Community Health Club Approach as a Strategy to Empower Community Action to Improve Hygiene and Sanitation
Full paper presented during the seminar
In 2003 -4, The Director Of Africa AHEAD first started CHCs in the IDP Camps in Gulu, with CARE International, funded by Bill Gates Foundation. The trainers who were posted in the IDP camps to start up the CHCs and train the community were from a small local NGO called HIDO. After the short emergency programme in Gulu was finisehed HIDO was contracted by Malaria Consortium/Unicef, to replicate the programme in another IDP area, the town of Pader. Justin Otai was the National Trainer and through his advocacy CHCs have spread to other parts of Uganda, thanks to Lutheran Wolrd Federation. This presentation describes a small project in two areas of Katawi District, where two CHCs were introduced with great sucess in Iningo-Otomei and Obulengorok.
After seven months of weekly training, the evaluation presented by Justin Otai shows there was a large shift in hygiene behaviour as evidenced by the observable indicators in each household. Before the project there were 25 latrines, which increased to 85; Bath shelters went from 80 to 149, Pot racks increased from 28 to 207 and rubbish pits from 7 to 150. Although the presentation does not give exact details of numbers in each area, it would appear that the majority of homesteads have brought into the new hygiene standards, and the impact has been significent.
The success of this programme is exciting as it shows once again how CHCs can be easily replicated by other organisations, (as long as they follow the recipe faithfully) without any any imputs through Africa AHEAD.
A meeting of Uwasnet partners also highlighted the success of CHCs as used by Plan InternationalGovernment, NGOs and private operators met on the 13th October 2009, the second day for learning and sharing on sanitation in households and schools. This second day was different as the focus was on low cost technologies and use of manure, PHAST and Community Health Club approaches.