Access to safe water, functional toilets and proper hygiene practice in schools creates the safe and conducive environment for children to optimally participate and achieve the learning outcomes. Thus, the need to ensure that water, sanitation and hygiene (WASH) facilities are adequate in number and well-maintained and the necessary hygiene and cleaning supplies are available in schools.

1. JOFRED M. MARTINEZ, MAN, RN, LPT
Nurse II
Department of Education
WASH IN SCHOOLS
THREE STAR APRROACH

2. JOFRED M. MARTINEZ, MAN, RN, LPT
Nurse II
Department of Education
WASH IN SCHOOLS
THREE STAR APRROACH

3. WATER AND SANITATION SITUATION
• Worldwide, 780 million
people do not have access
to clean water
• Globally, 2.5 billion people
lack access to adequate
sanitation
http://www.unwater.org/water-cooperation-2013/water-
cooperation/facts-and-figures/en/

4. WATER AND SANITATION SITUATION
• In the Philippines, 11.85%
of schools do not have
access to water
http://www.unwater.org/water-cooperation-2013/water-
cooperation/facts-and-figures/en/

5. HEALTH STATUS OF
FILIPINO CHILDREN
• 97% of all children suffer
from tooth decay 1
• 67% of all children suffer
from intestinal worms 2
• 30% of all children are
malnourished 3

6. HEALTH STATUS OF
FILIPINO CHILDREN
• 88% of all diarrheal deaths
are caused by unsafe
drinking water, poor
hygiene and lack of access
to sanitation

7. SOME HEALTH STATISTICS
• Worldwide, there are 1.6 million
diarrheal deaths per year attributed
to lack of safe water, sanitation and
hygiene¹
• Globally, some 6,000 children die
every day from diseases associated
with lack of access to safe drinking
water, inadequate sanitation and
poor hygiene²
• In the Philippines, watery diarrhea
ranks fifth among the leading cause
of morbidity in 2010³

8. CAUSES OF SICKNESS AND DISEASE
1. Poor personal hygiene
2. Poor environmental
sanitation at home and
in school
3. Lack of access to clean
water and basic hygiene
facilities

9. WHAT IS
SBM-WINS?

10. WHAT IS
WaSH?

11. “A happy and healthy Western Visayas school children
under a sound WASH in Schools (WinS) program
facilitated by effective School Based Management
Technology by 2018.”
To institutionalize and sustain Water, Sanitation,
and Hygiene in Schools (WinS) through School
Based Management (SBM) Technology for
improved learning outcomes and a lifelong health
of learners.
VISION
MISSION

12. Expected Outcomes after
EHCP Implementation
EXPECTED OUTCOMES AFTER
WINS IMPLEMENTATION

13. 50%lower prevalence
of worm
infections

14. 50%lower prevalence
of worm
infections
40%prevention of
oral infections

15. 50%lower prevalence
of worm
infections
40%prevention of
oral infections
30%fewer
malnourished
children

16. 50%lower prevalence
of worm
infections
40%prevention of
oral infections
30%fewer
malnourished
children
20%reduction
of absenteeism

17. WASH CYCLE OF OPPORTUNITIES
IMPROVED
HYGIENE
LESS DISEASE
INCREASED
ATTENDANCE
INCREASED
PERFORMANCE
ECONOMIC
GROWTH

18. WINS THREE- STAR APPROACH
• Integrated system to ensure
the quality of WASH practices
in schools, thereby
contributing to achieving
sustainable improvements
towards “healthy schools”
that support all children in
their development.

