around their houses and environment.
Hygiene
64% of HHs leave their garbage in public areas.
51% of HHs don’t have soap and 38% said that they had soap, but the interviewer did not see it. The
main reason for not having soap for 43% of HHs was because they couldn’t afford it.
91% of HHs don’t have hand washing facilities and 6% said that they had have hand washing facility,
but the interviewer did not see it
88.7% of HHs did not receive any hygiene promotion messages in the last year.
Recommendations
- Rehabilitation of water scheme in the sub-district of Al-Jabjab Mikhlaf “Al-shuraka' and Ajbar Sawafil sub
districts where the main water sources are (unprotected wells), Al-Qaimah Mikhlaf “Bani Shainif , Jabal
Matahan, Al-kalibin Al-Janubiu, and Halbah Wa-Almeashar sub-districts where the main water sources
are (Unprotected rainwater tanks), and Bani Al-Hadad Mikhlaf “ Bani Al-Hadad sub district” where the
main water source is (unprotected springs).
- As a first stage (pilot) and extend the intervention to other sub-districts, it is recommended to intervene
as integrated WASH package in sub districts where there are health services supported by NGOs such
as: Kabud Mikhlaf where 63% of HHs use less than 15Lit/person/day.
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- Provision of communal water tanks/ install water points to be linked with the water scheme which will
be rehabilitated to be in closer locations to beneficiaries.
- Provision of water filters for HHs with cholera cases or suspicious cases/ AWD for treatment of drinking
water.
- Implement water quality tests.
- surveillance and mapping of water sources
- Construction of family latrines and rehabilitation of existing latrines in Al-Qaimah Mikhlaf Al-Qaimah
Mikhlaf “Bani Shainif , Jabal Matahan, Al-kalibin Al-Janubiu, and Halbah Wa-Almeashar sub-districts as
first stage of intervention.
- Distribution of basic and consumable hygiene kits for HHs
- Conduct cleaning campaigns in the selected sub-districts.
- Distribute hygiene kits to selected HHs.
2. Background Yemen has undergone a series of successive socio-economic, political and security crises in the past years,
accompanied by sharp deterioration of economic indicators, macroeconomic balances and people’s living
standards, especially the most vulnerable segments of the population. The combined multi-faceted impact
of the prolonged conflict, high food and nutrition insecurity, and widespread cholera outbreak has put Yemen
at grave risk of worst and biggest humanitarian disaster in the world. The situation is dire with 22.2 million
people requiring some kind of humanitarian assistance to meet their basic needs; an estimated 17.8 million
are food insecure (including 8.4 million severely food insecure); 16.4 million lack adequate access to clean
water or sanitation; 16.4 million people lack sufficient access to healthcare; an estimated 2 million children
under the age of five are acutely malnourished.
Dhamar Governorate in Yemen is located to the south and southeast of Sana'a Governorate, to the north of
Ibb Governorate, to the east of Al Hudaydah Governorate and to the northwest of Al Bayda' Governorate in
the central highlands of Yemen. The governorate covers 7,935 km2 with an estimated population of around
one and a half million. Dhamar is divided among 12 districts (Al Hada, Al Manar, Anss, Dawran Aness, Dhamar
City, Jabal Ash sharq, Jahran, Maghirib Ans, Mayfa'at Anss, Utmah, Wusab Al Aali, and Wusab As Safil) Districts
and further divided into 314 sub-districts.
Wusab Al-Aali is one of the largest districts in Dhamar governorate. It is characterized by its high mountains,
divided into nine subdivisions comprising 73 sub districts and 850 villages. It is located in the governorate of
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Dhamar in the south-western part of which is bordered to the north by Utma district, Rima Governorate
(Districts: Mezher, Kisma, Al- Jafariya), (Wusab Al-Safil district), and from the south, Wusab Al-Safil, Ibb (Al-
Qafar and Hazem al-Udyn), from the east to Utma, Ibb (Al-Qafar) and from the west to Wusab Al-Safil. The
area of the district is 592 km2, with a population of 275,137 people.
According to 2019 HNO, Wusab Al-Aali district in Dhamar governorate was classified as score -5 in WASH
severity where 206,353 individuals are in WASH PIN / Acute.
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Dhamar Governorate
3. Objectives
RDP and Sulwan Foundation conducted this WASH needs assessment with a main objective of determining
the current situation of WASH sector in the targeted district of Wusab Al-Aali in Dhamar Governorate to
highlight the gaps between the current WASH situation as compared to sphere standards.
Specific Objectives:
- Define and quantify the WASH needs by providing more in-depth WASH operational information;
- Provide statistical data about the WASH needs;
- Capture representative views of the WASH situation from the affected population through joint
consultation with them;
4. Approaches & Methodology
The work plan started by collecting the WASH assessment tools, cluster suggested methodology, general
information about the targeted districts, and the other requirements of the Needs Assessment, RDP MEAL
Al Hada
Anss
Dawran
Utm
Wusab As Safil
Jahr
Wusab Al Ali
Mayfa’at
Al Manar
Jabal Ash
Dhamar
Maghirib
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department drafted an inception report describing the methodology and detailed work plan of the needs
assessment. A meeting was arranged with all relevant departments to develop the detailed work plan.
This needs assessment involved systematic gathering and analyzing of information relating to the needs,
conditions, and capacities of persons of concern in Wusab Al-Ali district targeting diverse women, men, girls,
and boys of all ages, including people with special needs and marginalized people. The NA was conducted
with active involvement of persons of concern and coordination with all relevant parties:
o Local authorities;
o Active local NGOs in the targeted area, to avoid over-assessment and duplication;
o WASH cluster (National and Hub-level);
o Community leaders and decision makers (as part of the accountability to affected population);
o RRT (Rapid Response Team) in Wusab Al-Ali.
Methodology of primary data collection: The comprehensive WASH NA included:
o HHs Interviews;
o Focus Group Discussions (FGDs);
o Key Informants Interviews (KII);
o General situation data collection;
o Health and nutrition information collection (HF level);
o Rapid Response Team (RRT).
The Acute Watery Diarrhea/ Cholera cases were included in the sampling where health factors were assessed
and samples of HHs were interviewed. The sample covered high land and low land areas considering the
geographical factors. Water sources were identified and mapped as a baseline and to consider further
assessment during the intervention.
The data was captured using both mobile phones and papers. The WASH assessment tools have been
designed using Kobo Collect and installed into the enumerators’ mobile phones to capture the data of:
o HHs interviews
o Focus group discussions
The other data collection tools were in papers.
5. Gender and Protection Mainstreaming Gender and Protection aspects were mainstreamed into the needs assessment activities. The field
enumerators were consisting of male and female:
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- RDP and Sulwan Foundation trained one team for the NA in the district 14 enumerators (9 male and
5 female).
- The interviewed sample included male and female as heads of HHs. The sample included persons
with special needs and marginalized people.
