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They are invisible

   2018 WATER, HYGIENE
AND SANITATION BAROMETER
  Inventory of access to a vital resource #04 march 2018
WITH THE PARTICIPATION OF SOLENNE BARBE | DAVID BLANCHON | SOPHIE DURANS | FRANCK GALLAND | ANNE GUION | JEAN LAUNAY | SANDRA METAYER
                                 GÉRARD PAYEN | JEAN-MARIE TÉTART & SOLIDARITÉS INTERNATIONAL TEAMS

                                                        A KEY PLAYER IN THE FIGHT
                                                          FOR WATER SINCE 1980
2018 WATER, HYGIENE AND SANITATION BAROMETER - Solidarités ...
CONTENTS

                                                                                                                                                      THE SOLIDARITÉS
                                                                                                                                                      INTERNATIONAL
                                                                                                                                                      WATER AGENDA
EDITORIAL                                                                                   SOLIDARITÉS                                               Every year on March 22,
                                                                                            INTERNATIONAL
THEY ARE INVISIBLE                                                                                                                                    World Water Day,
                                                                                             Providing emergency assistance to                        SOLIDARITÉS
Even today, around 2.6 million men, women and especially children continue to die            those affected by armed conflicts,                       INTERNATIONAL
every year from diseases caused by unsafe water and an unsanitary environment.               natural disasters and epidemics,                         campaigns against
This horrific figure is due to a little-known fact: in 2018, one third of the world’s        followed by early recovery                               contaminated water to
population is still drinking water that can endanger their health. 2.6 billion people        assistance, has been the raison                          raise public awareness
still lack adequate sanitation facilities.                                                   d’être of the humanitarian NGO                           and force decision-makers
                                                                                             SOLIDARITÉS INTERNATIONAL for                            to act. That is why, this
As humanitarian workers, fighting this deadly scourge and its undeserved,                    nearly 40 years.                                         year, we are publishing
atrocious consequences is our daily combat, both in the midst of severe                      Access to water, sanitation and                          internationally the fourth
humanitarian crises and at the national and international level, so that the voices          hygiene is the focus of our teams'                       issue of “The Water,
of the people we assist can be heard. On a wider scale, our goal is to defend and            expertise and the projects they                          Sanitation and Hygiene
uphold the cause of hundreds of millions of people whose most fundamental rights             implement in the field. Currently                        Barometer”.
are not respected: families afflicted by war, people living in slums, citizens of failed     present in around twenty countries,
or failing States, farmers and livestock breeders affected by drought, minorities,           they provide vital humanitarian                          SOLIDARITÉS
etc. More often than not, they are totally off the radar screen, ignored by politicians      aid to over five million people on                       INTERNATIONAL is a
and the media. They are invisible.                                                           the basis of their needs, respecting                     member of the French
                                                                                             their dignity, and without judging                       Water Partnership,
Every year, on the pages of our Water, Hygiene and Sanitation Barometer, we seek to          or taking sides, in accordance with                      Coalition Eau (a group
portray the realities of these men, women and children: those who are threatened             the fundamental principles of                            of french NGOs committed       4 THEY ARE INVISIBLE
by cholera in the DRC or Haiti; those who are asserting their right to water in              humanitarian action..                                    to water) and the                   4 The invisible reality of water and sanitation Anne-Lise Lavaur
Dhaka; those living in Yemen where water was already scarce before the war;                  solidarites.org                                          (Re)Sources think tank.             5 The consequences of insufficient water Alberto Aquistapace
Syrians, Rohingyas, or those living in the Sahel... All those men, women and children                                                                 In 2016, we took part
                                                                                                                                                                                          6 Water in figures
whose lives, health and hope for the future are under threat because they do not                                                                      in Marrakesh COP22 on
                                                                                                                                                                                     8 The Right to Water: Speaking up for the inhabitants of Dhaka’s slums
have access to drinking water and sanitation.                                                                                                         the issue of water in the
                                                                                                                                                                                    		 Cristina Thevenot
                                                                                                                                                      Sahel and attended World
With the assistance of experts from various backgrounds—politicians,                                                                                  Water Week in Stockholm.           10 Yemen: Out of Water, Out of Time Franck Galland
humanitarian workers, doctors, academics—this 4th issue of the Barometer                                                                              We took part in the 8th            12 The multipurpose role of water in northern Mali Natacha Calandre
examines the current situation of this vital, shared resource, analyzes the causes                                                                    World Water forum in               16 Giving invisible people a voice
and consequences of drinking water shortages, highlights the actions being taken                                                                      Brasilia in March 2018.
                                                                                           2018 WATER SANITATION                                                                    18 THE INVISIBLE LINK TO HEALTH
to achieve universal access to water and sanitation, evaluates progress made               AND HYGIENE BAROMETER,                                     We will follow every step
by world nations, condemns the lack of political will and funding, and pinpoints           INVENTORY OF ACCESS                                        in the implementation              18 Petition to finally eradicate cholera from the DRC
inconsistencies. It also focuses on a series of proposed solutions, from a local to a      TO A VITAL RESOURCE, 4TH ISSUE                             of the SDGs and pay            20 From emergency to development: A three-tier approach
global level, so that the forgotten cause of drinking water access will no longer be
                                                                                           A SOLIDARITÉS INTERNATIONAL Publication
                                                                                                                                                      particular attention to       		 to eradicate cholera from Tanganyika Emmanuel Rinck
                                                                                           MANAGING EDITOR Alexandre Giraud
invisible to the general public, and that appropriate decisions will finally be taken.                                                                the implementation of          21 “Managing water safely”: the results of a scientific impact study
                                                                                           HEAD OF COMMUNICATION Renaud Douci
                                                                                           EDITOR-IN-CHIEF Tugdual de Dieuleveult                     Goal 6 on universal access        of the endemic cholera zone in Uvira, DRC..
Without major political and financial commitments from world nations, without              RÉDACTION Alberto Aquistapace, Alain Boinet,               to drinking water and         		  Martin Leménager
                                                                                           Natacha Calandre, Tugdual de Dieuleveult,
fierce determination from field workers, access to drinking water will not only            Renaud Douci, Alexandre Giraud, Anne-Lise Lavaur,          sanitation.                       22 Taking Action for a Cholera-Free Haiti in 2022
                                                                                           Emmanuel Rinck, Cristina Thevenot
continue to be a humanitarian emergency, it will also fast become an ever more                                                                                                       23 “Managing water and hygiene to break the chain
                                                                                           EDITORIAL STAFF Solenne Barbe, David Blanchon,
tangible threat to the whole of humanity.                                                  Sophie Durans, Franck Galland, Anne Guion,                 We work alongside             		 of infection.” Solenne Barbe
                                                                                           Jean Launay, Sandra Metayer, Gérard Payen,
                                                                                           Jean-Marie Tétart                                          French governmental            24 To end malnutrition, there is a need for donors to come out
               BY ALEXANDRE GIRAUD                                                         PHOTOS Andrea Angioletti, Thomas Gruel,                    organisations such as         		 of compartimentalized funding Sophie Durans
                                                                                           Tugdual de Dieuleveult, Prince Naymuzzaman Khan,
               Managing Director of SOLIDARITÉS INTERNATIONAL                              Tiecoura N’daou, Marie Fanget,                             the “Conseil National             26 Toilet Access: A Health Emergency Anne Guion
                                                                                           Gwenn Dubourthoumieu, Camille Niel,                        du développement et de la
                                                                                           Constance Decorde, Vincent Tremeau                                                           28 Virtual water David Blanchon
                                                                                           GRAPHIC DESIGN AND ILLUSTRATION                            solidarité internationale”
                                                                                           Frédéric Javelaud
                                                                                                                                                      and the “Groupe de            30 INVISIBLE SOLUTIONS
                                                                                           PRINTING Le Réveil de la Marne
                                                                                                                                                      Concertation Humanitaire”      30 “To make a strong case and achieve the SDGs by 2030, we need
                                                                                           ENGLISH TRANSLATION
                                                                                           Christine Gutman, Jenny Fowler                             to strengthen                 		 to get back to the basics and develop common sense solutions.”
                                                                                           Thanks to Éditions Autrement and to David Blanchon         humanitarian relief,               35 Making progress visible to take tangible steps forward Gérard Payen
                                                                                           for the virtual water world map taken from his
                                                                                           World Water Atlas (Atlas mondial de l’eau).                make the 2015-2030             36 The World Water Forums: an opportunity to further the cause
                                                                                           Thanks to the editorial boards of Le Monde and
                                                                                           La Vie for Anne Guion’s article “Toilet access: a health   SDGs possible and             		 of water? Sandra Metayer
                                                                                           emergency”, taken from the special issue L’Atlas
                                                                                           de l’eau et des océans. Thanks to (Re)sources
                                                                                                                                                      establish a French strategy       37 2018 World Water Forums in Brasilia
                                                                                           for Frank Galland’s article “Yemen: Out of water,          promoting effective rights        38 Sustainable Development Goals
                                                                                           out of time”
                                                                                                                                                      of access to drinking water
                                                                                           CONTACTS Tugdual de Dieuleveult
                                                                                                                                                                                        39 Spotlight on Innovation: Polyter Philippe Ouaki
                                                                                           Tel : +33 (0)1 76 21 87 11                                 all around the world.
                                                                                           Mail : tdedieuleveult@solidarites.org
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                                                                                                                                                THE CONSEQUENCES
                                                                                                                                                OF INSUFFICIENT WATER
                                                                                                                                                Insufficient access to water and hygiene causes serious consequences for all sectors of the
                                                                                                                                                economy, as well as for all categories of the population: men, women and children.
                                                                                                                                                              BY ALBERTO ACQUISTAPACE
                                                                                                                                                              Water, Sanitation and Hygiene Focal Point

