WASH IN SCHOOLS

THREE STAR APRROACH

JOFRED M. MARTINEZ, MAN, RN, LPT

Nurse II
Department of Education
WASH IN SCHOOLS
THREE STAR APRROACH

JOFRED M. MARTINEZ, MAN, RN, LPT

Nurse II
Department of Education
WATER AND SANITATION SITUATION

• Worldwide, 780 million

people do not have access
to clean water
• Globally, 2.5 billion people
lack access to adequate
sanitation
http://www.unwater.org/water-cooperation-2013/water-
cooperation/facts-and-figures/en/
WATER AND SANITATION SITUATION

• In the Philippines, 11.85%

of schools do not have
access to water
http://www.unwater.org/water-cooperation-2013/water-
cooperation/facts-and-figures/en/
HEALTH STATUS OF
FILIPINO CHILDREN
• 97% of all children suffer
from tooth decay 1
• 67% of all children suffer
from intestinal worms 2
• 30% of all children are
malnourished 3
HEALTH STATUS OF
FILIPINO CHILDREN
• 88% of all diarrheal deaths
are caused by unsafe
drinking water, poor
hygiene and lack of access
to sanitation
SOME HEALTH STATISTICS
• Worldwide, there are 1.6 million
diarrheal deaths per year attributed
to lack of safe water, sanitation and
hygiene¹
• Globally, some 6,000 children die
every day from diseases associated
with lack of access to safe drinking
water, inadequate sanitation and
poor hygiene²
• In the Philippines, watery diarrhea
ranks fifth among the leading cause
of morbidity in 2010³
CAUSES OF SICKNESS AND DISEASE

1. Poor personal hygiene

2. Poor environmental
sanitation at home and
in school
3. Lack of access to clean
water and basic hygiene
facilities
 WHAT IS

SBM-WINS?
 WHAT IS

WaSH?
 VISION
“A happy and healthy Western Visayas school children
under a sound WASH in Schools (WinS) program
facilitated by effective School Based Management
Technology by 2018.”

MISSION
To institutionalize and sustain Water, Sanitation,
and Hygiene in Schools (WinS) through School
Based Management (SBM) Technology for
improved learning outcomes and a lifelong health
of learners.
 EXPECTED
Expected OUTCOMES
Outcomes after AFTER
EHCPWINS IMPLEMENTATION
Implementation
50%
lower prevalence
of worm
infections
50%
lower prevalence
40%
prevention of
of worm oral infections
infections
50%
lower prevalence
40%
prevention of
30%
fewer
of worm oral infections malnourished
infections children
50%
lower prevalence
40%
prevention of
30% 20%
fewer reduction
of worm oral infections malnourished of absenteeism
infections children
WASH CYCLE OF OPPORTUNITIES
IMPROVED
HYGIENE

ECONOMIC LESS DISEASE

GROWTH

INCREASED INCREASED
PERFORMANCE ATTENDANCE
WINS THREE- STAR APPROACH
• Integrated system to ensure
the quality of WASH practices
in schools, thereby
contributing to achieving
sustainable improvements
towards “healthy schools”
that support all children in
their development.
WINS THREE- STAR APPROACH
WINS THREE- STAR APPROACH

NO STAR SCHOOL
The existing situation for many schools
• Limited or no hygiene promotion
• May or may not have WASH infrastructure
WINS THREE- STAR APPROACH

1-STAR SCHOOL
Daily routines to promote healthy habits
• Daily supervised group hand washing with soap,
normally before the school meal
• Daily supervised cleaning of toilets, and provision of
soap and water; no open defecation
• Daily supervised use of drinking-water bottles by all
children
WINS THREE- STAR APPROACH

2-STAR SCHOOL
Incremental improvements
• Hygiene education and facilities to promote hand
washing with soap after toilet use
• Improved sanitation facilities, plus facilities and
education for menstrual hygiene management
• Low-cost point-of use water treatment introduced
in schools
WINS THREE- STAR APPROACH

3-STAR SCHOOL
Meeting national standards
• School facilities and systems upgraded to meet
national standards
WINS THREE- STAR APPROACH

