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United Nations Department of Economic and Social Affairs Sustainable Development

Full access to safe drinking water and sanitation for all in Mugina and Rugombo (Cibitoke, Burundi)

AMU Azione per un Mondo Unito onlus (
Non-governmental organization (NGO)
)
#SDGAction50270
    Description
    Description

    The ultimate change to which the intervention aims is that the families of Mugina and Rugombo can live a healthy life.
    For its addition we will work primarily on the construction of 54.421 km of water infrastructure connected to the public network and at the same time on training the population on hygiene, prevention and management of the common good, on the construction of 100 pilot ecological latrines, on the launch of health insurance mutual groups to facilitate access to medical care for all.

    A combination of several modalities will achieve the final change:
    1) Make resources available in the community, mainly through the construction of drinking water supply infrastructures.
    2) Raising awareness/training of beneficiaries with three main goals:
    - Behavioral change in hygiene and sanitation practices. This will be about highlight the harmful effects of poor hygiene and sanitation practices for then take corrective action. Latrines are actually not sufficient in quantity and quality. The first step will be to raise awareness to build latrines that do not pollute the environment. Then we will set up ecological latrines, so that the community could takes the example. This system protects the environment and allows the transformation of human waste into fertilizers of the ground.
    There is no mechanism for processing and managing household waste. We will sensitize the population for a better household waste management and conduct household sensitization to the hygiene of the habitat to then contribute to the reduction of the diseases related to the insalubrity.
    -Participation in the management of community assets: awareness/training will be carried out on the management of common good, water and drinking water supply infrastructure. It will be about understanding what a common good is, how to manage it, what are the conflicts that can arise around it and what is the best way to manage them. This will allow the maintenance of infrastructures and the prevention of conflicts and therefore the project sustainability and social cohesion.
    -Community health mutuals: given that in the community, there are few health facilities and access to health care remains difficult due to the lack of financial means, joining community health mutuals will be a added value in access to health care. The secret is the social welfare in health. It's about contributing to a fund health insurance that, in the event of illness, covers a large part of the cost of care and the patient pays only the co-payment often very affordable (between 20 and 40%). This alleviates the cost burden of care and care services in households.
    3) Capacity building of project implementation staff: In order to improve local skills, the implementation team will be strengthened in the management of development projects. Local staff will participate in training on project management and common good; this will allow to appropriate the content of the training, to become themselves agents of change in the management of the common good, but also to be able to monitor the implementation of the theme in the community.

    Expected Impact

    This action mainly contributes to Sustainable Development Goal (SDG) No. 6 which is that of “Guaranteeing access to water and sanitation for all and ensuring effective management of sustainable water resources".
    Working in an area where the water resource is available, the action aims to contribute to the achievement of this objective by facilitating access for populations to drinking water and the protection of water resources. In order to ensure the sustainability of the resource, the project will promote the participation of beneficiaries and key authorities in management of this resource at the municipal level.
    This action also contributes to the SDG n° 3 which is to “Enable everyone to live in good health and promote the well-being of all
    all ages". It is about providing the means to live a healthy life and promote the well-being of all at all ages, which is essential for sustainable development. Access to drinking water is a means of improving health; the two prerequisites, water and health being basic conditions
    to achieve this last objective. In particular, this dimension of the health of the population is also taken up in the texts fundamentals such as the Constitution of the Republic of Burundi, Social Security Codes, Vision 2025 (pillar II), CSLPII (axis IV), the National Development Plan (PND), the National Policy for Social Protection PNPS (2011) and in its SNPS implementation strategy (2015).
    Given that community health mutuals are part of the national policy of social protection is a means of implementing one of the four pillars of the protection floor which are: (i) access to health care for all, (ii) access to income for children, (iii) access to income for active unemployed people and (iv) access to income for elderly and disabled people. The social protection code currently being revised gives a place of choice for community health mutuals as a mechanism for setting up universal health insurance. Community health mutuals that are already in operation work closely with the line ministry, the Ministry of Social Affairs, Human Rights
    And Gender through the permanent executive secretariat of the National Commission for Social Protection (SEP/CNPS) set up in 2012.
    This action falls well within the priorities of the Government expressed in national policy documents, such as:
    I. Strategic Framework for Growth and the Fight against Poverty (CSLPII)45;
    II. National Development Plan (PND);
    III. National Water Policy46;
    IV. Burundi Water Code47;
    V. Water Sector Policy 48;
    VI. National Sanitation Policy 49;
    VII. Communal Community Development Plans (PCDC);
    VIII. National Financial Inclusion Strategy50;
    IX. National Social Protection Policy51;
    X. National Social Protection Strategy 52;
    XI. National Health Development Plan53
    XII. Regional organizations, conventions and international agreements (NBI, Convention
    on the sustainable management of Lake Tanganyika, GWP...)

