Transcript Community Based Environmental Health Promotion

Monitoring of the Community Based
Environmental Health Promotion Program
(CBEHPP) in Rwanda
Presented by Dr. Juliet Waterkeyn
On behalf of Ministry of Health, Rwanda
University of North Carolina
Water and Health Conference
Chapel Hill, USA.
30th October 2014
CBEHPP in Rwanda
 The Government of Rwanda,
through the Ministry of Health,
launched the Community-Based
Environmental Health
Promotion Programme
(CBEHPP) in 2009
 Objective of improving personal,
domestic and community
hygiene practices towards
reducing the national disease
burden and alleviating poverty
among the Rwandan population
CBEHPP in Rwanda
 The CBEHPP empowers communities to identify and solve
their personal and domestic hygiene and environmental
health related problems (including safe drinking water and
improved sanitation)
Programme Achievements in Rwanda
 Establishment of CHCs: 90%
 CBEHPP has been
implemented partially in 30
Districts
Trained CHCs = 40%
supported with training
tools, and conducting
weekly club meetings
CBEHPP Best Practices
 Construction of latrines for poor
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and vulnerable families
Making soaps for hand washing
CHCs contributing money for
buying corrugated iron sheets for
toilets
Contributing money for hand
washing facilities, water filters,
water treatment and mattresses
Constructing the kitchen
gardens, creating savings and
loans
CBEHPP Best Practices continued...
 CHCs is the key channel for community mobilisation
 CHC members do not only deal with health and hygiene
issues, but they became a family and support each other
in any social problem
CBEHPP and Africa AHEAD
 Bill & Melinda Gates
Foundation is supporting the
Ministry of Health to conduct
an evaluation that will
generate rigorous evidence
about the effectiveness of the
Community Hygiene Clubs
approach in Rwanda especially
in Rusizi District to be
completed in 2016.
 Africa AHEAD is building
capacity of Rusizi District
Officers to adequately monitor
and support the CHCs as well
as provide high quality training
for CHC Facilitators and
Dialogue toolkits for the Clubs
Challenges in Monitoring
 Lack of information on coverage of sanitation and hygiene
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at district / cell/ sector/ village level
Lack of adequate monitoring and evaluation of levels of
behaviour change hygiene facilities
Lack of information sharing/reporting by partners to MoH
Paper data collection, manual data analysis and reporting
is too much of a burden and not completed
Reporting from village to district to National level doesn’t
happen
Monitoring and Evaluation
 National
 Use of the new CHC website where all CHCs are
registered and activities captured monthly and quarterly
 Baseline, midline and endline data can be captured for
each & every CHC at national level
 Information available on the website:
Village
Town
CHC Report
Analytics Report
Hygiene Indicators Report
Health Facility Report
Training Materials
News
Acknowledgements:
Bill & Melinda Gates Foundation
Ministry of Health Rwanda
Thank you