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Community:
The Heart of
Restoration

    TIGE, Caux
    July 2012

 Jared Buono, PhD
Sowmya Somnath, PE




                     Village Spring Protection
                     Maharashtra, India 2012
Contour Trenches
   CRS Project
Afghanistan, 2011
People




Technology        Funds/Framework
Over 50%
of all water
  projects

FAIL
in the first few years
Patchputewadi, India 2010
WATER   SANITATION   HYGIENE
783 MILLION
       NO ACCESS TO SAFE WATER



          2.5 BILLION
        NO ACCESS TO ADEQUATE
              SANITATION



         2.5 MILLION
                   LIVES LOST

WHO/UNICEF Joint Monitoring Programme Report 2012 & WHO
         Global Burden of Disease 2008 update
$1



     (UNDP: Human Development Report, 2006)
Water, Sanitation
   & Hygiene




1.5 million
children die
from diarrheal
diseases every
year.


 WHO Global Burden of Disease 2008
% Reduction in Diarrheal Morbidity per Intervention

                                                                                          0%                  10%               20%                 30%              40%
                                                                                        Hand Washing with Soap                                                       47

                                                                                         Point of Use Water Treatment                                   39

                                                                                        Sanitation                                              32

                                                                                        Water Supply                             25
                                                                                        Water
                                                                                        Treatment 11




Modified From: Fewtrell et al. 2005. Water, Sanitation, and Hygiene Interventions to Reduce Diarrhoea in Less Developed Countries: a Systematic Review and Meta-Analysis. The Lancet
Infectious Diseases, Volume 5, Issue 1, January 2005, Pages 42-52.
Cost per Intervention to Avert 1 DALY due to Diarrhea
       $5000              $4000                $3000                $2000               $1000            $0


  Cholera Immunizations                                                 $1600 to 8000

  Latrine Construction & Promotion                                                 < $270

  Handpump                                                                                $90

  Water Sector Regulation & Advocacy                                                        $45

   Hygiene Promotion with                                                                        $3
   Hand Washing with Soap




Modified from: Laxminarayan et al. 2006. Intervention Cost-Effectiveness:Overview of Main Messages. Chapter 2. In. Disease Control Priorities in Developing Countries. Second Edition. Edt. Jameson et al
The World Bank. Washington DC: National Institutes of Health.
grampari.org




watershedmg.org



  Founding Corporate Sponsor

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TIGE 2012 wmg grampari

  • 1. Community: The Heart of Restoration TIGE, Caux July 2012 Jared Buono, PhD Sowmya Somnath, PE Village Spring Protection Maharashtra, India 2012
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Contour Trenches CRS Project Afghanistan, 2011
  • 8. People Technology Funds/Framework
  • 9. Over 50% of all water projects FAIL in the first few years
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. WATER SANITATION HYGIENE
  • 20. 783 MILLION NO ACCESS TO SAFE WATER 2.5 BILLION NO ACCESS TO ADEQUATE SANITATION 2.5 MILLION LIVES LOST WHO/UNICEF Joint Monitoring Programme Report 2012 & WHO Global Burden of Disease 2008 update
  • 21. $1 (UNDP: Human Development Report, 2006)
  • 22. Water, Sanitation & Hygiene 1.5 million children die from diarrheal diseases every year. WHO Global Burden of Disease 2008
  • 23. % Reduction in Diarrheal Morbidity per Intervention 0% 10% 20% 30% 40% Hand Washing with Soap 47 Point of Use Water Treatment 39 Sanitation 32 Water Supply 25 Water Treatment 11 Modified From: Fewtrell et al. 2005. Water, Sanitation, and Hygiene Interventions to Reduce Diarrhoea in Less Developed Countries: a Systematic Review and Meta-Analysis. The Lancet Infectious Diseases, Volume 5, Issue 1, January 2005, Pages 42-52.
  • 24. Cost per Intervention to Avert 1 DALY due to Diarrhea $5000 $4000 $3000 $2000 $1000 $0 Cholera Immunizations $1600 to 8000 Latrine Construction & Promotion < $270 Handpump $90 Water Sector Regulation & Advocacy $45 Hygiene Promotion with $3 Hand Washing with Soap Modified from: Laxminarayan et al. 2006. Intervention Cost-Effectiveness:Overview of Main Messages. Chapter 2. In. Disease Control Priorities in Developing Countries. Second Edition. Edt. Jameson et al The World Bank. Washington DC: National Institutes of Health.
  • 25.

Notas do Editor

  1. The disability-adjusted life year (DALY) is a measure of overall disease burden, expressed as the number of years lost due to ill-health, disability or early death. Originally developed by Harvard University for the World Bank in 1990, the World Health Organization subsequently adopted the method in 2000. The DALY is becoming increasingly common in the field of public health and health impact assessment (HIA). It &quot;extends the concept of potential years of life lost due to premature death...to include equivalent years of ‘healthy’ life lost by virtue of being in states of poor health ordisability.&quot;[2] In so doing, mortality and morbidity are combined into a single, common metric
  2. Diarrheal diseaseARIHelmithEye infections MDG 7 environmental sustainability, traget 10 halve by 2015 the proportion of people without sustainable access to safe drinking water and basic sanitationDirect MDG, 4 target 4 reduce by 2/3 the under 5 mortality rate (90 to 1015)Direct MDG 6, target 8, have halted by 2015 and begun to revser the incidence of malaria and other major diseasesIndirect MDG 3, target 3 ensure by 2015 children (boys and girls alike) will be able to complete a full course of primary schoolingIndirect MDG 5, improving maternal health, target 8 reduce by ¾ maternal mortality ratio
  3. The disability-adjusted life year (DALY) is a measure of overall disease burden, expressed as the number of years lost due to ill-health, disability or early death. Originally developed by Harvard University for the World Bank in 1990, the World Health Organization subsequently adopted the method in 2000. The DALY is becoming increasingly common in the field of public health and health impact assessment (HIA). It &quot;extends the concept of potential years of life lost due to premature death...to include equivalent years of ‘healthy’ life lost by virtue of being in states of poor health ordisability.&quot;[2] In so doing, mortality and morbidity are combined into a single, common metric