Call to Action for WASH in Schools

Transcription

1 Call to Action for WASH in Schools Action Point 4: Demonstrate Quality WASH in Schools Programs Results and Lessons from over 10 years of School Health and Nutrition programs Seung Lee, Sr. Director for School Health and Nutrition (SHN) Save the Children, Washington DC, USA World Water Week 9 September

2 S c h o o l h e a l t h p o l i c i e s a n d c o m m u n i t y s u p p o r t What is SHN? W a t e r a n d S a n i t a t i o n (UNICEF SSH Manual) S c h o o l b a s e d d e l i v e r y o f h e a l t h & n u t r i t i o n s e r v i c e s To be healthy to learn and to learn to be healthy SHN = WinS S k i l l s b a s e d h e a l t h, h y g i e n e, n u t r i t i o n & H I V /A I D S p r e v e n t i o n e d u c a t i o n

3 Where we work in SHN/WASH in Schools

4 Theory of Change : how we work to create greater impact for children We will be the voice advocate and campaign for better programs and policies to fullfil children's rights at national, regional and global level; promote child participation and ensure that children s voices are heard particularly those children most marginalised or living in poverty be the innovator develop and prove new, evidencebased and replicable breakthrough solutions to problems facing children, through policy, research and program activity build partnerships coordinate and collaborate with children, civil society organizations, communities, governments and the private sector to share knowledge, influence others and build capacity to ensure children s rights are met achieve results at scale support effective implementation of best practices, programs and policies for children, leveraging our knowledge and working to ensure sustainable impact at scale through advocacy, direct support and capacity-building

5 National SHN program in Nepal Started with pilot with sponsorship funding in 1999 Used evidence to increase funding Partnership with other NGOs 2006 National Strategy developed 2009 SHN Network developed ( and national SHN newsletter)

6 SHN program in Mangochi, Malawi Malawi statistics HDI index 160/182 Life expectancy 52y Adult literacy rate 72% Gross enrolment 62% ratio National SHN program launched in 2007 District: Mangochi and Balaka # of schools: 171 # of children: 125,000 Program years:

7 SHN interventions in Mangochi School-based health services Deworming Vitamin A (and iron) supplementation Vision and hearing screening Presumptive malaria treatment P r o m o t i o n o f h e a l t h y b e h a v i o r s Co o l pare nt guide s Te ac h e r pe e r c o unse ling Te ac h e r le d h e alth e duc atio n Extra c urric ula b e h avio r c e nte re d c o m m unic atio n Safe school environment Safe drinking water Latrines for girls and boys Hand-washing facilities C o m m u n i t y s u p p o r t Capac ity b uilding o f sc ho o l and c o m m unity c o m m itte e s to suppo rt th e se ac tivitie s

8 Health Education = Quality SHN

9 Evaluation design in Mangochi Baseline (1998) End line (2007) Sample n=1200 n=1200 # schools 12 (5 upland and 7 coastal) # children 100 children/school: 50 from standard 3 50 from standard 6/7 Same as baseline Same as baseline Indicators Hemoglobin, heights, weights, schisto, KAP, school observation Qualitative Yes Yes Same as baseline (same questionnaires and methods)

10 Improved health status 60% 50% 40% 30% 20% 10% 0% 44% 49% 36% 24% 22% 4% Bilharzia Anemia Stunting Childre n no longe r have blood stains on the ir pants - com m unity m e m ber Tre atm e nt of bilharzia has booste d pupils ze al to be in school - Te ache r from M pale school

11 Improved school performance Student achievement data from 39 Sponsorship schools versus 63 non sponsorship schools suggests Positive impact from BE and SHN on school performance. Similar findings for drop out and repetition but less obvious 80% 60% 40% 20% 0% R e a d i n g t e s t p a s s ADD TITLE BE and SHN Control 60% 64% 30% 25% 25% 18% 21% 11% Boys Girls Boys Girls Baseline r a t e s Follow up

12 Increased access to water and sanitation facilities, but No data Safe water Separate latrines Hand-washing B u t o n l y 4 o f h a n d -w a s h i n g f a c i l i t i e s w e r e f u n c t i o n a l a n d n o n e h a d s o a p o r a s h O n l y 4 1 % o f c h i l d r e n r e p o r t w a s h i n g h a n d s a f t e r u s i n g t h e t o i l e t

13 Save the Children Where we work globally Lasting positive change for children in need 27 SC members in 110+ countries