TABLE OF CONTENTS

ANNEX 5:ZIMBABWE – CHOLERA OUTBREAKSRESPONSIBILITIES AND ACCOUNTABILITIES MATRIXThis matrix defines the responsibilities and accountabilities of the Health and WASH Clusters duringthe response to cholera in Zimbabwe in areas of potential overlap. The below matrix is an adaptationof a matrix developed by the Global WASH Cluster with a broad consultation of the Health andNutrition Clusters. The adaptation of the matrix was jointly done by both clusters during the Health –WASH Cluster meeting in Harare on 24 December 2008. The below matrix will be used with flexibilityand revised as needed.Objectives• Clarify responsibilities and accountabilities among the two clusters, especially as they relate tothe prevention and control of cholera.• Improve coordination and collaboration among Health and WASH Cluster partner field staffduring emergency operations.Please note that:• Responsibility means ensuring that the job gets done, not necessarily doing it.AREA OFPOTENTIALOVERLAPAssessmentMonitoringWASHInformationManagement(IM)WASHStandardsWater Quality& QuantityRESPONSIBILITYSPECIFICACTIVITY HEALTH CLUSTER WASH CLUSTERConduct WASHassessmentsMonitor and shareWASH relatedinformation with otherclustersDevelop and monitor IMsystemIn health facilitiesDisease status and WASHindicators in health facilitiesGather, analyze anddisseminate evidence basedhealth information (healthfacilities). Share with otherclustersIn health facilitiesOutside health facilitiesWASH indicators (moreperception based) outsidehealth facilitiesGather WASH informationand share with other clusters.Disseminate, promoteOutside health facilitiesand monitor applicationAgree indicators Provide input Responsible for coordinatingagreementIdentify country testingFully responsiblecapacity and facilitiesEnsures testing capacity In health facilities: WASH tosupport upon requestTestingMonitoringIn health facilities: WASH tosupport upon requestIn health facilities: WASH tosupport on requestOutside health facilities – incollaboration with nationalauthorities. Provide supportto Health Cluster asrequested.Outside health facilities - incollaboration with nationalauthorities (includes source,storage & distribution)Provide training to otherclusters as requestedOutside health facilities – incollaboration with nationalauthoritiesProvide quantityFully responsibleWater facilities Improve access Fully responsibleWaterTreatmentProcurement ofchemicalsFor other areasHygieneExcretadisposalDesign systemsPromote and improvehygieneImprove accessResponsible for healthfacilities: WASH to support onrequestIn health facilitiesIn health facilities: withsupport from WASH onrequestFully responsibleTo coordinate commonmessages between clusters;and to conduct healthpromotion outside healthfacilitiesOutside health facilities19