                                                                                                                                                T
                                                                                                                                                       he economy, education,              HEALTH                                     SHELTER
                                                                                                                                                       health, the environment,            • Communities without WASH and             • Unsustainable management of water
                                                                                                                                                       shelter, communities, disaster        hygiene education facilities are           resources can cause dwellings to
                                                                                                                                                responses... When populations do not         negatively affected by waterborne          become less hygienic or less habitable
                                                                                                                                                have access to water and essential           diseases and place strain on health        (dampness, insects, rodents), or
                                                                                                                                                services such as hygiene or sanitation,      centres                                    can even cause the destruction of

THE INVISIBLE REALITY                                                                                                                           the resulting deficiencies will have
                                                                                                                                                a dramatic impact on their lives. Yet
                                                                                                                                                                                           • Health centres without WASH
                                                                                                                                                                                             facilities become high-risk locations
                                                                                                                                                                                                                                        dwellings or whole communities (for
                                                                                                                                                                                                                                        example due to flooding or landslides)
                                                                                                                                                simple solutions do exist, and just need     for infections

OF WATER AND SANITATION                                                                                                                         some investment and sufficient political
                                                                                                                                                commitment.
                                                                                                                                                                                           • Without WASH facilities and hygiene
                                                                                                                                                                                             education, diarrhoea hinders
                                                                                                                                                                                             absorption of nutrients, reduces
SOLIDARITÉS INTERNATIONAL cannot over-emphasize how vital access to drinking water                                                                                                           immunity and causes malnutrition
and sanitation is for populations. This issue has gradually established itself both on the                                                                                                 • Without WASH facilities and
                                                                                                                                                                                             hygiene education, food production       DISASTER
international agenda and in people’s minds. However, forceful campaigning at political                                                                                                       (slaughterhouses, restaurants,           RESPONSES
forums and before national and international governing bodies should not overshadow the                                                                                                      canteens, domestic cooking, etc.) is a   • Communities without WASH facilities
invisible reality of the most vulnerable populations.                                                                                                                                        health risk                                and hygiene education have lower
                                                                                                                                                                                                                                        resilience and are less able to cope
               BY ANNE-LISE LAVAUR                                                                                                                                                                                                      with disasters
               Program Quality and Technical Department Manager                                                                                                                                                                       • WASH facilities that are not
                                                                                                                                                EDUCATION                                                                               sufficiently equipped against
                                                                                                                                                • Children have to collect water rather                                                 disasters can become an additional
                                                                                                                                                  than going to school                                                                  health risk (e.g. flooded latrines)

I
    ronically, the more water and              situation to another. When a family is             quickly. Following this initial stage,        • Schools without WASH facilities          ECONOMY
    sanitation come under the spotlight        affected by natural disaster or armed              the challenge is to provide a fast,             become high-risk locations for           • People (especially women in some
    through a series of political victories,   conflict, they are then vulnerable to a            sustainable, high-quality response.             infections                                 countries) have to collect water
the more certain overlooked realities          series of other traumatic experiences:                In many cases, a longer-term               • Schools without menstrual hygiene          rather than work
become invisible. For example, efforts         becoming displaced once or several                 response is necessary, involving                facilities prevent girls from going to   • Some productive activities (especially
to improve access to drinking water            times, living in an informal or refugee            multiple stakeholders and covering              school every month                         agriculture) cannot be carried out
and sanitation within towns must not           camp, migrating to isolated rural                  multiple sectors and countries, even                                                       without water                            COMMUNITIES
mask the needs of the most vulnerable          areas or congregating in slums on the              though, for certain field operations, only                                                                                          • Lack of access to water can create
populations, who are invisible to public       outskirts of towns.                                short-term plans seem possible due                                                                                                    inter-community and intra-
policymakers. This situation extends                                                              to instability and difficult access. This                                                                                             community conflicts
beyond the humanitarian sector, so             INVISIBLE NEEDS REQUIRE                            means that invisible needs require an                                                                                               • Lack of access to water can create
large-scale collaborative action must          AN INCREASINGLY                                    increasingly innovative approach and                                                                                                  social inequality within communities
be taken, covering slums, informal             INNOVATIVE APPROACH                                invisible populations need a stronger                                                                                                 (according to social class, gender, etc.)
camps, refugee camps, internally               AND INVISIBLE POPULATIONS                          voice.
displaced people, isolated rural areas,        NEED A STRONGER VOICE.                                The humanitarian crisis affecting the                                                 ENVIRONMENT
post-crisis situations, etc.                   These situations present exceedingly               population of the North Mali region (see                                                 • Lack of sustainable access to water
   From a humanitarian perspective,            complex challenges in terms of water               page 12) is one of the invisible situations                                                causes uncontrolled usage of water
there is a strong connection between all       and sanitation. First of all, it is difficult to   that we now want to bring to light.                                                        resources, which has a negative or
of these situations. Often, an extremely       access the most vulnerable populations                                                                                                        sometimes irreversible environmental
vulnerable person moves from one               and to identify and analyze their needs                                                                                                       impact

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2.6 MILLION PEOPLE                                                                                                                                                           PRESSURE ON WATER RESOURCES

DIE EVERY YEAR                                                                                                                                                               » »40% OF THE WORLD POPULATION
                                                                                                                                                                               will be faced with water shortages by 2050.

DUE TO WATER-RELATED
                                                                                                                                                                             » »500 MILLION PEOPLE
                                                                                                                                                                               suffer from severe water shortages all year round.
                                                                                                                                                                             » »20% of the world’s aquifers are overexploited.

DISEASES AND INSALUBRIOUS                                                                                          WATER & GENDER
                                                                                                                                                                             »» Agriculture consumes about 70% OF THE
                                                                                                                                                                               WORLD’S FRESH WATER (and up to 90%
                                                                                                                                                                               in the majority of the Least Developed Countries).

