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MID-WESTERN CONFERENCE ON SECTOR ALLIGNMENT FOR WASH SUSTAINABILITY

(23-24 February, 2017)

ContentsAbbreviation:........................................................................................................................................................................................3

INTRODUCTION.................................................................................................................................................................................4

1.1 BACKGROUND OF THE CONFERENCE.......................................................................................................................4

1.2 ORGANIZER.......................................................................................................................................................................4

1.3 COMPOSITION OF THE PARTICIPANTS.....................................................................................................................4

1.4 AGENDA OF THE CONFERENCES...............................................................................................................................5

1.5 OBJECTIVE OF THE CONFERENCES..........................................................................................................................5

DAY 1......................................................................................................................................................................................................6

OPENING CEREMONY.................................................................................................................................................................6

THEMATIC PROCEEDINGS.........................................................................................................................................................6

INTRODUCTION TO DAY 1 SESSIONS.....................................................................................................................................6

SESSION 1: National WASH Framework from past to future.......................................................................................................6

PRESENTATION 1: INTRODUCTION AND OBJECTIVES......................................................................................................7

PRESENTATION 2: NATIONAL WASH FRAMEWORK...........................................................................................................7

SESSION 2: Status and analysis of WASH in MWDR..................................................................................................................8

OVERVIEW OF WASH STATUS..................................................................................................................................................8

PRESENTATION 1 : HOUSEHOLD BEHAVIOURS IN SANITATION AND HYGEINE........................................................8

PRESENTATION 2 : INFRASTRUCTURE AND SERVICES FOR RURAL WATER SUPPLY...........................................9

PRESENTATION 3: INFRASTRUCTURE AND SERVICES FOR URBAN SANITATION.................................................10

PRESENTATION 4 : WASH IN HEALTH INSTITUTIONS......................................................................................................12

PRESENTATION 5 : WASH IN EDUCATION INSTITUTIONS..............................................................................................13

SESSION: 3.......................................................................................................................................................................................14

DAY 2..................................................................................................................................................................................................15

INTRODUCTION TO DAY 2 SESSIONS......................................................................................................................................15

SESSION 4: GROUP WORK..........................................................................................................................................................15

GROUP 1: HOUSEHOLD BEHAVIOUR ON WASH................................................................................................................15

GROUP 2: WATER SUPPLY......................................................................................................................................................16

GROUP 3: URBAN SANITATION...............................................................................................................................................18

GROUP 4 : WASH IN HEALTH INSTITUTION.........................................................................................................................19

GROUP 5 : WASH IN EDUCATION INSTITUTION.................................................................................................................19

SESSION 5 : GROUP RESENTATION.........................................................................................................................................21

CONFERENCE DECLARATION....................................................................................................................................................24

ANNEX- 1..........................................................................................................................................................................................26

List of Participant.............................................................................................................................................................................26

ANNEX- 2( To be updated as per actual session…)................................................................................................................30

Agenda of Conference..................................................................................................................................................................30

ANNEX-3........................................................................................................................................................................................

PHOTO GALLERY........................................................................................................................................................................

MWDR Regional WASH Conference (2017), Surkhet (Draft Report) Page 1

Abbreviation:CBO Community Based Organization

CEHP Community Empowerment for Health Promotion Program

CFLG Child Friendly Local Governance

DEO District Education Office

D/PHO District Public Health Office

FEDWASUN Federation of Drinking Water and Sanitation Users NepaL

GESI Gender Equality and Social Inclusion

GOs Governmental Organizations

GoN Government of Nepal

I/NGO International/Non-governmental Organizations

MHM Menstrual Hygiene Management

MoE Ministry of Education

MoWSS Ministry of Water Supply and Sanitation

MoFALD Ministry of Federal Affairs and Local Development

MWDR Mid Western Development Region

NPC Nepal Planning Commission

NRCS Nepal Red Cross Society

ODF Open Defecation Free

RD Regional Director

RHD Regional Health Directorate

RMSO Regional Monitoring and Supervision Office

RVWRMP Rural Village Water Resources Management project

R-WASH-CC Regional WASH Coordination Committee

SACOSAN South Asian Conference on Sanitation

SDE Senior Divisional Engineer

SDG Sustainable Development Goal

SDP Sector Development Plan

SRC Swiss Red Cross

TdhF Terre des hommes Foundation

UNICEF United Nations Children's Fund

WASH Water, Sanitation and Hygiene

WSSDO Water Supply and Sanitation Division Office

WUMP Water Users Master Plan


INTRODUCTION

1.1 BACKGROUND OF THE CONFERENCE

WASH movement in Nepal has significantly relied on collaborative efforts of the wide range of actors. To create a momentum on WASH movements for achieving the set national target by 2017, joint efforts of government, donors and other stakeholders is must along with a clear pragmatic vision, strategic actions, strengthened institutional arrangements, adequate resources and stakeholders' collaboration.

In this connection, regional WASH-CC is the key institutional arrangements as provisioned by the Sanitation and Hygiene Master Plan, 2011 with clear roles and responsibilities giving the mandate to organize different kinds of periodic seminars and conferences specially to review the existing performance on WASH sector and to strengthen linkages, coordination and collaboration among the concerned stakeholders within its region.

So far, the R-WASH-CC of Mid-west had organized two WASH conferences often called the Nepalgunj declaration (2011) and Surkhet declaration (2012). Both the conferences are regarded as the historical milestones; accelerate the WASH movement in the region with a joint vision, clear direction, and better momentum. As a result, MWDR has now been regarded as one of the leading region in WASH sector in terms of meeting the national target especially having remarkable progress in the goal toward ODF as well as significant progress in hygiene, water supply, and a start towards urban sanitation.

Despite of satisfactory results in the region, there are many challenges ahead such as sustainability of ODF, management of urban sanitation and functionality of water supply schemes and also considering the SDGs as higher level targets in all areas of WASH. Steps after ODF and how to cope with the transition from WASH movement to WASH professionalization for functioning service delivery in all aspects of WASH remains questionable.

With the above background, questions, faced challenges, and way forward with continued efforts to organize the events since last one and half year, the R-WASH-CC Surkhet has decided to organize a regional conference in Surkhet with a key vision of sector alignment for WASH sustainability which encompasses basically three kinds of themes - 1. Improved household behaviors in WASH; 2. Improved WASH infrastructure and services and 3. Improved WASH in institutions- health and education.

1.2 ORGANIZER

The regional conferences was organized by Regional Monitoring and Supervision Office (RMSO) and Regional Water, Sanitation and Hygiene Coordination Committee (R-WASH-CC) Mid-Western Region collaborating with UNICEF, SNV Nepal, RVWRMP, Swiss Red Cross, HELVETAS Swiss Interco operation Nepal and TDH Switzerland.

The cost of the event was jointly shared by RMSO, UNICEF, SNV Nepal, RVWRMP, Swiss Red Cross, HELVETAS Nepal and TDH Switzerland. The total sharing amount was NRs. 2314000.00

1.3 COMPOSITION OF THE PARTICIPANTS


The organizer had invited nearly 140 participants including R-WASH-CC members, Government officials (DDC, Municipality, DEO, DHO, DWSSDO) and active WASH NGOs from 15 districts; representatives from DoWSS and DoE, different projects/program-SUAHARA, WARMP/HELVETAS, UNICEF, RVWRMP, SNV Nepal etc. However, 124 participants were attended the conference. Of which, 7 (5.6%) participant were female. The list of the participants along with their details has been presented in Annex-1.

1.4 AGENDA OF THE CONFERENCES

The conferences set the following agendas which were explicitly based on the three kinds of theme-

1. Improved household behaviors in WASH. The agenda under theme were set how to achieve Open Defecation Free status (where remaining)? How to achieve the hygiene behaviors of total sanitation (hygienic use of toilet, personal hygiene, safe food, safe water, clean house, clean environment)?

2. Improved WASH infrastructure and services. The agenda under theme were set how to revitalize the functioning rural water supply services? And how to ensure sustainable services for urban sanitation (access to public toilets, fecal sludge management, solid waste management)?

3. Improved WASH in institutions. The agenda under this theme were explicitly focused for Health and Education institutions

The agenda mentioned above were presented, discussed and concluded over the two day period with dividing into 8 different technical sessions. There were six technical session in day 1 except opening ceremony. Likewise, two working session were also held in day 2 except concluding session. The detail of the conference agendas along with the event schedule has been presented in Annex-2.