- The NA highlighted potential protection issues that may encounter female headed households and
the risk of responsibility of women and children in bringing water from far areas which take a long
time and where they have to wait in queues to get the turn in bringing water. Queues are not
separating women from men and this also makes a risk of potential protection issues.
- The roles and dynamics of the people in the targeted areas were highlighted regarding responsibility
between male and female in brining water and other duties of a household.
- The targeted beneficiaries will be gender specific and disaggregated.
6. Risk and Assumptions 62 percent of the districts in Yemen remain relatively accessible while 16 percent of the 333 districts in the
country are perceived to have ‘high or extremely high access constraints’.
The security and safety measures were taken into account when conducting the field work of this needs
assessment. The team has coordinated with all relevant parties regarding this Needs Assessment and to
obtain the required clearances for movement through check points.
7.1 Field work RDP and Sulwan Foundation have deployed a team of enumerators for the NA in the district who were trained
and led by RDP WASH engineer, 14 (9 male and 5 female), to conduct the FGDs and HHs interviews. One
training session was conducted for the field enumerators. The targeted locations were divided among the
enumerators and a plan was set for the team. The field enumerators conducted the HH interviews and the
FGDs, while RDP and Sulwan Foundation WASH Engineers conducted the KIIs, general information gathering,
and the water sources visits and mapping.
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7.2 Coverage area
The Needs Assessment covered eight Mekhlafs in Wusab Al-Ali district. Each Mekhlaf contains a number of
sub-districts with a total of 62 sub-districts as listed below:
1. Al Jabjab Mekhlaf
1) Ajbar Sawalef sub-district
2) Ajbar Awali sub-district
3) Ash Shuraka’a sub-district
4) Al Manarah sub-district
5) Belad As Sadeh sub-district
6) Arraf sub-district
7) Yarees sub-district
2. Al Qa’emah Mekhlaf
8) Al Bayade’e sub-district
9) Adh Dhaher sub-district
10) Al Kalbayn Al Janobi sub-district
11) Al Mahjar sub-district
12) Bani An Nammar sub-district
13) Bani Shonaif sub-district
14) Jabal Mathan sub-district
15) Senwah sub-district
16) Dhafran sub-district
17) Ghaithan sub-district
3. Bani Muslim Mekhlaf
18) Ad Dayadeer sub-district
19) As Salool sub-district
20) Al Marba’ah sub-district
21) Qaedah sub-district
22) Kalah Wal Ahyam sub-district
4. Bani Al Haddad Mekhlaf
23) Al Aslooh sub-district
24) Al Jarrani sub-district
25) Ar Rawdah sub-district
26) Al Atab sub-district
27) Al Kalbayn sub-district
28) Al Hejrah sub-district
29) Dhalaf sub-district
5. Bani Sho’ayb Mekhlaf
30) Al Jadelah sub-district
31) Ash Sharqi sub-district
32) Al Aneen sub-district
33) Al Qowati sub-district
34) Al Mawsatah sub-district
35) Al Hatari sub-district
36) Dhi Ahmed sub-district
37) Dhahar sub-district
38) Qashd Rama’a sub-district
39) Mahzar sub-district
6. Go’or Mekhlaf
40) As Sayf sub-district
41) Ash Shraqi sub-district
42) Al Gharbi As Safel sub-district
43) Al Gharbi Al Ali sub-district
44) Bani Kendah sub-district
45) Habr sub-district
46) Khadman sub-district
47) Sharqi Go’or sub-district
48) Maghram Al Wasat sub-district
7. Kabood Mekhlaf
49) Al Ajaber sub-district
50) Al Awl sub-district
51) Zaged sub-district
52) Saben Wal Raqe’e sub-district
53) Shagab sub-district
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54) Sharqi Kabood sub-district
55) Gharbi Kabood sub-district
8. Noqoth Mekhlaf
56) .Al Athlooth sub-district
57) Al Ago’od sub-district
58) As Sonnah sub-district
59) Ash Shawka’a sub-district
60) Bani Al Mosannef sub-district
61) Bani Rabee’ah sub-district
62) Hemyar sub-distric
The table below shows the sample size and distribution among the surveyed Mekhlafs:
# Mekhlaf Name # of HHs Interviews
1 Al Jabjab Mekhlaf 30
2 Al Qa’emah Mekhlaf 30
3 Bani Muslim Mekhlaf 15
4 Bani Al Haddad Mekhlaf 19
5 Bani Sho’ayb Mekhlaf 30
6 Go’or Mekhlaf 34
7 Kabood Mekhlaf 30
8 Noqoth Mekhlaf 16
Total 204
7.3 Data collection from the field and quality control This was through continuous monitoring of the enumerators team from the day of field survey until the end
of the data collection period. Direct communication was ensured using all available means to deliver accurate
data at the required quality and to review data and forms from enumerators.
7.4 Data management and analysis RDP and Sulwan Foundation have designed the assessment tools in KoboCollect and shared it with WASH
program for testing and approval of the tool. The collected data from the field into the KoboCollect database
has been reviewed on a daily basis. An Excel database has been previously designed with certain formulas to
obtain the required assessment results accumulatively and in a real-time manner. The KoboCollect tools were
designed to be error free with predefined drop down lists and obligatory options to be filled. They were also
designed to reject any illogical entry of data. Nevertheless, whenever a misleading data was entered, the data
management officer notice it and provide feedback to the field enumerators to correct the data.
Data were analyzed in a district and sub-district level for more detailed and clear view of the figures and to
identify the neediest sub-districts for WASH services.
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8. Key Findings and Results The most important findings and results from the needs assessment of the two districts regarding Water,
Sanitation, and Hygiene are mentioned here in a district level and the selected locations for intervention are
highlighted:
Water
Up to 34% of interviewed HHs in Wusab Al-Aali get water from unprotected wells, 92.86% of which
are having issues related to taste, appearance or smell of the water they obtain. Only 27% are treating
their drinking water using: water filters (14.55%), chlorine tablets (60%), and boiling water (27%). The
remaining 73% of HHs don’t treat their drinking water mainly due to lack of treatment materials
(84.56%) and lack of knowledge (30.20%).
The average person uses from 15-40 liters of water per day according to sphere standards. In a
district level, 49.51% of HHs are using less than 15 litter/person/day and 38.24% of HHs use between
15-40 litter/person/day which is much less than the minimum sphere standards. Only 12.25% of HHs
use more than 40 litter/person/day. This means that the whole district is in acute need of water
supply.
80% of HHs lack enough water for HH’s needs such as cleaning and other uses, and they adapt by
reducing drinking water 35% of HHs, reducing hygiene water 31%, and reducing cleaning water 32%.
HHs spend a lot of time to bring water. Women and children are the responsible HHs members for
fetching water. In a district level, only 34% of HHs spend less that 30 minutes to bring water while
21% of HHs spend 1-2 hours to bring water and 38% spend between 30 minutes and 1 hour to bring
water.