LIVING CONDITIONS                                                                                                  » »1 WOMAN OUT OF 3
                                                                                                                      IN THE WORLD
                                                                                                                                                                             » »80% OF WASTE WATER WORLDWIDE
                                                                                                                                                                               is released into the environment without being
                                                                                                                     is exposed to diseases, shame, harassment                 properly treated.
                                                                                                                     or abuse because she does not have a safe place
                                                                                                                     to go to the toilet.                                    » » BY 2050, UP TO 2 BILLION PEOPLE
                                                                                                                                                                               are likely to suffer from increasing water stress.
                                                                                                                   » »526 MILLION WOMEN                                        This number could reach
ACCES TO WATER                                                                                                       are left with no other choice than open defecation.
                                                          HEALTH                                                                                                               OVER 3 BILLION IN 2080.
» »2.1 BILLION                                                                                                     »» Women and girls with no access to toilets spend
   PEOPLE, OR 30% OF                                      » »361,000 CHILDREN                                        97 BILLION HOURS PER YEAR
   THE WORLD POPULATION,                                     UNDER THE AGE OF 5                                      looking for an appropriate place to relieve
 do not have access to domestic drinking-water             die every year from diarrhoea,                            themselves.
 supply services.                                          OR MORE THAN 1,000 CHILDREN
                                                                                                                   » »IN AFRICA, 90% OF WATER
» »844 MILLION PEOPLE                                      EVERY DAY.                                                 COLLECTION
 do not even have access to a basic water supply.         » »842,000 PEOPLE                                          and wood gathering tasks are left to women.
                                                           die every year from simple diarrhoea caused by:
» »263 MILLION PEOPLE                                                                                              »» Women and girls spend up to
                                                           • unsafe drinking water
 live more than 30 minutes away from the nearest                                                                     6 HOURS PER DAY                                         CLIMATE CHANGE
                                                           • inadequate sanitation
 water point.                                                                                                        collecting water in Africa.
                                                           • unwashed hands after defecation
» »159 MILLION PEOPLE
                                                                                                                                                                             » »90% OF ALL NATURAL HAZARDS
 still drink untreated surface water that is drawn
                                                          » »ONE THIRD OF HOSPITALS                                                                                             ARE WATER-RELATED.
                                                           in developing countries do not have clean running                                                                   Their frequency and intensity are increasing.
 from rivers, streams or lakes.
                                                           water.
» »IN COUNTRIES                                                                                                                                                              » »DAMAGE CAUSED BY FLOODING
                                                          » »50% OF CASES OF CHILD                                                                                              IN URBAN AREAS
   AFFECTED BY ARMED CONFLICT
 or going through a period of upheaval, children are
                                                             UNDERNUTRITION                                                                                                     could represent up to 1,800 BILLION
                                                           are due to recurrent diarrhoea and intestinal                                                                        DOLLARS PER YEAR BY 2080.
 4 times less likely to have access to a basic water
                                                           infections caused by unsafe drinking water,             ECONOMY
 supply than children living in other countries.
                                                           inadequate sanitation and lack of hygiene.                                                                        »» Since 1992, floods, droughts and storms
                                                                                                                   » »IN 2015, THE WATER                                       have affected 4.2 BILLION PEOPLE
                                                                                                                      SECTOR ONLY BENEFITED                                    (95% of these people were hit by natural disasters)
                                                                                                                      FROM 4% OF TOTAL PRIVATE                                 and caused 1,300 BILLION DOLLARS’
                                                                                                                                                                               worth of damage.
                                                                                                                      SECTOR INVESTMENT
                                                                                                                     worldwide, representing a total of
                                                                                                                     4.1 BILLION DOLLARS.
                                                                                                                     The majority of these investments were
ACCESS TO SANITATION                                      EDUCATION                                                  made in China and Brazil.
» »4.5 BILLION PEOPLE,                                                                                             » »260 BILLION DOLLARS ARE LOST                           SUSTAINABLE DEVELOPMENT GOAL
                                                          » »272 MILLION SCHOOL DAYS
 or 60% of the world population, do not have access        are missed due to diseases caused by a lack               every year due to a lack of access to water             » »28.4 BILLION DOLLARS
 to safely managed sanitation facilities.                  of sanitation facilities.                                 and sanitation (time and productivity losses due
                                                                                                                     to sickness and medical expenses).
                                                                                                                                                                                OF CAPITAL INVESTMENT
» »2.3 BILLION PEOPLE                                     » »ONLY 45% OF SCHOOLS                                                                                               is required between now and 2030 to provide
 still do not have decent toilets.                         in the Least Developed Countries and other              »» $1 dollar invested in improving access to sanitation     basic WASH facilities for those who lack them.
                                                           low-income countries are equipped with toilet             yields $5.5.                                              • Basic access to water (an improved water source
» »600 MILLION PEOPLE                                                                                                                                                             within 15 minutes’ walking distance): $6.9 billion
                                                           blocks (in 2011 – based on a sample of 49 countries).
 share toilets or latrines with other families.                                                                    »» $1 dollar invested in improving access to water             per year.
» »892 MILLION PEOPLE                                     » »ONLY 51% OF SCHOOLS                                     yields $2.                                                • Basic access to sanitation (improved sanitation
 defecate out in the open; this practice is on the rise    in the Least Developed Countries and other                                                                             facilities): $19.5 billion per year.
 in Sub-Saharan Africa and Oceania due to population       low-income countries are equipped with adequate                                                                     • Basic access to hygiene (hygiene facilities with
 growth.                                                   water sources (in 2011 – based on a sample of                                                                          soap within the home): $2 billion per year.
                                                           51 countries).

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                                                                                                           B
                                                                                                                    angladesh is undergoing rapid      “Of course, some less developed nations                      BY NICOLAS
                                                                                                                    urbanization, as populations       do not have sufficient financial means                       ROCHAS
                                                                                                                    migrate towards towns to           to install the necessary infrastructure                        Following our initial
                                                                                                           escape rural poverty and natural            to provide this essential service. But we                      collaboration with
                                                                                                           disasters. Between 300,000 and              must push for obstacles to be removed,         SOLIDARITÉS INTERNATIONAL
                                                                                                           400,000 people arrive in Dhaka every        for autonomy, responsibility, capacity         in 2016, for a rural drinking water
                                                                                                           year, 30% of whom settle in one of          building and coordination between              access project in Bangladesh, we
                                                                                                           the city’s 5000 slums. The greater the      community groups and local authorities.        wanted to extend this partnership
                                                                                                           distance from the central business          On their own, these populations cannot         to encompass the challenges of
                                                                                                           district and major roads,                                   make themselves heard          drinking water access in urban
                                                                                                           the scarcer access to           BETWEEN                     by the authorities             settings. Upon completion, this
                                                                                                           water and electricity                                       that govern them. It is        pilot project will benefit around
                                                                                                                                           300,000
                                                                                                           becomes.                                                    extremely appropriate for      400 people living in a Dhaka slum.
                                                                                                                                           AND 400,000                 an NGO like SOLIDARITÉS        The project is fully compatible with
                                                                                                               Due to unsafe water         PEOPLE ARRIVE               INTERNATIONAL to play          the objectives of the Communauté
                                                                                                           pipes, pollution and            IN DHAKA EVERY              a part in this process,        d’Agglomération du Pays de Saint-
                                                                                                           nonexistent or derelict         YEAR, 30% OF                by providing the tools,        Omer Water Fund, which we have
                                                                                                           infrastructure, the water                                   influence and expertise        been managing for the past two
                                                                                                                                           WHOM SETTLE
                                                                                                           that slum inhabitants                                       to help populations stake      years. This is also an opportunity
                                                                                                           use and consume is still        IN ONE OF THE               their legitimate claims.”      for us as an Urban Planning and
                                                                                                           of very poor quality. As        CITY’S 5000                                                Development Agency to make
                                                                                                           a result, 97% of those          SLUMS                       INCREASING                     our own contribution to urban
                                                                                                           living in Chalantika report                                 CIVIL SOCIETY’S                development efforts, by providing
                                                                                                           having difficulties accessing drinking      ABILITY TO TAKE ACTION AND                     assistance and offering solutions
                                                                                                           water.                                      CAMPAIGN FOR ACCESS TO                         for one of the most densely
                                                                                                               In response to this situation, slum     FUNDAMENTAL RIGHTS                             populated megacities in the world.
                                                                                                           inhabitants have started to form            To date, many similar projects                 Currently, the population density
                                                                                                           community groups to assert and              undertaken by NGOs did not place               in Dhaka is over 45,000 people
                                                                                                           exercise their right to safe drinking       sufficient emphasis on involving and           per km² and this figure is set to
                                                                                                           water and sanitation. However, they lack    creating a connection between slum             rise due to the combined effects
                                                                                                           support, technical knowledge and skills.    inhabitants and local authorities. Yet         of demographic trends and global
                                                                                                           In addition, local public authorities lack  participation and cooperation between          warming. Every year, an additional
                                                                                                           sufficient skills and resources to improve  all stakeholders is crucial for these          300,000 to 400,000 people take
                                                                                                           and extend basic services to cover slum     projects to be effective and sustainable.      up residence in Dhaka. As a low-
                                                                        Satkhira, Bangladesh, July 2016.   areas, where living conditions are often        In order to consolidate its activities     lying country, Bangladesh is
                                                                                                           poor.                                       within Dhaka’s slums, SOLIDARITÉS              particularly vulnerable to rising
                                                                                                                                                       INTERNATIONAL has decided to extend            sea levels, a reality that places