1.5 OBJECTIVE OF THE CONFERENCES

The broad objective of the conference is to make sector alignment for WASH sustainability. However, the specific objectives of the conferences are:

To understand national WASH policy framework and priorities (from MoWSS, MoH, MoE, MoFALD)

To examine current status of WASH and analyze the success factors for achieving progress so far

To develop a clear vision for the MWDR with defined milestones for the next five years To define the practical mechanisms for achieving the milestones using available

resources (from government, civil society, private sector, and implementing partners) - focus on professionalizing WASH services

To align all actors for sector development


DAY 1(23 February 2017)

OPENING CEREMONY

The opening ceremony started at 9 AM. The ceremony was chaired by Mr. Chandra Bahadur KC, Regional Director, RMSO Surkhet. Mr. Begendra Raj Sharma Paudyal, Regional Administrator was seated as a chief guest by whom the conference was officially inaugurated. Likewise, the sectorial chief/representatives of the region were also seated as a special guest.

Mr. Abid Hussain, Senior divisional engineer of RMSO welcomed all the participants and highlighted on the overview of the conference. Mr. Hussain addressed to the entire participant about the key agenda of the conference. Mr. Manoj Ghimire, Deputy Director General of Department of Water Supply and Sewage appreciated the regional administrator of the region for his proactive initiatives on WASH sector. Mr Ghimire took an attention of all the stakeholders for proper utilization of rest of the period to meet the national WASH target by 2017. In this connection, he added to look forward for the steps and action plan for the achievement on national output and impact. Similarly, Mr. Begendra Raj Sharma Paudyal, the chief guest of the session also delivered his speech and focused on ‘small is beautiful’. He added for everyone those involving on WASH movements to be a practical by taking small things into account rather a huge things and take lessons for every initiatives.

The ceremony was concluded by Mr. Chandra Bahadur KC, chairman of the ceremony. He reviewed on the outcome and achievement of Nepalgunj Conference held in 2011. He further shared the sanitation status of MWDR and updated significant sanitation coverage (95%) of MWDR.

THEMATIC PROCEEDINGS

INTRODUCTION TO DAY 1 SESSIONS

There were 6 technical session in Day 1 program. Session 1 illustrated about the Introduction and objective of the conferences followed by two different presentation - National Framework from past to future and overview of WASH status in MWDR with reviewing past declaration and their achievement so far. Next, the thematic session were presented in session 2 to 6. In this regards, session 2 illustrated about the household behaviours in sanitation and hygiene, session 3 about infrastructure and services for rural water supply, session 4 illustrated about urban sanitation. Similarly, session 5 and 6 illustrated about the WASH in institutions- health and education respectively. The participants as well as session facilitator were actively involved on presentations, discussions and conclusion from 9 AM to 6 PM.

SESSION 1: National WASH Framework from past to future

The session was chaired and concluded by Mrs. Nadira Khawaja – SL of SNV Nepal. There were 3 different presentations under this session-


PRESENTATION 1: INTRODUCTION AND OBJECTIVES

The first presentation was entitled on conference introduction and objectives. It was presented by Mr. Chandra Bahadur KC, RD of RMSO. Mr. KC highlighted about the Nepalgunj conference (2011) and Surkhet Conferences (2012) and shared how the past conferences supported on achieving the set target in improvement of sanitation status. He also stated the faced challenges and questions beyond the ODF. He illustrated the 3 key themes of the conference: Improved household behaviors in WASH describing how to achieve Open Defecation

Free status in remaining areas and how to achieve the hygiene behaviors for total sanitation.

Improved WASH infrastructure and services describing how to revitalize the functioning rural water supply services and how to ensure sustainable services for urban sanitation

Improved WASH in institutions explicitly focused for Health and Education institutions

With this he high lightened on the overview of the Day 1 and Day 2 activities of the conferences.

PRESENTATION 2: NATIONAL WASH FRAMEWORK

The presentation on National WASH Framework from past to future was presented by Mr. Bhojendra Aryal, Sociologist, Department of Water Supply and Sewerage (DWSS).He reviewed the national WASH objectives, target and achievement and high lightened on the key progress on WASH sector with sanitation coverage (87%) exceeding the MDG target (53%). Likewise he shared that 38 districts, 131 municipalities and 2420 VDCs have already been declared as ODF so far and appreciated MWDR for leading on WASH coverage (98.2%) than other region. He shared existing national policies, guidelines and standards as well as institutional arrangements on WASH sector along with the faced challenges of Functionality and sustainability, urban sanitation etc. With this he shared about the SDG target for the universal access to WASH by 2030. Mr. KC suggested few forward keys:

Increase sector funding, capacity and activities to reach universal access to water supply and sanitation by 2017;

Timely formulate and endorsement WASH Sector Development Plan(SDP) with full ownership and implement with commitment from MOF, NPC and Development Partners;

Review and clarify responsibilities/accountability of key government sector players and effective coordination structure;

Review existing sector M&E system (dedicated HR, collection/update) and operationalise accordingly

Restructure the WASH Plan , Program and Organization based federal governance

Key Issues raised- Meeting the SDG, we should let know the gap of human resource management as well

as funding gap. We urgently need WASH Information management system to ensure the real time

monitoring and data management and future uses. EFLG covers all the indicators including the indicator set for WASH sector. So, rather

than making different committee and working in different way why not we make a uniform mechanism at local level.

Water use master plan (WUMP) is a key entry point for integrated water resource management and tool to reaching to unreached people. So, it should be addressed in policy level as soon as possible.


Conclusion of Session:The closing of session was done by Ms. Nadira Khawaja where she shared her personal experience regarding the sanitation movement of Nepal and shared that Nepal has been progressing well in the sanitation status. She shared that Nepal is going through federal change so we need to strengthen the local resources and mobilize wisely.

SESSION 2: Status and analysis of WASH in MWDR

The session was chaired and concluded by Mr. Chandra Bahadur KC, RD of RMSO.

OVERVIEW OF WASH STATUS

The presentation on overview of the WASH status of the region was presented by Mr. Abid Hussian, SDE RMSO, Surkhet. Mr. Hussein shared on sanitation and hygiene status of the region and explored that the region has achieved 95% sanitation coverage so far and 486 VDCs out of 492 VDC under this region have been declared ODF. Similarly he explored the result that 11 districts out of 15 have been declared as ODF district and remaining 4 districts will also be declared very soon. He presented the sample survey results of 11 districts on hygiene describing 84% population have access to rural water supply schemes. He shared about the functionality status of the region based on NMIP report 2014. The results revealed that 25.9 % of water schemes are well functioning which is slightly higher than the national data (25.4%). While in the case of the urban sanitation, all the 24 municipalities under the region have public toilets but most of them have no enough water.

Key Issues raised- If we talk about sample study we cannot generalize it for the entire region as we have

diversity in terms of the geography, caste and ethnicity and other social dynamics. The situational analysis cannot be done using the 2014 report analysis. So it should be

updated. The presentation does not spell about the status of the menstrual hygiene and use of

toilet during menstruating period in the region.

PRESENTATION 1 : HOUSEHOLD BEHAVIOURS IN SANITATION AND HYGEINE

The presentation on Household behaviours in Sanitation and Hygiene was jointly presented by Mr. Madan Raj Bhatta, Programme Manager of IWRM, HELVETAS and Mr. Bhojendra Aryal, Sociologist of DWSS, GoN. Through this presentation Mr. Bhatta and Mr. Aryal explored the key factor of success on Household behaviours in Sanitation and Hygiene, roles of stakeholders and gaps in current work and future priorities. The presentation explored on the encouraging positive trend of sanitation coverage in the region over the period from 2010-2015 emphasizing that MWDR being the epicentre of sanitation movement in Nepal. He stated the major key points like strategic actions, strategic tools and approaches used roles of media for the success till the period.

