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Title
RiPPLE - Technical issues of Sanitation and
Hygiene in Mirab Abaya and Alaba: A case study report from the Southern Nations
Region (‘SNNPR’) of Ethiopia
Abstract
In most developing countries, especially in Sub-Saharan Africa (SSA) the causes of more than 80% of
the diseases are due to inadequate and unsafe water supply, and improper disposal of waste. This has
been exacerbated by a focus by government departments and non-governmental organisations
(NGOs) on financing programmes that were aimed at the development of water schemes and other
health interventions. However, such programmes paid insufficient attention to Sanitation and Hygiene
(S&H). Consequently, improvements in S&H lagged behind. For instance, Ethiopia registered a less
than 1% increment in sanitation coverage per annum over a considerable period of time. To draw
attention the problem of S&H, the UN, in its Millennium Development Goals (MDG), set a target
that centred on improving sanitation. One of the aims of Goal 7 of the MDGs was to halve the
proportion of people without access to improved drinking water and sanitation.
It is within this context, that the Bureau of Health (BoH) of the Southern Nations Nationalities and
Peoples Region (SNNPR) reviewed the prevailing health problems of the region. In its review, the
BoH identified S&H problems as the main, and neglected, causes of morbidity in SNNPR. In view of
this, the BoH in 2003 (i.e.1996 E.C.) sought to improve the S&H situation of the SNNPR, by
designing and implementing a policy that was broadly aimed at health issues, with S&H constituting a
key component. The broad health strategy that was implemented comprised of eight different
programme packages. Findings from this study indicated that there was a radical change in the construction of latrines in
the past 3 years in the case study areas.
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