WASH Cholera AWD EPR training Session 1 2

WASH Cholera / AWD EP&R training Session 1. 2 Recent cholera / AWD outbreaks in Eastern and Southern Africa and impact of cholera / AWD

Learning objectives By the end of the session the participants will be able to • describe recent cholera / AWD outbreaks in the region • outline in detail recent cholera / AWD outbreaks in their own country and/or area • outline possible impacts of cholera / AWD to families and communities • analyse cost of prevention and management of cholera/ AWD WASH cholera / AWD EP&R training 2

HARARE, Zimbabwe, 19 December 2008 Deep grief is evident in Nigel Chigudu's eyes. In a tortured voice, he slowly recounts the harrowing tragedy that saw him lose five siblings in five hours to the cholera epidemic that has been sweeping across Zimbabwe. Nigel Chigudu, 15, lost five siblings to cholera in one night. "They started vomiting and had serious diarrhoea, " recalls Nigel, 15. "The youngest, Gamu, was 14 months old, and Lameck was 12 years old. It was in the middle of the night; I could not take them anywhere. I just watched them die. "Two days later, my grandmother also passed away, " he adds. WASH cholera / AWD EP&R training 3

Wall of Wonder Exercise Think of the 3 major unforgettable cholera / AWD outbreaks affecting the entire communities that have occurred in the past years in your country. WASH cholera / AWD EP&R training 4

Community members experiences from Dadajabula, Wajir, Kenya A woman who was the head of her household and the sole breadwinner for her family, found the management of the sickness of her two smallest children very difficult. While they were in the treatment centre she had to ask her mother to come from the village to look after the rest of her children. It was very difficult to provide food as it was not provided by the hospital. The 5 weeks from the time they were sick was also very terrible as she could not work and so there was no income coming in as she was the sole breadwinner for the family. WASH cholera / AWD EP&R training 5

Community members experiences from Dadajabula, Wajir, Kenya An elderly woman lost her brother and his first wife and now has the added responsibility of looking after his children as well as his second wife and looks after a total of 15 people. She makes grass mats to try and earn a living, but finds it very difficult. She also found it very difficult to construct enough housing as she had to bring all of the children together after the death of her brother. Source: Responding to cholera & AWD in the Horn, Central & Eastern Africa Policy report by OXFAM-GB, February 2008 WASH cholera / AWD EP&R training 6

WASH cholera / AWD EP&R training 7

WASH cholera / AWD EP&R training 8

Mental Calculation exercise Let’s look into examples of some of the inputs and resources needed in a cholera / AWD response. WASH cholera / AWD EP&R training 9

Critical elements of cholera control WASH cholera / AWD EP&R training 10

Prevention Improved access to safe water sources Knowledge how to make water safe for consumption Health education that encourages improved food safety and personal hygiene WASH cholera / AWD EP&R training 11

Preparedness Pre-positioning of oral dehydration salts and other medical supplies Pre-positioning of water treatment supplies Training of personnel Preparation of national and sub - national plans of action WASH cholera / AWD EP&R training 12

Multidisciplinary Response Health WASH Education Social sector Food Security Nutrition Shelter and non food items WASH cholera / AWD EP&R training 13

Efficient Surveillance System Baseline data collection Frank reporting Analysis of data to guide interventions accordingly to lead to timely prevention and preparedness activities WASH cholera / AWD EP&R training 14

Critical elements in cholera control Preparedness Prevention Response Efficient surveillance system WASH cholera / AWD EP&R training 15

Learning objectives By the end of the session the participants will be able to • describe recent cholera / AWD outbreaks in the region • discuss in detail recent cholera / AWD outbreaks in their own country and/or area • describe possible impacts of cholera / AWD to families and communities • analyse cost of prevention and management of cholera/ AWD WASH cholera / AWD EP&R training 16