In addition he focused on the following gap and issues in the current work : Sanitation campaign only limited to ODF; No clear strategic vision after ODF Lack of resources (financial, human resources etc.) to continue Total Sanitation

campaign Inadequate capacity at local level Chhupadi practice and poor menstrual hygiene practice in most of the districts Same house for human beings and animals (Lack of separate animal shed) Upgrading pit latrines, problems in slum areas


Lack of water treatment practice (How to ensure safe water?) Lack of sufficient water for sanitation; lack of hand washing infrastructure Inadequate Knowledge, Attitude and Practice (KAP) for behaviour change

Recommended the following future priorities - Need of strategic vision by districts, VDC/Municipality to sustain ODF and achieve total

sanitation Implementation of Total Sanitation intervention Focus on hygiene behaviour change and safe handling of water Focus on Environmental sanitation Capacity building and development of triggerer Allocation of budget for total sanitation

The full presentation is separately available in RMSO, Surkhet.

PRESENTATION 2 : INFRASTRUCTURE AND SERVICES FOR RURAL WATER SUPPLY

The session was chaired and concluded by Mr. Baldev Prasad Joshi, LDO, Humla. There was 1 presentation under this session-

The presentation on Infrastructure and services for (rural) water supply was jointly presented by Mr. Abid Hussain, Senior Divisional Engineer, RMSO, Surkhet and Raj Kumar Kshetri, Deputy Programme Director, Nepal Red Cross Society, CEHP Programme, Nepalgunj. Through this presentation Mr. Hussain and Mr. Kshetri explored the key factor of success on Infrastructure and services for (rural) water supply, roles of stakeholders and gaps in current work and future priorities. Exploration was done on the report data's which showed, functionality of the water supply scheme which is 25.9 slightly higher than the national data (25.4%) And majority of water sources in MWDR are based on piped water (67.2%) followed by private tube well (22.2%) and public tube well (6.3%).

Mr. Kshetri warmed up the session by asking a simple question of doubt that how much of the participants at workshop are sure of their drinking water being pure/safe? This triggered the issues prevalent in the current scenario.

During session key reasons of success in region were shared: Water resource mapping & planning VDC WASH Plan Meaningful involvement of users on the management of water scheme Sharing of roles and rights of users/WUSCs in the beginning of the water project Multi-partnership approach Private tap connection system Water tariff collection system Proper financial management system by WUSCs Availability of VMWs Transparency (Social audit, Public hearing) and sharing of key information about the

project through information board Availability of adequate repair and maintenance tools Water safety plan implementation Business plan of WUSC Involvement of selected possible maintenance workers at on-job-training Provision of monthly benefit to care takers Various Conference, Seminars and workshops (JSR, NeCoSan, SACOSAN etc)


Various Acts, Regulations, Policies related to water supply sector & provision in constitution, MDG, SDG

There is a key role of District Development Committee, Water Supply & Sanitation Division Office and DEO, DHO and other GOs, FEDWASUN and other Civil Societies, I/NGOs and Private Sectors.

Focused on the following gaps in the current work – Lack of ownership of water users Inadequate capacity with WUSC for scheme management No sufficient fund for operation and maintenance No regular provision of maintenance worker Inadequate capacity with maintenance worker and no adequate tool Lack of even simple business plan with WUSC Lack of transparency

At last recommendations were provided for the continuation of the following interventions: Meaningful engagement of users/ WUSC in various activities such as Water resource

mapping, WASH plan development etc. Strengthening the different institution- WUAs, FEDWASUN, UCs etc. Promotion of private tap with meter connection system Business plan of WUSC Water tariff collection system Involvement of selected possible maintenance workers at on-job-training Provision of monthly benefit to care takers Availability of adequate repair and maintenance tools Sharing of roles and rights of users/WUSCs in the beginning of the water project Sharing of key information about the project through information board Public hearing, Social audit Water safety plan implementation

The full presentation is separately available in RMSO, Surkhet.

Key Issues raised- The existing Water Supply Operating Guideline doesn’t spell about the scheme

implemented under local bodies. There are fragmented provisions on community contribution in rural water supply

scheme construction. The functionality of the scheme is so poor and urgently needs to address this issue. Functionality analysis of all existing water supply schemes through real time monitoring

mechanism is urgent to review the status of NMIP report 2014 and future actions to ensure the national target.

The capacity of the DWSSO does not meet to support as against of increasing number of schemes.

As a sustainable approach, private tap connection system with meter system needs to be endorsed

PRESENTATION 3: INFRASTRUCTURE AND SERVICES FOR URBAN SANITATION

The session was chaired and concluded by Mr. Amrit Lamsal, LDO, Surkhet. There was 1 presentation under this session-

The presentation on Infrastructure and services for urban sanitation was jointly presented by Mr. Prakash Paudel, Senior Officer, Birendrangar Municipality, Surkhet. Through this presentation Mr. Paudel explored the key factor of success on Infrastructure


and services for urban sanitation, roles of stakeholders and gaps in current work and future priorities. He presented a survey result of 24 municipalities under this region. The result shows that 23 out of 24 municipalities are ODF. Likewise, 95 % toilets are found functional but only 60% of them are found clean, only 15% have soap facilities and 50% toilets have enough water facilities.

During session key reasons of success in region were shared: Strong political commitment and multi-sector partnership Public building standards with toilets (NBC, DUDBC) Municipal planning and budgeting for sanitation Municipality a part of ODF movement – social mobilization; school and child clubs Management models for sanitation services such as Public Private Partnerships,

Community-based management, Social enterprise – Chamber of Commerce and Industries; entrepreneur's

Business models for sustainable services (by public, private, civil society) Mass Media and Communication

Focused on the following gaps in the current work – Public and Office Toilets Insufficient water Traditional non-hygienic behaviors (especially with hand washing) No provision for people with disabilities Poor hygienic condition Sanitation problem of Slum area Soap generally not available Less focus sustainable management and business model for operation and maintenance

Fecal Sludge and Solid Waste Management Inadequate infrastructure Less awareness on existing standards (eg. building code); weak enforcement Ad-hoc service provision Poor safety standards along service chain (from point of collection to end disposal or

reuse) Less focus on business planning for sustainable services – for public and private sectors

as well as community managed systems Appropriate technologies mostly at pilot scale – not replicated No pro-poor approach in service charges Management of Medical waste.

Recommended the following future priorities: Institutional and Regulatory Framework Service provision: Services along the FSM and SWM value chain (that are safe,

affordable, accessible city-wide, and respond to different consumer needs) Technologies: Available for the FSM and SWM value chain (that are safe, affordable, accessible city-wide, and respond to different consumer

needs) Smart Enforcement: Strategies and measures that are practical to implement within

limited resources

The full presentations are separately available in RMSO, Surkhet.

Key Issues raised- Urbanization is in increasing trend due to urban migration that creates a great challenge

of managing drinking water supply and waste management.


Importance of septic tank awareness is needed rather than forcing and encouraging them to have septic tank

PRESENTATION 4 : WASH IN HEALTH INSTITUTIONS

The session was chaired and concluded by Mr. Ghanashyam Pokhrel, DPHO, Dang. There was 1 presentation under this session-

The presentation on WASH in Health Institution was presented by Mr. Binod Acharya, representative of regional health directives, Surkhet. Through this presentation Mr. Acharya explored the key factor of success on WASH in Health Institution, roles of stakeholders and gaps in current work and future priorities. He presented results of different health survey conducted in different time period in the region. The result shows that 80% health facilities (hospital, PHC,HP) have improved water facilities.

The following are the key secrets of the success in the region – Construction of toilet facilities is mandatory with National building code (NBC) and

Building guidelines of health institutions. Behavior Change Communication campaigns implemented in community also influenced

toilet use in HFs Construction of placenta pits in birthing centers supported by implementing partners Health Facilities are linked to community water supply systems Standardization of infection prevention processes by MoH Quality improvement monitoring (where activated) such as role of HFQIC to monitor

infection prevention at VDC level, role of DQIC to monitor infection prevention at district level

Focused on the following gaps in the current work – Not all toilets are gender friendly (only one toilet) Less than 1% toilets are disability friendly (WaterAid, 2015) No proper treatment of infectious waste prior to disposal Water supply not available for 24 hours at all points of service in HF Waste is not segregated properly into different containers - contamination of all waste by

infectious waste Unavailability of infection prevention equipment even after training

Recommended the following future priorities as based on 4 strategic pillar of Nepal Health Sector Strategy- Quality health services, Equitable access to health services, Health systems reform and Multi-sectorial approach – Improving levels of service, quality, functionality, and GESI/disability friendliness of

WASH facilities in HFs Sustainability of WASH infrastructure Adoption of IP practices – supply and use of equipment and behavior change of health

workers Proper and regular segregation of waste at source to minimize infectious waste

production Non-burning methodology and safety insurance for waste disposal Strengthening of HFOMCs, HFQICs, DQICs for health service quality improvement with

(GESI integration) Multi-sector involvement in all level to ensure WASH in health care facilities


Key Issues raised-


The incinerator in our health facility (like the hospital at cancer hospital)are not properly used due to the requirement of high temperature (1000 degree centigrade) in its burning chamber.

