Supporting climate-resilient health facilities in Malawi through sustainable access to water using solar disinfection of harvested rainwater: the SURG-Water Project
RCSI Univeristy of Medicine and Health Sciences
(
Academic institution
)
#SDGAction51320
Description
Every year, over 17 million women in the poorest countries give birth in healthcare facilities without adequate water and hygiene measures, putting their and their babies’ lives at risk. Over 1 million deaths yearly are associated with inadequate access to safe water during births. In resource-poor settings, basic interventions such as hand washing can lower the risk of neonatal deaths by 44%, but this is only possible if water is available. Without water, the ability of healthcare workers to carry out proper infection prevention and control measures and to demonstrate safe water, sanitation and hygiene (WASH) practices to communities, is significantly compromised. This has become even more apparent the start of the COVID-19 pandemic, where access to clean water has been and remains critical to stopping the spread of the virus. The SURG-Water transdisciplinary team are developing a sustainable, low-energy solution to address the problem of inadequate access to water in rural healthcare facilities in Malawi. Our particular focus is on the needs of mothers and newborn babies, as well as the clinicians providing maternal healthcare services. Using solar water disinfection (SODIS) technology to treat harvested rainwater, we aim to provide a backup supply to address interruptions in existing water supplies. We are developing a prototype system adapted to the needs of district healthcare facilities. The planned studies will evaluate the feasibility, effectiveness and adoption of solar water disinfection technology in clinical settings to inform national scale-up.
Water is at the heart of climate action. Sustainable water management helps society adapt to climate change by building resilience, protecting health and saving lives. Capturing and treating rainwater is particularly useful in regions with uneven rainfall distribution to build resilience to shocks and ensure supplies for dry periods. While firstly addressing infrastructure deficiency, the project will directly improve the quality of care, working conditions and the health service experience of people who work and receive care in rural health care facilities of Malawi. By enabling constant access to clean, safe water, the project will improve the Malawi health care system's ability to meet the patient’s needs. SURG-Water will deliver evidence to fill a significant policy gap in sub-Saharan Africa (SSA): innovative solutions to address water shortages in rural health care facilities. This is particularly important in Malawi, one of the countries with the highest rural density population in SSA (84%). SURG-Water will support the national discussion about the need for evidence-based planning and applying solutions tested in rural areas.
The SURG-Water project partners are RCSI University of Medicine and Health Sciences in Ireland and Malawi University of Business and Applied Sciences (MUBAS)
Photos, videos and other material will be published also through our Twitter account @surg_water
SDGS & Targets
Goal 3
Ensure healthy lives and promote well-being for all at all ages
3.1
3.1.1
Maternal mortality ratio
3.1.2
Proportion of births attended by skilled health personnel
3.2
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
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
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
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
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
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
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
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
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
6.6.1
Change in the extent of water-related ecosystems over time
6.a
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
Goal 13
Take urgent action to combat climate change and its impacts
13.1
Strengthen resilience and adaptive capacity to climate-related hazards and natural disasters in all countries
13.1.1
Number of deaths, missing persons and directly affected persons attributed to disasters per 100,000 population
13.1.2
Number of countries that adopt and implement national disaster risk reduction strategies in line with the Sendai Framework for Disaster Risk Reduction 2015–2030
13.1.3
Proportion of local governments that adopt and implement local disaster risk reduction strategies in line with national disaster risk reduction strategies
13.2
Integrate climate change measures into national policies, strategies and planning
13.2.1
Number of countries with nationally determined contributions, long-term strategies, national adaptation plans and adaptation communications, as reported to the secretariat of the United Nations Framework Convention on Climate Change
13.2.2
Total greenhouse gas emissions per year
13.3
Improve education, awareness-raising and human and institutional capacity on climate change mitigation, adaptation, impact reduction and early warning
13.3.1
Extent to which (i) global citizenship education and (ii) education for sustainable development are mainstreamed in (a) national education policies; (b) curricula; (c) teacher education; and (d) student assessment
13.a
Implement the commitment undertaken by developed-country parties to the United Nations Framework Convention on Climate Change to a goal of mobilizing jointly $100 billion annually by 2020 from all sources to address the needs of developing countries in the context of meaningful mitigation actions and transparency on implementation and fully operationalize the Green Climate Fund through its capitalization as soon as possible
13.a.1
Amounts provided and mobilized in United States dollars per year in relation to the continued existing collective mobilization goal of the $100 billion commitment through to 2025
13.b
Promote mechanisms for raising capacity for effective climate change-related planning and management in least developed countries and small island developing States, including focusing on women, youth and local and marginalized communities
13.b.1
Number of least developed countries and small island developing States with nationally determined contributions, long-term strategies, national adaptation plans and adaptation communications, as reported to the secretariat of the United Nations Framework Convention on Climate Change
SDG 14 targets covered
| Name | Description |
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Deliverables & Timeline
Tested SODIS technology adapted to the needs of rural health facilities in Malawi
Resources mobilized
Partnership Progress
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Timeline
Entity
Region
- Africa
Other beneficiaries
District health facilities and the communities they serve
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Contact Information
Chiara , Dr