19. WINS THREE- STAR APPROACH

20. WINS THREE- STAR APPROACH
NO STAR SCHOOL
The existing situation for many schools
• Limited or no hygiene promotion
• May or may not have WASH infrastructure

21. WINS THREE- STAR APPROACH
1-STAR SCHOOL
Daily routines to promote healthy habits
• Daily supervised group hand washing with soap,
normally before the school meal
• Daily supervised cleaning of toilets, and provision of
soap and water; no open defecation
• Daily supervised use of drinking-water bottles by all
children

22. WINS THREE- STAR APPROACH
2-STAR SCHOOL
Incremental improvements
• Hygiene education and facilities to promote hand
washing with soap after toilet use
• Improved sanitation facilities, plus facilities and
education for menstrual hygiene management
• Low-cost point-of use water treatment introduced
in schools

23. WINS THREE- STAR APPROACH
3-STAR SCHOOL
Meeting national standards
• School facilities and systems upgraded to meet
national standards

24. WINS THREE- STAR APPROACH
What is the WASH situation
in your school?

25. WINS THREE- STAR APPROACH
Are you ready to reach
for the stars?

26. WINS THREE- STAR APPROACH

27. WINS THREE- STAR APPROACH

28. WINS THREE- STAR APPROACH
Water
Sanitation
Hygiene
Deworming
Health education

29. WATER

30. WATER
✓ Safe drinking water is
provided for free for all
children in the school
at all times.
✓ The quality of water is
tested more than once
every calendar year.

31. WATER
✓ Water for cleaning is
available on a daily
basis in school hours.

32. WATER
Water supply and
conservation:
✓ Invest in more durable
metal faucets.
✓ Grey water reuse

33. WATER
Water supply and
conservation:
✓ Rainwater harvesting

34. WATER
Water supply and
conservation:
✓ Rainwater harvesting

35. WATER
Water supply and
conservation:
✓ Rainwater harvesting

36. WATER
Other mechanisms are
used to ensure that
drinking water in school
is safe:
✓ Teachers ask the
learners to bring their
own drinking water to
school

37. WATER
Other mechanisms are
used to ensure that
drinking water in school
is safe:
✓ If drinking water is
from a refilling station,
the school requires a
water quality
certificate.

38. Tippy Tap  A low-cost solution for schools that have limited
resources
 Uses materials that are locally available
TIPPY TAP

39. How to Build
a Tippy Tap
 Fix a string to the bottle and remove the label
 Make a hole in the cap of each water bottle
 Fix the bottles to a wash stand so that it can be easily
turned in an upright position
 Fix soap in a stocking or fish net near each bottle

40. WATER
Other mechanisms are
used to ensure that
drinking water in school
is safe:
✓ Water from an
accessible water source
is boiled
✓ Water from an
accessible water source
is filtered

41. BOILING WATER
1. Boil water in a suitable
container or in a regular
kettle.
2. Bring the water to a
rolling boil.
3. Keep boiling for 1–3
minutes (optional).
4. Let cool and store in
closed containers.
(WHO, 2011)

42. SAFE STORAGE OF BOILED WATER
✓ Strong and tightly fitting
lid or cover
✓ Tap or narrow opening
✓ Stable base
✓ Durable
✓ Comfortable handle
✓ Allows air to enter as
water is poured

43. SOLAR DISINFECTION
1. Wash the bottle well
and fill with ¾ water.
2. Shake the bottle for 20
seconds and fill the
bottle fully.
3. Place the bottles on the
roof and expose for at
least 6 hours.

44. SOLAR DISINFECTION
• The use of bottles made
from PET instead of PVC
is recommended as PET
contains much less
additives than bottles
made from PVC.

45. CHLORINATION
1. Dissolve the chlorine
product in a small
quantity of water
2. Add it to the water supply
and let it work for 45min
3. Test for residual chlorine
after 45min.
4. Make sure the treated
water is transported and
stored in clean containers

46. STORAGE OF WATER
✓ Water containers should
be positioned above
ground and a bit
elevated.
✓ Large ferrocement
rainwater harvesting
tanks

47. STORAGE OF WATER
✓ Water storage facilities
should be covered with a
lid

48. SANITATION

49. SANITATION
✓ The functional pupil to
toilet seat ratio is 50
or less.

50. SANITATION
✓ Toilets are private,
secure, with door and
lock, with lighting,
adequate ventilation
and wrapping
materials for used
sanitary pads.