THE RIGHT TO WATER:
                                                                                                           “ON THEIR OWN,                              its operations to 10 other slums,              yet further stress on Dhaka. Over
                                                                                                           THESE POPULATIONS CANNOT                    in partnership with the Resource               the next 50 years, it is estimated
                                                                                                           MAKE THEMSELVES HEARD BY                    Integration Centre (RIC), for a three-         that between 10 and 40 million

SPEAKING UP
                                                                                                           THE AUTHORITIES                             and-a-half-year project funded by              Bangladeshis will be displaced
                                                                                                           THAT GOVERN THEM.”                          EuropeAid and Fondation Agir.                  by climate change. On top of this,
                                                                                                           “We must speak up for these invisible           “This project will focus on building the   about one third of Dhaka’s 15 million

FOR THE INHABITANTS
                                                                                                           populations, by giving them support         capacity of civil society organizations        inhabitants are currently living in
                                                                                                           and the means to assert and exercise        (CSO) to take action and campaign for          slums. Consequently, there is a
                                                                                                           their rights, in coordination with local    fundamental rights and access to basic         dual emergency: managing the

OF DHAKA’S SLUMS
                                                                                                           authorities,” explains Cristina Thevenot,   services—water, sanitation, hygiene            current situation and preparing
                                                                                                           Operations manager for Asia at              and waste management—as well as                for the future. To address these
                                                                                                           SOLIDARITÉS INTERNATIONAL. “The             to participate in local governance by          challenges, a multifaceted
                                                                                                           inhabitants of Dhaka slums have been        cooperating with local authorities and         approach is necessary, combining
In the overpopulated, insalubrious slums of the Bangladeshi capital city, SOLIDARITÉS                      marginalized. Access to drinking water      establishing strong, official connections      urban planning, strategic planning
INTERNATIONAL has decided to improve sustainable access to drinking water and sanitation                   was recognized by the United Nations        with them.”                                    and access to water and sanitation.
                                                                                                           as a universal human right in 2010. Yet,                                                   This is the objective of our
by supporting populations in asserting and exercising their right to water. Here is an overview
                                                                                                           in Dhaka and elsewhere, it is difficult for                                                partnership with SOLIDARITÉS
of the organization’s pilot project in the Chalantika slum.                                                people to exercise this right.”                                                            INTERNATIONAL, with whom we
           BY CRISTINA THEVENOT                                                                                                                                                                       have already had the opportunity to
           OPERATIONS MANAGER FOR ASIA AT SOLIDARITÉS INTERNATIONAL                                                                                                                                   share expertise regarding decision-
                                                                                                                                                                                                      making tools and cartography, for
                                                                                                                                                                                                      example.

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                                                                                                                                       for growing the psychoactive plant,             Less than two years later, it is               Any infrastructure that is vital to
                                                                                                                                       which consumes between 40 and 50%            clear that the near-total disruption           a population’s survival (water, energy
                                                                                                                                       of agricultural water resources. The         of wastewater treatment plant                  and sanitation) must imperatively be
                                                                                                                                       surface area devoted to growing qat          operations in Yemen’s capital has taken        recognized as a neutral zone, as is
                                                                                                                                       has reportedly doubled in size since         a significant toll, creating yet further       already the case for hospitals. Senegal
                                                                                                                                       1970, leading the plant to displace          hardship for a population already              raised this very issue before the UN
                                                                                                                                       grains as Yemen’s primary crop. Qat          deprived of medicine and dependent on          Security Council along with the issue
                                                                                                                                       farming also accounts for 70% of the         food aid.                                      of hydro-diplomacy, i.e. the prevention
                                                                                                                                       country’s skyrocketing pesticide use,                                                       and resolution of cross-border conflicts
                                                                                                                                       a phenomenon resulting in increased             A partial or total disruption of            linked to water resources.
                                                                                                                                       pollution of soil and groundwater.           treatment plant operations has
                                                                                                                                          Adding yet another layer of               therefore been largely to blame for                For Senegal, a recent term presiding
                                                                                                                                       complexity to the current security           the cholera epidemic ravaging the              over the Security Council was a prime
                                                                                                                                       equation, qat trafficking controls           country, especially in areas under             opportunity to bring the water and
                                                                                                                                       constitute a territorial issue for the       rebel control. Over one million people         sanitation debate to the highest table.
                                                                                                                                       armed militias who have de facto             have been infected, many of whom—              On November 22nd, 2016, the country
                                                                                                                                       carved up Yemeni territory3. Each            overwhelmingly children—have died              organized a session on strategic and
                                                                                                                                       hectare of qat has an estimated value of     without access to treatment. Chronicle         security issues surrounding water
                                                                                                                                       8,000 USD which, prior to the conflict,      of a tragedy foretold.                         resources in an effort to pave the
                                                                                                                                       would have represented between                  The environmental toll of depleted          political way for a Security Council

YEMEN:                                                                                                                                 20% and 30% of Yemeni household
                                                                                                                                       expenses4.
                                                                                                                                                                                    wastewater treatment capacities is
                                                                                                                                                                                    also grim, as soil and groundwater in
                                                                                                                                                                                    the Sana’a area are now permanently
                                                                                                                                                                                                                                   resolution on the theme Water &
                                                                                                                                                                                                                                   Peace. Through this initiative, Senegal
                                                                                                                                                                                                                                   followed in the footsteps of Namibia

OUT OF WATER,                                                                                                                          A NATION BESET BY
                                                                                                                                       A HARROWING CONFLICT
                                                                                                                                       TARGETING CIVILIAN
                                                                                                                                                                                    polluted. A war waged through the
                                                                                                                                                                                    deliberate or indirect targeting of critical
                                                                                                                                                                                    infrastructures—and among them those
                                                                                                                                                                                                                                   which, in 2000, took action to bring
                                                                                                                                                                                                                                   about the historic Resolution 1325.
                                                                                                                                                                                                                                   Entitled Women, Peace and Security,

