Zimbabwe Urban WASH and Cholera Mitigation 2019 - 2020 Zimbabwe Urban WASH and Cholera Mitigation 2019 - 2020 The contribution "Urban WASH and Cholera Mitigation" seeks to mitigate the outbreak and spread of cholera, typhoid and other diarrheal diseases in Zimbabwe. Building on a previous programme in the previous year, the contribution will:

•	Expand social mobilization of communities around the risk of cholera and Improving safe hygiene and sanitation practices, with a focus on participatory health and hygiene education in institutions (health facilities, schools) and affected communities – this may also entail provision of temporary latrines / mobile toilets where appropriate.
•	Distribution of WASH hygiene kits, including household water treatment chemicals to high risk areas.
•	Strengthening coordination and surveillance mechanisms at national and sub-national levels.
•	Remobilising Rapid Response teams to reach diarrhoea-impacted households within 48 hours of cases presenting at clinics as this strategy proved effective during the 2018 cholera response and extend this capacity to other Provinces as both a preparedness and response mechanism.
•	Further Stockpiling of hygiene kits, water treatment tablets and IEC materials.
•	Monitoring of program activities and water quality, quantities etc.
•	Rehabilitation/upgrading/construction of strategic water points with a focus of maximizing use of perennial water sources to cover needs of institutions (schools, health centres) and vulnerable communities.
•	Maintaining and retraining existing Community Health clubs and establishment of new Health Clubs where needed in the community, schools, health centres and market places in high-risk communities. Insatsen "Urban WASH and Cholera Mitigation" syftar till att mildra och hindra utbrott av kolera, tyfoid och andra vattenburna sjukdomar i Zimbabwe. Utifrån förra årets programme kommer insatsen att:
•Utveckla mobilisering och kunskap kring riskerna av kolera samt förbättra hygien- och sanitetsrutiner. Ett särskilt fokus kommer att ligga på hälso- och hygienutbildning för hälsofaciliteter, skolor samt i de områden och kommuner som är mest utsatta. Temporära latriner kommer eventuellt att sättas upp i dessa områden.
•Så kallade “WASH hygienkits” kommer att delas ut, inklusive kemikalier för att rena vatten i högriskområden.  
•Stärka koordination och övervakningsmekanismer på nationell och sub-nationell nivå. 
•Mobilisera och stärka så kallade “Rapid Response teams” för att snabbt kunna nå ut till hushåll som är påverkade av vattenburna sjukdomar inom 48 timmar av första sjukdomsfallet. Detta har visat sig vara en effektiv strategi under kolerasresponsen 2018. 
•Öka lagertillgången av hygienkit, vattenbehandlingstabletter och utbildningsmaterial.
•Övervakning av vattenkvalitet och programaktiviteter.
•Rehabilitering och utbyggnad av strategiska vattenresurser, för att öka tillgången på rent vatten till sårbara områden samt skolor, kliniker och andra hälsocentrum.
•Upprätthålla och stärka befintliga Community Health Clubs och utveckla nya sådana vid behov, särskilt vid skolor, klinker och vid marknader och andra högriskområden. The overall objective of the programme is to provide effective WASH services to mitigate the chance of a cholera outbreak during the rainy season.
The proposed interventions will focus on Household, Community and Institutional level activities over a one year period. The activities are aimed to cover:
Immediate (First 3 to 6 months).

Expand social mobilization of communities around the risk of cholera and Improving safe hygiene and sanitation practices, with a focus on participatory health and hygiene education in institutions (health facilities, schools) and affected communities  this may also entail provision of temporary latrines / mobile toilets where appropriate Distribution of WASH hygiene kits, including household water treatment chemicals to high risk areas Strengthening coordination and surveillance mechanisms at national and sub-national levels Remobilizing Rapid Response teams to reach diarrhoea-impacted households within 48 hours of cases presenting at clinics as this strategy proved effective during the 2018 cholera response and extend this capacity to other Provinces as both a preparedness and response mechanism. Further Stockpiling of hygiene kits, water treatment tablets and IEC materials Monitoring of program activities and water quality, quantities etc.

Medium (3 to 9 months)
Rehabilitation/upgrading/construction of strategic water points with a focus of maximizing use of perennial water sources to cover needs of institutions (schools, health centres) and vulnerable communities Maintaining and retraining existing Community Health clubs and establishment of new Health Clubs where needed in the community, schools, health centres and market places in high-risk communities.

Beyond this 12 month period, there is a need for large scale infrastructure maintenance, repair and construction. This is beyond the current remit of the programme and is fundamental are for long term sustainability and is therefore noted as a major risk.