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Ethiopia



 WaterAid/Caroline Irby




 Ethiopia, the fourth largest and second most populous country in Africa, is a land of great
 contrasts. It is Africa’s oldest independent country and, with the exception of a five-year
 occupation by Mussolini's Italy, has never been colonised. Despite a rich and unique
 religious and cultural history it has become better known for its periodic droughts and
 famines, and for its long civil war and subsequent border conflict with Eritrea.

 Though improving, literacy levels in Ethiopia are still low and Ethiopia remains one of the
 poorest countries in the world, with an economy that is highly dependent on agriculture.
 Only 22% of the population has access to safe water supplies and only 6% have adequate
 sanitation, making Ethiopia among the least well served countries in the world. Water-
 related diseases are rife, child mortality high and health services are limited.
Country information: Ethiopia




                                                                                                   Hygiene education has increasingly

  WaterAid in Ethiopia                                                                             focused on the close links between proper
                                                                                                   handwashing at critical times, like before
                                                                                                   eating and after going to the toilet, and
                                                                                                   improved health, particularly in reducing the
                                                                                                   numbers of young children that die from
                                                                                                   diarrhoeal diseases.
                                                                                                       In all cases WaterAid works closely with
                                                                                                   communities from the start, to raise
                                                                                                   awareness of how water and sanitation
                                                                                                   impact on disease and poverty. Communities
                                                                                                   are also actively involved in the planning,
                                                                                                   building, managing and evaluation of
                                                                                                   projects. Particular attention is now being
                                                                                                   paid to engaging women in projects and
                                                                                                   increasing the ways in which the poorest and
                                                                                                   most marginalised in society, including the
                                                                                                   elderly and those suffering with HIV/AIDS,
                                                                                                   can be supported.
                                                                                                       Despite recent progress, communication
                                                                                                   systems are still poor and road coverage one
                                                                                                   of the worst in the world. It is therefore not
                                                                                                   uncommon for partner organisations to
                                                                                                   facilitate building access roads so that they
                                                                                                   can transport materials at the beginning of a
                                                                                                   project. This is not only in remote regions –
                                                                                                   WaterAid has also encountered this within 250
                                                                                                   kilometres of the capital Addis Ababa. The
 WaterAid/Caroline Irby                                                                            need to ensure an effective supply chain that
                                                                                                   can deliver spare parts through government or
                                                                                                   private sector involvement is another
WaterAid started funding projects in Ethiopia in 1983                                              challenge facing the sustainability of projects.
                                                                                                       Although WaterAid mainly works in rural
and began working through established non                                                          areas, since 1998 it has been engaged in the
governmental organisations (NGOs) in 1986. A country                                               slum areas of Addis Ababa, and urban
                                                                                                   initiatives in other towns are also expanding.
office was set up in 1991 and two sub-offices opened in                                            Projects include establishing communal
                                                                                                   water points linked to the city’s piped
Benishangul Gumuz and Oromia Regions in 2004 and                                                   systems, wastewater management, shower
2005. WaterAid works closely with eight local NGOs, the                                            and latrine blocks and mobile toilets
                                                                                                   managed together with small kiosks by
local private sector and local and regional government                                             ex-homeless young people. Where there are
                                                                                                   very few public toilets these fill a critical gap
departments in water, sanitation and hygiene projects. It                                          in the sanitation services for urban people.
also works with a wide range of other organisations in
networks to influence water and sanitation policies.                                                Plans: 2005-2010
WaterAid’s aim is to improve the livelihoods      be spring-fed gravity schemes; some of
of poor people in Ethiopia through the            which are very large, providing water for tens   A strategy running from 2005 to 2010 sets
provision of safe water, sanitation and           of thousands of people. In Southern Nations      out the plans and activities for WaterAid in
hygiene education using technologies that         and Nationality People’s Region schemes          Ethiopia. During this time WaterAid will
are appropriate to local conditions,              have included deep boreholes as water is         continue to focus on water, sanitation and
affordable and easy to maintain. However,         sometimes only found below 200 metres. In        hygiene education, working with local
projects vary from region to region               Amhara and Tigray the main technologies so       partners on community managed projects.
depending on the natural environment which        far have been hand-dug wells and spot spring
varies greatly.                                   development where springs are simply             The key aims are to:
    Most Ethiopians live in densely-populated     tapped and protected at their source. In
arable plateau lands of middle-altitude.          Benishangul Gumuz, as well as hand-dug           • Help 100,000 people gain access to water
However, the country includes some of the         wells, WaterAid is testing simpler and             and 95,000 people gain access to
highest peaks in Africa with scattered rural      cheaper rope pumps.                                sanitation and hygiene education every
communities living in the cold highlands at           In its sanitation and hygiene education        year by 2010
over 2000 metres above sea level. Many            work WaterAid and its partners have been
lowland pastoral communities live in the          involved in supporting the construction and      • Support local partner organisations to
sparse arid semi-deserts of the east, while       use of latrines for both households and            raise their own funds, while keeping a
hunter-gatherers and shifting cultivators still   institutions, particularly schools. Latrines       strong advisory role on how these funds
live in forested parts of the south and west of   vary from simple pit latrines to composting        are spent to ensure at least a further 8000
the country.                                      latrines, bio-gas, mobile toilets and              people gain access to water, sanitation and
    In Oromia Region, water projects tend to      ventilated improved pit (VIP) latrines.            hygiene education every year by 2010
Country information: Ethiopia




