Health & Hygine Education

Badar Colony Area Portrayal

• The people of Union Council 60 have a population of approximately   22,000 in Lahore Pakistan.

• Lahore is second largest city of Pakistan and is provincial capital of   Punjab with approximate population of 8 million people.

• The area under investigation is Badar Colony of UC 60.

• The community living in the area reported serious health related
  issues as a result of no provision of water supply and sanitation in the
  area by government agencies that is Water and Sanitation Agency
  Lahore.

• Poor sanitation, unsafe water and unhygienic environments cause
  children to suffer needlessly from disease.

• Scarcity and misuse of the fresh water resources pose a serious and
  growing threat to sustainable development, protection of
  environment and human health and welfare and food security.



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Health and Hygiene Education

Badar Colony Area Portrayal

• The people of Union Council 60 in Lahore Pakistan have a population of   approximately   22,000.

• Lahore is second largest city of Pakistan and is provincial capital of   Punjab with approximate population of 8 million people.

• The area under investigation is Badar Colony of UC 60.

• The community living in the area reported serious health related
  issues as a result of no provision of water supply and sanitation in the
  area by Government agencies that is Water and Sanitation Agency   (WASA) Lahore.

• Poor sanitation, unsafe water and unhygienic environments cause
  children to suffer needlessly from disease.

• Scarcity and misuse of the fresh water resources pose a serious and
  growing threat to sustainable development, protection of
  environment and human health and welfare and food security.

HEALTH AND HYGIENE EDUCATION
Improper Toilets
Unhygienic Environments

Existing Condition

• The initial field survey revealed that people in the area do not have
  any water supply and sanitation system.

• The disposal of the excreta is unsafe, people are poor, toilets
  are improper and the literacy is low in the area.

• The excreta are disposed off through excavating a small sanitation well.

• The community disposes off or discharges their sewage in these wells.

• Anecdotal evidence from the discussion with communities suggests   that elders and children’s health is affected as the sewage water is   mixed  with the drinking water.

• The existing water supply is through instillation of small motor pumps to   extract ground water.

• The practice of cooking food in the community revealed that the food is   mostly cooked in the open & they also do not take any measure to   minimize contamination due to limited existing knowledge and low
  literacy.

• The storage is unhygienic and demonstrated low level of understanding   of the safe storage and health issues associated with is unsafe storage   & this increases the risk of food contamination.

• Respondents were unaware of the importance and need of boiling of   water before drinking.

• The community low literacy rate.

• The literary profile of the respondent was evidence of poor human   capital and access to the education in this community.

• 73% of the respondents were illiterate and 15 % have passed only their   5 grade with only 11 % have completed their middle (class 8) education.

• The poor education and illiteracy have degraded their health behavior.

• The living condition of the community is also poor & 7 persons lives   in   a house with only one toilet.



Disease Profile of the Area

• Extremely Low literacy rate, poor hygienic knowledge about the safe
  storage of water has impacted the community health.

• It is reported that in children Gastro is mostly reported diseases   followed by Diarrhea and Jaundice.

• Doctor in the area also agreed that most of the diseases are related to   the water and drinking water is the main cause of diseases.

• Doctor added allergy as one major disease due to poor hygienic   condition in the houses and poor sanitation.



Knowledge about quality and storage of water

• The respondents were aware about the importance of the quality of   water based on the indicators of taste, color and smell.

• 58% were not satisfied with the quality of water based on the indicators.

• However, there un-satisfaction was not translated into concrete positive   health behavior.



Hindrance Factors


• The enabling and hindrance factors which shape community behavior is
  their educational level and access to the information.

• In the absence of any formal community health programme in the area   the community rely on T.V (53%) for the information they receive is
  from T.V.

• The other significant medium is family and friends (others 58%) for
  information dissemination.

• Gender profiling of the respondent suggests that the women have   limited access to the information and exchange.



Hygiene and Health

• Hygiene- A set of preventive measures for good health, has become an   essential part of our lives.

• Health is a resource for everyday life, not the object of living. It is a   positive concept emphasizing social and personal resources as well as   physical capabilities.

• Today it seems natural to wash our hands, vaccinate our children or   drink safe water, but it hasn't always been so.


The Importance of Hygiene

• Water and sanitation facilities on their own do not result in improved   health.

• Access to improved facilities is crucial, but it is the correct use of water   and sanitation facilities that leads to a reduction in disease.

• Hygiene is a key factor.

• People can protect themselves from diarrhoeal disease and other   infections if they have the information they need and if they are   encouraged to make changes in their hygiene behavior.

• Hygiene education of mothers to ensure that young children get a good   start in life is a key component in many countries.


Water, Sanitation and Health

• Encourage household water security by making enough water of   adequate quality available year-round to ensure family survival, health   and productivity, without compromising the integrity of the environment.

• Strengthen policies and institutional frameworks needed to improve   sanitation, safe water supply and hygiene, and build government   capacities for leadership and responsibility.

• Raise the profile of sanitation, water and improved environmental health   in all political and developmental venues.


Personal Hygiene

• Smelling clean
• Clean Clothes
• Clean Shoes
Clean Feet
• Using 'smell nice' products
Clean Hair & proper Hair cut
• Clean Teeth
• Hand washing with soap

Unimproved Technologies

Unimproved sources of drinking water
Unprotected dug well
Unprotected spring
Vendor-provided water
Tanker truck water
Surface water (river, stream, dam, lake,
P pond, canal, irrigation channel)

Unimproved sanitation
• Public or shared latrine
• Pit latrine without slab or open pit
• Hanging toilet or hanging latrine
• Bucket latrine
• No facilities


Improved Technologies

Improved sources of drinking water
Piped water into dwelling, yard or plot
Public tap/standpipe
Tube well/borehole
Protected dug well
Protected spring
Rainwater collection
Bottled water

Improved sanitation facilities
Flush/pour-flush to
Piped sewer system
septic tank
Pit (latrine)
Ventilated improved pit latrine
Pit latrine with slab
Composting toilet


Hygiene Awareness and Promotion

Hygiene promotion encourages all the
Hygienic conditions and behaviours that can   contribute towards good health.
It aims to stimulate and facilitate the right
   behaviour changes.
Usually, it starts with systematic data collection
  to find out and understand what different groups of   people know about hygiene, what they do, what   they want and why this is so.

Most of the health benefits of water supply projects   stem from changes in hygiene behaviour.



Food Hygiene

• Wash the vegetables & fruits with water before use
• Wash them properly with clean water
• Clean the surrounding environment while making   food
• Don’t throw peals on ground
• Cover the food with clean cloth or lid
• Be aware of flies
• Boil the water
• Store water and food in clean place
• Wash your hands before eating


Tidy and Neat Homes

• Clean the rooms
• Clean the kitchen
• Clean the lawn
• Clean the toilet
• Cover the drains
• Put the waste in bins


Clean Water

• Use hand pumps for water supply
• Store water in cool and dry place
• Store water in clean place
• Don’t put hands in water storage
• Use vessel to putout water
• Clean the place of water storage
Boil the water before use
• Always use clean water to drink
• Use of hand pump water and well water
Poor Sanitation
Sewage Discharges
Poor Infrastructure
Sewage Leakage
Enviromental and Sanitation           condition in Area
Improper Toilet
Sewage Water all over               the Place
Poor Infrastructure condition in the Area
Sewage Water all over               the Place
Open Sewege channel in the street. A great threat to resident's Health
Research on Relationship between Community Health Behavior, Water & Sanitation Facilities in a peri Urban Area of Lahore, Pakistan
by Principal investigator Mr. Abid Hussainy
click here for details