Menstrual Hygiene Management Programme Kicked off with a Training of Trainers in Oromia and Somali Regions

By Kalkidan Gugsa

OROMIA and SOMALI, February 2017 – Poor menstrual hygiene management (MHM) negatively impacts the education, health and empowerment of girls and women, as well as the environment. The impacts are compounded during emergencies, such as the protracted drought crises across Ethiopia. What fuels these negative effects of managing menstruation are cultural taboos and other societal barriers.

Girls across Ethiopia face social, cultural and economic barriers related to menstruation which not only prevents their right to dignity, but often prevents their right to education due to inadequate menstrual hygiene education, insufficient WASH facilities and poor access to sanitary materials.

With support from the Netherlands Government, UNICEF Ethiopia, in partnership with regional health and education bureaus (RHB, REB), is implementing an MHM programme to break the silence and bring change in beliefs and attitudes towards menstruation. The programme aims to support girls and women across the country to overcome the barriers that prohibit them from managing menstruation with dignity.

Why MHM?

Menstrual hygiene management is a complex and sensitive issue that requires a contextualized, multi-sectoral approach to adequately support girls and women across Ethiopia. A package of services that leads to improved MHM includes private, minimum-standard toilets, handwashing stations and adequate waste disposal in addition to allowing the safe space for discussion to increase awareness amongst men, boys and girls utilizing social and behavioural change communication (SBCC) methods. In addition, improvements in the supply chain for sanitary pad production complements the community- and school-based efforts in MHM.

In collaboration with UNICEF, the Ethiopia Ministry of Health developed a national MHM guide based on the package of services, which is designed to address the topic across the contexts of schools, communities and workplaces as well as in emergencies.

By working with both the RHB and the REB, and supporting the development of a sanitary supply chain, improved MHM facilities and services will keep girls in school where they can reach their full potential.

MHM social and behaviour change communication materials in Amharic and Oromiffa languages
MHM social and behaviour change communication materials in Amharic and Oromiffa languages

On 15 February 2017, UNICEF kicked off the community- and school-focused MHM training of trainers (ToT) workshops for a total of 120 staff of the RHB and the REB in Oromia and Somali regions. These were the first of such trainings made possible by support from the Netherlands Government.

The TOT workshop established coordination between the education and health sectors and equipped focal persons with global, national and regional menstruation facts. It also introduced participants to the MHM package of services: SBCC activities concerning menstruation, establishing safe spaces to enable girls to receive peer support, counselling and emergency kits as well as improved WASH facilities and sanitary pad production.

Throughout the training, participants highlighted the lack of discussion on this important topic, with one male participant explaining, “In our societies, the lack of information about menstrual hygiene creates a culture of taboos and misinformation about menstruation and therefore potential health problems. Now we know what to do from this training and how to react.”

The regional and woreda (district) focal persons who participated in the ToT, in turn will cascade the training to health extension workers (HEWs), school management committees and school club coordinators (teachers). The trained HEWs and teachers will then facilitate activities for the Health Development Army and the WASH, gender and girls’ club members in their respective areas.

The sanitary supply chain

The sanitary pad supply chain component of the programme establishes women’s groups to produce reusable sanitary pads and provides support to local manufacturers through partnerships to improve the production, packaging, distribution and use of sanitary pad products in target regions. On the manufacturing end, partner companies will engage in backward integration of the production of raw materials such as absorbents and liners. On the sales end, pharmaceutical and family planning outlets, such as pharmacies, drug stores and clinics, will be utilized at local and regional levels to bring the improved products to communities.

Additional MHM training and launch workshops are planned to kick off in March and April 2017 in Gambella, SNNP and Afar regions. Together with Government partners, UNICEF will support the positive change in the dynamics of MHM in Ethiopia and contribute to better futures of girls across the country.