To address the huge needs of the country            While the amount spent on these essential
and ensure as many Ethiopians as possible           services needs to increase by $31 million a        The difference water brings
gain access to water and sanitation, greater        year, WaterAid is also lobbying for changes        Mehari Abraha, Adiawanawaza, Tigray.
emphasis will be placed on strengthening            in the way in which money is spent.
partnerships and alliances in order to                  It is supporting efforts to improve the
influence others. This includes WaterAid’s          coordination of spending and is working
close involvement in the WASH (water,               particularly closely with the regional and
sanitation and hygiene for all) Ethiopia            wereda (district) governments of
movement and in the Ethiopia Country                Benishangul Gumuz and Oromia Regions
Water Partnership (ECWP). Collaboration is          with some notable successes. In these two
vital as Ethiopia faces massive challenges          states WaterAid will also map the number
with regards to water and sanitation. Its           and functionality of water points to ensure        WaterAid/Caroline Irby
progress towards the Millennium                     that future services are provided in an
Development Goals (MDGs), targets agreed            equitable way. Emphasis will also be               “I have seen a very radical change here,”
by all governments to halve the proportions         placed on sustainability and affordability         explains Mehari Abraha from
of people without access to water and               issues. In the future ‘citizens action’            Adiawanawaza. “Before we only had
sanitation between 1990 and 2015, is                projects will enable communities to assess         unprotected sources of water. My family
currently way off track. Latrine construction       the performance of service providers and           suffered badly. My three year old
needs to increase more than ten-fold to             the Government and to lobby for                    daughter died from this water. There were
70,000 a month by 2015 to reach the                 improvements in their communities’ water           parasites which gave us illnesses and
sanitation MDG.                                     and sanitation services.                           stomach problems. So many children
    Financing water and sanitation services is          Finally, greater emphasis will be placed       used to die, but now this has changed and
a key problem. While responsibility for water       on water resource management to ensure             children don’t die from these diseases.
and sanitation has shifted from central to          that water quality and quantity are                    Before we used to have to go to the
district government, they still lack the            maintained in the long run and to promote a        health clinics all of the time, often every
capacity to carry out their roles effectively and   more integrated approach to water resource         day. I used to spend time walking there
performance is also hindered by the lack of         management. This is being promoted                 and hours just queuing to be seen, but
coordination among donors. Initial pledges          through the ECWP but plans are also in place       now I can save my time and money. I have
and budgets are often not being translated into     to create guidelines for all partners and to       bought 20 chickens and one goat from
funds, and even when these funds are made           ensure that at least half of the rural projects    the money I have saved. With the time I
available on time, delays in implementation         have a significant water resource                  can work on my maize and pepper crop.”
result in significant under-spending.               management component.


