In Uganda, access to safe sanitation remains low, only 33% use improved facilities (JMP 2017). The low access is attributed to a weak sanitation supply chain, low knowledge on sanitation and hygiene among households and limited financing options. Financing is a key issue due to the Ugandan policy of zero subsidy towards household latrine construction. The majority of the households in need of sanitation solutions are poor and with limited knowledge of the available financing options. The FINISH Mondial programme has worked to strengthen linkages amongst households, financial institutions, private sector and government to accelerate sanitation improvement to meet SDG 6.
Connecting non-sewered sanitation to climate finance. Missing links?
Raising awareness about the link between safely managed non-sewered sanitation systems (SDG 6) and climate finance aims for exploring cross-sectoral partnerships and unlocking new finance streams for sanitation. The Finish Mondial Program continues to advocate for recognition that safely managed non-sewered sanitation programmes (such as FINISH Mondial) have a high potential to integrate climate goals as significant objectives.
FINISH Mondial started in Uganda in July 2018
Key achievements realized from 2018 to date:
Over 100,000 people reached with sanitation and Hygiene messages, 50,904 safely managed sanitation systems constructed that led into 305,424 people living healthier lives, 500 entrepreneurs trained technically and five entrepreneurs coached on sanitation businesses. To date, local authorities have acknowledged that FINISH Mondial Uganda has significantly boosted progress towards attaining SDG 6 (clean water & sanitation) for the communities in Kabarole, Kamwenge, Bunyangabu and Kyenjojo districts.
Amref Health Africa in Uganda WASH interventions in health care facilities
Background and rationale Improved Water, Sanitation and Hygiene (WASH) in healthcare facilities (HCFs) is important as it ensures quality and safe care needed by humans and minimizes the risk of infection to patients and their caretakers, healthcare workers and the communities around. Infectious disease risks facing HCFs are costly economically as they pose a great financial burden to the government, health sector, health care system and individual and their families. Absence of safe water and acceptable conditions of sanitation and hygiene in the majority of HCF settings in the developing countries continue to be blamed for its contribution to perpetuating infections that increase morbidities, hospitalization and mortalities among both the adults and young children
- Amref Health Africa in Uganda conducted an assessment.
- 24/24 of the sampled centers did not have running water in maternity wards.
- Midwives & pregnant mothers fetched water from over 500 meter distance.
- Only 16.7% of healthcare facilities had an improved latrine that meets the needs of people with reduced mobility.
- 24/24 of the health care facilities had no hand washing facilities near the latrines.
- 33.3% of healthcare facilities shared latrine facilities with the community (not patients).
- Consequently
- Only 11.9% of the mothers and caregivers practiced hand washing.
- Only 20.8% of women deliver at health facilities (district HMIS).
- 43.5% had sepsis in the first 28 days of their lives.
- Objective: To increase skilled birth attendance in order to reduce the incidence of neonatal sepsis in Amuru District (intervention in 6 HCF).
- Programme focused on 3 impact level indicators at the health care facility level
- Data collected on a quarterly basis to monitor trend in indicators using kobo collect.
- Data collected linked to district data collection system (District HMIS)
Impact seen by intervention
- Reduction in the proportion of sick neonates presenting to health facilities with Sepsis from 43.5% at baseline to 33.3% after 4 years.
- Skilled delivery in health care facilities; increased from 20.8% at baseline to 92% in the 4th year of programme intervention.
- Increase in the MNCH service satisfaction levels among mothers; the quality of MNCH services at health facility improved from 64.1% to 93%.