OUT OF TIME                                                                                                                            POPULATIONS AND CRITICAL
                                                                                                                                       INFRASTRUCTURES
                                                                                                                                       As the qat scourge continues
                                                                                                                                                                                    responsible for sanitation—has thus
                                                                                                                                                                                    set the stage for a humanitarian and
                                                                                                                                                                                    environmental catastrophe that must be
                                                                                                                                                                                                                                   the text concerns the role of women
                                                                                                                                                                                                                                   in conflict resolution, peace talks
                                                                                                                                                                                                                                   and reconstruction. Although a
               OPINION COLUMN BY FRANCK GALLAND,
                                                                                                                                       inexorably to deplete and contaminate        stopped before it is too late.                 Water and Security resolution has
               Expert in water resource security concerns, member of (Re)sources
                                                                                                                                       water resources, the crisis has been            In Yemen, as in other recent conflicts,     yet to be passed, a formal stand is
                                                                                                                                       compounded by the toll of a high-            far too many critical structures (water,       unquestionably and urgently needed.
                                                                                                                                       intensity yet unspoken conflict.             sanitation, electricity) have been             In addition to the UN Security Council,
                                                                                                                                           A proxy war playing out between          bombed, either as direct targets or as         various regional strategic bodies (the
                                                                                                                                       Saudi Arabia’s Sunni coalition and Shia      collateral damage.                             North Atlantic Treaty Organization—

O
           n March 22nd, 2012, former         Peninsula and its remnants of ancient        with little or no water resource            Iran has targeted civilian populations                                                      NATO, the Organization for Security
           U.S. Secretary of State Hillary    hydraulic infrastructures including the      governance, i.e. a lack of investment       and their critical infrastructures, as was   ENFORCING THE GENEVA                           and Co-operation in Europe—OSCE, the
           Clinton made public a report       Great Dam of Marib, believed to be the       in the maintenance and renewal of           the case in Syria and Iraq. Water, energy    CONVENTIONS AND PASSING                        Shanghai Cooperation Organization—
commissioned by the Office of the             world’s oldest hydraulic structure.          existing collective infrastructures and a   and sanitation infrastructures have all      A WATER AND SECURITY                           SCO, the Gulf Cooperation Council—
Director of National Intelligence (DNI),                                                   glut of individual pumping installations    been damaged.                                RESOLUTION AT THE UN                           GCC, etc.) must be reminded of the
entitled “Global Water Security1”. Released   UNPRECEDENTED WATER                          that has placed a strain on water tables.       Such was the case for a critical         SECURITY COUNCIL                               vital necessity of protecting water,
to coincide with World Water Day, the         STRESS AND A BURGEONING                                                                  wastewater treatment plant serving           To curb this destructive trend, it is          sanitation and energy infrastructures,
report offered an unprecedented look          DRUG CULTIVATION INDUSTRY                        As elsewhere, insufficient reforms      Sana’a and the surrounding area. On          critical that the strict observance of         through both legal and physical means,
at the U.S. Intelligence Community’s          As of 2018, Yemen’s annual per capita        to agricultural irrigation practices        March 26th, 2015 the plant suffered          humanitarian law be enforced. To this          during violent conflicts.
global analysis of the potential security     renewable water supply is less than          are also all too frequently to blame        damage from bombing. On April                end, the 1949 Geneva Conventions’ more
consequences of water scarcity for            200 m3. Worse yet, this catastrophically     for continuous pressure on water            17 th, 2015 it was yet again impacted        recent Additional Protocols concerning
U.S. allies, suggesting the possibility       low figure is projected to drop to 40        resources. On top of this, Yemen has        when an energy plant on which its            the protection of victims of international
of American humanitarian or military          m3 by 2050. This alarming outlook            one key characteristic in common with       operations depended was bombed5.             armed conflicts also provide for the
intervention.                                 points to a crisis of unprecedented          another country suffering from water        As the conflicts in Syria and Iraq made      protection of critical structures such
                                              scale impacting a nation of 25.3 million     stress: Afghanistan. Like Afghanistan,      clear, without electricity there can be      as dams, dykes and nuclear plants, per
    The report painted a bleak picture        whose population is projected to double      Yemen channels a large proportion           no production or distribution of water,      Article 56.
                                                                                                                                                                                                                                   1
                                                                                                                                                                                                                                     “Global Water Security, Intelligence Community
                                                                                                                                                                                                                                   Assessment”, Office of the Director of National
of Yemen. Long before Houthi rebels           over the next 25 years. Such data has        of its water resources towards drug         nor can there be waste removal or               Article 15 of the 1977 addenda also         Intelligence, 2012.
took control of Sana’a in September           led American intelligence experts to         production: the former is the world’s       wastewater treatment.                        calls for the total protection of these        2
                                                                                                                                                                                                                                      “Crisis in Yemen: Food, Water and the ‘Slow Motion
2014, plunging the country into a tribal      conclude that Yemen may not survive          biggest producer of opium and the                                                        sites in the event of a non-international      Coup’”, Tess Marslen and Sinéad Lehane, Global
                                                                                                                                                                                                                                   Food and Water Crises Research Programme,
and religious war, Yemen was already          as a nation in the absence of water          latter is the leading producer of qat.         Next came the rationing of fuel oil,      armed conflict. Dedicated, if rarely           Future Directions International. February 2015.
recognized as the most water-scarce           resources and infrastructures, two               A scourge to the region that is         crucial to supplying the generators          used, signage also exists for signalling       3
                                                                                                                                                                                                                                     “Yemen: L’ONU inquiète du risque de partition”,
country on the planet 2.                      elements that are vital to a population’s    devastating Yemen and parts of the          that kept the plant up and running. The      critical infrastructures to protect them       Le Monde, Marie Bourreau and Louis Imbert, 18
                                                                                                                                                                                                                                   January 2018.
    Gone are the days when, less than 40      survival.                                    Horn of Africa, “catha edulis” continues    reason: a naval blockade, first ordered      from bombings: a symbol composed of            4
                                                                                                                                                                                                                                      “De l’eau pour le Yémen”, Cercle Les Echos, Franck
years ago, Yemen was known as Arabia             The country’s descent into hell can       to paralyse much of Yemeni society on       in May 2015. A country progressively         three horizontal orange circles (like a        Galland, 11 May 2015.
Felix (“Happy Arabia”) due to its location    be attributed to several factors similarly   a daily basis. Over 30% of the country’s    running out of everything was now cut        traffic light turned on its side) serves to
                                                                                                                                                                                                                                   5
                                                                                                                                                                                                                                     “From Bombs to Cholera in Yemen’s War”, The New
                                                                                                                                                                                                                                   York Times, Alia Allana, 19 November 2017.
in the most fertile area of the Arabian       present in a number of other countries       arable land is believed to be used          off entirely.                                neutralize and protect these sites.

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                                                                               In northern Mali, depletion                    Competition for water access              play a central part in the development
                                                                                                                           also causes antagonism between               of water demand management policies.
                                                                               of water resources due to                   agricultural and pastoral communities,
                                                                               recurrent droughts and                      or between nomadic and sedentary             MOVING TOWARDS
                                                                               high population pressure—                   populations. Sometimes, this rivalry is      LOCAL, INTERCONNECTED
                                                                                                                           mainly the evidence of deep-rooted           SOLUTIONS: IS
                                                                               movements are restricted in                 social tensions. In this specific context,   COLLABORATIVE
                                                                               the area as a result of armed               where competition for land and water         MANAGEMENT POSSIBLE?
                                                                               occupation and insecurity—                  takes various forms, it is a complex task    Controlling water usage implies changing
                                                                                                                           to analyze the situation, to understand      rules and methods and rethinking
                                                                               makes water-sharing a                       resource management mechanisms               collaborative management practices.
                                                                               crucial issue for survival and              and to devise plans for production and       These changes must take place on a very
                                                                               stability.                                  development.                                 local scale in order to accommodate
                                                                                                                              The inequitable distribution of           diverse situations, and also on a regional
                                                                               BY NATACHA CALANDRE                         resources often jeopardizes the              scale to account for interconnections
                                                                               Food Security and Livelihoods               fundamental right to food and water.         between land and resource use.
                                                                               Focal Point                                 Among the causes are territorial                 These new socio-economic
                                                                                                                           agreements between various                   relationships foster recognition of all
                                                                                                                           interest groups, land grabbing and           local stakeholders, tradesmen, farmers