Rehabilitation of Borehole Saves Thousands of Lives and Livestock during Drought

By Ayuko Matsuhashi

A signboard on the sight of rehabilitated borehole
A signboard on the sight of the rehabilitated borehole ©UNICEF/2017/Tsegaye

HARSHIM, SOMALI, 19 January 2017 – “For three months, the borehole was not functional and people suffered a lot. There was little rain, so most of the birkas[1] became empty. Additionally, water from birkas is usually contaminated so we suffered from diarrhoea,” Muse Hassan Ali, 45-years-old recalls the time that he and his neighbours did not have access to safe and sustainable water in his town. Birkas are underground water storage systems intended to collect rain water during the rainy season and store for use during the dry season. Birkas can also be used to store water transported by trucks during emergencies.

According to the Harshim woreda (district) administrator, Sied Abraham, this borehole in Harshim town is the only sustainable water source that survived the 2015 El-Niño drought. It was drilled by the Somali Regional Water Bureau (RWB) following a UNICEF groundwater mapping in 2009 to identify potential drilling sites. The depth of the borehole is 535 meters, one of the deepest in the Somali region. After this borehole became non-functional due to electromechanical failure last year, UNICEF, with generous financial contribution from European Commission’s humanitarian aid department (ECHO), supported the RWB to rehabilitate the borehole by replacing a submersible pump, generator and an electric cable.

An immediate rehabilitation of the only sustainable water source in the woreda was crucial not only for Harshim town, but a large part of the region. It typically benefits over 9,000 people in Harshim and neighbouring woredas as well as people who cross the border from Somalia. At the end of 2016, it also served people in far-reaching woredas when drought conditions worsened once again due to the negative Indian Ocean Dipole (IOD). The RWB and partners began providing emergency water trucking, using this borehole as their source. Thus, its well-functioning affects a high number of direct and indirect beneficiaries across the region.

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Roda Ahmed, 35 years old and Rahma Ahmed, 30 years old collecting clean water from the on-site water point ©UNICEF/2017/Tsegaye

Roda Ahmed, 35 years old, is with her five children collecting water. “This is a source of life. Now I can cook and feed my children,” she says. Another woman from Harshim town also with five children, Rahma Ahmed, explains, “Since this borehole has been working, we stopped drinking water from birkas.

In addition to people collecting water near the borehole, the on-site trough draws in many pastoralists and their livestock. It takes more than a day for Farah Aden, 60 years old, to walk to the Harshim borehole with his 10 camels. “We are grateful for this borehole. Water is always a great cost for livestock. The functionality of this borehole has impacted our life a lot.” Indeed, during drought periods such as this one, entire herds may be wiped out, as evidenced by dozens of dead carcasses along the roads across the region.

Pastoralists come to Harshim town from neighbouring woredas and Somalia looking for water
Hundreds of livestock come from all over the Harshim woreda and drink water at the on-site trough ©UNICEF/2017/Tsegaye

As he contemplates this grave issue in his region, Muse pauses before emphasizing, “Still, this is not enough. There is a great pressure on this borehole. The generator is working 22 hours every day.”

UNICEF and partners will continue efforts to support the Government of Ethiopia to increase water coverage and functional water schemes in the Somali region to save the lives of children, their families and their livestock and contribute to a better future for all.

[1] traditional water harvesting pond

ONEWASH  – UNICEF Ethiopia’s pivotal role 

By Dr Samuel Godfrey

Two months ago, I asked five friends of mine two critical questions; one where does the water that flows out of your tap come from and second where does the waste that is flushed down your toilet go to? Answers like, from a river or “my toilet waste is flushed down a sewer pipe…where it goes, I don’t know?” These answers are symptomatic of many educated peoples understanding.  Last month, I asked five inhabitants of the northern Ethiopian town of Wukro the same question. All five respondents gave me an articulate description of borehole water as well as the exact location of all the septic tanks.

Water and Sanitation are a daily priority for most of the world and the Sustainable Development Goal (SDG) number 6 has been designed to ensure that everyone, everywhere has access to water and sanitation by 2030.

In Ethiopia, UNICEF was ahead of the SDG curve and in 2013 developed a programme called the ONEWASH which was designed to pull all financial resources from the government, aid agencies, development banks and the UN around ONEPLAN.