64% of HHs have a problem with fetching water due to far distance and queuing time.
Women and children are the ones responsible for fetching water from water sources, and they spend
long time in fetching water. Women are not separated in lines from men. Children don’t go to schools
due to this issue.
Sanitation
In a district level, 22% of HHs don’t have access to functioning latrines while 65% indicated that only
some members of their families have access to latrines. Only 13% have enough latrines in the whole
district.
27% of HHs use flush latrine to the open (unimproved), 28% use pit latrine-open/without slab
(unimproved) and only 18% use pit latrine-covered/with slab (improved)
Waste water and sanitation is a main issue in Wusab Al-Aali district. In a district level, 77% of
households have issues with waste water around their houses and environment.
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Hygiene
64% of HHs leave their garbage in public areas.
51% of HHs don’t have soap and 38% said that they had soap, but the interviewer did not see it. The
main reason for not having soap for 43% of HHs was because they couldn’t afford it.
91% of HHs don’t have hand washing facilities and 6% said that they had have hand washing facility,
but the interviewer did not see it
88.7% of HHs did not receive any hygiene promotion messages in the last year.
9 Analysis and Demonstration
This section explains the findings and the analysis of the collected data in a district and sub-district level. This
is to provide analysis and interpretation of the obtained findings including tables and graphs demonstrating
these results to help and assess decision makers prioritize the needs and decide what activities should be
included in the intended project/s. Analysis will be ordered according to the sections on the HH interviews
tool and the other tools will follow:
The data analysis of the General Situation, HHs interviews, FGDs, KIIs and their recommendations for the
inventions in Wusab Al-Aali district is demonstrated below for each section of the HH interview form. The
very important sections are highlighted with more briefing and demonstration to reflect the actual situation
in a sub-district level/ Mikhlaf.
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9.1.1 General Situation data
RDP and Sulwan Foundation WASH engineers have collected general information about the district using a
customized tool. The information was collected from different locations and sources including health facilities
and community leaders. The data included health, cholera, and humanitarian situation.
The General Information for some sub-district level/ Mikhlaf is summarized as follows:
Mikhlaf Name
Sub-district Name
Location
Name
Type of
locality
Topography
The situation of people on
the site
Any NGOs provide WASH
services
Which NGOs
Kind of Support
Are there other
NGOs?
What are
they?
Their Support
Bani Muslim
- Al-dayadir - Almuraba’
ah - Qaeidah
Qaeidah
Rural Sharp slope
- Host Community
- IDPs
No No
- Al-sulul - Kalah Wa-
Alahyam
Samrah Rural Moderate to a sharp slope
- Host Community
- IDPs
No No
Bani Shueayb
- Al-Mawasatuh
Rural Plain field
- Al-Jadaluh Plain field
- Thi Hamd
Thi Hamd
Rural Rugged mountains and steep valleys
- Host Community
No Yes Islamic Relief
Food Security
Al-Jabajb
- Al-shuraka'
Al-Barjah
Rural Moderate slope
- Host Community
No No
- Ajbar Sawafil
Rbwa Rural Moderate slope
- Host Community
Yes UNICEF Soaps for water
diarrhea cases
No
Bani Al-hadad
- Bani Al-Hadada
Al-Dan Rural Moderate slope
- Host Community
Yes GARWSP
Soaps for water
diarrhea cases
No
Kabud - Zajid - Al-Ajbar - Al-Aawl
Al-Aqar HC
Rural Mountains and
Valleys
- Host Community
- IDPs
No No
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- Shjb - Gharbii
Kabud - Bani Al-
Waely
Bani Al-Waely Al-Qharf
Rural Hills, Moderate Sloop, and Plain Field
- Host Community
- IDPs
No Yes UNICEF Medicine
- Sharqi Kabud
Rural Sharp slope
And Hills
- Host Community
No No
Naqadh
- Bani
Rabieu
HC Rural Hills, Moderate
Sloop
- Host Community
No Yes Islamic Relief
Food Security
- Al-Sanah Maghrabat Al-Wasat
Rural Hills No Yes Islamic Relief, WFP
Food Security
The table below show the needs for different sub-districts:
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Mikhlaf Name
Sub-district Name
Location High prevalence of
diseases
Low income Less water quantity
Poor water quality
Water storage problems
Poor hygiene practices
Open defecation
Others
Ban
i Mu
slim
Al-dayadir Almuraba’ Al-dayadir
Qaeidah High Support statement for the key areas identified: Latrines and sewer Rehabilitation. Mosquito nets. Recommendations: Provision of mosquito nets, treatments, medical staff and support of health centers and units.
High Support statement for the key areas identified: Financial support as well as basic needs Recommendations: Food Security assistance.
Medium Support statement for the key areas identified: Install and build tanks, water barriers. Recommendations: Encourage people to participate in building tanks.
High Support statement for the key areas identified: Rehabilitation water ponds. Recommendations: Rehabilitation of the existed tanks and protection for water ponds.
High Support statement for the key areas identified: Provision of water storage tanks. Recommendations:
Medium Support statement for the key areas identified: Provision of hygiene kits. Recommendations: Hygiene promotion and distibution of hygiene kits.
Medium Support statement for the key areas identified: Hygiene Promotion Recommendations: Educate the community about the cause of the infection.
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Mikhlaf Name
Sub-district Name
Location High prevalence of
diseases
Low income Less water quantity
Poor water quality
Water storage problems
Poor hygiene practices
Open defecation
Others
Al-sulul Kalah Wa-Alahyam
Samrah High Support statement for the key areas identified: Latrines and pits rehabilitation, mosquito nets Medicine Recommendations: Provision of medicine, mosquito nets and hygiene kits
High Support statement for the key areas identified: Food Security. Recommendations: Food Security assistance. Financial support (CASH assistance).
High Support statement for the key areas identified: Install and build tanks, provision of plastic tanks. Recommendations: Install and build tanks
High Support statement for the key areas identified: Provision of chlorine tabs/ filters. Recommendations: Hygiene promotion on treatment methods.
High Support statement for the key areas identified: Provision of water storage tanks. Recommendations: Awareness sessions on hygiene practices.
Medium Support statement for the key areas identified: Provision of hygiene kits. Recommendations: Hygiene promotion and distibution of hygiene kits.
Medium Support statement for the key areas identified: Hygiene Promotion Recommendations: Educate the community about the cause of the infection.
Al-Raiedee
AL-Shaberah
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Mikhlaf Name
Sub-district Name
Location High prevalence of
diseases
Low income Less water quantity
Poor water quality
Water storage problems
Poor hygiene practices
Open defecation
Others
Ban
i Sh
uea
yb
Al-Mawasatuh
High Support statement for the key areas identified: Provide the necessary medicine to eliminate the spread of diseases
Low Support statement for the key areas identified: Support activties that can support the most vulnerable HHs Recommendations: Financial support
Low Support statement for the key areas identified: Construction of rainwater collection tanks Recommendations: Water treatment methods are required.
