Spotlight: Exhilda Daka

By Rachelle Morehead on July 9, 2015 in student, Water and Sanitation Health

Exhilda Daka is the Senior Administrative Officer for the Council of Chinsali, Muchinga Province of Zambia. In her work for the council of Chinsali, Mrs. Daka is in the Human Resources department. She handles all issues among staff in the District Council. Being in that position she has a great understanding of most if not all programs in the district as well as the challenges of their implementation. Her training is mainly in Environmental health, managing the council assets, such as land and environmental management. Her specialty with Environmental Health has lead her into involvement with Akros Global Health in Community Led Total Sanitation (CLTS.)

Mrs. Daka’s main role in CLTS is district training. She trains District Water, Sanitation and Hygiene Education Committee (D-WASHE) members, Chiefs, Environmental Health Technicians (EHT), and Community Champions (CCs) on CLTS practices. Through her time working with CLTS, Mrs. Daka has learned that CLTS is attainable she believes that “mindsets are starting to change” and that in some villages Open Defecation Free (ODF) is possible. Mrs. Daka stated that in a few years, if key changes and support are available, ODF can be accomplished district wide. Though she recognizes that some CLTS practices such as triggering are incredibly effective, she also knows that the reason ODF has not been reached in the district is due to some key challenges. Mrs. Daka spoke freely about changes that need to be made in her district and has some great ideas to overcome the challenges that are inhibiting ODF. The first issue Mrs. Daka pointed out was the Chief involvement. In her opinion the Chiefs and Village headman are not participating in CLTS to their fullest ability.

Spotlight: Dominic Mushashu

By Hannah Kramer on July 9, 2015 in student, Water and Sanitation Health

After an exhausting 10-hour drive from the Akros offices in Lusaka, two students from Montana State University, the Akros Surveillance Officer, Sanford Cheelo, our driver, Jackson Zulu and I arrived in Chinsali, Muchinga Province. Almost immediately we were greeted by the friendly face and warm handshake of Dominic Mushashu. Aside from working for the Zambia Ministry of Local Government and Housing (MLGH) as an Environmental Engineer, he is married with a 3-month-old child, and he works extremely hard to make the Community Led Total Sanitation (CLTS) program possible in Chinsali.

“The environment is dear to me,” he says with a radiant smile. This is what initially led him to volunteering with Akros as a Water, Sanitation and Hygiene (WASH) Focal Point Person. Although he wasn’t aware of the time and energy commitment such a job would entail, he enjoys this work because he is eager to make a difference in his community; he welcomes any challenge with open arms.

WASH discussed in Huffington Post blog series

By Akros Media on June 1, 2015 in News, Water and Sanitation Health

The Huffington Post featured some news from the WASH movement last week in an article titled “Promoting WASH Through Traditional Leaders and Technology,” co-authored by Akros CEO Anna Winters and Akros Director of Public Health David Larsen. The piece explores the way the government of the Republic of Zambia, with technical assistance from Akros and other partners, has been working with Zambia’s traditional leaders or “chiefs” to have a drastic impact on sanitation practices at the local level.

Click here to read the article.

The story was part of a series supported by WASH Advocates on the relationship between WASH and the Millennium Development Goals. Click here to see all the articles in the series.

Chienge District’s Accomplishments celebrated on NPR blog

By Akros Media on May 28, 2015 in News, Water and Sanitation Health

On April 24th, Zambia’s Chiengi District was declared Open Defecation Free (ODF), meaning that every household in Chiengi district has a latrine that meets specific parameters to stop the disease vector, thus improving household health through better sanitation.

This is the first district in Zambia, and the first in Southern Africa to reach this momentous milestone. Officials from the Zambian government and dignitaries from DFID, UNICEF and Akros traveled two days to celebrate with Chiengi.

Click here to read a story from NPR’s Goats and Soda blog highlighting the celebration.

Zambia and Southern Africa Celebrate First Open Defecation Free District

By Akros Media on April 22, 2015 in News, Water and Sanitation Health

On 24 April 2015, Chienge will host a national celebration to mark the historic achievement of becoming the first district in Zambia and Southern Africa to be declared Open Defecation Free (ODF). With three chiefdoms in the districts becoming ODF at the same time, Chienge’s verification also makes Zambia the second country in Africa, after Kenya, to realize such an ambitious goal. The district moved from a low baseline coverage of 12% to the now verified 98% population reach (this includes all 13 wards being verified and certified as ODF by the Ministry of Local Government and Housing working with UNICEF.

