Don’t Call Me a Street Child: Estimation and Characteristics of Urban Street Children in Georgia, 2009. by Katarzyna Wargan and Larry Dershem. UNICEF and USAID.

The Urban Street Children Study in Georgia, with joint support from USAID and UNICEF, has been carried out by Save the Children in collaboration with a multitude of state, non-governmental and academic actors. The research included four large urban centers in Georgia: Tbilisi, Kutaisi, Rustavi and Batumi1. The locations were determined through discussions with several stakeholders, based on a preliminary street children mapping exercise conducted by Save the Children in 2006. Key informants reported that the highest observed numbers of street children were in these four cities. This study is the first comprehensive assessment of street children ever done in Georgia and sets a unique precedent as few such studies have been carried out anywhere in the world. The research aimed to provide estimated numbers of street children in the four target urban locations and describe their characteristics so that evidence-based policy and programmatic recommendations could be drawn.

Source: Africa Population and Health Research Working Paper 42, 2008: Determining Appropriate Entry Point for Health Promoting Schools Intervention in Nairobi’s Informal Settlements. Osnat Keidar, Elliot M. Berry, Alex C. Ezeh, Milka Donchin.

“89% of the students do not use soap when washing hands in school and about 40% do not wash hands when out of school, hence the need for an intervention focusing on personal hygiene and healthy nutrition in their schools.”Before enrolling their children to a particular school, parents usually have to consider a number of factors. Quality of education and a school environment that assure the health and safety of the children are normally top on the list.

However, parents in Nairobi slums do not have the luxury of choosing schools based on such considerations. Instead they have to scramble for the little space available in the few schools that serve these communities, regardless of the environment. Out of a desperate need, many children from the slum communities are enrolled in schools where infrastructure is wanting and where poor sanitary and hygiene conditions pose a major health threat. A recent study by Osnat Keidar, Elliot M. Berry, Alex Ezeh and Milka Donchin ttled, “Determining appropriate entry point for health promoting schools intervention in Nairobi’s informal settlements” identified characteristics of school environment that could affect children’s health and academic performance in Korogocho and Viwandani slums of Nairobi, Kenya where APHRC conducts a continuous survey.

Twenty-two primary schools, in these two communities participated in the study. Only three schools reported that they occasionally provide soap for washing hands, a fact that could not be verified because the soap was not available in the three schools during the research visits. When assessing the toilet facilities, the study found that while the recommended ratio of the number of students per toilet is 1:25 for girls and 1:30 for boys, in these schools the ratio was 1:84 for both boys and girls. The situation is aggravated by limited access to water, with about 270 children relying on one tap, against the recommended standard set by Kenya’s Ministry of Education (MoE) of 50 students per tap.

The aim of the study was to assess school health needs and identify an entry point for the implementation of a Health Promoting Schools (HPS) initiative. This is an initiative of the World Health Organization (WHO) that aims to improve the health of school communities and academic performance of students through a comprehensive program that uses a major health need as an entry point for intervention.During the assessment, headteachers as well as school teachers and over one thousand students from classes 5 and 6 were interviewed. Among the schools studied, 16 were informal schools (not run by the government), which were either private (individual owned) or community (community owned). The other six were formal (government) schools. Government schools were observed to have a healthier school profile than private and community informal schools. School health profile comprises of ‘school’s health policies, structure, environment, community involvement, health related programs and topics integrated into the curriculum and extra-curriculum activities.’This finding speaks to the poor infrastructure found in these informal schools, which because of their informal nature are not accountable to government and do not comply with the regulations and standards of operation set by the MoE. However, the existence of these schools is significant as they serve a crucial need in these communities. The teacher student ratio shows that the government schools are overwhelmed. The public schools register a high rate of 53.6 while non-formal schools register 33.9 (community-owned) and 26.5 (private-owned).

Looking at the students’ health behaviors, the researchers found that 89% of the students do not use soap when washing hands in school and about 40% do not wash hands when out of school. There is also a high percentage of students who do not eat breakfast before coming to school (35%) and an almost equally high percentage of students who hardly eat fruits and vegetables. As a result, all those interviewed, head-teachers, students and teachers, unanimously identified a need for an intervention focusing on personal hygiene and healthy nutrition in their schools. Given that children from the slums tend to suffer from common infections such as pneumonia and diarrhea, the study recommends that the Ministry of Education in Kenya and other development partners allocate resources for ‘upgrading infrastructure in informal and formal schools that serve the informal settlements (slums) to enable them meet the national water and sanitation standards.

’Diarrhea cases among students could drastically reduce by ensuring personal hygiene in schools through the provision of soap and training them on hand-washing. Healthy nutrition in such deprived settings can also be promoted through regular and sustainable school feeding programs. Training of teachers on health issues is an important way of promoting health in schools, as it builds the teachers’ capacity to implement programs and to pass the skills they have acquired to the students and community at large. However, teachers from all schools in the study generally reported insufficient level of training on health related issues.Following the study, a “health promoting schools” pilot intervention, informed by the study’s findings and using personal hygiene as an entry point, has been initiated in 11 schools in Korogocho.