Medium Support statement for the key areas identified: Construction of waterfalls/ rainwater collection tanks. Recommendations: To support these activities.
Low Support statement for the key areas identified: Building barriers and water tanks. Recommendations: To support these activities.
low Support statement for the key areas identified: Hygiene promotion. Recommendations: Hygiene promotion and distibution of hygiene kits.
Medium Support statement for the key areas identified: Construction of sewage projects. Recommendations: To support these activities.
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Mikhlaf Name
Sub-district Name
Location High prevalence of
diseases
Low income Less water quantity
Poor water quality
Water storage problems
Poor hygiene practices
Open defecation
Others
Al-Jadaluh
High Support statement for the key areas identified: Provide the necessary medicine to eliminate the spread of diseases
Low Support statement for the key areas identified: Support activties that can support the most vulnerable HHs Recommendations: Financial support
Low Support statement for the key areas identified: Construction of rainwater collection tanks Recommendations: Water treatment methods are required.
High Support statement for the key areas identified: Construction of waterfalls/ rainwater collection tanks. Recommendations: To support these activities.
High Support statement for the key areas identified: Building barriers and water tanks. Recommendations: To support these activities.
low Support statement for the key areas identified: Hygiene promotion. Recommendations: Hygiene promotion and distibution of hygiene kits.
Medium Support statement for the key areas identified: Construction of sewage projects. Recommendations: To support these activities.
Thi Hamd
Thi Hamd
High Support statement for the key areas identified: Provide the necessary medicine to eliminate the spread of diseases
High Support statement for the key areas identified: Support activties that can support the most vulnerable HHs Recommendations: Financial support
Low Support statement for the key areas identified: Construction of rainwater collection tanks Recommendations: Water treatment methods are required.
Low Support statement for the key areas identified: Construction of waterfalls/ rainwater collection tanks. Recommendations: To support these activities.
Low Support statement for the key areas identified: Building barriers and water tanks. Recommendations: To support these activities.
Medium Support statement for the key areas identified: Hygiene promotion. Recommendations: Hygiene promotion and distibution of hygiene kits.
Medium Support statement for the key areas identified: Construction of sewage projects. Recommendations: To support these activities.
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Mikhlaf Name
Sub-district Name
Location High prevalence of
diseases
Low income Less water quantity
Poor water quality
Water storage problems
Poor hygiene practices
Open defecation
Others
Al-
Jab
ajb
Al-shuraka'
Al-Barjah
High Support statement for the key areas identified: Contaminated area, contaminated water and open sewage. Recommendations: The provision of medicines, install/ build tanks and digging pits.
High Support statement for the key areas identified: Food Security. Recommendations: Food Security assistance. Financial support (CASH assistance)/ CASH for work activities.
Low Support statement for the key areas identified: Building barriers and tanks. Recommendations: To support these activities.
High Support statement for the key areas identified: Surface wells are not suitable for drinking Recommendations: Provision of tanks for water filtration.
High Support statement for the key areas identified: Surface wells are not suitable for drinking Recommendations: Provision of tanks for water filtration.
High Support statement for the key areas identified: Lack of water. Recommendations: Hygiene promotion and distibution of hygiene kits.
High Support statement for the key areas identified: No latrines for some HHs. Recommendations: To build latrines and dig pits.
IDPs Support statement for the key areas identified: Small houses. Recommendations: Shelters and camps for IDPs
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Mikhlaf Name
Sub-district Name
Location High prevalence of
diseases
Low income Less water quantity
Poor water quality
Water storage problems
Poor hygiene practices
Open defecation
Others
Ajbar Sawafil
Rabwa'a Al-Jabjab
Low Support statement for the key areas identified: Provide vaccines for childhood and fatal infectious diseases Recommendations: Support health facility by medicines, medical supplies and staff support
High Support statement for the key areas identified: Providing work for cash opportunities Recommendations: Improving income and housing and supporting education
Low Support statement for the key areas identified: Preserving and harvesting the water. Recommendations: Support the construction of tanks and the rehabilitation of water wells
Medium Support statement for the key areas identified: Awareness and guidance on the importance of water. Recommendations: Awareness and guidance on the importance of water.
High Support statement for the key areas identified: Providing tanks or constructing protected harvesting rainwater Recommendations: Building sewage far away from the water source.
High Support statement for the key areas identified: Support and education of maternal and child health, and attention to food and housing condition and safety. Recommendations: Hygiene promotion and distibution of hygiene kits.
Medium Support statement for the key areas identified: Build latrines. Recommendations: Promotion.
Ban
i Al-
had
ad
Bani Al-Hadad
Al-Dan Medium Recommendations: Support health facility.
Low Recommendations: Support community.
Medium Recommendations: Support the construction of tanks and water barriers.
Medium Recommendations: Save rainwater and use filters for drinking water.
High Recommendations: Building water collective tanks.
High Recommendations: Hygiene promotion
High
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Mikhlaf Name
Sub-district Name
Location High prevalence of
diseases
Low income Less water quantity
Poor water quality
Water storage problems
Poor hygiene practices
Open defecation
Others
Kab
ud
Zajid Al-Ajbar Al-Aawl
Al-Aqar HC
High Support statement for the key areas identified: Provide the necessary medicine to eliminate the spread of diseases
High Support statement for the key areas identified: Food Security
Medium Support statement for the key areas identified: Construction of tanks.
High High Support statement for the key areas identified: Awareness sessions, Hygiene promotion.
High Support statement for the key areas identified: Awareness sessions, Hygiene promotion.
Shjb Gharbii Kabud Bani Al-Waely
Bani Al-Waely Al-Qharf
High Support statement for the key areas identified: Provide the necessary medicine to eliminate the spread of diseases
Low Low High Support statement for the key areas identified: Unprotected water ponds. Recommendations: Cover the water sources
Low Support statement for the key areas identified: Provide water tanks
Medium Support statement for the key areas identified: Leave the trash in front of the waterway Recommendations: Hygiene promotion
Medium Support statement for the key areas identified: Public areas are not clean Recommendations: Latrine construction.
Sharqi Kabud
High High High High High High High
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Mikhlaf Name
Sub-district Name
Location High prevalence of
diseases
Low income Less water quantity
Poor water quality
Water storage problems
Poor hygiene practices
Open defecation
Others
Naq
adh
Bani Rabieah
Medium Support statement for the key areas identified: Health care.
High High Support statement for the key areas identified: Wells are needed
High Support statement for the key areas identified: Provision of water tanks and distribution of filters.
High Support statement for the key areas identified: Provision of water tanks.
High Recommendations: Hygiene promotion
High Recommendations: Construction of sewage projects.
