successful programs to increase coverage of people using...
Post on 03-Jul-2020
5 Views
Preview:
TRANSCRIPT
Successful Programs to Increase Coverage of People Using Household
Water Treatment Water
Greg Allgood, MSPH, PhDGreg Allgood, MSPH, PhDProcter & GambleProcter & Gamble
P&G collaborated with CDC to develop technology that meets consumer and technical need for purifying dirty waterPUR uses same ingredients as municipal water waste treatmentVery effective in removal of turbidityRobust in removal of chlorine-resistant parasites (>99.9%), viruses (>99.99%), and bacteria (> 99.99999%)Proven to reduce diarrheal illness by average of 50% in randomized trials (n=25,000 people) in Guatemala, Kenya, Liberia, and Pakistan
PUR Purifier of Water
Summary of Social Market and Emergency ReliefCurrently used in 12 countries with ongoing social marketing; expansion plans underway for 2-4 more countries in 2008
• Congo, DR, DR Congo, Ethiopia, Haiti, Kenya, Indonesia, Malawi, Nigeria, Pakistan, Tanzania, Uganda
PUR used in more than 30 countries for emergency relief
100 million sachets or 1 billion liters of safe drinking water have been provided in 4 years
Commitments• Provide at least 2 billion liters within next 5 yrs• Reach 1 million children thru school programs
PUR’s Global Reach
Both Emergency Relief and Sustained Efforts are Viable for PUR
Commercial Institutional Thousands of Sachets Sold
Congo 1,469 797
Ethiopia 1,048 10,303
Uganda 2,113 2,081
Sales of Sachets in Social Markets
School Programs Can Increase Commercial Sales to Sustain Programs
More than 450,000 children reached in PUR school programs in 18 months• PSI monitoring of program in Uganda • CARE monitoring of program in Kenya• World Vision in Malawi
Overall response shows high acceptance, increased HH awareness and use, decreased school absenteeism
Key challenges• Proper targeting for water source and
affordability• Need to establish long-term impact
School Programs Result in Increased Usage and Decreased Absenteeism: CARE Kenya
Baseline Follow-up (n=630)
Awareness Among PupilsPUR 31 98Waterguard 91 99
Household Use Confirmed by ClPUR 0.5 8Waterguard 6 16
Pupil Absentee Rate Decreased 26%
PUR is helping people live positively with HIV/AIDS
• Benefit of robust removal of viruses, bacteria, and chlorine resistant parasites
• Piloted in healthy living kits in Haiti and SWAP, Village AIDS Clinics, and Living Missions in Kenya
• High level of acceptance and focus groups revealed desire to reduce intake of viruses
• Kenyan Red Cross • Leveraged home-based care • Wide acceptance by community
• Expansion underway• Family Health International in Ethiopia• Christian Children’s Fund in Uganda• AMPATH in Kenya• UNC Med School in Malawi and Congo• Seeking other partners
Role for People Living with HIV/AIDS
% Users of PUR
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
5 10 15Weeks
% U
sers
Free Distribution Can Result in High Use Rates for PUR: Samaritan’s Purse in Uganda
Lira, Uganda IDP Camp (n= 3,500 HHs)
Similar results in 1 year program by Kenyan Red Cross
Comments PUR(N=200)
Aquatabs (N=176)
1. Overall Satisfaction- Yes- No
982
8416
2. Taste of treated water - Ok- Not normal
937
8614
3.Smell of treated water- Ok- Not normal
47 53
30 70
4. Time required- No problem- Significant time
37 63
40 60
5. First reason treated: - Health-related- Not health-related
95 5
66 34
6. Preferred method- Yes- No
84 16
41 59
High Satisfaction of PUR and Aquatabs Distributed in Bangladesh by UNICEF/Oxfam (n = 4,800 HHs)
Multiple Approaches Can Co-exist and be Sustainable: SWAP Sales in Kenya
Safe Water and AIDS Program 2007 Unit Sales
PUR 68,343
Waterguard 53,769
Aquatabs 33,708
Targeted free distribution can help achieve widespread coverage and achieve immediate health impact
High use rates with efficient distribution of PUR
Commercial sales can lead to sustained programs
School programs can lead to higher use rates and decreased absenteeism
Multiple technologies are needed based on consumer preference
PUR seems to be consumer preferred in areas of turbid water
Conclusions
top related