Bolivia successfully met the Millennium Development Goal for access to water by the end of 2015. Despite this impressive accomplishment, the country is still one of the most disadvantaged in the region and significant internal disparities exist with regard to access to improved water, sanitation and hygiene (WASH) services. Furthermore, a significant gap exists between urban and rural areas: While 95% of the urban population accesses improved water sources, only 72% of rural dwellers benefit from the same; and while 79% of the urban population has access to improved sanitation, only 32% of the rural population has these services.
Deficient or non-existent sanitation systems perpetuate the practice of open defecation, contribute to diarrhoeal infections, and harm the education process for children, especially girls. The lack of toilets and WASH infrastructure makes menstrual hygiene management an enormous challenge for adolescent girls, as does the absence of supplies (like sanitary pads), support and information.
This lack of information on hygiene (especially on the three key practices ), poor menstrual hygiene management and water related diseases, such as diarrhoea, threaten children’s health and survival. Despite being easily prevented, diarrhoea can be especially severe without the proper treatment and is still one of the main causes of death in children under-five in rural areas of Bolivia.
While significant progress is being made in water service coverage and some key policies have been implemented to promote hygiene in rural areas of Bolivia , progress has not been sufficient to guarantee a significant impact on health, especially for the most vulnerable children and adolescents. Improving community health is only possible in a scenario where initiatives to improve water, sanitation and promote behaviour and social change around WASH practices are equally successful.
In the 2013 – 2017 Country Programme signed by UNICEF and the Bolivian Government, UNICEF committed to influence policy and strengthen services at all levels to improve the lives of the most vulnerable children, especially in indigenous communities. Part of this commitment is to improve maternal and child health by strengthening WASH services and practices in the hardest to reach communities. To achieve this goal, UNICEF aims to work with the Government of Bolivia at all levels and local partners to replicate best practice models and build local capacity to address young people’s needs in the areas of hygiene promotion, menstrual hygiene management, and reducing diarrheal infections to improve overall nutritional status.
The overall objective: To improve social and individual behaviour linked to hygiene practices, especially in vulnerable populations.
The specific objectives are to:
|Activity||Expresed in USD|
|Year 1||Year 2||Year 3||Year 4||Total|
|1.||Advocacy to promote the incorporation and prioritization of hygiene practices into policies||25,000||25,000||25,000||25,000||100,000|
|2.||Communication for Development initiatives and an educational package||50,000||50,000||50,000||50,000||200,000|
|3.||Partnership building to develop a common agenda for hygiene promotion and menstrual hygiene management||25,000||25,000||25,000||25,000||100,000|
|4.||Scaling up successful experiences||100,000||100,000||100,000||100,000||400,000|
|5.||Technical assistance to strengthen institutional capacities at national and subnational level and local capacities for hygiene promotion||50,000||50,000||50,000||50,000||200,000|
|6.||Monitoring and evaluation||20,000||20,000||20,000||20,000||80,000|
|7.||External communications and visibility||5,000||5,000||5,000||5,000||20,000|
|Total programmable amount||275,000||275,000||275,000||275,000||1,110,000|
|Recovery cost (10%)||27,500||27,500||27,500||27,500||110,000|
|Total required budget||302,500||302,500||302,500||302,500||1,210,000|