Al-Sanah Maghrabat Al-Wasat
Medium Low Medium Low Medium High
Al-
qai
mah
Bani Shainif
Musina’ah
Jabal Matahan
Al-Haljom HU
Ranking of Need
-
Key for Ranking Severity of Need (including data)
High Severe Situation: Urgent intervention required
Medium Situation of concern, or lack of data/unreliable data: further assessment and/or surveillance required
Low Relatively normal situation (or good data)or local population able to cope with crisis; no further action required
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- The district needs are not fully covered by NGOs.
- The sub-districts are in need for emergency interventions including but not limited to WASH
interventions and services.
- The sources indicated that the need is high for outbreak responses, income generation response,
water, hygiene, and sanitation response and awareness.
- The recommendations included:
o Water services for HHs and rehabilitation of water schemes
o Solutions for sanitation facilities
o Distribution of water filters and chlorine tablets to treat drinking water
o Hygiene kits distribution
o Latrines construction and rehabilitation
o Distribution of new water jerry cans for HHs
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9.1.2 HH Interviews: The data analysis of the household interviews is demonstrated below for each section of the HH interview
form. The very important sections are highlighted with more briefing and demonstration to reflect the
actual situation in a sub-district level.
9.1.2.1 General Information 14% of HHs are headed by women. This percentage is significant in Bani Muslim Mikhlaf/division then Al-
Jabjab which is an indication of potential protection issues of female headed households.
Almost 13% of the interviewed samples are people with disabilities. The table below show the district of
people with disabilities, Children under 5 years old, PLW, and Adult over 60 years old:
Family Children under 5 years old
Pregnant / lactating women
Adult over 60 years old
Person with disability
Female 7% 3% 4% 3%
Male 34% 17% 21% 10%
Grand Total
42% 20% 25% 13%
35.78% of the interviewed samples were IDPs where 18% of which are hosting other IDPs families. 32% of
the remaining 64.22% interviewed samples were host community HHs hosting IDPs in their houses.
Al-Jabajb
Al-Qayima
BaniMuslim
Bani Al-hadad
BaniShueay
bJua’ar Kabud Naqad
Female 23.33% 13.33% 26.67% 21.05% 13.33% 20.59% 13.33% 6.25%
Male 76.67% 86.67% 73.33% 78.95% 86.67% 79.41% 86.67% 93.75%
0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%
100.00%
Axi
s Ti
tle
Head of HH
17%
83%
Head of HH(district level)
Female
Male
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64%
36%
Resindence stauts(district level)
HostCommunity
IDP
Al-Jabjab
Al-qaima
h
BaniMusli
m
BaniAl-
Hadad
BaniShuea
ybJua'ar Kabud
Naqadh
Host Community 70.00% 66.67% 46.67% 63.16% 70.00% 73.53% 53.33% 56.25%
IDP 30.00% 33.33% 53.33% 36.84% 30.00% 26.47% 46.67% 43.75%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Resindence stauts (Mikhlaf level)
HostCommunity
IDPHost
Community
IDPHost
Community
IDPHost
Community
IDPHost
Community
IDPHost
Community
IDPHost
Community
IDPHost
Community
IDP
Al-Jabjab Al-qaimah Bani Muslim Bani Al-Hadad Bani Shueayb Jua'ar Kabud Naqadh
No 57.14% 88.89% 80.00% 90.00% 14.29% 50.00% 91.67% 100.00 85.71% 77.78% 40.00% 55.56% 87.50% 92.86% 100.00 85.71%
Yes 42.86% 11.11% 20.00% 10.00% 85.71% 50.00% 8.33% 0.00% 14.29% 22.22% 60.00% 44.44% 12.50% 7.14% 0.00% 14.29%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
120.00%
Resindence stauts
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9.1.2.2 Water
It was concluded from the obtain data and results of the analysis that the main water source in the district
is unprotected wells 34%. The highest percentage of people depending on unprotected wells mainly are in
Al-Jabjab Mikhlaf and Jua’ar Mikhlaf respectively as shown in the sub-district figure below:
2% 0% 1%
16%
16%
34%
1%
23%
2% 2%
3%Main water sources
Borehole
Other
Protected Borehole
Surface water (river, damn,lake, pond, stream, canal)Unprotected spring
Unprotected well
Water trucking
Unprotected rainwater tank
Protected spring
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93% of people reported that they have issues with the water they obtain from wells in terms of smell, color
and taste. This was concluded when filtering the data and analyzing those depending mainly on
unprotected wells as a main source for drinking water. The below figures show this in more details:
Al-Jabjab
Al-qaimah
BaniMuslim
Bani Al-Hadad
BaniShueayb
Jua'ar Kabud Naqadh
Bottled water 0.00% 0.00% 0.00% 0.00% 0.00% 14.71% 3.33% 0.00%
Protected rainwater tank 0.00% 0.00% 0.00% 21.05% 0.00% 0.00% 0.00% 0.00%
Protected spring 3.33% 0.00% 0.00% 0.00% 0.00% 0.00% 3.33% 12.50%
Unprotected rainwater tank 3.33% 63.33% 33.33% 10.53% 33.33% 17.65% 10.00% 0.00%
Water trucking 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 6.67% 0.00%
Unprotected well 70.00% 26.67% 20.00% 15.79% 16.67% 52.94% 36.67% 6.25%
Unprotected spring 16.67% 10.00% 26.67% 36.84% 0.00% 8.82% 30.00% 6.25%
Surface water (river, damn, lake, pond,stream, canal)
0.00% 0.00% 0.00% 15.79% 46.67% 5.88% 6.67% 68.75%
Protected Borehole 3.33% 0.00% 0.00% 0.00% 0.00% 0.00% 3.33% 6.25%
Other 3.33% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Borehole 0.00% 0.00% 20.00% 0.00% 3.33% 0.00% 0.00% 0.00%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Main water sources (Mikhlaf level)
4% 3%
93%
Issues with water from unprotected wells(district level)
Don't know
No
Yes
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The taste and appearance are the main two issues with un-protected wells’ water in the district.
Total
Average of bad_smell 38.46%
Average of bad_appearance 64.62%
Average of bad_taste 67.69%
Average of other4 1.54%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
HH
s %
hav
e th
is Is
sues
Type of issues with water(district level)
Al-Jabjab Al-qaimahBani
MuslimBani Al-Hadad
BaniShueayb
Jua'ar Kabud Naqadh
Don't know 0.00% 0.00% 33.33% 0.00% 0.00% 11.11% 0.00% 0.00%
No 9.52% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Yes 90.48% 100.00% 66.67% 100.00% 100.00% 88.89% 100.00% 100.00%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
120.00%
Axi
s Ti
tle
Issues with water from unprotected wells (Mikhlaf level)
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73% of HHs in the district don’t treat their water mainly due to lack of treatment materials (84.56%) and
lack of knowledge (30.20%). Only 27% are treating their drinking water using: water filters (14.55%),
chlorine tablets (60%), and boiling water (27%). This is an indication for the need for the water filters and
chlorine tablets as a method for interventions to respond to the water treatment need.