The survey data of different disease and its trend shows that we are working in right track but incidence of diarrhoea and some other diseases in the region suggest that we still should to work for its elimination.

Hookworm and Anaemia were increased due to pit latrine. And also trend of the water borne disease is also increased meaning that constructing latrine doesn’t decrease the disease.

PRESENTATION 5 : WASH IN EDUCATION INSTITUTIONS

The session was chaired by Mr. Chiranjibi Poudel, DEO, Rolpa. There was 1 presentation under this session-

The presentation on WASH in Education Institutionwas jointly presented by Mr. Dambar Bahadur Thapa, representative of regional education directives, Surkhet and Mr. HomNath Acharya, WASH Officer, UNICEF Nepal. Through this presentation Mr. Thapa and Mr. Acharya explored the key factor of success on WASH in Education Institution, roles of stakeholders and gaps in current work and future priorities. The following are the key points

The following are the key secrets of the success in the region – Proper Implementation of the School Sector Improvement Plan (2009-2015) through

which huge numbers of gender friendly toilets were constructed as part of the school buildings.

Continues support from development partners in terms of technical, financial and consultancy.

Formation and mobilization of the school child club in WASH movements Provision of a health and nutrition focal person at DEO office. Likewise, provision of

WASH contact teacher in school Positive support and cooperation from community and parents Implementation of the CFLG as a key instrument in local level.

Focused on the following gaps in the current work – Lack of WASH concept to school teacher Lack of water facility in most of the school No wand washing place in the school premises No proper place for sanitary pad disposal and poor management of monaural hygiene in

school Lack of gender, disable and child friendly physical structure No provision of WASH concept on SIP.

Recommended the following future priorities - WASH in school guideline will be finalized very soon. Sustainability of WASH friendly infrastructure in school Conducting capacity building activities on WASH for school teacher, students and

parents Education on WASH will be initiated at school level curricula. Mobilized school children on WASH activities in school Take initiation to incorporate WASH provision in the SIP


Key Issues raised-


Blue school concept and star approach will be the key strategies for WASH in school in future.

DEO should responsible to set up real time monitoring mechanism in EMIS for S-WASH functionality monitoring and report to DWASHCC annually.

SESSION: 3

The session as well as Day 1 closing session was concluded by Mr. Chiranjibi Poudel, DEO, Rolpa. Soon after closing of the session, the second day plan of was briefly announced. The closing time was about 6 PM.


DAY 2(24 February 2017)

INTRODUCTION TO DAY 2 SESSIONS

SESSION 4: GROUP WORK

Day 2 started at sharp 9AM. The first half of the day was utilized for thematic discussion to conclude on agreed milestone for the next five years. In this connection, 5 different thematic groups were planned and discussed: 1. Household Behaviour on Water Sanitation and Hygiene, 2. Rural Water Supply, 3. Urban Sanitation, 4. WASH in Health Institutions and 5. WASH in School Institution. The respective expert delivered and facilitated their presentations in their thematic group. All the thematic group members discussed on the issues of the presentation and concluded on it. The group finally agreed on their milestones and explored it on the conferences during second half of the day. Therefore, Day 2 comprises into three sessions- 1. Group Work Session, 2. Group Presentation Session and 3. Closing session with declaration of the key milestones.

GROUP 1: HOUSEHOLD BEHAVIOUR ON WASH

The group work was led by Mr. B. Aryal, Sociologist, DWSS with Co-lead by Mr. Madan Raj Bhatta, Program Manager, IWRM, HELVETAS Nepal. There were mixed participants (25) in the group representing from DDC, DHO, WCO, DEO, NGOs/INGOs of 15 district of the region and other development partner (HELVETAS Nepal). Mr. T. Khadka (SNV Nepal) was the note taker of the group discussion. Mr. Bhatta, Co lead of the session had facilitated the group presentation.

After an open discussion among the group members, the group agreed on the following milestones towards total sanitation in the region as set for the next 5 years–

Declaring the ODF region within this fiscal year by declaring remaining 4 districts as ODF.

Developing post ODF strategy plan at each local level in those districts which have already declared as ODF.

Implementing post ODF activities according to local level strategy plan along with continues sanitation campaign by all the stakeholders.

Managing separate budget by local authorities as well as by other agencies for total sanitation activities.

Promotion of personal hygiene (hand washing with soap and water, menstrual hygiene management and other hygienic behavior), household and environmental sanitation.

Encouraging on capacity development activities for WASH at various level. Promotion of marketing on WASH materials in coordination with private sector Management of waste via segregation according to types of wastes generated from

household and community level. Developing user friendly WASH infrastructure. Adapting different POU (point of use) options/water purification methods to ensure safe

drinking water at household level. And raise awareness to promote food hygiene. Adapting success tools, practices and approach on WASH awareness programs till now

need to continue in other sectors, Encouraging transparency and accountability while conducting WASH related activities


In conclusion of this all strategically, group summarized into following three milestone to accomplish regional target on WASH SN Milestone Tools/process

1

Accomplish target of ODF with in fiscal year 2073/74.

Continues CLTS/SLTS / community campaign / multisector mobilize / triggering/ Increase support and push to make activate V- WASH-CC /D-WASH-CC and stakeholders in all level.

2 Sustainable & hygienic use of improve toilet and insure personal hygiene.

Re-verification of ODF/ regular monitoring / increase access of sanitation (community toilet) Local level planning/ Capacity building of local actors/ Awareness increasing

3 Total sanitation.

CLTS/ SLTS/ insure inclusion in WASH. Formation / reformation community sanitation group/ prepare action plan / Capacity building to local WASH actors/ training /orientation /Campaign

GROUP 2: WATER SUPPLY

The group work was led by Mr. A. Hussain, SDE, RMSO with Co-lead by Mr. Raj Kumar Kshetri, Nepal Red Cross Society- CEHP. There were mixed participants (23) in the group representing from DDC, DHO, DEO, NGOs/INGOs, Journalist, FEDWASUN of 15 district of the region, RMSO and other development partner (Swiss Red Cross and UNICEF). Miss. Shreelata Rana (Nepal Red Cross Society- CEHP) was the note taker of the group discussion. Four different presentations were shared during the group session 1. Institutionalization of Water Scheme was shared by Kamal Bahadur Khadka from Everest Club, Dailekh,2. Initiatives towards WS schemes sustainability, best practices of RVWRMP was shared by Mr. Sushil Subedi, Sanitation and Hygiene Specialist, RVWRMP, 3. Private Water System with Meter System was shared by Mr.Shankar Bhattarai, Nepal Red Cross Society- CEHP, and 4. Source and Water Quality Sustainability as shared by Mr. Mohan Raj Bhatta, IWRM, HELVETAS.

Key issues discussed during presentation: Reaching the unreached. The district status of reached and unreached must be

addressed and data must be find out. Now much concern is given on making the water system functional but without giving

much priority to Operation and Maintenance fund collection. Coordination with government organization is necessary before implementation of any

water scheme.

The group was further divided into two groups namely, Rural water supply and Urban water supply for the better exploration based on the context and their scenario upto now.

