TOT of WASH in Badakhsan

Introduction
In recent years, Badakhshan DEWS department has reported higher morbidity rates related to diarrheal diseases and typhoid fever than previously. The main suspected causes are consumption of unsafe drinking water, and practicing poor sanitation and hygiene behaviors. In several districts, the most vulnerable population is the one which has limited access to safe drinking water, using contaminated water from damaged/unequipped sources or surface water, for cooking and drinking.
In the Humanitarian Needs Overview 2015, a strong WASH/high morbidity linkage is identified for Badakhshan and the province is identified as a priority for several clusters including WASH, Nutrition and Health.
In 2016, the same trend was observed as in 2015. WHO, with Mission East (International NGO) as implementing partner, decided to conduct an assessment of the risk factors for typhoid fever outbreak (and diarrheal diseases in general) in the some districts reported to be highly affected. The assessment results provide recommendations on preventive measures that can be used to improve access to safe drinking water, and improved sanitation and hygiene promotion.
In the light of the major findings of the study, it has highly recommended conducting an awareness raising campaigns and programs to mobilize community dwellers consume safe drinking water, adopt hygiene and sanitary behaviors and avoid open defecation.
Objectives of the campaign
In general, the campaign aims to increase awareness and knowledge of the general public about specific health topics including but not limited to safe drinking water, improved sanitation behaviors and proper hygiene practices.
Proceedings
Day One:
Travel from Kabul to Faiz Abad
On Saturday 04/Nov/2017 Dr. Khan Khil, Dr. Noormal & Dr. Sediqi from HPD of MoPH, had flight from Kabul to Badakhshan. In the afternoon of the same day the team met Dr. Shahidi deputy health director of Badakhshan province and reorient him regarding conducting of two days water borne diseases training to 16 CHSs and awareness campaign of water borne diseases in 6 districts of Badakhshan province ( Kisham, Daraem, Baharak, Tishkan, Argo & Faiz Abad)

Day Two:
Meeting at WHO:

On Sunday 05-Nov-2017 MoPH, HPD team had meeting with Faiz Abad WHO representative and finance section. They prepared and printed all two days water borne diseases training materials, training handouts, stationary, per diem sheets, attendance sheet and many more for smoothly conducting of two days water borne diseases training.

Day Three & Day Four:
Conducting of water borne diseases two days training:

On Monday 06-Nov-2017 MoPH, HPD WASH team conducted two days water borne diseases training to 16 CHSs of six targeted districts of Badakhshan province at Badakhshan public health directorate training hall. The training started with welcome said by Badakhshan public health director and WHO representative.
Both Badakhshan public health director and WHO representatives had general speech regarding importance of water, sanitation and good hygiene practices. Badakhshan public health director, thanked MoPH, HPD WASH team for technical support of the training and he thanked from WHO for their financial support and requested all CHSs to stay full two days for their training and wished them good training and achievements and to conduct good quality training for CHWs, school teachers and religious leaders in the communities (six districts of Badakhshan province)
Trained CHSs will conduct one day training for 277 male & female CHWs, 60 school teachers and 60 religious leaders, totally (397 persons) in six mentioned districts of Badakhshan province will be trained in water borne diseases.
Dr. Noormal and DR. Sediqi were facilitators and presented the following topics to CHSs, while Dr. Khan Khell had the role of coordinator in mentioned training.

• Presentation on IPC (Interpersonal communication)
• Presentation on Pneumonia
• Presentation on Water
• Presentation on Sanitation
• Presentation on Hygiene
• Presentation on Typhoid fever
• Presentation on Diarrhea
• Presentation on Cholera
• Group working on Participants
• Presentation on all topics (Key messages)

After completion of second day training, 750 posters and 2250 broachers, stationary and per diem for CHWs, school teachers and religious leaders distributed by WHO to all 16 CHSs for conducting one day water borne diseases training to their target population.

Strong Points:
• Training started on time and ended on time.
• Presentation of key messages, posters and brochures distributed to all CHSs.
• Great and fantastic presentations presented.
• Enough time for questions and answers.
• All participants took active part during the training.
• Good coordination and cooperation between Badakhshan public health staff and HPD WASH team.
• CHSs confirmed that they will conduct one day training to CHWs, school teachers and religious leaders for better awareness of all population in the community.
• All CHSs were happy and gave their feedback very well regarding conduction of water borne diseases two days training.


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