UNHCR WASH Manual 6th Ed (Feb 2019) PDF
UNHCR WASH Manual 6th Ed (Feb 2019) PDF
UNHCR WASH Manual 6th Ed (Feb 2019) PDF
WASH
MANUAL
Practical Guidance for
Refugee Settings
UNHCR WASH PROGRAMME GUIDANCE
© United Nations High Commissioner for Refugees, Geneva
This document is an output from a consultative process with WASH actors active
in refugee settings. All reasonable precautions have been taken by the UNHCR to
verify the information contained in this publication. However, the published material
is being distributed without warranty of any kind, either expressed or implied. The
responsibility for the interpretation and use of the material lies with the reader. In no
event shall the UNHCR be liable for damages arising from its use.
ISBN: 978-2-9701249-0-0
UNHCR
WASH
MANUAL
Practical Guidance for
Refugee Settings
UNHCR WASH PROGRAMME GUIDANCE
i
Acronyms and Abbreviations
AAP Accountability to Affected Populations
AGDM Age, Gender and Diversity Mainstreaming
AWD Acute Watery Diarrhea
BCC Behaviour Change Communication
CAT Comprehensive Assessment Tool
CATS Community Approaches to Total Sanitation
CBI Cash Based Intervention
CBO Community Based Organisation
CCCM Camp Coordination and Camp Management
CFU Colony Forming Units
CHW Community Health Worker
CLTS Community Led Total Sanitation
CSP Community Support Projects
DPD Diethyl-P-Phenylene-Diamine
FGD Focus Group Discussion
FRC Free Residual Chlorine
GAD Gender, Age, Diversity
GI Galvanized Iron (Pipe)
GBV Gender Based Violence
GIS Geographical Information System
GPS Global Positioning System
HDPE High Density Poly Ethylene (Pipe)
H&S Health and Safety
H2 S Hydrogen Sulphide
HP Hygiene Promotion
HTH High Test Hypochlorite
HRF Horizontal Flow Roughing Filtration
HWTS Household Water Treatment and Safe Storage
HWWS Hand Washing With Soap
IDP Internally Displaced Person
IEC Information Education Communication
IM Information Management
KAP/KABP Knowledge, Attitudes, Beliefs, Practices
M&E Monitoring and Evaluation
MF Micro Filtration
ii
Acronyms and Abbreviations
MHM Menstrual Hygiene Management
MPN Most Probable Number
NFI Non-Food Item
NTU Nephelometric Turbidity Units
O&M Operations and Maintenance
PPE Personal Protective Equipment
PE Polyethylene (Pipe)
PH Public Health
PHAST Participatory Hygiene and Sanitation Transformation
PLA Participatory Learning and Action
PLWHA People Living with HIV/AIDS
POUWT Point of Use Water Treatment
PSEA Prevention of Sexual Exploitation and Abuse
PVC Polyvinyl Chloride (Pipe)
PWD People With Disabilities
QIP Quick Impact Project
RAT Rapid Assessment Tool
RCM UNHCR Refugee Coordination Model
RF Rapid Filtration
RO Reverse Osmosis
RSF Rapid Sand Filtration
RWH Rain Water Harvesting
SAR Solids Accumulation Rate
SSF Slow Sand Filtration
TDS Total Dissolved Solids
TWG Technical Working Group
UF Ultra Filtration (Water Treatment)
UFW Unaccounted For Water
UV Ultraviolet (Water Treatment)
uPVC Unplasticized Polyvinyl Chloride (Pipe)
VLOMM Village Level of Management of Maintenance
VIP Ventilated Improved Pit (Toilet)
WASH Water, Sanitation, and Hygiene
WSP Waste Stabilization Ponds
WSP Water Safety Plan
iii
Contents – UNHCR WASH Manual
ACKNOWLEDGEMENTS .............................................................................................. I
ACRONYMS AND ABBREVIATIONS .......................................................................... II
CONTENTS – UNHCR WASH MANUAL ................................................................... IV
INTRODUCTION ........................................................................................................... 1
Target audience................................................................................................................... 2
Legal framework and the human rights to water and sanitation ..................................2
Response Phases ............................................................................................................... 3
UNHCR WASH Response Programme Framework ......................................................... 5
1. UNHCR WASH PROTECTION PRINCIPLES .......................................................... 6
Introduction ......................................................................................................................... 6
Terminologies useful for understanding protection and accountability ..................... 7
Principle 1: Consultation, participation and accountability .......................................... 7
Principle 2: Equitable access to WASH ........................................................................... 9
Principle 3: Protection, safety and privacy .................................................................... 10
Principle 4: Menstrual hygiene ........................................................................................ 13
Principle 5: Cross-sector collaboration and coordination .......................................... 15
2. WASH STRATEGY AND OPERATIONAL PLANS ............................................... 17
Global WASH Strategy ..................................................................................................... 17
