Shaping the Sanitation Market with Product Innovations in Ghana. WASHfunders, May 2019.
Over 10 million urban Ghanaians live with unimproved sanitation services or are openly defecating causing a severe public health concern according to WHO/UNICEF. The World Bank estimates that poor sanitation and hygiene in Ghana leads to $290 million in economic losses each year.
While businesses are trying to address the sanitation crisis, they face several barriers including lack of high quality and affordable product offerings for consumers, poor access to financing, and insufficient support to manage their business better and more professionally.
The SATO pan, a plastic toilet pan with a self closing flush mechanism that provides product innovation to Ghanaian consumers is being marketed to sanitation businesses by Total Family Health Organisation (TFHO) and PSI with funding from the USAID Supporting International Family Planning Organizations 2 (SIFPO2) Project. The product is manufactured by LIXIL, a global corporation that makes water and housing products.
Read the complete article.
Indigenous plants for informal greywater treatment and reuse by some households in Ghana. Journal of Water Reuse and Desalination (2018) 8 (4): 553-565.
Poor greywater management is one of Ghana’s sanitation nightmares due to longstanding neglect. This study looks at local practices of informal phytoremediation, and identifies commonly used plants and benefits. Greywater (kitchen, bathroom and laundry) is mainly disposed of into the open, with few using septic tanks and soakaway systems.
The majority of respondents perceived plants as agents of treatment and most could list 1–2 beneficial functions of the plants. A total of 1,259 plant groups were identified which belonged to 36 different plant species. The top five indigenous plants used are sugarcane, banana/plantain, taro, sweet/wild basil, and dandelion.
The major plant benefits identified were food and medicine. Statistically, no association was identified between the numbers of plants grown and their perceived plant roles, with the exception of an association between plant numbers and benefits. There is demand for improving local practices of using plants in greywater treatment and reuse, since native plants also come with other benefits.
Global Waters Radio: Establishing a Sustainable Market for Water Purification Tablets in Ghana. Global Waters, July 18, 2017.
“We feed ourselves out of the sale of Aquatabs — so financially, Aquatabs has helped given us a very sustainable job, and we are proud of it.”
Ernest Saka Ansong is managing director for Health Top Up Services, a private Ghanaian company that serves as Aquatabs’ official importer. Photo Credit: Health Top Up Services
Aquatabs are one of the world’s most popular water purification tablets, produced by Medentech, a company specializing in manufacture of disinfection products.
Through partners, more than 11 billion liters of water were treated with Aquatabs worldwide in 2016.
First introduced to the Ghanaian market roughly 10 years ago by the USAID Ghana Sustainable Change Project, the tablets remain in high demand today — more than 4 million tablets were sold in Ghana alone in 2015, with similar sales figures in 2016.
Why so popular after all these years? First and foremost, affordability — but also a proven ability to bolster community health, and reduce the prevalence of dangerous waterborne illnesses like cholera.
Read the complete article.
When Water Doesn’t Flow: Why Lack of Water Matters in Healthcare Facilities. PLoS Global Health Blog, June 29, 2017.
Why Lack of Water Matters in Healthcare Facilities
Water, as well as the availability of sanitation and hygiene infrastructure, are essential to providing safe, quality healthcare. Without water, surfaces remain unclean and medical equipment cannot be sterilized. Water shortages within healthcare facilities are particularly concerning when thinking about the water needed for surgery or in maternity units.
When water does not flow from the piped water supply within the hospital, jerry cans (the yellow containers shown) are used to collect water from a nearby lake
According to the World Health Organization’s Essential Environmental Health Standards in Health Care, 100 liters of water are needed per medical intervention preformed in healthcare facilities. As an example, if one hospital in Ghana reported that 138 babies were born in one month then 13,800 liters of water would be needed to ensure safe delivery of all babies. Based on my experiences as a researcher and a patient in a rural Ghana hospital, meeting this requirement would be virtually impossible.
During my hospitalization, water did not flow through the pipes within the hospital and the donated water treatment system was not operating due to water scarcity and intermittent power in the region.
The lack of water sparked a series of managerial decisions, which in turn affected patients’ access to toilets and handwashing facilities, which led to clinical staffing shortages. Without adequate water in the hospital, management locked the bathrooms within the wards and rationed water for staff handwashing.
My infirmed neighboring bedmates were told to use an open area behind the ward to relieve themselves. In a few cases, these sick patients were too weak to do so, and the floor next to their beds quickly became soiled contributing to environmental contamination. The hospital would then dispatch valuable nursing staff to a lake –located half a mile away to get water in order to clean floors.
Read the complete article.
Think tank for sanitation management inaugurated. Graphic, June 28, 2017.
An environmental sanitation think tank to serve as a focal point for providing long-term solutions to sustainable and environmental sanitation management in Ghana has been inaugurated in Accra.
Mr Joseph Kofi Adda, the Minister of Sanitation and Water Resources, swearing in the board of the Tersus Ghana Environmental Sanitation Think Tank at the Ghana Academy of Arts and Science conference room in Accra. Picture: EMMANUEL QUAYE
The think tank, called Tersus Ghana, will provide input and guidance for rigorous empirical research that will produce environmental sanitation-related information relevant to the sector and the nation as a whole.
Tersus, a Latin word for ‘clean-up’, will operate as a not-for-profit, non-partisan group with a membership made up of government, academia, as well as non-governmental organisations (NGO) and industry-based experts.
Read the complete article.
Plan International USA and The Water Institute at UNC have conducted the first study to present comprehensive, accurate, disaggregated costs of a WaSH behaviour-change programme. The study calculated programme costs, and local investments for four community-led total sanitation (CLTS) interventions in Ghana and Ethiopia.
Jonny Crocker, Darren Saywell, Katherine F. Shields, Pete Kolsky, Jamie Bartram, The true costs of participatory sanitation : evidence from community-led total sanitation studies in Ghana and Ethiopia. Science of The Total Environment, vol. 601–602, 1 Dec 2017, pp: 1075-1083. DOI: 10.1016/j.scitotenv.2017.05.279 [Open access]
Evidence on sanitation and hygiene program costs is used for many purposes. The few studies that report costs use top-down costing methods that are inaccurate and inappropriate. Community-led total sanitation (CLTS) is a participatory behaviour-change approach that presents difficulties for cost analysis. We used implementation tracking and bottom-up, activity-based costing to assess the process, program costs, and local investments for four CLTS interventions in Ghana and Ethiopia. Data collection included implementation checklists, surveys, and financial records review. Financial costs and value-of-time spent on CLTS by different actors were assessed. Results are disaggregated by intervention, cost category, actor, geographic area, and project month. The average household size was 4.0 people in Ghana, and 5.8 people in Ethiopia. The program cost of CLTS was $30.34–$81.56 per household targeted in Ghana, and $14.15–$19.21 in Ethiopia. Most program costs were from training for three of four interventions. Local investments ranged from $7.93–$22.36 per household targeted in Ghana, and $2.35–$3.41 in Ethiopia. This is the first study to present comprehensive, disaggregated costs of a sanitation and hygiene behaviour-change intervention. The findings can be used to inform policy and finance decisions, plan program scale-up, perform cost-effectiveness and benefit studies, and compare different interventions. The costing method is applicable to other public health behaviour-change programs.
Posted in Africa, Publications, Research, Sanitary Facilities
Tagged Community-Led Total Sanitation, direct support costs, Ethiopia, Ghana, local investment, Plan International, programme costs, UNC Water Institute