 The regions where WaterAid has                                                                       Ethiopia
 projects are labelled in capital letters
                                                                                                      Area: 1,128,000 km2
                                                                                                      Capital: Addis Ababa
                                                                                                      Other main cities: Asela, Dire Dawa,
                                                                                                      Gondar, Jimma

                                                                                                      Population                        70 m
                                                                                                      Infant mortality                  169/1000
                                                                                                      Life expectancy                   47.62 yrs
                                                                                                      Water supply coverage             22%
                                                                                                      Sanitation coverage               6%
                                                                                                      Below poverty line                44.2%
                                                                                                      Human development index           170
                                                                                                      Adult literacy                    42%
                                                                                                      Sources: World Development Report 2005 and the
                                                                                                      Human Development Report 2005.
                                                                                                      NB. Official statistics tend to understate the
                                                                                                      extent of water and sanitation problems,
                                                                                                      sometimes by a large factor. There are not
                                                                                                      sufficient resources available for accurate
                                                                                                      monitoring of either population or coverage.
                                                                                                      Varying definitions of water and sanitation
                                                                                                      coverage are used and national figures mask
                                                                                                      large regional differences in coverage.
Country information



 Achievements to date

 > Helped over 820,000 people gain
       access to safe water
 > Helped establish the local NGO Water
       Action and supported the formation
       of the water unit of the Ethiopian
       Orthodox Church and Inter Church
       Aid Commission
 > Influenced the development of water
       projects managed by community
       boards and is seen as the main
       proponent of large sustainable gravity
       flow water schemes in the country
 > Coordinated WASH Ethiopia, a
       country-wide water, sanitation and
       hygiene movement linked to the
       international Water Supply and
       Sanitation Collaborative Council
                                                       WaterAid/Kate Eshelby
 > Helped set up and now hosts the
       Ethiopian Country Water
       Partnership (ECWP), the Ethiopian               Life without safe water                        Mobile latrines
       branch of the Global Water                      Zenebech Jemel, Chobare Meno.                  Eskender Tadesse, Addis Ababa.
       Partnership, an international network
       focused on promoting integrated
       water resource management
 > Piloted rope pumps and composting
       latrines



£3.50 pays for a bag of cement for a latrine
cover slab


£40 pays for a health worker to provide hygiene
education for 850 people in a rural community
                                                        WaterAid/Caroline Irby                        WaterAid/Caroline Irby

£70    pays for the sand needed for one
                                                        “The water is not good in this pond,”         Eskender Tadesse runs a ‘mobile latrine’
hand-dug well
                                                        says Zenebech. “There are worms and           and kiosk set up by WaterAid’s partner
                                                        so many ugly things in it. All the animals    GAMA. These public latrines, on the streets
£150 pays to train two community water                  drink from the pond as well as the            of Addis Ababa, help keep the environment
technicians to maintain their village water points      community. We have no alternative. This       clean and also provide ex-homeless people
                                                        pond water is so, so dirty and we cannot      with a salary through their kiosks.
£1600 pays for the construction of a                    do anything about it. Because of the
                                                        water we get different diseases.
                                                                                                           “There is a big difference between the
                                                                                                      life I was living before and the life I have
hand-dug well, fitted with a handpump, which will
provide clean water for approximately 300 people             I have three children. They have         now,” he explains. “Before I was homeless
                                                        respiratory problems, coughs and flu as       and I didn’t have an income to support
                                                        well as diarrhoea and malaria.                myself. Now, with the toilet, I have an
                                                        Sometimes we will go to the clinic, we        income and am saving money every month.
                                                        either take the children or if they are too        Between 70 and 80 people use this toilet
                                                        ill, we go and bring the medicine back        every day. Sometimes if people have no
                                                        for them. We might visit the clinic two to    money I will let them in for free, so that we
WaterAid – water for life                               three times per month. We are hoping          can keep the area clean. I also have a special
The UK’s only major charity dedicated exclusively to    and praying for clean water.”                 box for children to stand on so that they can
the provision of safe domestic water, sanitation and                                                  use the latrine. They pay if they can afford to
hygiene education to the world’s poorest people.                                                      – but if they can’t afford it they don’t have to.
                                                                                                           My life has been improved very much
For further information about WaterAid:                                                               from before. I would say that the project is
WaterAid, 47-49 Durham Street, London, SE11 5JD                                                       very good and is changing the lives of
                                                                                                      people like me. I would like to see these
www.wateraid.org                                                                                      toilets in other areas of the city too, as they
T: 020 7793 4500 F: 020 7793 4545                                                                     keep the areas clean and also offer
E: wateraid@wateraid.org                                                                              opportunities to more people.”
Charity registration number 288701 January 2006

