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A
strategic approach to water and sanitation in
disasters
This
Briefing Note considers the issues surrounding
emergency access to water and sanitation following
both natural disasters and the impact of conflict,
and discusses subsequent approaches to
rehabilitation and mitigation.
Compiled
by: Julie Fisher of WEDC
Based
on the full report by Jean-Francois Pinera
Headline
facts
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The
number of disaster victims due to war or natural
hazards has risen in the last 30 years to the
current high levels, with developing countries
being most affected.
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Relief
aims to fulfil basic needs, providing minimum
levels of well-being and preventing the spread
of disease. Water and sanitation are
particularly important to this, as lack of
access to them can lead rapidly to the spread of
communicable disease.
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Since
the early 1990s, the 'relief system'. involving
a multitude of aid agencies, has imposed minimum
standard mechanisms and a long-term approach to
interventions.
-
While
there is pressure to respond rapidly to
disaster, co-ordination is key to maximizing
efficiency. Using local resources and labour,
following consultation with the recipient
population, ensures quick and appropriate
actions.
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Once
an emergency is over, rehabilitation of water
and sanitation systems should prevent the
degradation of facilities and the return to an
emergency situation. Long term
sustainability requires agencies to work with
water utilities and communities.
-
Institutional
development, mitigation policies and law reforms
can be achieved in the long term; however,
relief agencies and funds often focus on the
short term, which is at odds with the aim of
improved water system rehabilitation.
-
A
pluralistic approach, perhaps involving
community-managed water distribution or privatization,
is necessary and uses the skills and experience
of all actors.
The
Emergency Response
Humanitarian
accountability
Extensive
media coverage can generate huge amounts of funds,
such as in the case of the 2004 tsunami. This,
coupled with the large number of new relief agencies
established since the 1970s, has brought relief work
under scrutiny. The concept of humanitarian
accountability now recognizes the rights of
recipients of relief and the obligations of those
providing it. The Sphere Project produced a
widely accepted charter and quality standards
covering emergency water and sanitation, food
security, shelter and health services.
Linking
relief and development
The
main objective of development is empowerment and
relief efforts have been criticized for creating
dependence amongst recipients. Immediate
assistance should take a long-term perspective
towards self-sufficiency. 'Rehabilitation' is
now seen to be the way to link relief and
development and to restore the same level of
functionality of habitat, livelihoods and services
that existed before the event.
Figure 1:
Disaster management cycle
As Figure 1 demonstrates,
disaster management strategies should be intertwined
with a development approach. This is more applicable
to natural disasters as its linearity is
incompatible with ware-related emergencies.
Essential
needs: water supply and sanitation
Water
and sanitation are amongst the first considerations
in disaster response. Sufficient water is needed for
drinking, cooking, washing and to maintain personal
hygiene and a clean environment. Sanitation includes
safe excreta disposal, drainage of wastewater and
rainwater, solid waste disposal, vector control and,
in the early stages, the disposal of dead bodies.
Access
to Water Supply and Sanitation
Speed
versus timeliness
Pressure
to deliver assistance quickly can come from local
authorities as well as the affected population.
Objective threats, such as the imminent danger of
epidemics, add to this.
However,
timeliness is more important than speed, i.e.
intervention should occur when it is needed. The
immediate aftermath may be an inappropriate time for
external agencies to assist, as local authorities
and those affected are often more effective at this
time. By rushing assistance, aid agencies may focus
on victims only and overlook local capacities that
can contribute to greater long-term efficiency.
Time should also
be allowed for assessment: initially, a rapid
assessment prior to intervention to evaluate
and prioritize needs, plus a vulnerability
assessment to ensure that existing inequalities are
not replicated.
Using
local resources
In
most cases, skilled and unskilled labour can be
found among the disaster victims. Although water and
sanitation system design and installation may
require more technical expertise, the general lack
of high-tech systems means that local labour can be
used for digging wells and building latrines,
providing faster recovery and greater rehabilitation
of the community.
The involvement
of community leaders is also important due to their
influence and their knowledge of both local cultural
and environmental issues. Local water sector
institutions play an additional role, especially in
and around urban areas. Water utilities may have
suffered the effects of the disaster due to loss of
assets, tools and personnel. Complex emergencies
have a particularly detrimental effect on
institutions, leading to disorganization, lack of
income and limited government support.
