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Hydraulic ram pumps and Sling Pumps

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GARNET - Global Applied Research Network - Hygiene Behaviour Network Newsletter Issue no. 2: June 1995worm eradication in West Africa. Guinea worm is disappearing fast, thanksto prog<strong>ram</strong>mes which are successfully stimulating a simple change inhygiene behaviour: filtering water through a cloth.Graphical evidence from this research shows how health education had atleast as great an impact on Guinea worm disease as water supplies inEnugu State, Nigeria. The solid line shows the number of cases detectedby active village-based surveillance in 77 villages where boreholes weredrilled in the six months to April 1990, <strong>and</strong> the dotted line is for 30comparable villages in a nearby district which was not covered by thewater project. The boreholes are likely to have cost at least US$ 10,000per village. All 107 villages were covered by a vigorous health educationcampaign costing US$ 110 per village per year, accompanied by thedistribution of cloth filters.The significant effect of the boreholes in reducing the number of cases oneyear after their installation is clearly demonstrated in this work (Guineaworm has an incubation period of one year), but is dwarfed by the greater<strong>and</strong> more sustained impact of the vigorous health education whichcovered both sets of villages. Of course water supply has other benefitsbesides Guinea worm prevention, but this work does show what can beachieved by behaviour modification alone.Source: Braide E.l. et al. (1994) Impact of JICA boreholes on the incidenceof Guinea worm disease <strong>and</strong> school attendance in Enugu State. Calabar,Nigeria: Nigeria Guinea Worm Eradication Prog<strong>ram</strong>me.Simon Cousens, a medical statistician/epidemiologist, has contributed thefollowing detailed description of a project his research team is working on.Project Saniya, Bobo-Dioulasso, Burkina Faso"Work on the development <strong>and</strong> implementation of a communicationsprog<strong>ram</strong>me to change selected hygiene behaviours has been continuing inBobo-Dioulasso with funding from UNICEF. Towards the end of 1994, apilot scheme was established in one sector of the town, with a populationof about 10,000 inhabitants. Initially a meeting was held with theManagement Committee of the local health centre (which is one of the firsthealth centres in Bobo-Dioulasso to implement the Bamako Initiative).Members of the Committee responsible for Liaising with the Women'sAssociations in the area informed women in the community of a "Djanjoba"(public meeting) to be held to introduce <strong>and</strong> discuss the Prog<strong>ram</strong>me.http://www.lboro.ac.uk/departments/cv/wedc/garnet/hybnews.html (7 of 20) [1/13/2005 12:50:12 PM]

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