51. SANITATION
✓ Toilets are private,
secure, with door and
lock.

52. SANITATION
✓ Toilets are private,
secure, with door and
lock.

53. SANITATION
✓ Toilets are private,
secure, with door and
lock.

54. SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.

55. SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.

56. SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.

57. SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.

58. SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.

59. SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.

60. SANITATION
✓ Toilets are provided
with lighting and
adequate ventilation.

61. SANITATION
✓ Toilet flooring

62. SANITATION
✓ Toilet flooring

63. SANITATION
✓ Toilet flooring

64. SANITATION
✓ Toilet walls

65. SANITATION
✓ Toilet with adequate
cleaning materials

66. SANITATION
✓ Handwashing facility
with soap within or
near the toilets
✓ Washing facility in
female toilets for
menstrual hygiene
✓ Detached toilets are
located within view of
the school and people

67. SANITATION
✓ Toilet available for
persons with
disabilities

68. SANITATION
✓ Daily cleaning of
toilets, handwashing
and other facilities

69. SANITATION
✓ Funding for regular
repair and
maintenance of WASH
facilities from school
MOOE or other DepEd
funds.

70. SANITATION
✓ No burning of waste in
schools
✓ Segregated trash bins
with cover in all areas
✓ Comprehensive waste
segregation system is
in place

71. SANITATION
✓ Garbage is collected
twice a week or school
has compost facility for
biodegradable waste
and material recovery
facility (MRF) for
recyclable waste.

72. SANITATION
✓ Functional septic tank
is available for toilets
✓ Functional drainage
from kitchen and wash
areas to ensure no
stagnant water in
schools

73. SANITATION

74. SANITATION

75. SANITATION
✓ All food handlers
should have a food
certificate
✓ Schools with canteen
should have an
updated sanitary
permit

76. HYGIENE

77. HYGIENE
✓ Daily supervised group
handwashing with
soap led by student
leaders
✓ Regular supply of soap
for handwashing
✓ Pupil to group facility
with soap ratio of
1:100 for one shift

78. HYGIENE
✓ Individual
handwashing facilities
with soap in strategic
areas in the school
(canteen, clinics, play
areas)
✓ Practice of
handwashing with
soap during critical
times

79. HYGIENE
✓ Daily supervised group
toothbrushing with
fluoride toothpaste led
by student leaders
✓ Regular supply of
toothbrush and fluoride
toothpaste for
toothbrushing

80. HYGIENE
✓ Repair and
maintenance
requirements of WASH
facilities are reflected
in the School
Improvement Plan and
Annual
Implementation Plan.

81. HYGIENE
✓ Soap, toothbrush and
toothpaste are
provided by the school
through DepEd funds
complemented by
external partners

82. HYGIENE
✓ Sanitary pads are
accessible in school
✓ There is information on
proper disposal of
sanitary pads in the girls
toilet
✓ DepEd approved IEC
materials on menstrual
hygiene management are
available

83. HYGIENE
✓ Sanitary pads are
accessible in school

84. HYGIENE
✓ There is a rest
space/changing room
for MHM that is secure,
private and
comfortable

85. DEWORMING
✓ Deworming is done
semi-annually, in the
presence of a health
personnel and with
parent’s consent
✓ At least 85% of pupils
are dewormed

86. HEALTH EDUCATION
✓ IEC materials are
present in classrooms
and strategic areas
(canteen, play areas,
toilets, handwashing
facilities)

87. HEALTH EDUCATION
✓ IEC materials are
present in classrooms
and strategic areas
(canteen, play areas,
toilets, handwashing
facilities)

88. HEALTH EDUCATION
✓ There are organized
teams and accountable
units to promote WINS

89. HEALTH EDUCATION
✓ WINS is part of INSET
✓ Available WINS
learning/instructional
materials in support of
teaching WINS in K to
12 curriculum

90. HEALTH EDUCATION
✓ There are planned and
organized activities for
parents/stakeholders
for learning and
advocating WINS
✓ WINS is part of extra-
cullicular program of
students

