Republic of the Philippines

DEPARTMENT OF EDUCATION
Region XII
Division of South Cotabato
Tboli 3 District
LAMLA ELEMENTARY SCHOOL
Sitio Lamla, Kematu, Tboli, South Cotabato

Activity matrix of WASH in Nutrition and Nutrition in WASH at the point of service delivery Integration of WASH into Nutrition programs

Target Component Function Examples of Indicators Examples of Activities

Access to Safe drinking water At least 40 liters of water/patient/day Select water source based on access,
Inpatient Service s

drinking available from the available including for the caretaker. acceptance, quality and reliability
water source to the point Quality of drinking water should be clear Treat turbid water then chlorinate or boil it
of consumption. (nephelometric turbidity unit [NTU] <20) Provide water supply systems with pumps
with residual chorine of between 0.2 and and distribution networks
1mg/liter. Store protected water unless connected to a
No latrine or defecation area within 30 m of permanent source of drinking water
= water points.
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Hygiene Provision of soap Soap provided in all handwashing facilities Maintain handwashing facilities and replenish
and running water Clean handwashing water is available with water and soap (or other available
at strategic points A maximum of 50 people/shower/day cleansing agents like ash)
for handwashing at Construct separate showers for each gender
Gender-separated showers with provision for
critical moments with a drain to the soakpit
washing laundry and dishes, especially for
(including before Provide washing areas for laundry and dishes
women
breastfeeding)
Showers lit at night Designate a hygiene focal point
Bodily hygiene
Washing areas with separate drainage for Train community health workers
Washing of food
laundry and dishes and protective tray for Conduct education in key hygiene practices
and cooking
kitchen utensils for mothers and caretakers
utensils
Posters displaying key hygiene behaviors and Provide hygiene kits to caretakers
daily hygiene promotion sessions

Sanitation Safe and hygienic • A maximum of 25 people/pit latrine • Construct separate, improved, hygienic, pit
facilities for door/day latrines for men and women, handwashing
defecation and a facilities and drainage

Targe Component Function Examples of Indicators Examples of Activities

t
 healthy Pit latrine waiting time at peak hours less than
environment five minutes
Pit latrines with no flies, smell nuisance and
traces of excreta
Private pit latrines, separated by gender
Pit latrines lit at night and near to buildings
Area with potties for children
Provide an alternative hygienic system for
managing human excreta as a temporary
solution
Provide lighting for pit latrines at night and
clean latrines daily with 0.2% chlorine
solution.
Provide potties for children
Distribute potties for children and/or trowels
or spades for collecting and disposing of
excreta
Provide refuse pits, labelled bins,
incinerators, drainage channels, daily
cleaning and maintenance

Targe Component Function Examples of Indicators Examples of Activities

t
 4

Access to Safe drinking Potable drinking water available in Choose water source based on access,

Outpatient Sservices
drinking water available adequate quantity acceptance, quality and reliability
water from the source to Drinking water available and clear (NTU Treat turbid water then chlorinate or boil it
the point <20) with residual chorine of between 0.2 Provide water supply systems with pumps,
of consumption and 1mg/liter connection to a distribution network or
Number of protected water sources water trucking in transitional situations
Existence and use of water storage facility Store protected water unless connected to a
permanent drinking water source

Hygiene • Provision of soap • Soap or alternative cleansing materials • Maintain handwashing facilities and
and running water available in all handwashing facilities replenish with water and soap
at strategic

Target Component Function Examples of Indicators Examples of Activities

points for Handwashing water with 0.05% chlorine Provide washing areas for laundry and
handwashing at when possible dishes
critical moments Posters displaying key hygiene behaviors Designate a hygiene focal point
(including before visible at all times Train community health workers
breastfeeding) Number of daily hygiene promotion Conduct education in key hygiene practices
Personal hygiene sessions for mothers and caretakers
Washing of food Number of hygiene kits distributed to Provide hygiene kits to beneficiaries and
and cooking beneficiaries and their families. their families
utensils Have staff modelof key hygiene behaviors
 Sanitation Safe and hygienic A maximum of 25 people/pit latrine Support construction of separate, improved,
facilities for door/day hygienic, pit latrines for men and women,
defecation and a Pit latrine waiting time at peak hours less handwashing facilities and drainage, when
healthy than five minutes. appropriate
environment Pit latrines with no flies, smell nuisance Provide an alternative hygienic system for
and traces of excreta managing human excreta as a temporary
Private pit latrines, separated by gender solution
Provision for disposal of child excreta Clean pit latrines daily
Provide trowels or spades for collecting
and disposing of excreta
Provide refuse pits