                                                                               W
                                                                                           ater cannot be viewed in        “privatization”, and the lack of clear and   and communities as managers of
                                                                                           isolation from land, soil       established rules for using resources.       territorial resources. This requires a
                                                                                           and ecosystems: it has          These struggles for power and property       precise understanding of the history of
                                                                               far-reaching implications, affecting        result in restricted access to resources     political and socio-cultural occupation
                                                                               health, nutrition, agriculture, livestock   for certain fringe populations—yet           in this region, as well as conflicts,
                                                                               breeding, fisheries, income, access         another form of violence. In addition,       property rights and current methods of
                                                                               to basic necessities, and political         this situation encourages unsustainable      governance and how they interact with
                                                                               and socio-economic stability. The           exploitation of natural resources and        traditional conventions.
                                                                               distribution of water across these          hinders community management                     The development of management
                                                                               various domains requires an integrated      initiatives.                                 systems for water or other resources
                                                                               approach to evaluating and managing                                                      requires the creation of consultation
                                                                               resources, to achieve a balance             THE TRANSITION FROM                          mechanisms that enable inter-
                                                                               between production and consumption,         MANAGING SUPPLY TO                           community and intra-community
                                                                               food and water quantity and quality,        MANAGING DEMAND                              agreements to be negotiated on the
                                                                               ecologically sustainable development        Today, the major challenge is to             basis of a regional assessment, as well
                                                                               and socially just access.                   increase water supplies and to protect,      as the conclusion of mutually beneficial
                                                                                                                           restore and manage natural resources,        “contracts” between users. This calls
                                                                                  The water challenges in northern         in order to satisfy human, social and        for new, context-specific models
                                                                               Mali are a good illustration of the         economic needs and to cope with              combining technological, economic
                                                                               connections between land and power.         various pressures (population density,       and environmental innovations
                                                                               When taking action, we must consider        farming and livestock breeding               (storage, water and soil preservation,
                                                                               a wide range of issues, understand          methods, urbanization, etc.).                micro-irrigation and promotion of
                                                                               how various territories fit together,          In the absence of national                water-efficient production techniques,
                                                                               and comprehend the complexity of            authorities, political and legal             protection of ecosystems, waste
                                                                               stakeholder interests.                      frameworks and regional policies, the        reduction, etc.) with organizational
                                                                                                                           accomplishment of this goal hinges           and institutional advances. Restoring
                                                                               THE INTERACTION BETWEEN                     on restructuring “power” around              sustainable access to water and land
                                   Goundam Cercle, Northern Mali, June 2016.   POWER DYNAMICS AND                          resources. This can be achieved by           in this fragile region is the only way to
                                                                               RESOURCE MANAGEMENT                         establishing local governance entities,      ensure social and economic progress.
                                                                               METHODS                                     creating and promoting user groups
                                                                               In northern Mali, which bears the           and professional organizations, as well

THE MULTIPURPOSE ROLE                                                          scars of persistent armed conflict,
                                                                               the universal challenges of fighting
                                                                               climate change are compounded by
                                                                                                                           as developing regulatory mechanisms
                                                                                                                           that provide for social objectives
                                                                                                                           and encourage rational water usage.

OF WATER IN NORTHERN MALI                                                      territorial and resource control issues,
                                                                               which have an even greater impact on
                                                                               the population’s food security and on
                                                                                                                           Acknowledging the fact that water
                                                                                                                           has various uses and defending the
                                                                                                                           universal right to use natural resources
OR THE NEED TO UNDERSTAND                                                      environmental sustainability.               are two fundamental issues that must

THE CONNECTIONS BETWEEN LAND AND POWER

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PROVIDING WATER                                                                                                            DRINKING WATER
IN THE CENTRE                                                                                                              TO FIGHT
OF MOSUL                                                                                                                   MALNUTRITION
“During 2017, the SOLIDARITÉS INTERNATIONAL team                                                                           IN NIGERIA
in Iraq distributed water, in person, to thousands of
people who were trapped in Mosul, just after Islamic                                                                       “In the town of Maiduguri, which provides refuge for
State forces had abandoned the town. Once we had                                                                           over 1.5 million displaced people who have fled from
built a water treatment plant on the banks of the Tigris                                                                   combat zones, malnutrition rates are well above critical
producing no less than 12,000 litres of drinking water                                                                     thresholds. Tens of thousands of children under 5
daily, our teams distributed water to over 30,000                                                                          years old are in mortal danger. In collaboration with
people per day, in the centre of Mosul. Every day,                                                                         local medical centres, SOLIDARITÉS INTERNATIONAL is
we filled about twenty reservoirs in the Wadi Hajar                                                                        fighting malnutrition, which is caused by an unhealthy,
district. In addition to quenching the population’s thirst,                                                                insalubrious environment in 50% of cases worldwide
reestablishing drinking water supplies in the western                                                                      (WHO). Our teams are installing water and sanitation
districts of Mosul should also help to contain potential                                                                   facilities at health clinics. They are also repairing the
epidemics, which remain a threat due to unsanitary                                                                         large numbers of boreholes that have been destroyed
living conditions within the town. Now that peace has                                                                      and building toilets in vulnerable, overpopulated districts
returned, our teams are redirecting their efforts towards                                                                  of Maiduguri.”
rehabilitating the water network, to contribute to
rebuilding the city, which is in ruins after many years of                                                                 GILLES VOURCH’
war ”                                                                                                                      Country Director

DENIS VANHONTEGEM
Country Director

                                                              DRILLING DEEP                                                                                                              SOLAR PUMPS
                                                              IN BANGLADESH                                                                                                              IN AFGHANISTAN
                                                              “Since August 2017, hundreds of thousands of people                                                                        “Nearly 4 years after they arrived, more than 4,500
                                                              have fled Myanmar for Bangladesh. They are stranded                                                                        people from Pakistan are still living in Gulan camp, in
                                                              in villages and in official or informal refugee camps,                                                                     Afghanistan. Until now, submersible pumps were used
                                                              where water access is a real challenge. To reach                                                                           to supply the water network in the camp. However,
                                                              sufficient quantities of groundwater, which is safe and                                                                    since the refugees are here for an extended period,
                                                              available all year round, it is necessary to drill very                                                                    a more sustainable solution has been implemented.
                                                              deep. As the moment, people are using water from                                                                           We decided to install solar pumps to supply water.
                                                              the aquifer, which is very shallow. But when the dry                                                                       This project has been a success in Mali, at another of
                                                              season arrives the aquifer will shrink, eliminating access                                                                 SOLIDARITÉS INTERNATIONAL’s missions. We thought it
                                                              to this water source. We therefore decided to drill to a                                                                   would be advantageous to try the same technique here.
                                                              depth of several dozen metres to ensure a sufficient                                                                       The 10 wells that provide water for the whole camp
                                                              year-round water supply. Each borehole yields 15 litres                                                                    are equipped with 21 solar panels on a steel frame,
                                                              of water per person per day for about 1,100 to 1,200                                                                       connected to a command panel and a control system.
                                                              people. Several boreholes are being drilled in an effort                                                                   The submersible pumps are now powered by energy
                                                              to provide as many people as possible with water in the                                                                    from the solar panels, but there is still a backup diesel
                                                              refugee camps. Although the groundwater yielded by                                                                         generator for each borehole, in case the weather is
                                                              this deep drilling is free from contamination, we analyze                                                                  cloudy with no sunshine.”
                                                              it regularly, especially to monitor the iron content.”
                                                                                                                                                                                         CRISTINA THEVENOT
                                                              LUCILLE TRUTTA                                                                                                             Operations Manager for Asia
                                                              Water, Sanitation and Hygiene Manager

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                                                       Charlène
                                                            car                Narges
                                                                             afghanistan

                                                                                                                                 Jacqueline
                                                                                                                                    haiti