Al-Jabjab Al-qaimahBani
MuslimBani Al-Hadad
BaniShueayb
Jua'ar Kabud Naqadh
Average of bad_smell 0.00% 12.50% 50.00% 100.00% 0.00% 81.25% 54.55% 100.00%
Average of bad_appearance 47.37% 37.50% 0.00% 0.00% 100.00% 93.75% 81.82% 100.00%
Average of bad_taste 47.37% 62.50% 100.00% 100.00% 0.00% 87.50% 90.91% 100.00%
Average of other4 5.26% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
120.00%
Type of issues with water
73%
27%
HHs treat water
No
Yes
boil_water chlorine_tablets
filter other5
Total 7.35% 16.18% 3.92% 0.98%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
Ways to treat water (District Level)
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The need for awareness
and water filters and
chlorine is very obvious
in a district level.
The average person uses from 15-40 liters of water per day
according to sphere standards. In a district level, 49.51% of HHs
are using less than 15 litter/person/day and 38.24% of HHs use
between 15-40 litter/person/day which is much less than the
minimum sphere standards. Only 12.25% of HHs use more than 40
litter/person/day. This means that the whole district is in acute
need of water supply.
In a sub-district level, 63% of HHs, 60% HHs and 53% HHs
respectively in Bani Shueayb, Bani Muslim, and Al-Jabjab
Makhaleef and use less than 15 litters/person/day.
Al-Jabjab
Al-qaimah
BaniMuslim
Bani Al-Hadad
BaniShueayb
Jua'a'r Kabud Naqadh
betwwen 15-40 litter/person/day 53.33% 16.67% 0.00% 63.16% 60.00% 38.24% 30.00% 31.25%
less than 15 litter/person/day 6.67% 83.33% 100.00% 36.84% 10.00% 58.82% 63.33% 62.50%
more than 40 litter/person/day 40.00% 0.00% 0.00% 0.00% 30.00% 2.94% 6.67% 6.25%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
120.00%
Water usage per person/day
38.24%
49.51%
12.25%
Water usage per person/day
betwwen15-40litter/person/day
less than 15litter/person/day
more than40litter/person/day
Average ofno_need
Average ofno_materi
als
Average ofno_knowle
dge
Average ofno_time
Average ofdont_kno
w3
Average ofother6
Total 1.34% 84.56% 30.20% 0.00% 0.00% 0.00%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
Why HH don't treat water
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In a district level, HHs spend a lot of time to bring
water. Women and children are the responsible
HHs members for fetching water. In a district level,
only 34% of HHs spend less that 30 minutes to bring
water while 21% of HHs spend 1-2 hours to bring
water and 38% spend between 30 minutes and 1
hour to bring water.
In a sub-district level, a significant percentage of
HHs in each sub-district spend between 30 minutes
to 1 hour to bring water from the available water sources.
In Kabud Mikhlaf, 70% spend 30 minutes of les to bring water,
64% of HHs have a problem with collecting the water in terms of far distance and queuing time. 80% of HHs lack enough water for HH’s needs such as cleaning and other uses, and they adapt by reducing drinking water 35% of HHs, reducing hygiene water 31%, and reducing cleaning water 32%.
Al-Jabjab
Al-qaimah
BaniMuslim
Bani Al-Hadad
BaniShueay
bJua'ar Kabud Naqadh
30 minutes or less 56.67% 26.67% 80.00% 26.32% 23.33% 38.24% 13.33% 25.00%
Between 1 and 2 hours 10.00% 20.00% 0.00% 26.32% 20.00% 32.35% 16.67% 43.75%
Between 30 minutes and 1 hour 26.67% 40.00% 13.33% 31.58% 56.67% 20.59% 70.00% 25.00%
More than 2 hours 6.67% 10.00% 0.00% 10.53% 0.00% 8.82% 0.00% 6.25%
Water source is located at the property 0.00% 3.33% 6.67% 5.26% 0.00% 0.00% 0.00% 0.00%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
Time to go bring water
34%
21%
38%
5% 2%
Time to go bring water
30 minutes orless
Between 1 and2 hours
Between 30minutes and 1hour
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9.1.2.3 Sanitation In a district level, 22% of HHs don’t have access to
functioning latrines while 65% indicated that only
some members of their families have access to
latrines. Only 13% have enough latrines in the whole
district.
In a sub-district level, the acute need is obvious in Al-
qaimah Mikhlaf where 70% of the households have
no access latrines then Naqadh and Kabud Makhalif.
Some members of households have access to
functioning latrines in Bani Shueayb, Bani Muslim,
and Al-Jabjab Makhalif with 93%, 86% and 60%
Al-Jabjab
Al-qaimah
BaniMuslim
BaniShueayb
Bani Al-Hadad
Jua'ar Kabud Naqadh
All family members have access tolatrines that are valid / functioning
33.33% 0.00% 6.67% 3.33% 0.00% 17.65% 10.00% 37.50%
No members have access to afunctioning latrine
6.67% 70.00% 6.67% 3.33% 15.79% 5.88% 23.33% 43.75%
Only some members have access to afunctioning latrine
60.00% 30.00% 86.67% 93.33% 84.21% 76.47% 66.67% 18.75%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Do your household members have access to a functioning latrine?
13%
22%
65%
Do your household members have access to a functioning
latrine? All familymembers haveaccess to latrinesthat are valid /functioning
No members haveaccess to afunctioning latrine
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In district level, 73% of HHs who have access to latrines shared their latrines with others. 31% of
household’s members who do not have access to latrines are children then persons with disabilities with a
percentage of 28%
No water and lack of privacy are the main problems that face most households. In district level, 27% of HHs use flush latrine to the open (unimproved), 28% use pit latrine-open/without
slab (unimproved) and only 18% use pit latrine-covered/with slab (improved).
Waste water and sanitation is a main issue in
Wusab Al-Aali district. In a district level, in a
district level, 77% of households have issues
with waste water around their houses and
environment. It is very obvious that Bani
Muslim and Jua’ar are the two main Makhalif
most affected by the sanitation in in the open
problem.
73%
27%
Is your latrine shared with other prople?
No
Yes
11%
31%
28%
23%
7%
member who do not have access to latrines
Memberwomen_girls
Member children
Membermen_boys
Memberpeople_with_disabilityMember other9
23%
77%
Visible wastewater in the vicinity (30 meters or less) of your house in the
last 30 days
No problem
There is sometimesvisible wastewater inthe vicinity of myhousehold (1-2 timesper month)
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9.1.2.4 Hygiene
91% of HHs don’t have hand
washing facilities in a district level.