To develop the ONEWASH programme, UNICEF Ethiopia was delegated by the Government of Ethiopia to design the strategy for a 10 year plan to ensure that the 50 million people gain access to water and 70 million people gain access to sanitation in every house in every town, city and village across Ethiopia. The ONEWASH is the biggest water and sanitation initiative in Africa and requires an estimated investment of US$2.4 billion. See http://www.unicef.org/ethiopia/OWNP_LEAFLET.pdf.

The ONEWASH programme has: ONE plan, ONE Budget, ONE Procurement system, ONE monitoring system and ONE report. Led by the ONEWASH Coordination office in the Government of Ethiopia  Ministry of Water, Irrigation and Electricity  and with financial and technical collaboration with the Ministry of Finance, Education and Health, the ONEWASH was a “showcase” at the 2016 Sanitation and Water for All High Level Meeting.

UNICEF Ethiopia also teamed up with the key financiers in the WASH sector in Ethiopia such as the World Bank, African Development Bank, DFID, Government of Finland and others to set up a Sector Wide Approach (SWAp) pool fund called the Consolidated WASH Account where funds are blended together. To ensure all UNICEFs financial rule and regulations were respected, UNICEF Ethiopia developed a Fiduciary Risk Assessment tool. This is now been worked into a Programme Operational Manual and is used to guide the sector investments.

The SDGs present an opportunity and challenge for UNICEF Ethiopia. If ONEWASH is successful it will improve sanitation and hygiene facilities in hospitals, schools and health centres and will provide essential water supply for areas affected by climate change and drought. It will ultimately result in reducing undernutrition in children and improving the cognitive performance of school goers.

We are working in the WASH sector to complement and partner with other sector financiers to ensure that all children and all women, everywhere: rural and urban – development and emergency -have the right to water, sanitation and hygiene in communities, health centres and schools…..ONEWASH for all…

Dr Samuel Godfrey is Water Supply, Sanitation and Hygiene (WASH) Section Chief at UNICEF Ethiopia

South-South Cooperation as a new approach for WASH sector development in Ethiopia

By Samuel Godfrey and Michele Paba 

South – South Consultative Meeting Addis Ababa, Ethiopia
(LR) Ms.Gillian Mellsop, UNICEF Representative to Ethiopia, Ato Kebede Gerba State Minister MOWIE, Octavio Henrique Cortes Brazilian Ambassador to Ethiopia. Signed a trilateral program document to cooperate on WASH under South-South initiative. ©UNICEF Ethiopia/2016/Tesfaye

In the effort to improve delivery of essential services to women and children, South-South cooperation provides a platform for lower income countries to learn from middle income countries that have recently addressed developmental challenges similar to their own. Ethiopia’s aspiration to reach middle income status by 2020 means that its five-year Growth and Transformation Plan II is heavily reliant on exploring the economic and social development models of China, Brazil, Cuba and other Latin American Nations.

The need to address rapidly urbanizing small and medium sized towns is central to Ethiopia’s growth. UNICEF in its new Country Programme (2016-2020) has identified urbanization as one of the key challenges being faced by women and children. How do lower income households get access to equitable and affordable services such as health care, education, water supply and sanitation? How will the rights of out-of-school children in urban areas be protected?

To answer some of these questions, UNICEF Ethiopia has supported the South-South partnerships between the Government of Ethiopia and the Governments of Brazil and Cuba in two strategic areas, Urban Water, Sanitation and Hygiene (WASH) and Integrated Water Resource Management.

The cooperation initiative with Brazil was initiated in 2014 with the support of UNICEF Ethiopia and Brazil Country Offices and the UK Government, under the ONEWASH Plus Programme, with the aim of supporting the water and sanitation sector in Ethiopia in two key pillars, namely, the development of the sanitation sector in towns, with particular focus on technology transfer for the treatment of waste water generated by densely populated housing facilities such as condominiums, and the establishment of an independent regulatory framework for WASH services at all levels.

Given the extensive experience of the Cuban Government in river basin and water resource management, the recently established collaboration with the Ethiopian authorities, supported by UNICEF and the US Government, will definitively generate great impacts on the watershed management plans and riverine resources conservation initiatives across the country.