After an open discussion both group presented the milestones and tools for the achievement of the goals listed;

Rural Water Supply presented;


SN Milestone Tools/process

1 Reaching the un reached WUMP ( planning gap)

2

All new water supply schemes implemented with/must be private taps at higher level of service (Refer Sector Development Plan)

Private tap with meter model ( implementation Gap)

Area WASH plan

4WUSC capacitated in technical, social (Female focus) and financial management for sustainable service delivery

Social audit ( implementation)

Training manual ( planning)

5Post construction support service established for WUSCs at district/area (noddle agencies WSDO/WSSDO)

Functionality and sustainability indicators ( Post construction)Regulating and Monitoring guideline (Governance)

6Functionality strategic and annual monitoring and planning process established for district/area

WASHCC ( Governance)

Functionality strategy – Planning gap

7 Water quality surveillance system established for district/area

Water quality surveillance kits/document ( implementation gap)Water Safety plan ( planning gap)

8 Spring shed conservation /spring revival Follow the step by step methodology for water schemes ( implementation)

Urban Water supply presented;GAPS Milestones ToolsInadequate and not updated water policy

Regular Update of Water Policies/ Local level Water use Master Plan

National Level Advisory Committee (Board) formation/ Workshops

No uniformity in Project modalities like investment modalities etc

Uniform Modality for Urban WSP

National Level Advisory Committee (Board) formation/ Workshops

No updated Design Norms- Water supply infrastructures, Source Selection etc

Integration of Modern Technologies and Norms

Periodic Workshop for Revision

No Stakeholder Analysis and integration

District Level integration District level planning process involvement

Lack of Business Plans both from Service provider and Implementers

All Service provider and Implementers should have Business plan

Guideline and Trainings/workshop

Lack of Integrated Water and Sewer Projects-

All water projects should have integrated with sewerage system

Water policy

Lack of Water Safety Plan and water quality monitoring

Water safety plan in all water projects

Nepal water quality guideline- WQT facility

Lack of Investment Modalities for Private Sector/ Shareholders

Policy for the mobilization of private sector

Advocacy workshops

Lack of Water Shed Management Policy

Water shed management in every scheme

SDP

No Joint Monitoring and Support Mechanism

Functional district monitoring unit

District Strategic Plan


Less monitoring of effectiveness, efficiency and quality

Monitoring of effectiveness, efficiency and quality of water scheme

Technical audit

Less Standard Operational Manuals

SOP in all WSP Trainings, Workshops and Advocacy

GROUP 3: URBAN SANITATION

The group work was led by Mr. P. Poudel, Senior Officer, Birendranagar Municipality, Surkhetwith Co-lead by Mrs. N. Khawaja, SL of SNV Nepal. There were mixed participants (23) in the group representing from DDC, DHO, DEO, Municipalities, NGOs/INGOs of 15 district of the region, DDG of DWSS and other development partner (RVWRMP and UNICEF). Mr. R. Chaulagai (Enpho Nepal) was the note taker of the group discussion. Mrs. Khawaja, Co-lead of the session had facilitated the group presentation. After presentation, participants set the milestones for 5 years: Functional gender and disabilities friendly public toilets in sufficient numbers Sanitation management facilities (toilet and solid waste) for public events Safe management of special waste- slaughter houses, sabji mandi, etc Safe and affordable FSM services from collection to disposal or reuse for town centers Safe and affordable SWM series form collection to disoposal or reuse for the town

centers Strategies for minimizing waste produced at source Planning for sustainable city- wide sanitation and wastewater management.

Two groups divided where they set the plans related to tools, processes and resources on following topics: Institutional and Regulatory Framework Local regulations – Municipality, local stakeholder Government planning process- Municipality, local stakeholder Support mechanisms and allocate resources in municipal budget- Municipality Allocate human and financial resources for enforcement– Municipality

Services Innovative contractual mechanisms with private sector and/or civil society – Municipality,

private sector/CCI, community groups Licence all service providers - Municipality Technical capacity building of service providers – CCI, municipality, NGO

Technologies Test locally suited and innovative technologies– private sector, local stakeholder,

universities Promote local production and availability of supplies for locally suited technologies –

CCI, small cottage industries Conduct technical capacity building for new technologies – NWSSTC/SWMTC Multi-use technologies

Smart Enforcement Conduct awareness campaigns on rules, regulations, standards and guidelines –

Municipality Design reward and penality system for (non)compliance – Municipality


Implement multi-input monitoring system using staff, civil society group, IT mechanisms, etc - Municipality

After group discussions, the draft declaration points were: Develop city sanitation plan with financial allocation and mechanisms for implementation Develop strategies and support processes for minimizing waste production at source Establish functional gender and disabilities friendly sanitation facilities for public places

and at public events Ensure safe management of solid waste, fecal sludge, and special waste from source to

sink using local regulation, effective services, appropriate technologies and smart enforcement

GROUP 4 : WASH IN HEALTH INSTITUTION

The group work was led by Mr. Prakash Raj Sharma, Health Education Officer, RHD, Surkhet with Co-lead by Mr. Balaram Sigdel, Regional Officer, SUAHARA. There were mixed participants (21) in the group representing from DDC, DHO, NGOs/INGOs of 15 district of the region, RHD representatives and other development partner (UNICEF and SUAHARA). Miss. Luxmee Kharel (Regional Administrative Office) was the note taker of the group discussion. Mr.Sigdel, Co-lead of the session had facilitated the group presentation.

After an open discussion among the group members, the group agreed on the following milestones as set for the next 5 years –

SN Milestone Stakeholders Role

1 All health institutions will have 24 hour running water facility

DWSS, DDC/VDC, DUDBC, DOHS

Policy formulation, Budgeting and implementation

2All health facilities will have sufficient operation & maintenance fund

HF, VDC, DDC, Municipality, D/PHO, MOH

Guideline, Allocation of Budget and Monitoring

3

All health facilities will have minimum two users friendly toilets with adequate water supply and hand washing facility

MOH, HF, VDC, DDC, Municipality, D/PHO

Guideline, Allocation of Budget and Monitoring

4

Trained/skilled human resources on IP and health care waste management in all health institutions

NHTC, D/PHO, Hospitals, EDPs

Need assessment, training design and implementation

5 Ownership by all concerned authorities/committees

All WASH stakeholders

Planning, Monitoring, Supervision, Coordination, Priority setting, Internalizing.

GROUP 5 : WASH IN EDUCATION INSTITUTION

The group work was led by Mr. DB Thapa, from RED, Surkhet with Co-lead by Mr. H.N. Acharya, WASH Officer, UNICEF Nepal. There were mixed participants (25) in the group representing from DDC, DEO, and NGOs of 15 districts of the region, RED representatives and other development partner (SNV Nepal). Mr.Laxmi Chandra Mahat


(RVWRMP/HELVETAS) was the note taker of the group discussion. Mr. Acharya, Co-lead of the session had facilitated the group presentation. Presentation was shared by organizations on some of their best practices; Mr. Bishram Adhikari (Nepal Red Cross Society) shared the best practices on WASH in school during the group session.

After an open discussion among the group members, the group agreed on the following milestones as set for the next 5 years –

S.N. Milestone Activities Responsible Time duration1 Enabling

environment for School Water, Sanitation and Hygiene

Use of Relevant methods and technology for the fundamental School WASH data collection

Coordination with District Education office and stakeholders

Within 6 month

Inclusion of WASH subject in School Improvement Plan (SIP), Village/Municipality Education Plan (VEP/MEP), District Education Plan (DEP) and Annual Strategic Implementation Plan (ASIP)

District Education office and School

Continuous process

School WASH information centerestablishment and operation at district level.

District Education office

Within 6 month

In coordination with District Education Office, Formation of Committee of institutions working in the field on WASH at schools and collaboration with different institutions for the effectiveness.


Within 3 month

Provision of substantial number of toilet (child friendly, gender friendly, disable friendly) construction in each floor of every school building design.

Request for the construction of Building through District Education Organization

Within 3 month

Supervision and report preparation of School WASH situation in every trimester thorough D-WASH-CC

Within 6 month

Rewards and awards to student, parents and teachers who actively participate in School WASH promotion activities.


Within 6 month

Skill development of child club, teacher, School

Coordination with District

6 month and continuous


Management Committee and parents at committee in the subject of WASH in school

Education office and stakeholders

Preparation of DRR plan relating School WASH plan.

School Within 6 month

Budget allocation by the related stakeholder

2 User friendly toilets at every school

Management of drinking water facilities and toilets as per the students population (child, gender and disable)


2022 AD

3 Management of safe drinking water in every school

Sufficient clean drinking facilities in every schools with suitable use of water purification method.

School Within 2017 AD

4 Behaviour change hygiene and menstrual education in every school

Provision of pad for emergency situation, skill of making re-usable sanitary pads and education on Menstrual hygiene management at school should be provided in every school

School Continuous process (within 2018)

Conduction of School WASH and Menstrual hygiene management awareness education program coordinating with nearby health facilities


Promotion of hand washing behaviour before school snacks time

5 Sustainable use and functional School WASH facility

Development of trend of School WASH facilities sanitation on regular basis.