The 2003 earthquake in Bam,
Iran, killed 26,000 people, with
125,000 left homeless. Restoring water and
sanitation services was a priority and the water
utility managed to restore part of the water
supply within a few days. Building toilets and
showers was mostly the task of NGOs. Oxfam
employed local masons for the repair and
reconstruction of toilets and bathrooms. This
approach could have been applied in other areas
but other agencies preferred to rely on
prefabricated cubicles, locally made or
outsourced.
The level of
intervention required by water utilities varies.
They may take a lead role while needing external
support, as was the case in Bam and in Gujarat
following the 2001 earthquake. In war situations,
water utilities are usually too weakened for this,
although they can support international assistance
operations. Their role can be vital where security
conditions limit intervention by expatriate
personnel, such as in Iraq and Chechnya.
Co-ordination
of aid agencies
Co-ordination
of agencies is essential although difficult, due to
competition for funds or media attention, and due to
the large number of organizations involved and
concerns over neutrality. The aim of co-ordination
is to achieve more effective and efficient relief
operations, avoiding duplication and ensuring that
assistance is of uniform quality. The Sri Lankan
experience illustrates the detrimental effects of uncoordinated
responses.
Many
international aid agencies and local NGOs
participated in the response to the 2004 tsunami.
Despite abundant funds, competition for projects
and media coverage resulted in agencies
competing for beneficiaries, with a price increase
for local manpower. The Sri Lankan government set
up the ‘Task Force for Rebuilding the Nation’
(TAFRAN) to co-ordinate the reconstruction effort.
Field workers found that TAFRAN was largely absent
from the field and lacked authority. Consequently,
some NGOs worked in fields for which they lacked
experience, leading to poor practice such as
pour-flush latrines being built without water
supply and a general neglect of hygiene promotion
activities.
NGOs were in turn criticized for acting independently
from local authority and creating inequitable aid
distributions. A survey by the Fritz Institute
showed that only 30% of NGOs carried out needs
assessments, resulting in a mismatch between
supply and demand. A lack of warehousing
facilities and inadequate transport resulted in
40% of families not receiving timely assistance.
Co-ordination
for water supply and sanitation is imperative
because of the technical complexity of systems. In
addition, a co-ordinated approach allows the
different organizational assets and expertise to be
used efficiently with equal benefit for all.
The
importance of consultation
Although
accountability in humanitarian action recognizes the
need for consultation of beneficiaries and is
reflected in the Sphere standards, those referring
to ratios and numbers of facilities are more likely
to be implemented than the need for consultation.
Cultural factors and the needs of vulnerable groups
should influence the design, numbers and location of
water and sanitation systems.
Any design
shortcomings are amplified for those living in
relief camps, so consultation is particularly
important. Residents’ priorities may vary between
different groups and it is important that their
representatives are invited to discuss these and be
involved in any decisions made.
Finally,
conditions of use and basic maintenance of shared
facilities have to be managed by users in most
cases. This covers access to water points, cleaning
of toilets and drains and the organization of refuse
collection. Consultation with communities is
required before the systems are built, in order to
ensure that they are used in a sustainable fashion.
Approaches
to Rehabilitation & Mitigation
The road to
reconstruction
Once the
emergency is over, rehabilitation can take place in
preparation for reconstruction. Five basic elements
of rehabilitation are:
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Access to
basic services
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Empowerment
to restore livelihoods
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Infrastructure
strengthening
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Resource
mobilization
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Risk
reduction by mitigation policy
The basic
principle is to prevent systems’ deterioration
which would result in a return to an emergency
situation.
Preventative
maintenance of water networks includes: adding extra
chlorine to water to kill pathogens; maintaining
constant network pressure; and configuring sewers to
keep wastewater away from water pipes. If these
measures are not carried out speedily, the level of
infrastructure functioning may fall below the
emergency threshold, requiring further efforts to
stabilize the situation (Figure 2).

Figure
2: Recurrent emergencies
It is important
to consider sustainability and coverage when
designing rehabilitation projects. Technical
sustainability requires technology to be appropriate
for the local environment and easily sourced. A
holistic approach should also be taken to ensure
that the work is co-ordinated between different
parts of the same network and between other urban
services such as power supply etc.
