hepatic failure and death, as compared with men and women. Malnutrition Preliminary results of Standardized Monitoring Assessment for Relief and Transition (SMART) Surveys currently reveal a Global Acute Malnutrition (GAM) prevalence of 24.3%, which is above the World Health Organization emergency threshold level of 15%. The surveys also show 7.5% prevalence of Severe Acute Malnutrition (SAM). All surveys indicate a dangerously low level of exclusive breastfeeding, with less than 16% of children aged 6-23 months achieving a minimum acceptable diet that make them vulnerable to malnutrition and infectious diseases. Additionally, the presence of aggravating factors could exacerbate the already poor nutrition state of the most vulnerable young boys, girl and adolescent girls. These include the increasing cases of diarrhea, Acute Respiratory Infection (ARI) and anemia. WASH Partners to train WASH teams including outreach workers on symptoms. WASH Partners with the Nutrition treatment center ensure access to WASH kits after the discharge of the patients. WASH Partners target and support the household with “caretaker – children under 2 years” to ensure safe excreta management, and hygiene practices for the child. WASH will work with the Nutrition Sector to assure hygienic food handling in the household targeting women. Fecal-oral diseases WASH Partners to train WASH teams including outreach workers on symptoms and transmission pathways. Regular WASH services at agreed standards. WASH Partners strengthen handwashing with soap practices through the promotion, provision of soap and installation of handwashing stations in public places, including restaurant and markets. Quick response to diarrhea outbreaks to control spread: Identification of water source affected, Remedial actions, Information dissemination Malaria Malaria is a life-threatening disease caused by parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes. It is preventable and curable. Young children and pregnant women are particularly vulnerable to malaria infection and deaths. WASH Partners to train WASH teams including outreach workers on symptoms and transmission pathways. Reduce mosquitos breeding areas with appropriate drainage of WASH facilities. Communicable diseases (non- WASH related) WASH Partners to train WASH teams including outreach workers on symptoms and transmission pathways. WASH Partners strengthen handwashing with soap practices through the promotion, provision of soap and installation of handwashing stations in public places.
Monitoring framework Objective 1: Ensure effective, sufficient and continuous provision of life saving water and sanitation services for targeted men, women, boys and girls Indicator # People In need Base Line Target Data Source/ Collection Method(s) responsible for data collection of # of targeted people in settlements benefitting from safe water of agreed standards and meeting demand for domestic purpose 1,052,495 1,052,495 Water points mapping 4W Water quality monitoring Key informant interviews Household Survey REACH WASH Partners DPHE / WHO NPM UNICEF /UNHCR Monthly # of targeted women, men, children in settlements who are benefitting of functional latrines of agreed standards 1,052,495 1,052,495 Facilities mapping 4W REACH WASH Partners Monthly # of targeted people in host communities who are benefiting from water and sanitation services 208,245 208,245 4W Water quality monitoring Key informant interviews Household survey ASH Partners DPHWE / WHO NPM UNICEF Monthly Under the leadership of the sector coordinator – DPHE and co-coordinators, third party monitoring systems will be operationalized to support adherence to agreed minimum requirement by all stakeholder. Objective 2: Ensure that all targeted women, men, girls and boys have the means and are encouraged to adopt individual and collective measures increasing health seeking behaviors to mitigate public health risks Indicator # People In need Base line Target Data Source/ Collection Method(s) responsible for data collection of % of targeted women, men, boy and girls able to demonstrate at least 3 critical hygiene practices N/A TBD 70% KAP Survey Household Survey Key informant interview NPM UNICEF UNHCR IOM Every 3 months % of targeted women, men, boy and girls who are satisfied with the hygiene related information shared N/A TBD 80% Satisfaction Survey Feedback/Complaints mechanisms NPM CWC IOM Every 3 months # of targeted households who have received a WASH Hygiene kit and/or a top up kit and/or a voucher in the last three months 4W WASH partners Monthly