School

Segregation of School wastages and its appropriate managementApplication of star approach according to Water, sanitation and hygiene sector development plan and School water and sanitation guideline with the development of at least one school as '3 star school' in each resource centre of the district and continuous implementation of it in others.



SESSION 5 : GROUP RESENTATION

The session was chaired and concluded by Mr. Chok Prasad Dhital, SDE, Dang. Altogether, 5 groups were presented their presentations.

GRUUP 1: HOUSEHOLD BEHAVIOUR ON WASH

On behalf of the group 1, the agreed milestones as mentioned above with the key declaration points were presented by Mr. B. Aryal, Sociologist of DWSS. The key points were explored and reviewed among the other participants of the conference for final declaration.

GROUP 2: WATER SUPPLY

On behalf of the group 2, the agreed milestones as mentioned above with the key declaration points were presented by Mr. Bikash Kafle, DE, DWSSDailekh. The key points were explored and reviewed among the other participants of the conference for final declaration.

GROUP 3: URBAN SANITATION

On behalf of the group 3, the agreed milestones as mentioned above with the key declaration points were presented by Mr. P. Poudel, Senior Officer, Birendra Nagar Municipality, Surkhet. The key points were explored and reviewed among the other participants of the conference for final declaration.

GROUP 4 : WASH IN HEALTH INSTITUTION

On behalf of the group 4, the agreed milestones as mentioned above with the key declaration points were presented by Mr. Prakash Raj Sharma, Health Education Officer, RHD, Surkhet. The key points were explored and reviewed among the other participants of the conference for final declaration.

GROUP 5 : WASH IN EDUCATION INSTITUTION

On behalf of the group 5, the agreed milestones as mentioned above with the key declaration points were presented by Mr. JeetBahadur Shah, DEO, Surkhet. The key points were explored and reviewed among the other participants of the conference for final declaration.

1.1.1 Concluding session Declaration paper finalization

Based on the group work exploration and discussion the important issues were addressed by presenting the

1.1.2 : CLOSING SESSION

The closing session was chaired by Mr. Chandra Bahadur KC, Regional Director, RMSO, Surkhet. Mr. Prem Bahadur Singh, Honorable Minister of Water Supply and Sanitation was seated as a chief guest in the session. Likewise, Mr. Tej Bahadur Bhatta, the Director General of DWSS and sectorial chief/representatives of the region were also seated as a special guest.


At the beginning of the session, Mr. Chok Prasad Dhital, SDE of Dang and Mr. Jeet Bahadur Shah, on behalf of all the participants summarised the key conclusion of the conference.

Mr. Tej Bahadur Bhatta, the Director General of DWSS delivered his speech on the occasion. Mr. Bhatta said that the constitution of Nepal guarantee Water, Sanitation and Hygiene as a fundamental right so every government, non-governmental actors including development partners should work together to achieve the national WASH target, by 2017. The conclusion of the conference on reaching the unreached sounds appreciable and we should now to define unreached area and population. He shared that the burning issue of climate change must be addressed during the intervention on WASH. He proudly shared that the key responsibility to implement the points in the declaration now primarily goes to all those who holds their participation in this conference and wished that the declaration will be well implemented as per agreed in the region.

Likewise, Mr. Prem Bahadur Singh, Honourable Minister of DWSS delivered his speech with concluding remarks. Mr. Singh said that the conclusion drawn from this conference is important in terms of determining the future steps for achieving the SDGs. He shared that the Sector Development plan on WASH and its Act is in final stage. He assured, these documents will be legitimized very soon. He added that menstrual hygiene is now emerging as a burning issue. So the point about menstrual hygiene should be incorporated on the declaration. Also he focused that we should now reach the water supply area in the region by revitalizing the non-functional water supply schemes.


CONFERENCE DECLARATION (DRAFT)

SURKHET DECLARATION PAPER 2017

Constitution of Nepal, article 35 has provisioned the water, sanitation and hygiene as the fundamental right of people. For the attainment of sustainable development goal (2016-2030), regional development plan has been prepared by the Government of Nepal which addresses the water, sanitation and hygiene for all and for always with the increment in equitable accessibility of people; for the purpose on February 23-24 all governmental, non-governmental and bilateral agencies committed for the implementation of 'Surkhet Declaration paper 2017' for the sustainable development of water, total sanitation and hygiene promotion –

Commitment for the successful implementation of total sanitation campaign as a social responsibility, self-respect and indispensable for sustainable development

Preparation of district drinking water, sanitation and hygiene strategic plan and implementation of the plan with its review and improvement twice a year in D-WASH-CC.

Declaration of remaining district as ODF within 2074 fiscal year for the declaration of the mid-west development region as an open defecation free region.

Accessibility and sustainability of water, sanitation and hygiene will be ensured by assessing the proper use of toilet, maintenance of personnel hygiene, safe drinking water, safe and clean food, household sanitation and maintenance of environmental sanitation and by initiating it as a campaign.

Promotion of total sanitation through general communication medium, collaboration with private sector and skill development of community and stakeholders.

Compulsory establishment of user friendly toilets with menstrual hygiene management facilities in governmental offices, public buildings and places as well as reconstructing and improvising of dilapidated toilets to make it functional.

Provision of clean drinking water with hand washing facilities in all governmental and non-governmental organizations including the service users in district.

Maximum utilization of local resources and instruments for the proper management of wastages and fecal sludge from the source and its disposal; use of effective technology for the effective service delivery to the people.

Formation of Urban Sanitation and Hygiene Plan with the budget allocation and its implementation network for the management of urban sanitation.

Formation and implementation of waste reduction strategic plan for the management of urban waste.

Management of user friendly toilets at public place, ceremonial area and for short term dwelling population.

Distribution of IEC/BCC materials during the conduction of sanitation related awareness program in coordination with related stakeholders.

Integration of best practices practiced by the different organization in the field of water, sanitation and hygiene for the preparation of work plan and its implementation to cover the broad sector as a whole.

Encouragement for the transparency and accountability of any program related to Water, Sanitation and Hygiene.

Application of star approach according to water, sanitation and hygiene sector development plan and School water and sanitation guideline with the development of at least one school as '3 star school' in each resource center of the district and continuous implementation of it in others.


Provide behavioral change menstrual hygiene education in all schools with daily management of toilet, school room and school premises clean.

Tracing the unreached household and providing basic drinking water facility through the implementation of Water Use Master Plan

Implementation of private tap connection system as per the sector development plan stated by the Government of Nepal.

Development of social, financial and technical capacity of Water Sanitation and Users Committee for the sustainable service delivery of drinking water.

Establishment of 'post construction support unit' in drinking water and sanitation division and sub division to provide the needful support to the Water sanitation and users committee for the sustainable management of Drinking water and sanitation plan.

Generalization of Registration process of District Water Resource Committee and drinking water and sanitation plan.

Establishment of strategy for the implementation of district water and sanitation projects; accordingly institutionalization of the time based annual plan and monitoring process of the project and also the management/implementation of non-functional water and sanitation plans.

Water source recharging, safety and conservation will be given priority with the establishment of District level drinking water safety and water quality test method.

Drinking water business plan will be prepared and implemented by every Water Sanitation and Users Committee of drinking water and sanitation project.

Managed drainage system will be constructed with drinking water and sanitation projects in district headquarter urban areas and urban oriented areas.

Compulsory establishment of Operation and Maintenance (O&M) fund for the promotion of drinking water and sanitation in health service institutions

In every health institutions, 24 hours drinking water facility and user friendly toilets with at least hand washing facility will be established.

Declaration will be done of the health facilities adopting drinking water, sanitation and hygiene.

Infectious waste and biomedical wastages will be managed properly to minimize the risks of infection.

All the strategies related to menstrual hygiene management enlisted in the 'Dang Declaration paper 2073' conducted in February 5-6, 2017 at Dang will be implemented.