    Partners

    ✓ CASOBU - Cadre Associatif des Solidaires au Burundi
    ✓ Burundi Ministry of Hydraulics, Energy and Mines, Burundi
    ✓ Burundi General Directorate of Drinking Water and Basic Hygiene (DGEPA)
    ✓ Burundi Plumbing and Rural Sanitation Agency (AHAMR)
    ✓ Municipal administration of Mugina and Rugombo, Burundi
    ✓ Province of Cibitoke
    ✓ Local administrative and Community leaders of Mugina and Rugombo, Burundi
    ✓ FEMUSCABU - Association Fédération des Mutuelles de Santé des Caféiculteurs du Burundi
    ✓ BDD Bubanza – Diocesan Development Office of the Diocese of Bubanza/Cibitoke

    Goal 3

    Ensure healthy lives and promote well-being for all at all ages

    Goal 3

    3.1

    By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births
    3.1.1

    Maternal mortality ratio

    3.1.2

    Proportion of births attended by skilled health personnel

    3.2

    By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births
    3.2.1

    Under-five mortality rate

    3.2.2

    Neonatal mortality rate

    3.3

    By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

    3.3.1

    Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations

    3.3.2

    Tuberculosis incidence per 100,000 population

    3.3.3

    Malaria incidence per 1,000 population

    3.3.4

    Hepatitis B incidence per 100,000 population

    3.3.5

    Number of people requiring interventions against neglected tropical diseases

    3.4

    By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
    3.4.1

    Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease

    3.4.2

    Suicide mortality rate

    3.5

    Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

    3.5.1

    Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders

    3.5.2

    Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol

    3.6

    By 2020, halve the number of global deaths and injuries from road traffic accidents
    3.6.1

    Death rate due to road traffic injuries

    3.7

    By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes

    3.7.1

    Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods

    3.7.2

    Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group

    3.8

    Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

    3.8.1

    Coverage of essential health services

    3.8.2

    Proportion of population with large household expenditures on health as a share of total household expenditure or income

    3.9

    By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination
    3.9.1

    Mortality rate attributed to household and ambient air pollution

    3.9.2

    Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)

    3.9.3

    Mortality rate attributed to unintentional poisoning

    3.a

    Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate
    3.a.1

    Age-standardized prevalence of current tobacco use among persons aged 15 years and older

    3.b

    Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all

    3.b.1

    Proportion of the target population covered by all vaccines included in their national programme

    3.b.2
    Total net official development assistance to medical research and basic health sectors
    3.b.3

    Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis

    3.c

    Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States
    3.c.1

    Health worker density and distribution

    3.d

    Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

    3.d.1

    International Health Regulations (IHR) capacity and health emergency preparedness

    3.d.2

    Percentage of bloodstream infections due to selected antimicrobial-resistant organisms

    Goal 6

    Ensure availability and sustainable management of water and sanitation for all

    Goal 6

    6.1

    By 2030, achieve universal and equitable access to safe and affordable drinking water for all

    6.1.1

    Proportion of population using safely managed drinking water services

    6.2

    By 2030, achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations

    6.2.1

    Proportion of population using (a) safely managed sanitation services and (b) a hand-washing facility with soap and water

    6.3

    By 2030, improve water quality by reducing pollution, eliminating dumping and minimizing release of hazardous chemicals and materials, halving the proportion of untreated wastewater and substantially increasing recycling and safe reuse globally

    6.3.1

    Proportion of domestic and industrial wastewater flows safely treated

    6.3.2

    Proportion of bodies of water with good ambient water quality

    6.4

    By 2030, substantially increase water-use efficiency across all sectors and ensure sustainable withdrawals and supply of freshwater to address water scarcity and substantially reduce the number of people suffering from water scarcity
    6.4.1

    Change in water-use efficiency over time

    6.4.2

    Level of water stress: freshwater withdrawal as a proportion of available freshwater resources

    6.5

    By 2030, implement integrated water resources management at all levels, including through transboundary cooperation as appropriate

    6.5.1

    Degree of integrated water resources management 

    6.5.2

    Proportion of transboundary basin area with an operational arrangement for water cooperation

    6.6

    By 2020, protect and restore water-related ecosystems, including mountains, forests, wetlands, rivers, aquifers and lakes
    6.6.1

    Change in the extent of water-related ecosystems over time

    6.a

    By 2030, expand international cooperation and capacity-building support to developing countries in water- and sanitation-related activities and programmes, including water harvesting, desalination, water efficiency, wastewater treatment, recycling and reuse technologies
    6.a.1

    Amount of water- and sanitation-related official development assistance that is part of a government-coordinated spending plan

    6.b

    Support and strengthen the participation of local communities in improving water and sanitation management

    6.b.1

    Proportion of local administrative units with established and operational policies and procedures for participation of local communities in water and sanitation management

    Name Description
    54.421 km of water infrastructure
    81 water supply facilities
    100 ecological latrines
    12 new community health mutuals
    Staff / Technical expertise
    Technical staff from 9 local public and private partner institutions and 1 European organisation
    In-kind contribution
    Loan for the free use of land and labor by the local population in the construction works or a value corresponding to approximately 43.762,38 USD
    Financing (in USD)
    2.466.140,96
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    Timeline
    01 January 2024 (start date)
    31 December 2028 (date of completion)
    Entity
    AMU Azione per un Mondo Unito onlus
    SDGs
    Region
    1. Africa
    Other beneficiaries

    The entire population of the two municipalities of Mugina and Rugombo, corresponding to 21,348 people, of which:
    ✓ Female: approximately 12,808 (60% of the total);
    ✓ Loyal beneficiaries of local churches (Catholic, Protestant, revival churches): 1090;
    ✓ Beneficiaries of hygiene awareness campaigns: 100 families
    ✓ Beneficiaries of ecological latrines: 100 families
    ✓ Beneficiaries training on the common good: 60 people will be trained to raise awareness of at least 30% of the total beneficiaries (6,404 people)
    ✓ Beneficiaries of community mutuals: 800 families
    ✓ Beneficiaries in the schools of the area: 13775 pupils in the 7 schools

    Countries
    Burundi
    Burundi
    Contact Information

    Francesco, Head of Development Cooperation Department