What is the WASH situation

in your school?
WINS THREE- STAR APPROACH

Are you ready to reach

for the stars?
WINS THREE- STAR APPROACH
WINS THREE- STAR APPROACH
WINS THREE- STAR APPROACH

Water
Sanitation
Hygiene
Deworming
Health education
WATER
WATER
✓ Safe drinking water is
provided for free for all
children in the school
at all times.
✓ The quality of water is
tested more than once
every calendar year.
WATER
✓ Water for cleaning is
available on a daily
basis in school hours.
WATER
Water supply and
conservation:
✓ Invest in more durable
metal faucets.
✓ Grey water reuse
WATER
Water supply and
conservation:
✓ Rainwater harvesting
WATER
Water supply and
conservation:
✓ Rainwater harvesting
WATER
Water supply and
conservation:
✓ Rainwater harvesting
WATER
Other mechanisms are
used to ensure that
drinking water in school
is safe:
✓ Teachers ask the
learners to bring their
own drinking water to
school
WATER
Other mechanisms are
used to ensure that
drinking water in school
is safe:
✓ If drinking water is
from a refilling station,
the school requires a
water quality
certificate.
Tippy Tap TIPPY TAP
 A low-cost solution for schools that have limited
resources
 Uses materials that are locally available
  Fix a string to the bottle and remove the label
How to Build  Make a hole in the cap of each water bottle
a Tippy Tap  Fix the bottles to a wash stand so that it can be easily
turned in an upright position
 Fix soap in a stocking or fish net near each bottle
WATER
Other mechanisms are
used to ensure that
drinking water in school
is safe:
✓ Water from an
accessible water source
is boiled
✓ Water from an
accessible water source
is filtered
BOILING WATER
1. Boil water in a suitable
container or in a regular
kettle.
2. Bring the water to a
rolling boil.
3. Keep boiling for 1–3
minutes (optional).
4. Let cool and store in
closed containers.
(WHO, 2011)
SAFE STORAGE OF BOILED WATER
✓ Strong and tightly fitting
lid or cover
✓ Tap or narrow opening
✓ Stable base
✓ Durable
✓ Comfortable handle
✓ Allows air to enter as
water is poured
SOLAR DISINFECTION
1. Wash the bottle well
and fill with ¾ water.
2. Shake the bottle for 20
seconds and fill the
bottle fully.
3. Place the bottles on the
roof and expose for at
least 6 hours.
SOLAR DISINFECTION
• The use of bottles made
from PET instead of PVC
is recommended as PET
contains much less
additives than bottles
made from PVC.
CHLORINATION
1. Dissolve the chlorine
product in a small
quantity of water
2. Add it to the water supply
and let it work for 45min
3. Test for residual chlorine
after 45min.
4. Make sure the treated
water is transported and
stored in clean containers
STORAGE OF WATER
✓ Water containers should
be positioned above
ground and a bit
elevated.
✓ Large ferrocement
rainwater harvesting
tanks
STORAGE OF WATER
✓ Water storage facilities
should be covered with a
lid
SANITATION
SANITATION
✓ The functional pupil to
toilet seat ratio is 50
or less.
SANITATION
✓ Toilets are private,
secure, with door and
lock, with lighting,
adequate ventilation
and wrapping
materials for used
sanitary pads.
SANITATION
✓ Toilets are private,
secure, with door and
lock.
SANITATION
✓ Toilets are private,
secure, with door and
lock.
SANITATION
✓ Toilets are private,
secure, with door and
lock.
SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.
SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.
SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.
SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.
SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.
SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.
SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.
SANITATION
✓ Toilet flooring
SANITATION
✓ Toilet flooring
SANITATION
✓ Toilet flooring
SANITATION
✓ Toilet walls
SANITATION
✓ Toilet with adequate
cleaning materials
SANITATION
✓ Handwashing facility
with soap within or
near the toilets
✓ Washing facility in
female toilets for
menstrual hygiene
✓ Detached toilets are
located within view of
the school and people
SANITATION
✓ Toilet available for
persons with
disabilities
SANITATION
✓ Daily cleaning of
toilets, handwashing
and other facilities
SANITATION
✓ Funding for regular
repair and
maintenance of WASH
facilities from school
MOOE or other DepEd
funds.
SANITATION
✓ No burning of waste in
schools
✓ Segregated trash bins
with cover in all areas
✓ Comprehensive waste
segregation system is
in place
SANITATION
✓ Garbage is collected
twice a week or school
has compost facility for
biodegradable waste
and material recovery
facility (MRF) for
recyclable waste.
SANITATION
✓ Functional septic tank
is available for toilets
✓ Functional drainage
from kitchen and wash
areas to ensure no
stagnant water in
schools
SANITATION
SANITATION
SANITATION
✓ All food handlers
should have a food
certificate
✓ Schools with canteen
should have an
updated sanitary
permit
HYGIENE
HYGIENE
✓ Daily supervised group
handwashing with
soap led by student
leaders
✓ Regular supply of soap
for handwashing
✓ Pupil to group facility
with soap ratio of
1:100 for one shift
HYGIENE
✓ Individual
handwashing facilities
with soap in strategic
areas in the school
(canteen, clinics, play
areas)
✓ Practice of
handwashing with
soap during critical
times
HYGIENE
✓ Daily supervised group
toothbrushing with
fluoride toothpaste led
by student leaders
✓ Regular supply of
toothbrush and fluoride
toothpaste for
toothbrushing
HYGIENE
✓ Repair and
maintenance
requirements of WASH
facilities are reflected
in the School
Improvement Plan and
Annual
Implementation Plan.
HYGIENE
✓ Soap, toothbrush and
toothpaste are
provided by the school
through DepEd funds
complemented by
external partners
HYGIENE
✓ Sanitary pads are
accessible in school
✓ There is information on
proper disposal of
sanitary pads in the girls
toilet
✓ DepEd approved IEC
materials on menstrual
hygiene management are
available
HYGIENE
✓ Sanitary pads are
accessible in school
HYGIENE
✓ There is a rest
space/changing room
for MHM that is secure,
private and
comfortable
DEWORMING
✓ Deworming is done
semi-annually, in the
presence of a health
personnel and with
parent’s consent
✓ At least 85% of pupils
are dewormed
HEALTH EDUCATION
✓ IEC materials are
present in classrooms
and strategic areas
(canteen, play areas,
toilets, handwashing
facilities)
HEALTH EDUCATION
✓ IEC materials are
present in classrooms
and strategic areas
(canteen, play areas,
toilets, handwashing
facilities)
HEALTH EDUCATION
✓ There are organized
teams and accountable
units to promote WINS
HEALTH EDUCATION
✓ WINS is part of INSET
✓ Available WINS
learning/instructional
materials in support of
teaching WINS in K to
12 curriculum
HEALTH EDUCATION
✓ There are planned and
organized activities for
parents/stakeholders
for learning and
advocating WINS
✓ WINS is part of extra-
cullicular program of
students
IMPORTANT FACTORS TO
CONSIDER
WASH FACILITY LOCATION
WASH FACILITY LOCATION
WASH FACILITY LOCATION
WASH FACILITY LOCATION
WASH FACILITY ROOFING