The two South-South initiatives were reviewed, through a consultative workshop held in Addis Ababa on 26 May 2016, by high level officials from the Ministry of Water Irrigation and Electricity, the Embassies of Brazil and Cuba, UNICEF as well as other sector institutions and development partners including  the UK and US Governments. The workshop culminated in the signing of the three-year project document between Ethiopia and Brazil. Together, the partnerships with Brazil and Cuba will help Ethiopia strengthen the WASH sector to be able to better deliver services for children and communities.

During the event, the State Minister of Water Irrigation and Energy, H.E. Ato Kebede Gerba, underlined the importance of the integration of different forms of cooperation, both North-South and South-South, in order for the sector in Ethiopia to get the required exposure and learning from different experiences and practices.

Dr. Samuel Godfrey is Chief of WASH and Michele Paba a WASH Specialist at UNICEF Ethiopia

Water trucking brings relief to remote communities and helps revive local education

By Paul Schemm

UNICEF-supported water trucking helps revive education
Ababa Abraha had to leave school to work when her family ran out of food amid a severe drought. © UNICEF Ethiopia/2016/Hema Balasundaram

When the drought came to the remote kebele (sub-district) of Gonka, Ababa Abraha’s family held out as long as they could, in their picturesque village set among the sharp mountain peaks and deep valleys of the Tigray Region.

With no crops and food, however, they finally had to leave to find temporary work in nearby towns and pulled 14-year-old Ababa out of Grade 7 to work as a house cleaner.

Then came word that there was water being supplied and a Government feeding programme at the Gonka Complete Primary School, a rough stone building in the village, and Ababa was allowed to return.

“I like school a lot,” said Ababa, who dreams of studying finance at university one day. “But I can’t learn without food. If there is no food, I have to work to help my family.”

Gonka Kebele, which is near the arid Afar Region, was hard hit by the drought affecting much of the country. With its two wells failing, it received a 10,000 litre-capacity water bladder that is refilled every other day by a truck that makes an arduous journey over the treacherous gravel road.

Trucking water for the hardest hit

UNICEF-supported water trucking helps revive education
Every other day, a truck transports 10,000 litres of water through mountainous terrain to the drought-affected community in remote Gonka Kebele © UNICEF Ethiopia/2016/Hema Balasundaram

The current drought has rendered some 5.8 million people nationwide in need of access to safe water. As long term solutions to water scarcity are developed, the Government of Ethiopia, supported by UNICEF, has started trucking in water to the most severely drought-affected communities.

UNICEF’s 100 trucks are operating in the Afar, Amhara, Oromia, Somali, SNNP and Tigray regions and have already delivered 15 million litres of water to 300,000 people in the last month.

“It is the first of its kind, UNICEF providing full water services to beneficiaries,” said Getachew Asmare, the UNICEF Water and Sanitation Specialist in Tigray, where 110,000 people including school children have benefited from 4.6 million litres of water in one month.

In some communities, people are surviving on just 5 litres of water a day, a quarter of the Government-recommended 15 litres a day and a far cry from the 100 litres a day consumed by the average citizen of a developed country,” said Getachew.

The case of Gonka Kebele shows how water scarcity doesn’t just affect hygiene and crops but also education.

A lifeline for the school

Haftu Gebreziher, the 26-year-old director of the Gonka Complete Primary School described how he was losing students by the day before the start of UNICEF-supported water trucking and Government feeding programme. Some were spending the day walking for hours fetching water at the distant river, others couldn’t pay attention in class.

Students also complained about the difficulty of getting a drink and the lack of regular showers due to the water scarcity

“There was a drop in attendance and a rise in tardiness,” he said, estimating a 60 per cent absentee rate. “This was interfering with school but now with the water and feedings, that has stopped.”

UNICEF-supported water trucking helps revive education
A water truck hired by UNICEF fills a 10,000-litre water bladder next to the school. © UNICEF Ethiopia/2016/Hema Balasundaram

The large yellow water bladder donated by the Government of Ireland sits right outside the school, next to the hut where the children’s midday meal is prepared. The students swarm around the water taps connected to the bladder and drink whenever they want instead of taking a long trek by foot or camel to a river in the distant valley.

