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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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Page 1: WASH Needs Assessment Report · interviews using Kobo Collect forms to ensure the reliability of data. The team leader conducted the KIIs, The team leader conducted the KIIs, water

WASH Needs Assessment Report

In Wusab Al Ali District of Dhamar Governorate

Conducted by

RDP & SULWAN

February, 2019

Page 2: WASH Needs Assessment Report · interviews using Kobo Collect forms to ensure the reliability of data. The team leader conducted the KIIs, The team leader conducted the KIIs, water

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