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Ethiopia

  • 1. Country information Ethiopia WaterAid/Caroline Irby Ethiopia, the fourth largest and second most populous country in Africa, is a land of great contrasts. It is Africa’s oldest independent country and, with the exception of a five-year occupation by Mussolini's Italy, has never been colonised. Despite a rich and unique religious and cultural history it has become better known for its periodic droughts and famines, and for its long civil war and subsequent border conflict with Eritrea. Though improving, literacy levels in Ethiopia are still low and Ethiopia remains one of the poorest countries in the world, with an economy that is highly dependent on agriculture. Only 22% of the population has access to safe water supplies and only 6% have adequate sanitation, making Ethiopia among the least well served countries in the world. Water- related diseases are rife, child mortality high and health services are limited.
  • 2. Country information: Ethiopia Hygiene education has increasingly WaterAid in Ethiopia focused on the close links between proper handwashing at critical times, like before eating and after going to the toilet, and improved health, particularly in reducing the numbers of young children that die from diarrhoeal diseases. In all cases WaterAid works closely with communities from the start, to raise awareness of how water and sanitation impact on disease and poverty. Communities are also actively involved in the planning, building, managing and evaluation of projects. Particular attention is now being paid to engaging women in projects and increasing the ways in which the poorest and most marginalised in society, including the elderly and those suffering with HIV/AIDS, can be supported. Despite recent progress, communication systems are still poor and road coverage one of the worst in the world. It is therefore not uncommon for partner organisations to facilitate building access roads so that they can transport materials at the beginning of a project. This is not only in remote regions – WaterAid has also encountered this within 250 kilometres of the capital Addis Ababa. The WaterAid/Caroline Irby need to ensure an effective supply chain that can deliver spare parts through government or private sector involvement is another WaterAid started funding projects in Ethiopia in 1983 challenge facing the sustainability of projects. Although WaterAid mainly works in rural and began working through established non areas, since 1998 it has been engaged in the governmental organisations (NGOs) in 1986. A country slum areas of Addis Ababa, and urban initiatives in other towns are also expanding. office was set up in 1991 and two sub-offices opened in Projects include establishing communal water points linked to the city’s piped Benishangul Gumuz and Oromia Regions in 2004 and systems, wastewater management, shower 2005. WaterAid works closely with eight local NGOs, the and latrine blocks and mobile toilets managed together with small kiosks by local private sector and local and regional government ex-homeless young people. Where there are very few public toilets these fill a critical gap departments in water, sanitation and hygiene projects. It in the sanitation services for urban people. also works with a wide range of other organisations in networks to influence water and sanitation policies. Plans: 2005-2010 WaterAid’s aim is to improve the livelihoods be spring-fed gravity schemes; some of of poor people in Ethiopia through the which are very large, providing water for tens A strategy running from 2005 to 2010 sets provision of safe water, sanitation and of thousands of people. In Southern Nations out the plans and activities for WaterAid in hygiene education using technologies that and Nationality People’s Region schemes Ethiopia. During this time WaterAid will are appropriate to local conditions, have included deep boreholes as water is continue to focus on water, sanitation and affordable and easy to maintain. However, sometimes only found below 200 metres. In hygiene education, working with local projects vary from region to region Amhara and Tigray the main technologies so partners on community managed projects. depending on the natural environment which far have been hand-dug wells and spot spring varies greatly. development where springs are simply The key aims are to: Most Ethiopians live in densely-populated tapped and protected at