Poor sanitation remain a global crisis especially in developing countries, the rate of breakdown and abandonment of the few constructed public sanitation facilities is increasing this is more worse in markets, landing sites and Islands. The increased non functionality is as a result of poor maintenance, poor management, non-customized technology and lack of ownership of hygiene and sanitation to beneficiaries in health promotion. This has triggered open defecation and lack of hand washing among others

1. Promotion of sustainable sanitation

  • Construction and management of water borne toilets in markets, landing sites and Islands.
  • Promotion of customized household water borne toilets.
  • Pit and septic tank emptying through affordable cost technologies.

2. Promotion of health education

  • Awareness and formation of  sanitation school clubs.
  • Training of  sanitation TOT in religious institutions.
  • Enhancing sanitation promotion through village wash promoters

3. Increasing access to safe and clean water.

  • Construction of min piped water systems.
  • Revamping of non functional piped water systems.
  • Provision of management solutions for long term sustainability.

PMA 2020 Schisto report round 2 revealed that, the National Bilharzia prevalence is 29% and it’s highest in children between (2-4) years of age and also common in pregnant mothers. Prevalence does not significantly vary across wealth status, education and geographical regions but the disease affects communities living along almost all water bodies of which 82/122 districts are endemic and eastern region has the highest cases.  Prevalence is more common when open defection and urination is practiced in surface water however; it decreases further low when good sanitation facilities are used.

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