Country WASH Strategy ...................................................................................................17
Site WASH Operational Plans.......................................................................................... 18
Common Refugee Sites.................................................................................................... 19
A comprehensive approach to WASH service provision ............................................. 19
Appropriate technology selection, quality and value for money ................................ 20
Integrated programming with a focus on sustainable solutions ................................ 22
WASH interventions in urban settings ........................................................................... 23
Cash based interventions ................................................................................................ 25
Protection of the environment......................................................................................... 26
3. WASH SECTOR COORDINATION ........................................................................ 28
Refugee Coordination Model and WASH Sector Coordination ...................................28
WASH sector coordination implementation arrangements ......................................... 29
Establishment of an Advisory Group ............................................................................. 30
Creation of Technical Working Groups (TWGs)............................................................ 30
Practical Guidance for WASH Sector Coordination ..................................................... 31
Establishment of WASH Sector Strategy and Operational Response Plans ............ 33
Establishment of agreed common Standards, and Indicators .................................... 33
Coordinated sector preparedness and contingency planning ...................................35
Capture and application of lessons learned and sector best practice ...................... 35
4. WASH ASSESSMENTS ......................................................................................... 37
iv
General principles for WASH assessments ..................................................................37
Immediate assessment of WASH needs ........................................................................ 38
Immediate assessment of potential refugee hosting sites .......................................... 38
WASH Assessment Processes and Tools ..................................................................... 40
WASH Assessment Analysis and Reporting .................................................................44
5. WASH MONITORING AND REPORTING .............................................................. 47
Establishment of the routine monitoring of WASH indicators .................................... 47
Monitoring WASH ‘Access Indicators’ using the monthly report card ...................... 48
Monitoring WASH ‘Household Indicators’ using the Standardised KAP Survey ..... 48
UNHCR WASH Indicators and Targets – February 2019 .............................................. 49
Mapping WASH infrastructure......................................................................................... 50
Monitoring the cost effectiveness and efficiency of WASH interventions ................ 50
REFERENCES ............................................................................................................ 52
v
Introduction
UNHCR has the primary responsibility for coordinating,
drafting, updating and promoting guidance related to water,
sanitation and hygiene (WASH) in refugee settings. This WASH
Manual has been prepared through a process of open
collaboration and discussion in participation with UNHCR's
WASH Officers, UNHCR's sister agencies, and experts and
practitioners from the WASH community.
Refugee
Emergency
Key actions
Prioritise household facilities wherever possible.
2. Involve children and their parents and teachers in identifying NFI needs (potties,
scoops, re-usable cloth nappies, etc) and assessing options for designs for toilets,
bathing facilities and water collection points to suit children4.
3. Work with people with disabilities, their carers, older people and pregnant women
– all of whom may have limitations on their mobility. Proactively involve them in
designing toilets, bathing facilities, water points and clothes washing facilities that they
and other people with mobility limitations can easily access 5. Also involve health staff in
designing accessible facilities in health facilities.
A range of adaptations may be useful such as increased size in the unit, adding a
cleanable seat, handrails, ramp with resting platforms, larger locks and door widths.
4. Consider different groups when designing hygiene promotion activities (use a variety
of channels, learning methods and media to include people with sight or hearing issues).
5. Consider the needs of different people when distributing non-food items (for
example a fast lane for older people, people with disabilities and other people who may
be particularly vulnerable, may assist collection quicker and more safely)6.