Targe Compone Function Examples of Indicators Examples of Activities

t nt
Access to Safe drinking water Drinking water available in adequate Choose water sources based on access,
drinking available from the quantity acceptance, quality and reliability
water source to the point Drinking water of acceptable quality Treat turbid water then chlorinate or boil it
of consumption Number of households accessing water Provide water supply systems with pumps,
from sources installed with pumps, connection to a distribution network or
connected to distribution network and from water trucking in transitional situations
water trucks Store protected water unless connected to a
Number of households with provision for permanent source of drinking water
water storage
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Hygiene • Provision of soap Soap or alternative cleansing materials Maintain handwashing facilities and

Outreach at Ccommunity Level

and running water available in all handwashing facilities replenish with water and soap
at strategic points Handwashing water with 0.05% chlorine Conduct education in key hygiene practices
for use at critical Posters displaying key hygiene behaviors for mothers and caretakers
moments and daily hygiene promotion sessions Provide hygiene kits to caretakers
(including before
breastfeeding)

Sanitation • Open defecation No open defecation • Facilitate training of community health

free (ODF) 100% coverage with pit latrines workers on sanitation
environment

Targe Compone Function Examples of Indicators Examples of Activities

t nt
• Safe and hygienic Pit latrines with no flies, smell nuisance and Conduct triggering sessions using
facilities for traces of excreta community-led total sanitation (CLTS)
defecation Provision for disposal of child excreta. Provide trowels or spades for collecting and
Number of households having access to and disposing of child excreta
using refuse pits Provide refuse pits
 Access to Safe drinking water Percentage of mothers in ‘mothermalnourished child’ Follow up and continue of home

Home s of 'Caretaker s - malnourished ‘Mother -

drinking available from the couples who have access to and use a household water water treatment training
water source to the point treatment method conducted by nutritional centers
of consumption A minimum of 2.5–3 liters/person/day for drinking and Distribute and promote imported
Malnourished Child ’ Couple s food or locally produced home water
Drinking water containers covered and safe drawing treatment products (such as
method chlorination or flocculation
Percentage of households that have secure storage methods, filters, etc.)
practices for drinking water Distribute one or more containers
Percentage of households that employ household water to facilitate measuring of home
treatment water treatment
Percentage of communities that have a mechanism to Distribute two attachable mugs
monitor household water quality with handles for use when
drawing and drinking water
Percentage of women and children spending less than
20 minutes collecting or queueing for water Randomly sample households to
monitor household water quality
Conduct a community-level
assessment and context-
appropriate responses when
choosing a water source

Target Component Function Examples of Indicators Examples of Activities

 8

Hygiene Provision of soap and Percentage of mothers and caregivers who know all the Distribute tippy-tap type
running water at critical moments for handwashing handwashing devices
strategic points for Percentage of mothers and caregivers who use soap or Raise awareness among mothers
handwashing at ash to wash hands at critical moment. and caregivers on key hygiene
six critical Percentage of mothers who have soap or ash with which practices using visual messages
moments, to wash hands at key points Follow up on handwashing
including after Percentage of mothers who use drinking water to wash practices among mothers and
handling animals vegetables and prepare baby food caregivers
Bodily hygiene Integrate messages on
Washing of food and malnutrition into hygiene-
cooking promoting activities
utensils
Sanitation Safe and hygienic No child excrement in the vicinity of the house Follow up on disposal of child
facilities for defecation Pit latrines without flies, smells or traces of excrement excrement in households
and a healthy Presence of a system for washing hands with soap or an Distribute hygiene kits for safe
environment ash pot in the latrine excreta disposal
Percentage of households with adequate child excreta Follow up and provide
management practices community assistance for poorest
Percentage of households using improved and well- households to construct pit
maintained sanitary facilities latrines
Periodically monitor the condition
of the latrines
If no pit latrine are available, as in
pastoral communities,
disseminate messages on
alternative methods like the ‘cat’
method

