Project Proposal (WASH) Part-1

 Project Proposal

 Name of the Project: WASH In Institution Project

Proposed Time frame:

April 2020 to March 2022 (24 Months)

Proposed Budget:

Budget estimated in BDT: 9,544,054/= is for 2-years, Apr 2020 to Mar 2022. However, detailed budget worked out for 1-year, Apr 2020 to Mar 2021 amounting BDT 4,772,027.

Project Goal:

Sustainable WASH facilities at Institutions including MHM access, leading to better health, better quality education.   

Project Objectives:

§  To develop equitable access to safe and appropriate water and sanitation solutions at Institution (School/Madrasha)

§  To promote improve hygiene practice on handwashing & MHM at Institutions level

§  To support the capacity of duty bearer through providing WASH relevant technical assistance to create access to WASH. 

Project Background Information:

LGI (a local government institution) Led WASH in Health project has amid to strengthen the overall system of primary healthcare at -------------, Nane of District/Sub-district district through WASH facilities improvement from September 2017 to March 2020. ------------- performed this project focusing on Community Clinic and community as well.

Community Clinics are the advantage of the public privet partnership of the Bangladesh Government. Government support on building, medicines, human resources, and operation cost. Besides, community people donate land and maintaining management. Local Community Group (CG) and Community Support Groups (CSG) carry out the ownership of observation and role and responsibilities running the healthcare center.

The latent of CCs to advance the health of the local community exclusively the poor, children, girls, women, and elderly are imperfect by the limited contribution of CG and CSG members, poor WASH facilities, inadequate maintenance of existing facilities, the poor capacity of LGIs, shortage of knowledge on management, and demoralization of service providers.

To fill these gaps, ------------- simplified the capacity and skill growth of the CGs on one hand and other the hand the duty bearers accountable to the CGs and LGIs. Since then and until recently, CG and CSG members of CCs in ------------- have been orientated about their roles, basic financial management, reporting, and communication organize the monthly the meeting and ensuring the follow-ups the managing the CC through development or renovated WASH facilities of CCs.

In ------------- 29 CCs are renovated out of 35. Nowadays, the clinics have handwashing stations, running water, gender-friendly toiles considering a person with a disability, ramp, sitting arrangement, and so on. The water supply project has supported the building of overhead water containers, supplied an electric motor to pump water to confirm the running water supply. ------------- building handwashing station near the toilet and one the family welfare visitor room.

Succeeding these interpositions, the average flow of patients to the CC has increased by 20 percent. (Observation and discussion with the health stakeholders). Most recently medicine supply has been enhanced by the DGHS. Utmost significantly, the community health care provider (CHCP) at the CC is now more passionate to provide better healthcare service to the patients with joyfully. CHCP, FWA, and Health Assistant are also more expected to stay at CC for their entire workday dissimilar past. The accessibility of simple support like WASH within the CC premises has also increased their work and performance. In the recent past, they were obligated to leave the clinic if they needed to drink water or visit the toilet which intervallic the health service to the patients. Patients are also more satisfied using the WASH accessibilities.

Besides, community-level interventions are performed by the 27 Wash Promoter in the ------------- Upazila. Menstrual Hygiene Management (MHM), Handwashing session has been conducted at the community level. Awareness-raising on using sanitary toilets, water safety plans, and installed handwashing stations at the household level are motivated by the Wash Promoter.  A significant change has happed at the community level. Short project support describes in bellow in our project period:

Water	Sanitation	Hygiene	Capacity building and advocacy
§  Installation and renovation of water facilities at community clinics and schools §  Motivate community to install and renovate water points at the household level §  Water quality tests of installed and renovated water points	§  Installation and renovation of toilets at community clinics and schools §  Install and renovate latrines at household level through motivation §  Motivate community people to use the potty for child feces management	§  Handwashing device installation and renovation at both healthcare centers and schools §  Awareness session on handwashing, menstrual hygiene management, and water safety plan at community & school level	§  Enhance the capacity of the community group, community support group, health and family planning staffs, teachers, SMC, and PTA through training §  Exposure visit of duty bearers §  Advocacy with local government and other duty bearers

 

Population Covered during the project period

Besides the project support and achievement has hand in our part through local level advocacy such as

• Increased WASH budget at union level  7-8% at -------------
• Established sustainable O&M fund at community Clinic 9 lac
• Developed 27 female community volunteers as WASH ambassador
• Advocated to provide wheelchairs (38) in CCs and hospitals by the Upazila admiration
• Established mini water testing lab at Upazila level
• 20 thousand Sanitary Pad distributed by the LGI initiatives through advocacy
• ------------- as a brand name is established in the District.

It is strongly guided that after the implementation of the project, social mobilization should continue with more attention to their proper use and maintenance. The above the significant achievement would be sustained through follow up which make us allow new opportunities.

Need Assessment/ Scope of New Work:

Nane of District/Sub-district in the northwestern district of Bangladesh. It is bordered by the Indian State of West Bengal to the west, and by the Bangladeshi districts of Kustia and Chuadanga to the west. The district has an area of 716.08 square kilometers (276.48 sq. mi), making it the smallest district in the country. 6, 55,392 people are living in the district among male 324 634 and Female 324 634.

In Nane of District/Sub-district 157 Secondary school and Madrasha exist (------------- 78, Nane of District/Sub-district Sadar 53, and Nane of Sub-district 26). Education rate only 46.27% and School Attendance (5 to SSC level) rate only 42.90% and the class passed rate only (SSC/Equivalent) 4.66% in the district. (Source BBS 2011)

In June 2019 a survey has conducted among the 140 schools in the Nane of District/Sub-district district, WASH-related a result like as below:

Facility	Safe Drinking Water (Yes)	Safe Drinking Water (No)	Water test (Yes)	Water test (No)	Remarks
Safe Drinking Water	124	16	71	69

 

Facility	Active toilet Chamber	Inactive toilet Chamber	Remarks
Sanitation	618	222	111 toilet chambers have running water facilities among 618

 

Facility	(Yes)	(No)	Remarks
Handwashing	67	73

 

Facility	(Yes)	(No)	Remarks
MHM	86	54	In ------------- 74 schools have napkin facility, so responded relied upon MHM facility, yes, but it is true that in the toilet there is no MHM chamber dedicated in the school.

The above scenario refers to work at the institution level. 

Usually, health and hygiene education in schools attentive to covering theory and memorization of facts from the official school curriculum, rather than on strengthening hygiene practices. The Government provided formal, culturally non-specific education that failed to generate interest, particularly in remote rural areas. Over the decade, this topic in schools has been largely disregarded. On the other hand, because of the water shortages and infrastructure problems mentioned above, many schools are spending time and energy just to teach theoretical knowledge.