                                                  Baba Harber Adjawiakoye                         Umoja Bahita
                                                             mali                          democratic republic of congo

                                                                                                                            Almoudou Yattara
                                                                            Zahra Danlha                                           mali
                                                                              nigeria

                                                                                                   Mary Bol
                                                                                                 south sudan

                                                                                                                           Dilmas et Tahara
                                   Nayan Tara                                                                                  myanmar
                                   bangladesh

                                                Susie May
                                                 myanmar

                                                                                                 Nia Abdoulaye Touré
                                                                                                         mali

                                                GIVING INVISIBLE PEOPLE
                                                A VOICE
                                                There are thousands, millions, billions of them. Their human rights are not respected. Their voices do
                                                not carry. They are invisible and voiceless. All these men, women and children have been forgotten
                                                because they had to flee to another country, deserting their homes due to war, natural disaster or an
                                                epidemic. Today, they have no access to drinking water. These are the people for whom we provide
                                                vital assistance, in person, with dignity.
                                                Wherever they are from—Bangladesh like Nayan Tara, or Mali like Baba Harber Adjawiakoye, or
                                                Nigeria like Zahra Danlha, or Haiti like Jacqueline, or Afghanistan like Narges, or elsewhere—we have
                                                chosen to give them a voice. So that, by telling their story, their suffering may be heard.

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                                    “Only structural
                                    projects to install
                                                                                   C
                                                                                            holera disappeared from             Despite the fact that patients are            solution to epidemics. And that medical
                                                                                            industrialized countries decades    receiving better care, the number             intervention alone is insufficient.
                                    infrastructure,                                         ago. Although it is easy to         of deaths has increased 12.4% in

                                    which is all too                               prevent, treat and eliminate, between 3
                                                                                   and 4 million people are infected by the
                                                                                                                                comparison to the same period in
                                                                                                                                2016. Emergency programs combining
                                                                                                                                                                              SOLIDARITÉS INTERNATIONAL
                                                                                                                                                                              NO LONGER ACCEPTS the
                                    scarce in the DRC,                             “dirty hands disease” every year, of which
                                                                                   100,000 will perish, simply because
                                                                                                                                medical care, chlorination of water
                                                                                                                                points and disinfection of infected
                                                                                                                                                                              international community’s inability
                                                                                                                                                                              to bring together all the necessary
                                    can put an end to                              they do not have access to drinking          homes do save lives, but they will never      partners—governmental, humanitarian
                                                                                   water and sanitation. The populations        eradicate the epidemic. Only structural       and development organizations and
                                    this scourge”                                  of the Democratic Republic of Congo          projects to install infrastructure, which     private stakeholders—to pool their
                                                                                   (DRC), the worst-affected country in         is all too scarce in the DRC, can put an      resources and expertise.
                                                                                   Africa, are particularly afflicted by this   end to this scourge.
                                                                                   unjust situation. Over several decades,                                                    SOLIDARITÉS INTERNATIONAL
                                                                                   the disease has taken hold in the DRC,       SOLIDARITÉS INTERNATIONAL                     CALLS UPON all the public and
                                                                                   where the most severe cholera epidemic       CANNOT ACCEPT the complaints of               private stakeholders involved in
                                                                                   in the past 25 years has infected 40,000     certain international decision-makers         humanitarian aid and development
                                                                                   people and claimed 900 lives.                that NGOs use public funds to duplicate       in the DRC to come together and
                                                                                                                                the same disease mitigation projects          implement a joint program to fight
                                                                                   SOLIDARITÉS INTERNATIONAL                    every year, while the same decision-          cholera, a deadly disease that could so
                                                                                   ASKS: How can so many deaths from            makers flatly refuse to consider any          easily be controlled.
                                                                                   cholera in the DRC be explained, when        attempts by humanitarian or private
                                                                                   short, medium and long-term solutions        organizations to suggest effective long-      SOLIDARITÉS INTERNATIONAL
                                                                                   to prevent and control this infectious       term solutions. Urban water networks          REAFFIRMS that the solutions to
                                                                                   disease have been tried and tested?          and sanitation projects which would           eradicate cholera by 2030 are well-
                                                                                   How can these figures be justified,          eventually eradicate cholera—as was           known:
                                                                                   when a similarly dire situation in Haiti     the case in Europe in the 20 th century—      • Increase funding for the rapid
                                                                                   in 2012 had a very different outcome:        “are too costly, too far off in the future      deployment of medical teams during
                                                                                   close coordination between state,            and do not meet urgent humanitarian             epidemic outbreaks
                                                                                   humanitarian and private partners            needs.”                                       • Invest in water and sanitation
                                                                                   enabled a drastic decrease in the                                                            infrastructure projects, especially in
                                                                                   number of cases in 2017 (10,814 to           SOLIDARITÉS INTERNATIONAL                       urban and semi-urban areas
                                                                                   date in comparison to over 500,000 in        DENOUNCES these conflicting                   • Improve monitoring and alert
                                                                                   2010/2011)?                                  viewpoints, which can only lead to              systems.
                                                                                                                                stalemate. Especially since, on the one
                                                                                   SOLIDARITÉS INTERNATIONAL                    hand, SOLIDARITÉS INTERNATIONAL               HOW MANY MORE YEARS OF
                                                                                   ASSERTS that in the DRC, after just 6        is currently called upon to provide an        EPIDEMICS, DISEASE AND DEATH
                                                                                   months of indifference on the part of        emergency response during outbreaks           MUST GO BY BEFORE THESE
                                                                                   the international community, the east        of the epidemic in the Kalemie and            MESSAGES ARE FINALLY HEARD?
                                                                                   of the country witnessed the worst           Masisi areas while at the same time,
                                                                                   upsurge in cholera cases in 25 years.        the organization is struggling to obtain
                                                                                   To date, some 44,071 suspected cases         funds to proceed with the construction
                                                                                   and 882 deaths have been registered in       of a water network in Kalemie, which
                                                                                   22 of the country’s 26 provinces. Every      would tackle the root causes of the
                                                                                   week, an additional 1,800 to 2,000           disease. Today, this project is totally
                                    Kalemie, Democratic Republic of Congo, 2017.
                                                                                   people are infected, a 71% increase in       reliant on funding from French water                    Invisible voices
                                                                                   comparison to 2016.                          boards, regional authorities and public
                                                                                                                                institutions.                                 “My seven-year-old child, Salume, drank
                                                                                   SOLIDARITÉS INTERNATIONAL                                                                  water from the lake every day. One day

PETITION TO FINALLY ERADICATE
                                                                                                                                                                              he had abdominal pain, and very soon
                                                                                   TESTIFIES that in the Tanganyika,            SOLIDARITÉS INTERNATIONAL IS                  after he started to vomit and suffer from
                                                                                   Haut-Lomami, Kivu and Ituri provinces        OUTRAGED that despite decades of              continuous diarrhoea.”
                                                                                   and more recently in the Kasai               experience of major crises, epidemics

CHOLERA FROM THE DRC                                                               provinces, which are all severely
                                                                                   affected by the epidemic, there are not
                                                                                                                                and efforts to reduce the extremely
                                                                                                                                high morbidity rates in this region,
                                                                                   enough humanitarian NGOs fighting            many decision-makers still do not
IT’S TIME TO ROLL UP OUR SLEEVES                                                   outbreaks of cholera to prevent the          understand that access to drinking
                                                                                   infectious disease from spreading, due       water, hygiene and sanitation is
                                                                                                                                                                              UMOJA BAHITA
AND DEFEAT THE DIRTY HANDS DISEASE                                                 to lack of resources.                        almost always the key to an effective
                                                                                                                                                                              DRC

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                                                                                                                                  “MANAGING WATER SAFELY”
                                                                                                                                  THE RESULTS OF A SCIENTIFIC IMPACT STUDY
FROM EMERGENCY                                                                                                                    OF THE ENDEMIC CHOLERA ZONE IN UVIRA, DRC.
                                                                                                                                  BY MARTIN LEMÉNAGER