• A simple roof over the

facility allows
handwashing and
toothbrushing even on
rainy days
WASH FACILITY MURALS
DAILY HABIT

• Handwashing and
toothbrushing is
integrated in the daily
class program to ensure
the conduct of activities
HEALTH CORNER
TOOTHBRUSH
TOOTHBRUSH
TOOTHBRUSH HOLDER
TOOTHBRUSH HOLDER
TOOTHBRUSH HOLDER
TOOTHBRUSH HOLDER
TOOTHBRUSH HOLDER
TOOTHBRUSH HOLDER
TOOTHBRUSH HOLDER
TOOTHBRUSH HOLDER
TOOTHBRUSH HOLDER
ROLES AND FUNCTIONS
• Orient the children on
how to properly use
the toilet and maintain
cleanliness.
• Facilitate and supervise
toilet visits.
ROLES AND FUNCTIONS
• Organize and supervise
daily cleaning activities
and involve all children
based on a cleaning
schedule.
ROLES AND FUNCTIONS
• Assign students in pairs
or in small groups for
specific tasks. Put the
cleaning schedule up in
the classroom so that
task distribution is
transparent.
ROLES AND FUNCTIONS
• Specify and explain the
tasks that need to be
done to keep the
classroom and washing
area clean.
• Empower children to
take leadership roles
and responsibility.
ROLES AND FUNCTIONS
• Ensure availability of
water and soap and
cleaning materials.
• Report missing
supplies, maintenance
and repair needs to the
principal and request
for funds and action.
ROLES AND FUNCTIONS
• Seek close partnership
with parents in
maintaining and
improving the toilet
facilities.
• Learn how to fix minor
problems, e.g. broken
faucets or ask a
colleague.
ROLES AND FUNCTIONS
• Identify parents or
community members
with technical skills,
who can assist you.
ROLES AND FUNCTIONS
• Call for PTA assembly
to properly inform
parents and teachers
about EHCP and
cleaning and
maintenance needs of
school toilets.
ROLES AND FUNCTIONS
• Include group
handwashing,
toothbrushing and
cleaning activities in
the daily class
programs.
ROLES AND FUNCTIONS
• Make sure that all
teachers put up a
cleaning schedule in
their classroom.
• Instruct all teachers in
your school and ensure
strict compliance with
guidelines.
ROLES AND FUNCTIONS
• Fill out the sanitation
planner. Identify a
plumber or craftsman
in the community.
• Link with LGUs, the
Barangay Captain and
other stakeholders to
provide a supportive
environment.
ROLES AND FUNCTIONS
• Ensure availability and
proper distribution of
soap and cleaning
supplies within your
school.
ROLES AND FUNCTIONS
• Ensure monitoring at
least once a year and
communicate the
results with the
teachers and the
community.
ROLES AND FUNCTIONS
• Recognize
achievements of
individuals in their
performance ranking
and at graduation
ceremonies.
• Lobby for water supply.
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QUESTIONS?
WINS THREE- STAR APPROACH
WINS THREE- STAR APPROACH
WINS THREE- STAR APPROACH
WASH IN SCHOOLS
THREE STAR APRROACH
WASH IN SCHOOLS
THREE STAR APRROACH

JOFRED M. MARTINEZ, MAN, RN, LPT

Nurse II
Department of Education