The €110,000 (ETB 2.6 million) worth of donated water containers marks the latest support from Ireland, which so far has given Ethiopia €9.1 million to combat the drought. The water tanks and jerry cans will be used by UNICEF in the worst affected woredas (districts) nation-wide.

As the WASH cluster lead, UNICEF also supports the Government of Ethiopia and other partners in the rehabilitation, maintenance and construction of new water supply systems, provision of water purification and treatment chemicals, and provision of sanitation and hygiene facilities in schools. UNICEF is also exploring innovative ways to use satellites to detect deep groundwater for large scale, multiple-village water supply systems.

These efforts are helping ensure that students affected by the drought don’t have to forfeit their education. For 14-year-old Silas Hagos at Gonka Complete Primary School, this means that she can once again work towards her dream to become a pilot for the national carrier Ethiopian Airlines. When the drought came, she had to leave the eight grade to work.

She sold soap and packaged biscuits in nearby town for weeks until the feeding programme and the new water bladder allowed her to return and once again dream of flying.

“If we get the opportunity to learn, it is good – an educated person is better than an uneducated one,” she said with a smile.

EU’s Satellite images provide life saving water to drought affected communities in Ethiopia

By Samuel Godfrey

An ongoing UNICEF supported borehole drill in Musle Kebele of Kore Woreda.
An ongoing UNICEF supported borehole drill in Musle Kebele of Kore Woreda. The borehole drilling site was identified through combined remote sensing technology with conventional methodologies (hydrogeology and geophysics). © UNICEF Ethiopia/2016/Ayene

Ethiopia is in the middle of an El Nino induced drought which has left 5.8 million people across the country without access to adequate water. More than 220 districts of Ethiopia are facing water related emergencies that arise due to either a lack of availability or quality of water.

As the WASH cluster lead, UNICEF supports the Government of Ethiopia and other partners in the rehabilitation, maintenance and construction of new water supply systems, provision of water purification and treatment chemicals, scaling up of water trucking activities, and provision of sanitation and hygiene facilities in schools. In addition, UNICEF is exploring innovative ways to use satellites to detect deep groundwater for large scale, multiple-village water supply systems. As part of the overall drought emergency response, UNICEF supports programmes in child protection, education, health and nutrition.

Groundwater, compared to rivers/lakes or other surface water, supplies 80 percent of all drinking water in Ethiopia. Water from the groundwater aquifers supports emergency water supply, urban water supply and livestock watering. With limited rains, many of these shallow groundwater wells have run dry and these communities rely on expensive commercial trucks to haul in water.

The more sustainable groundwater is located at extremely deep depths. In some cases, more than 300 metres below the ground which is the equivalent in height of the Empire State Building. To locate water that deep and then to drill and extract it is a major challenge.

Satellite image of Afar Elidar woreda Potential drilling sites
Satellite image of Afar Elidar woreda potential drilling sites

To tackle this problem, the European Union and UNICEF have selected 9 of the worst affected districts across Ethiopia to use ‘satellite’ technology to locate groundwater. The EU Joint Research Centre (JRC) are providing their expertise by availing ‘no cost’ satellite images which depict the physical and topographical characteristics of the districts from satellites 100s of KM in the sky. These are then combined by UNICEF hydrogeology experts to locate appropriate sites for the drilling of essential deepwells for drought affected communities.

Results to date are extremely encouraging that it should be expanded to a larger scale of the country. On a recent visit to a well sited using this technique in Afar, the UNICEF Executive Director, Anthony Lake said “This approach is very cost-effective, compared to delivering water by truck. Indeed, every permanent well costs the equivalent of only three deliveries of water by truck.”

Mr. Lake added “This is only the beginning. With our partners in the European Union and the Government of Ethiopia we are expanding this effort through out the country, distributing water to villages, schools, health centres and cattle troughs.”