The celebration is part of the “ODF Zambia by 2020” Campaign which has seen Zambia make progress on improving sanitation coverage with chiefdoms leading the way. So far, 10 chiefdoms have been declared ODF, an important factor in reducing disease outbreaks such as diarrhea in communities.

Diarrhea is the second leading cause of death for children under 5, globally, and one of the significant contributors is the lack of access to adequate sanitation and appropriate hand washing facilities. In Zambia, approximately 40 children die each day because of a lack of access to sanitation and clean water and 40% of those affected are stunted – notably because of fecal-oral transmission of diseases. The negative outcomes disproportionately impact Zambia women and girls, who face additional risks to their safety when defecating outdoors or attempting to reach far away toilets. In the economic context, Zambia loses ZMW 946 billion annually due to poor sanitation, according to the review conducted by the Water and Sanitation Program (World Bank, 2012).

The Honorable Minister of Local Government and Housing, Mr. John Phiri, commented, “We are inspired by this landmark achievement which shows that by using community participatory approaches such as Community- Led Total Sanitation (CLTS), and effective sector collaboration at different levels, huge milestones can be made towards a defecation free Zambia. We salute their Royal Highnesses Senior Chief Mununga, Senior Chief Puta and Chieftainness Lambwe Chomba, for their distinguished leadership that has resulted in having the first ODF district in Zambia and other countries in the Southern African Region.”

“A lack of sanitation in the most vulnerable populations often translates to lack of good health, and a loss in economic and educational opportunities – outcomes that disproportionately affect the quality of a woman’s and child’s life and future,” stated Dr. Hamid El-Bashir Ibrahim, Country Representative for UNICEF. “This is why the district of Chienge achieving its open defecation free status is an important milestone in Zambia’s history, not only because of what it means for the health of over 100,000 residents in the district, but also because it demonstrates the great capacity of the Zambia communities and their traditional leaders to realize their own innovative solutions. I can only admire such a remarkable display of collective government prioritization, collaboration, and mobilization that have made this milestone possible.”

While the long-term health and development impacts of this achievement are still emerging, remarkably, Chienge was able to leap between its abysmal starting point to its currently outstanding coverage over just the course of one year – stakeholders watch with great interest as the district, which historically recorded almost yearly outbreaks of cholera, passes the 12-month mark with zero confirmed cases of cholera recorded.

“This has been an absolute team effort. Spearheaded by the strong leadership and commitment of the three chiefs, our tireless Community Champions, EHTs and CHAs, Sub-Chiefs, Headmen and head women, Ward Councillors, all District WASHE Committee members including the District Administration and key line Ministries and District Staff, especially our RWSSP Focal Point person and the proud and hard-working communities of Chienge District, with excellent support from facilitating NGO Akros, PDHID and provincial and national line ministries, “says Chienge District Council Secretary Mr Kauchingu.

Chienge is the first in the line of ODF districts to be verified in the upcoming months, which includes Lunga, Samfya, and Mumbwa to be confirmed soon.

The National Rural Water Supply and Sanitation Program is led by the Ministry of Local Government and Housing, in partnership with the Ministry of Chiefs and Traditional Affairs, Ministry of Community Development, Mother and Child Health, and the Ministry of Education, Ministry of Health. The leadership is supported by many cooperating partners and NGOs in the sector, particularly by UNICEF and the UK Department for International Development (DFID) for the Community-Led Total Sanitation (CLTS) program currently found in 67 rural districts, with a view to expanding into more districts this year. NRWSSP is committed to addressing the underlying causes of diarrhea and other waterborne diseases through a package of Water, Sanitation and Hygiene (WASH) interventions that include the evidence-based participatory approach of CLTS.

Akros Staffer, Anne Mutunda, to make presentation at Menstrual Cycle Research Conference in Boston

By Maswabi Precious Matantilo on April 9, 2015 in Capacity Building, News, Water and Sanitation Health

[icon size=”16″]icon-camera[/icon] Anne Mutunda (far right) celebrates the 1 million new users of sanitation milestone with her W.A.S.H. colleagues at the Akros offices in November. Mutunda will present on her research at the 21st Biennial Conference of the Society for Menstrual Cycle Research in Boston this June.

World Health Day is celebrated on April 7 each year as a global health awareness day that also marks the anniversary of the World Health Organization, established in 1948. For the past two years, this day has also marked the start of World Health Worker Week, a weeklong celebration of the inspiring health workers who make health care possible. This is also a week to celebrate health workers who provide health care in the hardest to reach places, often compromising their own comfort for the sake of health equity.

