Nepal WASH Blog Water, Sanitation and Hygiene (WASH) & Development in Nepal

November 13, 2013

Linking WASH into health in the South Asia region

Filed under: Advocacy,Diarrhoea,Health,Hygiene,SACOSAN,SACOSAN V,Sanitation — nepalwash @ 6:27 pm

Water, sanitation and hygiene (WASH) are the basic foundations of public health. Therefore Fourth South Asian Conference on Sanitation (SACOSAN IV) held in Colombo in April 2011 recognised that ‘Sanitation in South Asia is at crisis point’. Over a billion people do not use improved sanitation and out of those nearly 700 million people practice open defecation – a sanitation facility that ensures hygienic separation of human excreta from immediate human contact is very essential. This situation represents a constant barrier to human and economic development, through direct impact on health, as well as broader impacts on poverty.

The Lancet infectious disease review 2011 clearly highlights that while the correlation between U5 diarrhoea related mortality and sanitation coverage is abundantly clear, the cause and effect chain of WASH related disease in public health are varied and has many fold implications and deserves urgent attention. Adding to its Child Health Epidemiology Reference Group 2012 shows that in South Asia main diseases for under five are Pneumonia 22%; Diarrhoea 11%. Diarrhoea is the second leading cause of death between age 1 and 5 in South Asia region, according to global disease burden 2012. (more…)

November 19, 2012

To have or not to have toilet Not enough done

Filed under: Advocacy,Campaigns,Diarrhoea,Nepal,Sanitation — nepalwash @ 9:00 am

Why care whether all Nepalis have access to toilets or not?

From experience, we have learnt that not doing something about ensuring toilet access is likely to lead to people’s deaths, especially those of poor women and children. For evidence, consider what happened in the hills of Doti district in far western Nepal only this past summer.

On the 1st of June, an outbreak of diarrhea was reported in Baglek VDC in Doti. Affected people started visiting the local sub-health post. In a matter of days, it was clear that the diarrheal outbreak was not confined only to Baglek. Patients from adjacent clusters of villages started streaming into the overwhelmed health post, which had neither adequate beds nor enough nurses.

By the time the health post reported 116 cases, including three deaths, to the district health officers, the diarrheal disease had spread to 10 surrounding VDCs and to Dipayal and Silguri, the two towns that lie on the hilly highway. It was clear that what Doti faced was not an ordinary diarrheal ailment that would run its course and die out. (more…)

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