Tuesday, May 14, 2013

A day in the life: Introduction to a project focused on sanitation and malaria

Malaria plays a significant role in life here in Togo, especially during rainy season when mosquitoes have the easiest time locating places to reproduce. How serious? Malaria is the most frequently recorded cause of death in Togo. Really? Yes, in 2010 malaria was the cause of recorded death for about 42% (1,113) of children under 5, 12% (380) of individuals 5 and older, and 7% (1,507) of pregnant women*.


One of the projects I have been working on involves the connection between stagnant water and malaria. As many of us know, malaria is carried by mosquitoes. The more exposed one is to mosquitoes and the more vulnerable one is to mosquitoes’ bites, the more prone one is to the contraction of malaria. One method of controlling the presence of mosquitoes is through limiting the reproduction of mosquitoes. Mosquitoes lay their eggs in stagnant water, which is where mosquito larvae develop. Therefore, if one minimizes the presence of stagnant water, one limits the opportunities for mosquito reproduction and development, lessens the concentration of mosquitoes in one’s area, and reduces one’s risk of contracting malaria.

Water – mosquito babies – mosquitoes – mosquito bites – malaria
No water – 0 mosquito babies – 0 mosquitoes – 0 mosquito bites – 0 malaria

When my work partners first introduced this project to me, they took me on a walk through the village demonstrating the presence of stagnant water. Their proposal was to construct 10 showers throughout the village. These showers would demonstrate a proper drainage system. The showers would lessen the amount of stagnant water, and show community members how to replicate this system within their own living space.
When we conducted this initial visit, I captured some photos of local showers and the poor drainage of water. These pictures were taken during dry season: 

Images of showers in the community

Images showing the current prevalence of stagnant water and blocked drainage areas
Concrete in Togo is expensive. Proper drainage systems demand concrete, therefore making showers with proper drainage more expensive. However, my work partners and I hope to build an understanding of the importance of proper drainage construction, demonstrate a cost-effective method of construction, and inspire community members to build low-cost showers of their own.

The foundation of this project is not the construction of showers, but the educational sessions that my work partners and I present to community members. These educational sessions are attended by prominent community members, and are conducted to establish a common understanding of the connection between stagnant water and malaria, and the importance of lessening the presence of stagnant water for the community’s health.

We held our first educational session last week. The session covered general malaria knowledge, and a review of how to wash a mosquito net. We’re building from malaria, to malaria prevention, to stagnant water prevention, to overall community sanitation. 

Local community health workers demonstrating how to wash a mosquito net

Village locals at the educational session

Hopefully over the next few months I’ll be able to show you some more progress on the community’s project towards sanitation and malaria prevention!


*These numbers were taken from a 2010 annual report conducted by a division within the Togolese government, “National Program of the Fight against Malaria” (Programme National de Lutte contra le Paludisme, PNLP).


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