Anne Mutunda, an Akros Water & Sanitation Health (WASH) Surveillance Officer, has been invited to make a presentation during the 21st Biennial Conference of the Society for Menstrual Cycle Research to be held at the Centre for Women’s Health and Human Rights at Suffolk University in Boston from June 4 – 6. “I am very happy to be invited to this conference, I feel delighted as this will make me known in the international research community as a subject-matter expert in the area of water, sanitation and hygiene,” said Mutunda.

The life of a Community Champion

By Maswabi Precious Matantilo on March 30, 2015 in News, Water and Sanitation Health

Justine Mwape is one of the most hardworking Community-Led Total Sanitation (CLTS) volunteers in the Serenje District of Central Province. He led Kabamba ward to end open defecation in 2014 when he was serving there as a Community Champion. His journey was not so smooth as he had to work as the only Champion in the area for some time after his co-champion left. He had to supervise about 51 sparsely populated villages alone. This did not limit him as he decided to put in some extra hours to ensure adequate sanitation in his area of operation. Mwape became a Champion soon after the CLTS programme was introduced to the area in 2013. He describes community work as an inborn thing, something that comes naturally and enables him to thrive with ease even in challenging situations.

Asked how he was able to lead the ward to stop open defecation, he stated that the Ministry of Local Government and Housing, Chief Kabamba and Akros were very instrumental in helping him facilitate the change. He further stated that his vast prior experience in community work instilled some skills that he used in the CLTS programme such as team building, facilitation and conflict management.

CLTS creates demand for sanitation marketing and SLTS

By Maswabi Precious Matantilo on January 19, 2015 in Capacity Building, News, Water and Sanitation Health

As chiefdoms attain an open defecation free (ODF) status in Zambia, they have begun looking at sanitation from a much broader perspective by looking for approaches that can be used to sustain adequate sanitation. This has necessitated the introduction of two approaches: sanitation marketing and school-led total sanitation (SLTS).

Sanitation marketing is an emerging field that applies social and commercial marketing approaches to scale up the supply and demand for improved sanitation facilities. It assists low-income households in gaining sustainable access to improved sanitation they want and can afford. Sanitation marketing is a new approach in Zambia, and was first introduced in Namwala district this year as a pilot, with the hope of learning from its implementation process and scaling it up to other provinces. The approach was introduced to chiefdom Mukobela where ODF status was attained in 2013. “Before the introduction of CLTS, the government tried building toilets for the community but they were not used. It was after triggering the chiefdom that we understood that the community needed a mind-set change, not actual toilets for starters,” said Kelvin Simukondwi, Namwala D-WASH Coordinator.

CLTS involves triggering, an approach aimed at stimulating a collective sense of fear, disgust and shame among community members as they confront the crude facts about mass open defecation and its negative impacts on the entire community. Activities include “transect walks” (tours of the village locating open defecation sites and tracing paths of contamination through water or animals), discussions, and the formulation of an action plan to become ODF.

Chief Mukobela tells of how his chiefdom attained ODF status in a single year

By Maswabi Precious Matantilo on December 16, 2014 in Water and Sanitation Health

Chief Mukobela is one of the first chiefs to attain open defecation free status (ODF) for his chiefdom in Zambia. Having attained ODF status in 2013 after the community led total sanitation programme (CLTS) was introduced in 2012, His Royal Highness has gone beyond and has begun working on a sustainable approach to maintain adequate sanitation in his chiefdom. He has since begun partnering with the Government of Zambia and Akros in ensuring that sanitation marketing and school-led total sanitation is a reality in his chiefdom, an indication of his great commitment towards stopping open defecation.

To many chiefs in Zambia, attaining ODF status in their chiefdom is seen as a challenging process. This has been attributed to the deep-rooted cultural behaviours that prevent them from defecating in a toilet. These behaviours are said to take a process to unlearn.

Some chiefs have even gone to the extent of putting up stringent measures aimed at ending open defecation such as charging a fee to subjects who refuse to comply with building a latrine as well as threatening them with the law.

University of Montana student works with Akros in Zambia for her practicum

By Maswabi Precious Matantilo on November 20, 2014 in Capacity Building, Health Data Systems, Water and Sanitation Health

Akros has recently begun partnering with university graduate programs to offer practical knowledge and experience to students with an interest in health around the world. Annie Glover, a Masters student in Public Health at the University of Montana in the United States is one of those students, and has been in Zambia for the past month. “I have always wanted to pursue public health, meet new people, experience new culture and give back to society” said Glover.

Annie’s time in Zambia was spent learning the intricacy of the work community health workers and volunteers do. Her work also involved identifying avenues that Akros can use in collaborating with other like-minded organisations in order to increase its efficiency and effectiveness.