UNICEF would like to express its thanks to the European Union Delegation and the EU-JRC, for their establishment of a remote sensing partnership with UNICEF and providing the un-reserved support so far, which we believe to be strengthen and extended further in the future.

Innovative approaches like these are already showing results for boys and girls in the hard to reach areas of Ethiopia.

Dr. Samuel Godfrey is Chief of WASH for UNICEF Ethiopia, and has a PhD and MSc in Civil Engineering and Water and Waste Engineering.

Ireland and UNICEF respond to Ethiopia’s drought emergency

Ireland and UNICEF respond to Ethiopia drought emergency
L-R) UNICEF Representative to Ethiopia, Ms. Gillian Mellsop and the Ambassador of Ireland to Ethiopia, H.E. Mr. Aidan O’Hara, holding jerry cans that are part of a donation consisting of water bladders and jerry cans worth over €110,000 (ETB 2.6 million) for the drought emergency response in Ethiopia. © UNICEF Ethiopia/2016/Balasundaram

13 April 2016, Addis Ababa: The drought caused by the El Niño global climatic event has driven food insecurity, malnutrition and water shortages in affected areas in Ethiopia.

In recognising the gravity of the situation, the Government of Ethiopia and its humanitarian partners have identified that 10.2 million people, 6 million of them children, are in need of food assistance, while 5.8 million people require access to clean drinking water and basic latrine facilities throughout the year.

In this latest tranche of support, Ireland has provided over €110,000 (ETB 2.6 million) worth of aid for the drought response. This includes 40 water tanks – 20 each with 10,000-litre capacity and 5,000-litre capacity respectively, 3,000 jerry cans, and shipment from the UN Humanitarian Response Depot in Accra, Ghana to the UNICEF Ethiopia warehouse in Addis Ababa. UNICEF will use these materials to scale up provision of immediate life-saving water supply across 31 worst-affected woredas (districts) nationwide through government-led water trucking campaigns. In coordination with the Ministry of Education and Ministry of Water, Irrigation and Energy, UNICEF will deploy the tanks to schools and health centres.

“Ethiopia has made impressive development gains in recent years and we must not let the drought undermine this progress. Our additional support is in response to calls from the Ethiopian Government to assist their humanitarian action; to save lives and protect livelihoods,” says H.E Mr Aidan O’Hara, Ambassador of Ireland to Ethiopia. “In recent weeks, UNICEF has been carrying out real-time water assessments in 30 worst-affected woredas. The April results show that 68 per cent of the population is using less than five litres of water per day in the worst-affected woredas. The water tanks from Ireland will be used to deliver water to the most acutely affected areas”.

“On behalf of the Government of Ethiopia and UNICEF, I would like to thank the Government of Ireland for its continued support for life-saving interventions in this drought emergency,” said UNICEF Representative to Ethiopia, Ms Gillian Mellsop. “Provision of clean and safe water is essential to prevent and contain outbreaks of water-related diseases such as Acute Watery Diarrhoea and scabies, as well as protect children from traveling long distances to collect water, keep children in school and support health and nutrition services.”

As the WASH cluster lead, UNICEF supports the Government of Ethiopia and other partners in the rehabilitation, maintenance and construction of new water supply systems, provision of water purification and treatment chemicals, scaling up of water trucking activities, and provision of sanitation and hygiene facilities in schools. In addition, UNICEF is exploring innovative ways to use satellites to detect deep groundwater for large scale, multiple-village water supply systems. As part of the overall drought emergency response, UNICEF supports programmes in child protection, education, health and nutrition.

The support to UNICEF comes on top of €9.1 million provided by Ireland to Ethiopia in response to the El Niño drought. This includes €3.8 million given in 2015 to the Humanitarian Response Fund, managed by the UN Office for Humanitarian Affairs. A further €1.8 million in humanitarian assistance was provided in 2015 through three NGO partners in Ethiopia: GOAL, Trócaire and Concern. In January 2016, €3.5 million was provided to the World Food Programme to provide highly nutritious food for children under the age of five as well as pregnant and lactating women. This year Ireland will also contribute €10.4 million to the Productive Safety Net Programme which is providing cash and or food support to some 8 million people.