their source. In arable plateau lands of middle-altitude. Benishangul Gumuz, as well as hand-dug • Help 100,000 people gain access to water However, the country includes some of the wells, WaterAid is testing simpler and and 95,000 people gain access to highest peaks in Africa with scattered rural cheaper rope pumps. sanitation and hygiene education every communities living in the cold highlands at In its sanitation and hygiene education year by 2010 over 2000 metres above sea level. Many work WaterAid and its partners have been lowland pastoral communities live in the involved in supporting the construction and • Support local partner organisations to sparse arid semi-deserts of the east, while use of latrines for both households and raise their own funds, while keeping a hunter-gatherers and shifting cultivators still institutions, particularly schools. Latrines strong advisory role on how these funds live in forested parts of the south and west of vary from simple pit latrines to composting are spent to ensure at least a further 8000 the country. latrines, bio-gas, mobile toilets and people gain access to water, sanitation and In Oromia Region, water projects tend to ventilated improved pit (VIP) latrines. hygiene education every year by 2010
  • 3. Country information: Ethiopia To address the huge needs of the country While the amount spent on these essential and ensure as many Ethiopians as possible services needs to increase by $31 million a The difference water brings gain access to water and sanitation, greater year, WaterAid is also lobbying for changes Mehari Abraha, Adiawanawaza, Tigray. emphasis will be placed on strengthening in the way in which money is spent. partnerships and alliances in order to It is supporting efforts to improve the influence others. This includes WaterAid’s coordination of spending and is working close involvement in the WASH (water, particularly closely with the regional and sanitation and hygiene for all) Ethiopia wereda (district) governments of movement and in the Ethiopia Country Benishangul Gumuz and Oromia Regions Water Partnership (ECWP). Collaboration is with some notable successes. In these two vital as Ethiopia faces massive challenges states WaterAid will also map the number with regards to water and sanitation. Its and functionality of water points to ensure WaterAid/Caroline Irby progress towards the Millennium that future services are provided in an Development Goals (MDGs), targets agreed equitable way. Emphasis will also be “I have seen a very radical change here,” by all governments to halve the proportions placed on sustainability and affordability explains Mehari Abraha from of people without access to water and issues. In the future ‘citizens action’ Adiawanawaza. “Before we only had sanitation between 1990 and 2015, is projects will enable communities to assess unprotected sources of water. My family currently way off track. Latrine construction the performance of service providers and suffered badly. My three year old needs to increase more than ten-fold to the Government and to lobby for daughter died from this water. There were 70,000 a month by 2015 to reach the improvements in their communities’ water parasites which gave us illnesses and sanitation MDG. and sanitation services. stomach problems. So many children Financing water and sanitation services is Finally, greater emphasis will be placed used to die, but now this has changed and a key problem. While responsibility for water on water resource management to ensure children don’t die from these diseases. and sanitation has shifted from central to that water quality and quantity are Before we used to have to go to the district government, they still lack the maintained in the long run and to promote a health clinics all of the time, often every capacity to carry out their roles effectively and more integrated approach to water resource day. I used to spend time walking there performance is also hindered by the lack of management. This is being promoted and hours just queuing to be seen, but coordination among donors. Initial pledges through the ECWP but plans are also in place now I can save my time and money. I have and budgets are often not being translated into to create guidelines for all partners and to bought 20 chickens and one goat from funds, and even when these funds are made ensure that at least half of the rural projects the money I have saved. With the time I available on time, delays in