51% of HHs don’t have soap and
38% said that they had soap, but
the interviewer did not see it. The
main reason for not having soap
for 43% of HHs was because they
couldn’t afford it.
In a sub-district level, the analysis show that Bani Muslim, Bani Al-Hadad, and Jua’ar Makhalif are the two
sub-districts where 93% .68%, 64% of HHs respectively don’t have soap at all in their houses.
Al-JabjabAl-
qaimahBani
MuslimBani Al-Hadad
BaniShueayb
Jua'ar Kabud Naqadh
No problem 70.00% 3.33% 0.00% 68.42% 13.33% 0.00% 13.33% 18.75%
There is sometimes visible wastewaterin the vicinity of my household (1-2
times per month)30.00% 96.67% 100.00% 31.58% 86.67% 100.00% 86.67% 81.25%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
120.00%
Visible wastewater in the vicinity (30 meters or less) of your house in the last 30 days
91%
6% 3%
Do you have handwashing
facilities in your household?
No
Yes (butdid not seethefacilities)
51%38%
11%
Do you have soap and use it?
No
Yes (butdid notsee soap)
Yes (sawsoap)
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In a sub-district level, Jua’ar and Bani Al-Hadad is the most affected Makhalif of the garbage problem and
thus it is recommended to have cleaning campaigns as part of the intended intervention.
64% of HHs leave their garbage in public areas.
Al-Jabjab Al-qaimahBani
MuslimBani Al-Hadad
BaniShueayb
Jua'ar Kabud Naqadh
No 56.67% 33.33% 93.33% 68.42% 23.33% 64.71% 46.67% 50.00%
Yes (but did not see soap) 6.67% 63.33% 0.00% 26.32% 66.67% 35.29% 50.00% 25.00%
Yes (saw soap) 36.67% 3.33% 6.67% 5.26% 10.00% 0.00% 3.33% 25.00%
0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%
100.00%
Do you have soap and use it?
26%
64%
1%
1%
8%
Garbage disposal waysGarbage is buried or burned
Garbage is left in public areas andnot collected
Garbage is left in street byhousehold and collected throughpublic system
Garbage is left in street containersby household and collectedthrough public system
Other (specify)
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88.7% of HHs did not receive any hygiene promotion messages in the last year.
9.1.3 FGDs The field enumerators conducted 33 FGDs in 62 sub-districts of Wusab Al-Aali. The FGDs data was analyzed
and they have confirmed the finding of the individual HHs interviews findings. The following are the
highlights and important notes concluded from people’s discussions:
- The main water source for most of the HHs is also unprotected rainwater tanks which were used for
the last 30 days by 43% of the FGDs participants then surface water with percentage of 33%
- 79% of participants confirmed that people are having issues with the taste, smell, and appearance of
the water they obtain.
- 61% of participants confirmed that most of people don’t treat drinking water. Almost 21% of the
households use boiling water as a mean for treatment and some of them use water filters for water
purification. The main reason for not treating water was due to lack of required materials or
knowledge of how to treat it.
Al-Jabjab
Al-qaimah
BaniMuslim
Bani Al-Hadad
BaniShueayb
Jua'ar Kabud Naqadh
Garbage is buried or burned 30.00% 6.67% 0.00% 10.53% 70.00% 2.94% 23.33% 62.50%
Garbage is left in public areas and notcollected
70.00% 93.33% 66.67% 84.21% 30.00% 97.06% 40.00% 12.50%
Garbage is left in street by householdand collected through public system
0.00% 0.00% 13.33% 0.00% 0.00% 0.00% 0.00% 0.00%
Garbage is left in street containers byhousehold and collected through public
system0.00% 0.00% 20.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Other (specify) 0.00% 0.00% 0.00% 5.26% 0.00% 0.00% 36.67% 25.00%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
120.00%
Garbage disposal ways
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- It was stated by the community in general that access to water is changing since sometimes it is easy
to reach water sources and sometimes it is not.
- People use different coping strategies to adopt with lack of drinking water. A significant percentage
of people go to further water point than the usual.
- 91% of participants feel the activity of fetching water (distance and queuing time) constitutes a
problem for members of the community.
- 43% of participants stated that minority of the population does not have access to a latrine (±15-30%).
- 70% of participants stated that garbage is left in the open and most of areas of the community have
many piles of garbage everywhere on the surroundings of houses and public areas.
- 61% of participants stated that most areas of the community/site have constant sewage problems
(visible wastewater constantly in the streets).
9.1.4 KIIs
RDP WASH engineers conducted two Key Informants Interviews in the district with a local council member
and doctor in thee Epidemiological surveillance of the district. Below is a summary of the conducted KIIs
and their highlights:
Challenges in accessing Water, Sanitation and Hygiene (WASH) services
- The main challenges experienced by men, women and children in the district in accessing water:
Water sources are not enough for drinking and other daily uses of HHs in the district, unclean and exposed
to contamination.
- The main challenges experienced by men ,women and children in this district related to sanitation:
The number of latrines in the district is very limited and most of the villages don’t have latrines. Almost all
of the available latrines are not safe especially for women. There are no doors or roofs for these latrines.
Due to this issue, people have adopted by defecation in the open which is a big problem in the district.
The existed latrines are not rehabilitated, are considered as a source of contamination, and there is lack of
privacy.
- Risks while accessing Water, Sanitation and Hygiene services for men, women, and children:
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Water sources are exposed to contamination during collecting water in the rainy seasons where waste
water enter the water channels leading to contamination in water springs and dam. Sewage waste
accumulates with rainwater into the water source. Other contamination can occur in:
1. Protected water ponds: they are exposed to contamination during fetching water. Some jerry cans
are also used in latrines, other are packed on animals, and the rest of them are placed on the
ground and then used for fetching water. All these factors cause water pollution.
2. Unprotected water ponds: they are subject to contamination all time, also some people leave
garbage there.
3. Springs: for the protected sources, the contamination happens when unclean jerry cans are used.
While the unprotected springs, unclean jerry cans and waste water are the main reasons for the
contamination.
To solve the problem of water source contamination, the treatment of open sewage should be considered
during any intervention through the digging pits and cover them. Also by distributing water filters and jerry
cans.
Impact of Water, Sanitation and Hygiene (WASH) services The impact of the current status of basic Water, Sanitation and Hygiene (WASH) services in the district
on men, women and children:
With the increase in the number of population and the scarcity of water resources, water amount has been
decreased. Lack of water has also led to poor hygiene practices.
There are no hygiene awareness sessions or water treatment methods trainings so all households have a
water pollution problem. The low level of awareness has led to a lack of use of hygiene items like (soap,
menstrual pads, water containers…etc.).
Coping mechanisms Lack of water negatively affects the proper use of water in drinking and cleanliness; therefore, people are
coping with situation by reducing water consumption or go to further water sources to fetch water.