TO DEVELOPMENT:                                                                                                                   Water and Sanitation Project Team Manager at the Agence Française de Développement

A THREE-TIER APPROACH
                                                                                                                                  T
                                                                                                                                         he primary benefit of a water and     infrastructure will be rehabilitated and        The study, which will continue until

TO ERADICATE CHOLERA                                                                                                                     sanitation project is often said to
                                                                                                                                         be a positive impact on health.
                                                                                                                                  This seems obvious yet it is difficult to
                                                                                                                                                                               extended (daily production will increase
                                                                                                                                                                               from 4,500 to 11,500 m3/day, a new
                                                                                                                                                                               2000 m3 reservoir will be built and
                                                                                                                                                                                                                               the end of 2019, uses a combination of
                                                                                                                                                                                                                               three methods:
                                                                                                                                                                                                                               • analysis of time series data on the

FROM TANGANYIKA                                                                                                                   measure accurately, mainly because,
                                                                                                                                  between the moment water is collected
                                                                                                                                  from its source and the moment it is
                                                                                                                                                                               40 km of pipes, 3000 water meters and
                                                                                                                                                                               102 water fountains will be installed) to
                                                                                                                                                                               generate a continuous water supply and
                                                                                                                                                                                                                                 quantity of water distributed and the
                                                                                                                                                                                                                                 incidence of cholera and diarrhoeal
                                                                                                                                                                                                                                 diseases;
                                                                                                                                  consumed, it can come into contact with      prioritize the health zones where cholera       • random assignment of the order in
Emergency action alone is                  water from being consumed, as well           INTERNATIONAL provides capacity-          a number of potential contaminants.          epidemics have been pinpointed. The               which tertiary network extension
                                           as mass awareness-raising campaigns          building support for this local           Most of the existing studies discuss         NGO Oxfam GB will carry out hygiene               work was performed into 16 clusters,
insufficient to fight the “dirty
                                           on good hygiene practices. These             organization, whose objective is to       “treatment at point of use” projects. It     awareness activities, and ADIR, a local           enabling counterfactual “pipeline”
hands disease”. In eastern                 activities are carried out in coordination   make this product into an everyday        is rarely possible to evaluate drinking      NGO, will assist in organizing the use and        analysis (comparison of the first and
Democratic Republic of                     with regional and provincial health          commodity. Through these activities,      water network improvement projects           management of the water fountains.                the last districts where extension
                                           authorities.                                 SOLIDARITÉS INTERNATIONAL is              using scientifically proven methods. It                                                        work was performed);
Congo (DRC), where cholera is
                                                                                        promoting local entrepreneurship          is undeniably difficult to compare towns     The AFD and the Veolia Foundation               • monitoring the hygiene practices,
endemic, “knock-out” activities            A “SHIELD”                                   and clearly showing that communities      that have or do not have water networks,     have appointed the renowned London                water-related behaviour and socio-
and long-term development                  FOR DRINKING WATER                           are capable of protecting themselves      and pipes cannot be distributed like         School of Hygiene and Tropical                    economic circumstances of a cohort
                                           An emergency response alone cannot           from the dangers of dirty water and       chlorine tablets or training sessions.       Medicine (LSHTM) to conduct a                     of 500 households, using a qualitative
must be closely coordinated to
                                           prevent the spread of cholera in an          the scourge of cholera. In this way,                                                   scientific impact study. The initial              approach.
effectively combat the disease.            area where the disease is endemic. It        SOLIDARITÉS INTERNATIONAL is starting     The implementation of a project in           results were published in 2015 in the
                                           is not a satisfactory solution for the       to implement an exit strategy from the    Uvira, in the South Kivu region of the       public health journal PLoSMed. By               The findings from this study will
BY EMMANUEL RINCK
                                           communities or for us, as humanitarian       area.                                     DRC brought together all the necessary       comparing chronological drinking water          contribute to the multi-sector cholera
Operations Manager
                                           workers. That is why the second phase                                                  conditions for such an impact study.         production data with health clinic              eradication plan, which is coordinated
for Africa
                                           of the program revolves around the           From the first diagnosed case through     This research is especially valuable         registers, the researchers found that           by Congolese authorities. They are

L
       ake Tanganyika is one of            rehabilitation and extension of the          to autonomous water treatment by the      because cholera is rampant in the            “23.2% of registered cholera cases in this      also of interest to the WHO Global Task
       the reservoirs for cholera in       municipal water network in Kalemie, to       communities themselves, SOLIDARITÉS       area. The study relies on support from       town between 2009 and 2014 can be               Force on Cholera Control, which has
       Central Africa. SOLIDARITÉS         provide a permanent supply of drinking       INTERNATIONAL is combining                the organizations involved and draws         directly attributed to recurrent disruptions    just published a road map to eliminate
INTERNATIONAL has been fighting            water. Alongside this rehabilitation         emergency activities with a structural,   on data collected during a regional          at the water treatment plant, mainly due        cholera by 2030.
waterborne diseases there since 2002.      work, support is provided for the local      developmental approach, to fight          program that was launched by the             to power cuts”.
In Kalemie and the surrounding area,       organizations that are responsible for       diarrhoeal diseases in the short-term     Veolia Foundation over 10 years ago.
cholera has been widespread for over 20    managing and distributing water to the       and the long-term. The aim is to make                                                  These findings were a high-profile
years. In the communities which suffer     population. These two complementary          the point that fighting cholera must be   In 2013, the Agence Française du             contribution to the debate about the
from regular, severe outbreaks of the      activities safeguard water quality and       done on all fronts, simultaneously.       Developpement (AFD) decided to               importance of the quality of water
disease, people die every year.            ensure that the local community takes                                                  grant a subsidy to the “Project to fight     services within the framework of the
                                           ownership of the water facilities. This                                                cholera in Uvira by improving access to      Sustainable Development Goals (SDGs).
                                                                                                                                                                                                                                         Invisible voices
THE “KNOCK-OUT”                            structural approach, which has been                                                    drinking water and hygiene”. This project    SDG Goal 6.1 aims for “universal and
APPROACH                                   implemented since 2010, is known as the               Invisible voices                 follows the emergency-development            equitable access to safe and affordable         “Since Hurricane Matthew struck, I can’t
To fight the epidemic, SOLIDARITÉS         “shield” approach.                                                                     continuum, is supported by multiple          drinking water for all”. This definition        use the water spring any more. I have to
INTERNATIONAL has devised a three-tier                                                  “One day, the water in the swamp          partner organizations and aims to            requires several criteria to be met:            go and buy water at the kiosk, but I don’t
approach combining emergency and           LOCAL COMMUNITIES                            will dry up and we will no longer         improve the health and living conditions     accessibility (at home), availability           have any money. I don’t know what I’m
development activities. The first phase    ARE THE FIRST LINE                           be able to stay here.”                    of 210,000 people. The project is            (on demand, generally via continuous            going to do... ”
is an emergency response, called the       OF DEFENSE AGAINST                                                                     managed by the national public               service), and quality (always free from
“knock-out” approach, which is put into    THE DISEASE                                                                            company Regideso with assistance             contamination). This represents a big
action as soon as the epidemic threshold   The third phase of SOLIDARITÉS                                                         from the Veolia Foundation and has           step forward, in terms of quality, from
is reached to contain the outbreak. This   INTERNATIONAL’s strategy is based on                                                   received financial support from the          the “improved drinking water sources”
phase involves emergency chlorination      the promotion of a chlorine solution         MARY BOL                                  European Union via the Water Facility        mentioned in Millennium Development             JACQUELINE
at every water point to prevent infected   by a local organization. SOLIDARITÉS         South Sudan                               fund. Water production and distribution      Goal (MDG) 7.                                   Haiti

 WATER BAROMETER #04 | MARCH 2018                                                                                                                                                                                               WATER BAROMETER #04 | MARCH 2018
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