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rapid assessment of drinking-water quality in the republic of tajikistan

rapid assessment of drinking-water quality in the republic of tajikistan

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protect<strong>in</strong>g <strong>the</strong> spr<strong>in</strong>g (37.7%). Sanitary <strong>in</strong>spections confirmed that 44.3% <strong>of</strong> <strong>the</strong> spr<strong>in</strong>gs visited were<br />

not “protected” and thus should not have been <strong>in</strong>cluded <strong>in</strong> <strong>the</strong> RADWQ survey, but when <strong>the</strong> survey<br />

was designed <strong>in</strong>formation on <strong>the</strong> protection <strong>of</strong> <strong>in</strong>dividual spr<strong>in</strong>gs was unavailable. Of all <strong>the</strong> spr<strong>in</strong>gs<br />

visited, 11.7% were classified <strong>in</strong> <strong>the</strong> “medium” or “high” risk-to-health categories, which means <strong>the</strong>y<br />

need particular attention when plann<strong>in</strong>g <strong>in</strong>terventions to improve <strong>the</strong> sanitary conditions <strong>of</strong> spr<strong>in</strong>gs.<br />

4.2 Project management and implementation<br />

Implementation <strong>of</strong> <strong>the</strong> RADWQ project was facilitated by <strong>the</strong> managerial and technical support <strong>of</strong><br />

<strong>the</strong> UNICEF country <strong>of</strong>fice to <strong>the</strong> Republican SES, <strong>the</strong> national implement<strong>in</strong>g agency. A lack <strong>of</strong><br />

staff time limited <strong>the</strong> <strong>in</strong>put and support <strong>of</strong> <strong>the</strong> local WHO liaison <strong>of</strong>fice.<br />

The <strong>in</strong>itial budget for implement<strong>in</strong>g <strong>the</strong> RADWQ survey <strong>in</strong> Tajikistan was too small, but <strong>the</strong><br />

UNICEF country <strong>of</strong>fice provided additional fund<strong>in</strong>g so that <strong>the</strong> project could be implemented<br />

without delay.<br />

Be<strong>in</strong>g away from <strong>the</strong> workplace and home for weeks or months dur<strong>in</strong>g <strong>the</strong> fieldwork poses an<br />

extra burden for team members (and <strong>the</strong>ir families). Future RADWQ programmes should <strong>in</strong>clude<br />

cost-<strong>of</strong>-liv<strong>in</strong>g and travel allowances, to compensate field-team members for extra expenditures<br />

<strong>the</strong>y <strong>in</strong>cur and provide <strong>the</strong>m with an <strong>in</strong>centive.<br />

Much time and effort was spent translat<strong>in</strong>g documents (e.g. handbook, presentations, guidance<br />

notes <strong>of</strong> <strong>the</strong> consultant, report forms, field-team reports, f<strong>in</strong>al report) from English to Russian, or<br />

vice versa. Most <strong>of</strong> <strong>the</strong> translation work was undertaken by <strong>the</strong> staff <strong>of</strong> <strong>the</strong> UNICEF country<br />

<strong>of</strong>fice. Future RADWQ programmes should account for translation costs <strong>in</strong> countries where<br />

English is not <strong>the</strong> mo<strong>the</strong>r tongue.<br />

The <strong>in</strong>ternational consultants provided excellent tra<strong>in</strong><strong>in</strong>g and remote support. Potential areas for<br />

improv<strong>in</strong>g tra<strong>in</strong><strong>in</strong>g <strong>in</strong>clude:<br />

- All guid<strong>in</strong>g documents (e.g. presentations, handbooks, test kit manuals) should be available <strong>in</strong><br />

Russian prior to tra<strong>in</strong><strong>in</strong>g for <strong>the</strong> RADWQ study.<br />

- More emphasis should be given to test<strong>in</strong>g equipment under real field conditions before<br />

start<strong>in</strong>g <strong>the</strong> project.<br />

- More emphasis should be given to practical exercises <strong>in</strong> us<strong>in</strong>g sanitary <strong>in</strong>spection forms. Not<br />

all <strong>of</strong> <strong>the</strong> questions were easily understood, particularly those for <strong>water</strong> treatment works,<br />

where <strong>the</strong> term<strong>in</strong>ology was unclear. Most <strong>of</strong> <strong>the</strong> field team members had no experience us<strong>in</strong>g<br />

sanitary <strong>in</strong>spection forms.<br />

- More detailed explanations are needed on how to charge batteries.<br />

Comments from <strong>the</strong> field teams <strong>in</strong>cluded:<br />

- The tim<strong>in</strong>g <strong>of</strong> <strong>the</strong> fieldwork could have been better. Field implementation ma<strong>in</strong>ly took place<br />

<strong>in</strong> autumn and w<strong>in</strong>ter when wea<strong>the</strong>r and road conditions led to problems <strong>in</strong> access<strong>in</strong>g <strong>the</strong><br />

sampl<strong>in</strong>g sites and <strong>in</strong> ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g <strong>the</strong> electricity supply. If future RADWQ surveys are<br />

implemented <strong>in</strong> w<strong>in</strong>ter, <strong>the</strong> cluster size would need to be smaller than that used <strong>in</strong> <strong>the</strong> present<br />

study, particularly for <strong>the</strong> rural areas.<br />

- Communication between local authorities and field teams was difficult or practically<br />

impossible (such as when field teams needed local advice). Mobile phones would have<br />

improved communications and <strong>in</strong>creased <strong>the</strong> effectiveness <strong>of</strong> <strong>the</strong> fieldwork.<br />

- Supplies <strong>of</strong> methanol and distilled <strong>water</strong> were unreliable <strong>in</strong> <strong>the</strong> field and not always available<br />

at <strong>the</strong> rayon SES. Plann<strong>in</strong>g <strong>of</strong> future RADWQ projects <strong>in</strong> Tajikistan should ensure <strong>the</strong>se<br />

supplies.<br />

- It is recommended that <strong>the</strong> RADWQ handbook <strong>in</strong>cludes a checklist <strong>of</strong> items needed for<br />

fieldwork, o<strong>the</strong>r than <strong>the</strong> field-test<strong>in</strong>g equipment itself – items such as gloves, lighters, pens,<br />

notebooks, record forms, tissues, sterile distilled <strong>water</strong>, methanol and sampl<strong>in</strong>g bottles.<br />

- In <strong>the</strong> w<strong>in</strong>ter, power was available for only a few hours a day <strong>in</strong> many regions, which made it<br />

difficult for <strong>the</strong> field teams to charge <strong>the</strong> <strong>in</strong>cubator storage battery.<br />

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