Tram Kak District Water Project - Cambodia

Tram Kak District Water Project - Cambodia

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This project is made possible through the partnership of WATER CHARITY and the NATIONAL PEACE CORPS ASSOCIATION.

Tram Kak District Water Project - CambodiaLocation
This project summary has been redacted for security reasons to omit the specific project location.

Xxxx Xxxx Commune, Tram Kak District, Takeo Province, Cambodia

Community Description
In the rural community of Xxxx Xxxx Commune, many families are rice farmers. The eighteen villages that Xxxx Xxxx Health Center serves, thrive off the land of lush green rice fields during rainy season and dry, cracked dirt during the dry season.

Although the commune serves over 1,000 people, the families are intertwined as one large family. Like many communities in Cambodia, families in the area are recovering financially, structurally, physically, mentally, and developmentally from their broken past.

Problem Addressed
In 2015, a new maternity ward was built without consideration of distance and accessibility to the health center's current water source. Currently, there is no running water in the delivery room or the bathroom attached to the maternity ward.

During a delivery, the midwives ask the family of the woman in labor to take a bucket to fill it up with water located about 20 meters from the delivery room. With this one bucket of water, the midwives perform their hand washing and washing of medical supplies.

The current water source is a small well that can be unreliable during hot season. Therefore, the staff needs to pull water from the pond, which is not hygienic.

Tram Kak District Water Project - CambodiaIn addition to the lack of running water, the community has not had any formal education on proper hand-washing techniques. Proper hygiene practices go beyond the health center. The community does not know the appropriate elements and techniques needed to wash their hands to prevent illnesses.

Project Description
This project is to build a reliable, running water source at the health center.

Both the delivery room and the bathroom have access points (i.e. sink, toilet, cistern) that were installed during the construction of the building in 2015. A well and tank will be constructed at a location behind the maternity ward near the delivery room and the bathroom.

Water will be pumped from the well up to the tank using an electric motor. The water will be stored in the tank until someone turns on the faucet in the maternity ward. The water will then flow from the tank to the delivery room or bathroom.

The base of the tank will be constructed from concrete and be 2 m x 2 m. The plastic tank will hold 1,500 L of water. The structure of the tank will include a metal roof to protect the tank and water inside from overheating.

The construction of the well, tank, and pipes will be done by local companies specializing in well and tank construction.

The health center staff will undergo a training involving knowledge and skills about why, how, and when to wash their hands

In addition, the midwives will be trained on necessary knowledge to be passed on to new mothers about hygiene related to post-natal care involving breastfeeding, bottle feeding, personal hygiene, and hygiene of their baby.

Tram Kak District Water Project - CambodiaOnce all nine staff members can demonstrate and explain hand washing, they will then use this knowledge to lead trainings. The first training will be with the Village Health Volunteers. They will go through a similar workshop related to critical information about hand-washing and skills on how to train others.

In November, at the start of the new school year, the health center staff will lead a training with class monitors and selected teachers. All the trainings will cover proper hand-washing techniques, critical hand-washing times, and knowledge of hygiene.

The health center staff has accumulated savings over the past few years to help contribute 25% for supplies, materials, and labor of the project. Their contributions will mainly go toward training materials and their contribution of time to train others in the community.

Recently, the health center chief installed wall shelves and soap to accompany the sinks in the old health center as well as the maternity ward.

Project Impact
Over 1,000 people will benefit from this project.

Peace Corps Volunteer Directing Project
Shelby Farmer

Monitoring and Maintenance
The staff maintains the facilities on a daily basis. The health center chief takes responsibility in budgeting and contacting individuals to maintain the running water and in restocking the soap every month through the monthly budget assigned to the health center at the commune level.

In addition, the midwives’ training on hygiene related to maternal health care will be sustained through the constant flow of patients who come in for ANC and PNC check-ups. The sustainability of knowledge will occur during midwives’ interaction with this target audience.

In addition, the staff member responsible for outreach meets with the Village Health Volunteers when going to their village. He will assess retained knowledge of hand-washing during his outreach.

Comments
The new well and tank will provide running water, allowing midwives to perform safer, more hygienic deliveries, and will provide an opportunity to educate the community about basic hygiene.

This project has been paid for through a grant from the International Foundation.

Country: 
Funds Needed : 
Progress: 

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