implementation have a significant water resource can work on my maize and pepper crop.” result in significant under-spending. management component. The regions where WaterAid has Ethiopia projects are labelled in capital letters Area: 1,128,000 km2 Capital: Addis Ababa Other main cities: Asela, Dire Dawa, Gondar, Jimma Population 70 m Infant mortality 169/1000 Life expectancy 47.62 yrs Water supply coverage 22% Sanitation coverage 6% Below poverty line 44.2% Human development index 170 Adult literacy 42% Sources: World Development Report 2005 and the Human Development Report 2005. NB. Official statistics tend to understate the extent of water and sanitation problems, sometimes by a large factor. There are not sufficient resources available for accurate monitoring of either population or coverage. Varying definitions of water and sanitation coverage are used and national figures mask large regional differences in coverage.
  • 4. Country information Achievements to date > Helped over 820,000 people gain access to safe water > Helped establish the local NGO Water Action and supported the formation of the water unit of the Ethiopian Orthodox Church and Inter Church Aid Commission > Influenced the development of water projects managed by community boards and is seen as the main proponent of large sustainable gravity flow water schemes in the country > Coordinated WASH Ethiopia, a country-wide water, sanitation and hygiene movement linked to the international Water Supply and Sanitation Collaborative Council WaterAid/Kate Eshelby > Helped set up and now hosts the Ethiopian Country Water Partnership (ECWP), the Ethiopian Life without safe water Mobile latrines branch of the Global Water Zenebech Jemel, Chobare Meno. Eskender Tadesse, Addis Ababa. Partnership, an international network focused on promoting integrated water resource management > Piloted rope pumps and composting latrines £3.50 pays for a bag of cement for a latrine cover slab £40 pays for a health worker to provide hygiene education for 850 people in a rural community WaterAid/Caroline Irby WaterAid/Caroline Irby £70 pays for the sand needed for one “The water is not good in this pond,” Eskender Tadesse runs a ‘mobile latrine’ hand-dug well says Zenebech. “There are worms and and kiosk set up by WaterAid’s partner so many ugly things in it. All the animals GAMA. These public latrines, on the streets £150 pays to train two community water drink from the pond as well as the of Addis Ababa, help keep the environment technicians to maintain their village water points community. We have no alternative. This clean and also provide ex-homeless people pond water is so, so dirty and we cannot with a salary through their kiosks. £1600 pays for the construction of a do anything about it. Because of the water we get different diseases. “There is a big difference between the life I was living before and the life I have hand-dug well, fitted with a handpump, which will provide clean water for approximately 300 people I have three children. They have now,” he explains. “Before I was homeless respiratory problems, coughs and flu as and I didn’t have an income to support well as diarrhoea and malaria. myself. Now, with the toilet, I have an Sometimes we will go to the clinic, we income and am saving money every month. either take the children or if they are too Between 70 and 80 people use this toilet ill, we go and bring the medicine back every day. Sometimes if people have no for them. We might visit the clinic two to money I will let them in for free, so that we WaterAid – water for life three times per month. We are hoping can keep the area clean. I also have a special The UK’s only major charity dedicated exclusively to and praying for clean water.” box for children to stand on so that they can the provision of safe domestic water, sanitation and use the latrine. They pay if they can afford to hygiene education to the world’s poorest people. – but if they can’t afford it they don’t have to. My life has been improved very much For further information about WaterAid: from before. I would say that the project is WaterAid, 47-49 Durham Street, London, SE11 5JD very good and is changing the lives of people like me. I would like to see these www.wateraid.org toilets in other areas of the city too, as they T: 020 7793 4500 F: 020 7793 4545 keep the areas clean and also offer E: wateraid@wateraid.org opportunities to more people.” Charity registration number 288701 January 2006