ANNEXES

ANNEX- 1List of Participant

SN Name of Participant District Organization/Office Position

1 Begendra Raj Sharma Poudel

Surkhet Regional Administration Office Regional Administrator

2 ManojGhimire KTM DWSS Kathmandu DDG3 Chandra Bahadur KC Surkhet RMSO Surkhet RD4 Abid Hussain Surkhet RMSO Surkhet SDE5 Lek Bikram Shah Surkhet SNV Nepal WASH Advisor6 BiplavKafle Banke HHA, Nepalgunj Advisor

7 Raj Kumar Kshetri Banke Nepal Red Cross Society CEHP Deputy Programme Director

8 Shankar Bhattarai Banke Nepal Red Cross Society CEHP WASH Officer9 Shreelata Rana Banke Nepal Red Cross Society-CEHP District Coordinator10 Balaram Sigdel Banke Regional Officer Suaahara RWC

11 Chakra BahadurKhadka Banke DHO Banke Officer12 RamrupKaushal Banke Geruwa, Banke WPO13 Raj Kumar Chaudhari Banke WSSDO Banke Division Chief14 ParbatiKoirala Banke WCO Banke AWDI15 GorkhaBahadurThapa Banke DEO, Banke 16 Kamal Prasad Tharu Banke Banke UNESCO Club Program officer

17 Krishna BahadurShahi Banke UNICEF WASH Consultant18 Prakash DC Banke Nepalgunj Sub metropolitan Enviromental

Engineer19 MahendraDhojAdhikari Bardiya DHO Bardiya Sr. PHA20 Dilip Kumar Bardiya WSSSDO Bardiya Chief

21 Suraj Aryal Bardiya SuaaharaBardiya District Coordinator

22 Nil KanthaRegmi Bardiya DEO Bardiya Ass. DEO23 Tej Raj Sharma Bardiya DDC Bardiya LDO24 Surendra Gupta Bardiya WSSDO, Bardiya Accountant

25 BinodBahadur Singh Bardiya BASE, Bardiya PC WASH26 Thir Prasad Regmi Dailekh DHO Dailekh Immunization Officer

27 Bishnu Prasad Adhikari Dailekh DEO Dailekh DEO28 Nava Raj Thapa Dailekh SUAAHARA II DLK District WASH Officer

29 Babu Ram Nepali Dailekh DDC Dailekh


30 Bhakta BahadurMalla Dailekh Narayan Municipality E. Officer

31 BikashKafle Dailekh WSSDO, Dailekh Division Chief

32 Kamal BahadurKhadka Dailekh Everest Club, Dailekh FRWSS Coordinator

33 Chok Prasad Dhital Dang WSSDO Dang Division Chief34 Basudev Acharya Dang DDC Dang Planning Officer35 GhanashyamPokhrel Dang DPHO Dang Sr. PAH (Chief)36 Ramesh Prasad Mainali Dang DEO Dang DEO37 TilakNeupane Dang WSSDO Dang Engineer38 BishramAdhikari Dang Nepal Red Cross Society, Dang SDC

39 ShreedharGyaoli Dang WCO Dang CPC40 RamrajKhakurel Dolpa DEO Dolpa DEO41 UmeshJha Dolpa WSSDO Dolpa SDO42 Sagar Mishra Dolpa DDC,Dolpa LDO43 Tekam Oli Dolpa Nepal Red Cross Society DC

44 Jwala Raj Shahi Humla SDC WSSDO SDC45 Bal Dev Prasad Joshi Humla DDC Humla LDO46 GaganBahadurShahi Humla DHO Humla SAHW47 BirendraBahadurThapa Humla RVWRMP, Humla WRA

48 SushilSubedi Humla DEO, Humla DEO49 Madan Kumar Thapa Humla DEO, Humla DEO50 Santosh Kumar Chand Jajarkot HRDC Jajarkot WASH Officer51 Mahesh Mahato Jajarkot WSSSDO, Jajarkot Chief

52 Rudra Prasad Pandit Jajarkot DDC Jajarkot LDO53 Lalit Bikram Singh Jajarkot District Edu. Office DEO

54 BirBahadur Basnet Jajarkot Nepal Red Cross Society, Jajarkot Member

55 Dhir Jung Shah Jajarkot DHO Jajarkot District H. Officer56 DhanBahadurMahat Jajarkot DDC, Jajarkot Driver57 Man BahadurRokaya Jumla FEDWASUN, Jumla Present

58 Hari Narayan Belbase Jumla DDC LDO59 DhanBahadurGautam Jumla CAD Nepal ED60 Tika Ram Khadka Jumla SNV Nepal WASH Advisor61 Shree Bahadur Bhandari Jumla Kirdarc Nepal PO


62 Tanka BahadurSodari Jumla WSSSDO Jumla SDE

63 KulBahadurPhadera Jumla DEO Jumla DEO64 BaidhyaNathJha Jumla DHO Jumla DHO65 Ganesh Bista Jumla DDC, Jumla Driver66 Lekhi Ram Dulal Jumla DEO, Jumla Driver67 Kul Prasad Poudel Kalikot WSSDO SDC68 Bal Prasad Sanjyal Kalikot Nepal Red Cross Society Kalikot President

69 Tula Ram Pandeya Kalikot Kirdarc, Kalikot District Coordinator

70 OjairAlam Kalikot DHO Kalikot Public Health Officer

71 Tejendra Prasad Gautam Kalikot DEO, Kalikot Accountant

72 Prabal Jung Shahi Kalikot DDC Kalikot Program Officer73 Bijaya Raj Poudel Mugu DDC LDO74 Dr. SarojAdhikari Mugu DHO Mugu Chief DHO75 Mohammad Tajmul Mugu WSSDO SDC76 Jwaharlal Hamal Mugu DEO Mugu DEO77 PadamBahadurMalla Mugu Kirdarc, Mugu DC78 HgrishmaThapa Pyuthan WSSDO Pyuthan Division Chief

79 ChiranjibiPoudel Rolpa DEO Rolpa DEO80 Buddhi Ram Gosai Rolpa Nepal Red Cross Society Rolpa DC

81 JeetBahadurRana Rolpa DDC Rolpa PMA Officer82 Nokh Raj Pokhrel Rolpa DHO Rolpa DTLO83 Narayan Prasad Chapagai Rukum DDC Rukum PMAO

84 BikeshBanchhy Rukum WSSDO, Rukum Division Chief

85 Narendra KC Rukum RSDC Rukum District Programme Coordinator

86 Nanda LalMahato Rukum DHO Rukum Public Health Inspector

87 Kham Bahadur Raya Majhi Salyan LDO (DDC) LDO

88 Indra Kumar Sharma Salyan Nepal Red Cross Society Salyan Secretary

89 Shiva Prasad Devkota Salyan WSDO Salyan DE90 Rikha Ram Pun Salyan DHO Salyan SR AHW (Officer)


91 Devi Prasad Subedi Salyan DEO Salyan DEO92 JeetBahadur Shah Surkhet DEO DEO93 Ganesh Oli Surkhet BNA, Surkhet PC94 Raju Chaudhari Surkhet SUAAHARA II SKT DWO95 KulBahadurKhadka Surkhet Bheriganga Municipality Na.Su.96 Basanta Man Shrestha Surkhet DPHO Surkhet HET97 Prakash Raj Sharma Surkhet RHD, Surkhet HEO98 DambarBahadurThapa Surkhet MWRED Surkhet DD

99 Prakash Poudel Surkhet BNM Surkhet Senior Officer 100 Kul Mani Devkota Surkhet FEDWASUN Vice Chairman101 Ganga Gurung Surkhet SAC Nepal Surkhet General Secretary

102 Kabita Tiwari Surkhet SAC Nepal Surkhet Field Supervisior

103 JeetBahadurSaru Surkhet RMSO Surkhet Focal Person104 Gopal Prasad Upadhya Surkhet RMSO Surkhet Engineer105 Chhetra Prasad Jaisi Surkhet 106 Roshan Chaulagain Surkhet ENPHO District Coordinator

107 Tilak Ram Adhikari Surkhet SalkotVDC VDC Secretary108 Uttam Prasad Acharya Surkhet RED Surkhet Section Officer109 AmritLamsal Surkhet DDC Surkhet LDO110 PurnaBahadurAchhami DEO DEO111 Shree Krishna Poudel Surkhet Suaahara DC112 NadiraKhawaj KTM SNV Nepal WASH SL113 RatnaBudhathoki KTM SNV Nepal PWS Leader SSHGA114 Laxmi Chandra Mahat Dailekh RVWRMP/HELVETAS WRA

115 Man Bahadur Khatri Surkhet FEDWASUN Chairman116 Nil Khanda Pandey Surkhet Helvetas SDTRO117 Binod Acharya Surkhet RHD Surkhet Stat. Officer118 Bimal Raj Acharya Surkhet Municipality EO119 LaxmiKharel Surkhet Regional Administration Office Section Officer

120 Kari Leopen Kailali RVWRMP/FCG CTA121 RakkiMitra UNICEF UN Trainee122 HomNath Acharya KTM UNICEF WASH Officer123 IndraPanta Jumla UNICEF Education Officer 124 Madan Raj Bhatta Surkhet HELVETAS Nepal Programme Manager


ANNEX- 2( To be updated as per actual session…)

Agenda of Conference(Day 1)

No.