Examples of toilets made accessible for people with disabilities or other mobility limitations
3
House, S. Ferron, S, Sommer, M, and Cavill, S. (2014)
Figure – Emergency Showers where users installed their own privacy barrier
(Photo credit: Coloni, F/UNHCR)
LINK: For useful considerations and tips for the above actions and supporting case studies
refer to the UNHCR WASH, Protection and Accountability Briefing Paper.
Action
1. Coordinate between agencies and collaborate across sectors. See table below
for more details.
2. Build capacity of staff, partners and contractors to be able to implement these
principles.
In particular make sure that all frontline workers have their capacity built and in
particular they understand the conduct and behaviours that are expected of them and
protection principles to ensure that people are not made more vulnerable through their
actions.
3. Ensure that response-wide feedback mechanisms are in place that are
followed up and acted on.12
Effective feedback mechanisms enable programmes to receive information on the
effectiveness of interventions as well as offering affected populations the opportunity
to raise concerns and report abuses.
4. Using resources effectively, efficiently and ethically.12
LINK: For useful considerations and tips for the above actions and supporting case
studies refer to the UNHCR WASH, Protection and Accountability Briefing Paper.
12
CHS Alliance, The Sphere Project and Group URD (2015)
Registration
Protection
Education
Site
planning
Health,
Nutrition
and HIV
12
CHS Alliance, The Sphere Project and Group URD (2015)
Box 2.1: Example Template for (4W Matrix) Site WASH Operational Plan and Budget
Note: Provision of WASH assistance for families that are renting or staying with hosting families (i.e. WASH NFSs,
water vouchers and construction materials for sanitation upgrades) should be prioritized according to UNHCR
vulnerability criteria.
14. Normally the selection of suitable 15. Once a site is identified and
refugee hosting sites is an approval obtained for site
iterative process, and will become assessment, it is critical for the
a balance between managing WASH team to undertake a rapid
immediate needs, and longer term assessment as soon as possible.
objectives. WASH assessments Ideally the assessment will be
at potential refugee hosting sites jointly undertaken with the site
should consider the following key planning team and local
elements: authorities. After assessment the
findings should be documented
Potential water sources - and a report issued as soon as
access to existing piped water possible to inform decision
network, location of water makers. The report should ideally
source (GPS coordinates), be combined with the findings of
volume available, quality of the site planning team and other
water, cost of development, relevant stakeholders.
existing users, protection
considerations. 16. Once a site is confirmed, then
Sanitation considerations - detailed site assessments will
access to existing sewer need to be undertaken to inform
network, assessment of ground decisions related to requirements
conditions including soil type for any WASH upgrades (in the
(rocky, sandy, clay), soil case of existing buildings / co-
permeability (percolation test), location with host communities),
requirements for specialised and for detailed strategic planning
construction equipment, access of new WASH infrastructure (in
to desludging equipment and the case of new camps).
location nearest sludge
disposal site.
Health Average 10 liters of potable water available per outpatient per day
Clinics / Average 50 liters of potable water available per inpatient/bed per day
Nutrition 1 separated water point per health facility
Feeding 20 outpatients per toilet/latrine
Centre
10 inpatients/beds per toilet/latrine
1
An emergency is arbitrarily defined as the first six months after the population movement has stabilized. However, this definition is context specific and
should only serve as general guidance
2
Potable water = safe for drinking
3
For decentralized systems
4
For centralized systems
5
Minimum target at water collection point should be 0.5mg/L FRC in general, and 1mg/L FRC during an outbreak
6
Post-emergency standard is 20 persons per toilet/shower, aiming for 1 toilet/shower per household or ≈5 persons
7
Latrines/toilets should be facilities that are cleanable, guarantee privacy and are structurally safe
8
In protracted situations, Hygiene Promoters should be combined with community health workers as much as possible
9
To maintain health, dignity and well-being, at least 450 grams of soap should be distributed per person per month. 250g is for personal hygiene; 200g is
for laundry and other washing purposes.
NB: Where appropriate the standards should be adapted based on context or existing National Standards. An updated
version may be found at http://wash.unhcr.org/wash-indicators
REACH (2013)
hand-washing
% Households with access to
solid waste disposal facility
UNHCR (2013)
REACH (2013)