Sustainability
is also linked to the overall capacity of water
utilities to run systems and covers issues such as
operation and maintenance, managerial capability and
cost recovery. Finally, community empowerment
ensures that accountability mechanisms operate
between utilities and customers.
Strengthening
communities and institutions
A
holistic approach which considers the needs of
communities and institutions is particularly
important in urban areas affected by armed conflict.
Organizations in charge of large rehabilitation
projects have to deal with major changes caused by
conflict: damaged or destroyed infrastructure;
increases in population; corrupt or inefficient
water utilities; and impoverished communities.
Facilitating
works in Sarajevo and Jaffna
10%
of Sarajevo’s water supply used to come from
springs located near Pale in Serb-held territory.
In 1994, the Red Cross sponsored the
rehabilitation of this pipeline, with equipment
purchased in Serbia. Although the technology was
out-dated, local engineers were familiar with it.
It also avoided importing material into a country
under UN sanctions. The Red Cross ensured that the
Works Department of Pale Municipality would work
for the benefit of a Bosnian population, through
negotiation with professionals from both parties.
In
1996, the German Development Cooperation (GTZ)
launched the ‘Jaffna Rehabilitation Project’
to rebuild infrastructure and support local
communities in this war-shattered area. The
rehabilitation of Jaffna city water network was
carried out through the Water Supply section of
Jaffna Municipal Council in agreement with central
government and equipment was transferred despite
the restrictions.
Physical repair
of infrastructure is comparatively easy. The real
difficulties lie in implementing institutional
strengthening and working at the community level to
ensure cost recovery, in the face of the corruption
and mistrust that exist in many war zones. One
solution is to delegate some of the water utilities’
role to suitable private companies, where they
exist. However, conditions of access are a concern,
as the very poor may lack utility network
connections. A pluralistic approach involves
consultants in partnership with the water utility,
implementing Private Sector Participation where
appropriate, with other relevant organizations
working with communities. Aid agencies can support
utility institutional development.
Mitigation
policies after natural disasters
In
natural disaster contexts, institutional development
of water utilities is less essential although they
still play a major role in any mitigation strategy.
Part of this strategy is vulnerability analysis and
risk reduction planning. For water or sewerage
schemes, this is based on the following parameters:
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Physical:
the potential damage to infrastructure
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Operational:
estimated capacity for service provision and
rehabilitation
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Organizational:
water utility capacity, assets, knowledge and
experience.
Aid agencies can
provide institutional capacity development, support
for the protection of network components, emergency
equipment and training, and enforcement of norms to
adjust technological choices to the prevailing risk.
At community level, agencies can assist preparedness
initiatives by providing technical and legal advice
for implementation of mitigation projects.
Commitments
and time frame
It
can be difficult to define when an emergency
operation becomes rehabilitation and when, in turn,
rehabilitation becomes reconstruction. Consequently,
an appropriate time frame for a relief programme may
not be designated, with funding allocated on a
short-term basis. It is important to clarify this to
ensure the long-term sustainability of
rehabilitation programmes.
Key
References
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Wisner, B.
and Adams, J. (2002) Environmental health in
emergencies and disasters. A practical guide.
World Health Organization: Geneva (Figure 1).
-
Harvey, P.,
Baghri, S. and Reed, B. (2002) Emergency
sanitation: assessment and programme design.
Water, Engineering and Development Centre:
Loughborough University, UK.
-
ICRC (2006) Water
and Habitat: presentation. www.icrc.org
(Figure 2).
-
Anderson, M.
B. and Woodrow, P. J. (1989) Rising from the
ashes: Development Strategies in Times of
Disaster, First Edition. IT Publishing:
London.
-
PAHO and
AIDIS (2002) Emergencies and disasters in
drinking water supply and sewerage systems:
guidelines for effective response. PAHO:
Washington DC. http:// www.paho.org/English/DD/PED/water-intro.pdf
.
-
Thomas, A.
(2005) Linking preparedness and performance:
the tsunami experience. Humanitarian
Exchange, 32, December, pp. 4-7. http://www.odihpn.org/documents/humanitarianexchange032.pdf
For
further information contact:
WELL Water,
Engineering and Development Centre (WEDC) Loughborough
University Leicestershire
LE11 3TU UK Email:
well@lboro.ac.uk Phone:
+44 (0)1509 228304 Fax:
+44 (0)1509 223970
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