Session Time Activity TopicMethod of activity

Name and designation

Responsible for organising

8:00-9:00

Breakfast and registration

1 Opening Session:- Opening

remarks by dignitaries

- Introduction and objective of conference

09:00 – 10:30

1. Chair on dias2. Welcome to event

and invitation of dignitaries to dias

3. Lamp lighting by chief guest/national songs/flag

4. Introduction and objectives of conference. Presentation

5. Speech ??6. Speech ??. . .7. Closing of opening

session

Chair: Regional AdministratorChief guest :………….Anchor: SDE A. HussainPresenter of objective: CB KC, RD – RMSO, Surkhet

(RMSO support in making presentation)

10:30 – 11:00 Tea break and departure of guests2 Session 1:

National WASH Framework from past to future (goals and priorities: for households, institutions, rural and urban areas)

11:00 – 11:05

Introduction to session by Session Chair-

Name, Designation: Ministry Representative?????

11:05 – 12:00

National framework – from past to future1

Presentation (15 min)Q&AConclusion of Session 1 by session chair

Presenters: DDG – Manoj Ghimire

Presentation preparation : BhojendraAryal

12:00 – 13:00 Lunch Break3 Session 2:

Status and analysis of WASH in MWDR: factors of success, roles, gaps, and future priorities (for households,

13:00 – 13:05

Introduction to session by Session Chair

Regional Administrator: MWDR or Ministry representative

13:05 – 13:15

Overview of WASH status in MWDR (achievements only)Presentation (10 min)

Presenter: RD, RMSO Surkhet

13:1 Thematic groups ( 5)

1 This includes looking at what was past priority in policies (e.g. NSHMP, water supply policy, total sanitation guideline, health and education sector plans, etc) and what has now been defined for the future in SDP, health strategy, urban strategy, SDGs, etc.


institutions, rural / urban areas)

5 – 15:15

presentation session: on WASH Sector Assessment of factors of success

(tools, processes), roles of

stakeholders, gaps in current

work, future priorities

(based on current gaps and national framework)

Each of the 5 thematic topics has 40 minutes (20 min presentation, 20 minutes plenary discussion)A. Household behaviours 1. Household

behaviours in sanitation and hygiene (ODF, total sanitation)PresentationDiscussion

Time: (13:15-13:55)B. Infrastructure and

services2. Infrastructure and

services for (rural) water supply (see if urban possible)PresentationDiscussion

Time: (13:55- 14:35)

3. Infrastructure and services for urban sanitation

PresentationDiscussionTime: (14:35-

15:15)

1. Household behaviours

Presenter: BhojendraAryal DWSS, KathmanduCo-lead- Madan Bhatta - Helvatas

2. Rural water supplyPresenter: Aabid Hussain- RMSOCo-lead –Raj Kumar Kshetrri

3. Urban sanitationPresenter: Prakash Poudel - Mun. SKTCo-lead - Nadira Khawaja - SL SNV

15:15 – 15:35 Tea Break4 Session 2

continued15:35 –16:45

Each topic has 30 minutes (10 min presentation, 20 minutes plenary discussion)C. WASH in institutions4. Health facilities /

public institutions

4. WASH in health institutionsPresenter: RD health Resource person:


PresentationDiscussion

Time: (15:35- 16:05)

5. SchoolsPresentationDiscussion

Time: (16:05-16:35)

Conclusion of Session 2 by session chair (10 min )

Suaahara

5. WASH in schoolsPresenter: DRED- Damber B ThapaCo- lead: UNICEF

5 Session 3:Rap up of day

16:45 – 17:00

(Being drafted)Next day briefing

Facilitator


Agenda of Conference (To be updated…)(Day 2)

No.

Session Time Activity TopicMethod of activity

Name and designation

Responsible

8:00-9:00

Breakfast and registration

6 Session 4: Developing approaches for way forward in WASH in MWDR (for households, institutions, rural and urban areas)

9:00 – 12:00 (including tea break)

(Split 5 groups )Approaches for way forward in WASH in MWDR- Each topic will be split into separate groups (5 groups) and the session will include:

(i) Overview of topic (detailed introduction to topic; brief summary of status, success factors, gaps, and future priorities from day 1; examples of specific best practices)Presentation(s)

(ii)Discussion and recommendations for:

- Defined milestones- Which tools and

processes to continue and which to discontinue

- Mobilisation of existing resources within existing structures and roles and responsibilities (government, private sector, civil society)

- Best practices to adopt

- Draft declaration points

(Structural frame facilitation/ Sub-Group work and plenary Discussion)

Separate groups for

Five thematic Groups:

1. Household behavioursChaired : RD ForestrySession Lead – BhojendraAryal DWSS, Kathmandu Session co-lead: Madan Bhatta - Helvatas

2. Rural water supply

Chaired : RD - RMSOSession lead: SDE - Aabid Hussain – RMSO SurkhetSession co-lead: -NRCS Regional Office Banke

3. Urban sanitation

Chaired: LDO or EO BankeSession lead: Prakash Poudel, Municipality SurkhetSession co-lead: Nadira Khawaja SL SNV

4. WASH in health institutions

Chaired : RD health

following thematic topics:A. Household behaviours1. Household

behaviours in sanitation and hygiene (ODF, total sanitation)

B. Infrastructure and services

2. Infrastructure and services for rural water supply (discuss if urban should be included)

3. Infrastructure and services for urban

C. WASH in institutions4. Health facilities5. Schools

Session lead: Govt Rep healthSession co-lead: To be confrom

5.WASH in schools inst.

Chaired : RD EducationSession lead : DRD -Damber B ThapaSession co-lead: -UNICEF

12:00 – 13:00 Lunch Break / Group photo 7 Session 5:

( Combined)Recommendations on way forward for WASH in MWDR

13:00 – 13:05

Introduction to session by Session Chair

Representative of Ministry

13:05 - 14:20

Plenary sharing on group recommendations and draft declaration points

Each topic has 25 minutes (10 min presentation by session lead, 15 minutes plenary discussion)A. Household behaviours1. Household

behaviours in sanitation and hygiene (ODF, total sanitation)PresentationDiscussion on recommendations

Time : (13:05-13:30)B. Infrastructure and

services2. Infrastructure and

services for water supply PresentationDiscussion on

Presenter : Thematic session lead person


recommendationsTime : (13:30-13:55)

3. Infrastructure and services for urban sanitationPresentationDiscussion on recommendations

Time : (13:55:14:20)

14:20 – 14:40 Tea Break

8 Session 5 continued

14:40 – 15:35

Each topic has 25 minutes (10 min presentation by session lead/co-lead, 15 minutes plenary discussion)C. WASH in institutions4. Health facilities

PresentationDiscussion on recommendations

Time : (14:40-15:05)

5. SchoolsPresentationDiscussion on recommendations

Time : (15:05-15:30)

Conclusion of Session 5 by session chair (5 minutes)

9 Concluding SessionDeclaration paper finalisation

15:35 – 16:00

Declaration paper finalisation based on the points agreed in session 5 above for all topics

1. Reading of declaration paper

2. Q&A from audience and finalisation

Presentation : Technical team of declaration paper -

Session lead : Main facilitator or MC

10 Knowledge Development and learning sharing

16:00 – 16:30

Sharing of good practices ( audio or visual, flex or presentation), Demonstration stalls

Main facilitator or MC

11 Closing Ceremony

16:30 – 17:00

Chair of sessionVote of thanksSign in declaration paper

A. Hussain


ANNEX-3

PHOTO GALLERY


mid western confernece on sector ... · web viewthe group work was led by mr. db thapa, from red,...

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