There are a number of protected latrines; however, they are few. Therefore, some people use unprotected
latrines or open defecation.
Menstrual Hygiene Management - Most of HHs cannot afford buying the basic hygiene items of soap and detergents.
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9.1.5 Health Section Water /Sanitation/ Hygiene borne disease prevailing – Cholera Cases:
According to the epidemiological situation at district level highly risk for RDT positive during January 2019,
Wusab Al-Aali district was one of the top 10 districts with high confirmed Cholera cases. In this assessment,
Cholera cases were included and Water /Sanitation/ Hygiene borne disease numbers were gathered.
Information was gathered from health facilities and the Rapid Response Team Reports.
a) Below a table show number of cases Water /Sanitation/ Hygiene borne disease prevailing – Cholera
Cases from health facilities:
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Mikhlaf Name Bani Muslim
Bani Shueayb
Al-Jabajb
Ban
i Al-
had
ad
Kabud Naqadh
Al-qaimah
Sub-district Name
Al-
day
adir
A
lmu
rab
a’
Qae
idah
Al-
sulu
l Ka
lah
Wa-
Ala
hya
m
A
l-R
aied
ee
AL-
Shab
erah
Al-
Maw
asat
uh
Al-
Jad
alu
h
Thi H
amd
A
l-sh
ura
ka'
Ajb
ar S
awaf
il B
ani A
l-H
adad
Zajid
Al-
Ajb
ar
Al-
Aaw
l Sh
jb
Gh
arb
ii K
abu
d
Ban
i Al-
Wae
ly
Sh
arq
i Kab
ud
Ban
i Rab
ieah
Al-
San
ah
Ban
i Sh
ain
if
Jab
al
Mat
ahan
Location Q
aeid
ah
Sam
rah
Thi H
amd
A
l-B
arja
h
Rb
wa
Al-
Dan
Al-
Aq
ar H
C
Ban
i Al-
Wae
ly
Al-
Qh
arf
Mag
hra
bat
Al-
Was
at
Mu
sin
a’ah
Al-
Hal
jom
H
U
Number of Cholera Suspicious cases
5 60 500 300
Number of Cholera Suspicious cases
17 10 45
Diarrhoea
Affected <5 150 76 80 15 16 5 74 48 30 49 110 45 77 1250 640
>5 85 94 70 61 23 4 85 19 36 28 250 25 181 720 313
Deaths <5 0 2 57 15 7 327
>5 1 3 37 8 302
Acute water Diarrhoea (AWD)
Affected <5 50 60 50 6 7 32 21 20 15 80 63 800 314 >5 20 121 20 3 11 27 15 26 10 150 17 633 170
Deaths <5 4 2 1 1 27 6 10 193
>5 5 7 1 16 5 3 134
Acute respiratory infection (ARI)
Affected <5 100 137 115 75 3 10 75 70 60 75 93 920 >5 50 492 134 150 8 6 55 100 40 40 136 2420
Deaths <5 3 4
>5 5
Malaria Affected <5 20 11 7 3 18 8 1 9 45 5 2400 354
>5 25 32 12 13 2 81 11 1 28 80 8 3330 123 Deaths <5 2 14 98
>5 1 8 73
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Dengue Affected <5 1 190 >5 35
Deaths <5 78
>5
64
Any other water borne diseases
Affected <5
30 65 90 2 1 5 25 400
>5 150 235 250 25 21 8 19 320 Deaths <5 10
>5 1
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From the table below, it is obvious that some districts have a high number of disease related to water/
sanitation/hygiene such as: Bani Shainif and Jabal Matahan sub-districts in Al-qaimah Mikhlaf, Shjb and
Gharbii Kabud sub-districts in Kabud Mikhlaf, Bani Al-Hadad sub-district.
b) Below are results from RRT evaluation study in affected areas:
Mikhlaf/ Division
Name
Al-Jabajb
Al-Qaimah
Bani
Muslim
Jua’a
r
Bani Al-hadad
Sub-districts Ajbar Sawafil
Al-kalibin Al-Janubiu Halbah Wa-Almeashar
Qaeidah
Bani Hafs
Bani Al-Hadad Noman
Reasons of Cholera
Outbreak:
- Unprotected water source, - No hand washing, - 45.6% of cases use open defecation - Waste water.
Most places with epidemic:
Algharbiu Alaali, Bani shanif, Bani namar, Ajbar sawafil, Alshuraka', Alhitari, Eiraf, Bani alhadad, Alkalibin
aljanubiu, Noman, Alshiraqiu, Qaeida, Bilad alsadah, Ajbar Awaly, Habar, Yaris sun districts.
9.1.6 Recommendations
After deep analysis from the different data sources and analysis and demonstration above, we have
concluded the following recommendations for the kind of activities and services to be provided in the
intended intervention:
- Rehabilitation of water scheme in the sub-district of Al-Jabjab Mikhlaf “Al-shuraka' and Ajbar Sawafil sub
districts where the main water sources are (unprotected wells), Al-Qaimah Mikhlaf “Bani Shainif , Jabal
Matahan, Al-kalibin Al-Janubiu, and Halbah Wa-Almeashar sub-districts where the main water sources
are (Unprotected rainwater tanks), and Bani Al-Hadad Mikhlaf “ Bani Al-Hadad sub district” where the
main water source is (unprotected springs).
- As a first stage (pilot) and extend the intervention to other sub-districts, it is recommended to intervene
as integrated WASH package in sub districts where there are Health services that are supported by NGOs
such as: Kabud Mikhlaf where 63% of HHs use less than 15Lit/person/day.
- Provision of communal water tanks/ install water points to be linked with the water scheme which will
be rehabilitated to be in closer locations to beneficiaries.
- Provision of water filters for HHs with cholera cases or suspicious cases/ AWD for treatment of drinking
water.
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- Implement a water quality tests.
- surveillance and mapping of water sources
- Construction of family latrines and rehabilitation of existing latrines in Al-Qaimah Mikhlaf Al-Qaimah
Mikhlaf “Bani Shainif , Jabal Matahan, Al-kalibin Al-Janubiu, and Halbah Wa-Almeashar sub-districts as
first stage of intervention.
- Distribution of basic and consumable hygiene kits for HHs
- Conduct cleaning campaigns in the selected sub-districts
- Distribute hygiene kits to selected HHs.
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10 Photos
Photo (1) Contaminated water sources (unprotected water sources)
Photo (2) latrines to the open
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Photo (3) Women go to obtain water – RRT photo
Photo (4) Pit latrines digging by HHs – RRT photo
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11 References
Yemen Humanitarian Needs Overview 2019
ISAC – Operational Guidance for Coordinated Needs Assessments Handbook
WASH Cluster Needs Assessment tools and Guidelines - January 2019
2019 HNO/HRP
Minimum Standards in Water Supply, Sanitation and Hygiene Promotion -The sphere project Handbook
RRT report