Hardware Increased access to
safe water or hygiene
Communities or Households and sanitation for
vulnerable households
and individuals
(including include
disabled persons, the
elderly and the
chronically ill) as well
as use of water for
nutrition-promoting
activities
Target Component Function Examples of Indicators
Number of households using water for
livelihood activities aimed at boosting
nutrition like farming and watering
animals.
Number of households using excreta
sludge to enrich their farms
Number of communities with high
malnutrition with increased access to
safe water
Number of caregivers to malnourished
children reporting a decrease in time
required to fetch water daily
Percentage of households that have
barriers separating children
Examples of Activities
under two from animals and their feces
• Percentage of community cadres
trained and equipped with midupper arm
circumference (MUAC) tapes
10
Support development of multipleuse
water schemes (MUS) targeting drinking
water and water for livelihood and food
production.
Use sanitation as a resource for food
production, e.g., using EcoSan, fossa
alterna or Arborloo technology
Support the development of water
systems targeting areas of high
malnutrition
Increase access to water for caregivers of
malnourished children
Support distribution of materials for the
separation of animals and children under
two
• Support distribution of MUAC tapes
and train on their use
 Software Improved awareness
of key WASH and
Nutrition practices and
behaviors
Target Component Function Examples of Indicators
Number of community-based hygiene
promoters communicating key nutrition
messages
Number of integrated communitybased
workers supporting adoption of key
family practices
Number of community-based workers
who can understand and articulate the
WASH-Nutrition link
Number of CLTS program or sessions
which also include key nutrition
messages
Number of CLTS facilitators or trainers
equipped with knowledge of key
nutrition practices
Number of communication campaigns
(radio shows, TV, community
campaigns, etc.) that include both
Nutrition and WASH messaging
Train and equip hygiene promoters to
pass key messages on nutrition (e.g.,
breastfeeding, food hygiene, etc.) or
Develop, train and equip one community
cadre to support adoption of key family
practices such as hygiene and nutrition
Ensure that community-based workers
understand the link between WASH and
nutrition and can explain it in simple
terms
Develop key nutrition messages that can
be incorporated into CLTS
Train CLTS stakeholders in key nutrition
messages
Develop and disseminate communication
campaigns which include key WASH
and nutrition messaging
Examples of Activities
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Hardware Increased access to • Number of institutional water systems • Provide water systems to institutions
safe water for also used for institutional gardens that will accommodate institutional
Institutions — Schools or Health Facilities education and health gardens
institutions as well as
use of water for
nutrition-promoting
activities

Software Improved awareness Number and kind of institution personnel
of key WASH and trained on key relevant hygiene and
Nutrition practices and nutrition practices
behaviors Number of institution staff sensitized on
the WASH-Nutrition link
Number of child-to-child clubs passing
on synergized messaging
Train key institution personnel on
hygiene and nutrition practices relevant
to their institution (e.g., food hygiene)
Sensitize teachers and health facility
staff on the link between WASH and
Nutrition.
Support child-to-child clubs to develop
key hygiene and nutrition messaging
which they can disseminate to their peers

Target Component Function Examples of Indicators Examples of Activities

 Awareness and Action Increasing community Number of sessions held Conduct advocacy and
awareness and explaining the WASH- information sessions
involvement in the key Nutrition link to local with local community

CommunityGroups( e .g., Community Health or

links between WASH leaders leaders to explain the
and Nutrition Number of locally link between WASH and
designed programs that Nutrition (ensure that
they understand the
Development Committees)
target key WASH
pathways affecting pathways)
nutrition Involve community
Number of communities groups in designing or
with increased access to re-orienting existing
soap through programs so that they
local initiatives target the key local
pathways through which
WASH affects Nutrition
Promote local soap
making to increase
access to hygiene
facilities

Prepared by:
ADELMA A. PENDON Noted by:
Teacher I EVELYN R. ESTEMBER
Master Teacher I/ Teacher In -Charge