91. IMPORTANT FACTORS TO
CONSIDER

92. WASH FACILITY LOCATION

93. WASH FACILITY LOCATION

94. WASH FACILITY LOCATION

95. WASH FACILITY LOCATION

96. WASH FACILITY ROOFING
• A simple roof over the
facility allows
handwashing and
toothbrushing even on
rainy days

97. WASH FACILITY MURALS

98. DAILY HABIT
• Handwashing and
toothbrushing is
integrated in the daily
class program to ensure
the conduct of activities

99. HEALTH CORNER

100. TOOTHBRUSH

101. TOOTHBRUSH

102. TOOTHBRUSH HOLDER

103. TOOTHBRUSH HOLDER

104. TOOTHBRUSH HOLDER

105. TOOTHBRUSH HOLDER

106. TOOTHBRUSH HOLDER

107. TOOTHBRUSH HOLDER

108. TOOTHBRUSH HOLDER

109. TOOTHBRUSH HOLDER

110. TOOTHBRUSH HOLDER

111. ROLES AND FUNCTIONS
• Orient the children on
how to properly use
the toilet and maintain
cleanliness.
• Facilitate and supervise
toilet visits.

112. ROLES AND FUNCTIONS
• Organize and supervise
daily cleaning activities
and involve all children
based on a cleaning
schedule.

113. ROLES AND FUNCTIONS
• Assign students in pairs
or in small groups for
specific tasks. Put the
cleaning schedule up in
the classroom so that
task distribution is
transparent.

114. ROLES AND FUNCTIONS
• Specify and explain the
tasks that need to be
done to keep the
classroom and washing
area clean.
• Empower children to
take leadership roles
and responsibility.

115. ROLES AND FUNCTIONS
• Ensure availability of
water and soap and
cleaning materials.
• Report missing
supplies, maintenance
and repair needs to the
principal and request
for funds and action.

116. ROLES AND FUNCTIONS
• Seek close partnership
with parents in
maintaining and
improving the toilet
facilities.
• Learn how to fix minor
problems, e.g. broken
faucets or ask a
colleague.

117. ROLES AND FUNCTIONS
• Identify parents or
community members
with technical skills,
who can assist you.

118. ROLES AND FUNCTIONS
• Call for PTA assembly
to properly inform
parents and teachers
about EHCP and
cleaning and
maintenance needs of
school toilets.

119. ROLES AND FUNCTIONS
• Include group
handwashing,
toothbrushing and
cleaning activities in
the daily class
programs.

120. ROLES AND FUNCTIONS
• Make sure that all
teachers put up a
cleaning schedule in
their classroom.
• Instruct all teachers in
your school and ensure
strict compliance with
guidelines.

121. ROLES AND FUNCTIONS
• Fill out the sanitation
planner. Identify a
plumber or craftsman
in the community.
• Link with LGUs, the
Barangay Captain and
other stakeholders to
provide a supportive
environment.

122. ROLES AND FUNCTIONS
• Ensure availability and
proper distribution of
soap and cleaning
supplies within your
school.

123. ROLES AND FUNCTIONS
• Ensure monitoring at
least once a year and
communicate the
results with the
teachers and the
community.

124. ROLES AND FUNCTIONS
• Recognize
achievements of
individuals in their
performance ranking
and at graduation
ceremonies.
• Lobby for water supply.

125. GRAY AREAS

126. GRAY AREAS

127. GRAY AREAS

128. GRAY AREAS

129. GRAY AREAS

130. GRAY AREAS

131. GRAY AREAS

132. GRAY AREAS

133. GRAY AREAS

134. GRAY AREAS

135. GRAY AREAS

136. GRAY AREAS

137. GRAY AREAS

138. GRAY AREAS

139. GRAY AREAS

140. GRAY AREAS

141. GRAY AREAS

142. QUESTIONS?

143. WINS THREE- STAR APPROACH

144. WINS THREE- STAR APPROACH

145. WINS THREE- STAR APPROACH

146. WASH IN SCHOOLS
THREE STAR APRROACH

147. JOFRED M. MARTINEZ, MAN, RN, LPT
Nurse II
Department of Education
WASH IN SCHOOLS
THREE STAR APRROACH