“This pilot intervention will hopefully scale up at a later stage, and will not only turn all schools into a safe and healthy environment for our children to grow and learn, but will go a long way in ensuring higher academic achievements,” concludes Osnat Keidar, the lead researcher on the study. Osnat is a visiting scholar at APHRC and the study is part of her PhD dissertation program.

NOUAKCHOTT, Jul 7 (IPS) – Ndey Sall, a resident of Sixième, one of the poorest suburbs in the Mauritanian capital Nouakchott, spends the equivalent of a dollar a day on water. That’s almost half of her income – not much left to pay for food, rent, or medicine if a family member falls sick.

Sixième, like many other slums in the capital, has no access to pipe borne water. Water is provided by private operators at great cost. Sall buys water daily from a privately-owned tank not far from her house at a cost of 200 ouguiya per litre.

Sall says she requires around 200 litres a day for cooking, drinking and washing for herself, her husband and their three children. It’s an enormous expense, but typical for Sixième residents, where almost everyone lives below the poverty line of two dollars a day.

“Everything is expensive: rent, cooking oil, transport. Everything is just expensive. I would like to urge the government to either reduce the price of water or increase people’s salaries.”

John Coker, a refugee from Sierra Leone who also lives in Sixième, laments the high cost of water in the slums.

“I buy water every day. I consume five 25-liter containers because this is the worst area of Nouakchott to live in terms of access to clean drinking water. So as you can see, I am spending a lot of money on water and this is affecting my budget greatly, because if you don’t have money and you go to that tap, they will never credit you….that place is cash and carry.”

Private water providers have dug their own wells at the foot of the rocky hills outside the capital. The water is transported in by truck to the slums. In addition to the private water tanks, there are a large number of donkey carts, piled high with plastic jerry cans, that roam the slums selling water door to door.

“I supply residents residents in Sixième a minimum of 75 jerry cans of water a day,” a boy driving the cart told IPS. “Each of the jerry cans contains 50 litres. It is a good business for me because I pay my rent from this job and I also take care of my aging parents. I hope to save enough money for myself to start my own business in future.”

Mauritania is estimated to be 75 percent desert so naturally there are acute problems with supplying water in most parts of the country. The problem in the capital is compounded by increased rural to urban migration, which is putting more pressure on the existing water infrastructure. Tens of thousands of people live in unplanned slums in the Mauritanian capital Nouakchott with minimal or basic amenities.

Hadrami Ould Khattri is head of a local NGO which focuses on sustainable water development for the rural and urban poor. He says government needs to overhaul water management and supply in the country.

“We all know that water is life…without water there is no life at all. This has been said and well known. And that is why the government needs to put in place a water policy with the local people and their representative being centre of it all in order to help these poor have access to safe drinking water,” he says.

“We’ve seen that there have been so many tragedies and epidemics and so many people get sick and get water-born diseases from those taps. It has also been noticed at hospitals that when people are diagnosed they discover that the origin of their sickness is normally due to the water they drink.”

Mauritanians are going to the polls to elect a new president on Jul. 18, following a coup in October 2008. Slum dwellers are now challenging political leaders to deliver on their promises of providing clean drinking water in the poor neighbourhoods. Khattri says any new elected president will have to treat the water problem in the slums seriously.

“Government really needs to invest, both in terms of funding water taps in different places and also let local people be involved in the management of that water as well,” he said.

“They also need to work on the (pricing) as well, because it is not fair at all that some of these poor people who are making a thousand times less than the average Mauritanian family pay three times more than what the richer people are paying.”

IPS made several unsuccessful attempts to talk to the Mauritanian government minister responsible for water resources about efforts to provide affordable clean drinking water to the people in the slums.

The ministry of water resources did respond in writing: “The government is concerned about the welfare of everybody in Mauritania including those living in the slums. Work has already begun to get a pipeline built from the Senegal-Mauritania River to ensure the availability of drinking water in Nouakchott and other big cities. This work will complete by 2011,” the statement read.

In the meantime, slum dwellers in the capital will continue to rely on expensive private water providers to access this precious commodity.

Source – IPS News

Fewer than ten H1N1 cases are confirmed in Africa, but health experts worry the disease may spread in the continent’s crowded slums.

The World Health Organization has reported that the H1N1 swine flu virus has now sickened just shy of 60,000 people. That’s the number of confirmed cased worldwide. Of those, fewer than 10 are in Sub-Saharan Africa. Yet the US Centers for Disease Control and Prevention fears Africa could be hit hard by the pandemic. The CDC watches for new diseases in Africa, and it’s keeping a close eye on the continent’s crowded slums.

Africa’s largest slum is a place called Kibera. More than a million people live in this shantytown on the edge of Kenya’s capital. It’s a sprawling area of open sewers amid a sea of tin roof shacks. Inside one shack, Yunus Mohamed interviews a young mother. Mohamed asks in Swahili if anyone in the household has been sick in the past two weeks. Mohamed is a community interviewer with a program run by the CDC and Kenya’s Medical Research Institute.

There are seven family members at this residence. They live together in two rooms. One of the children has a cough and a fever. Mohamed takes the girl’s temperature. The girl was tested at the hospital. She has a seasonal flu. The program Mohamed works for provides medical care for residents, but he is not here to treat the family’s illnesses. He’s here to collect data to help monitor for new diseases that may be spreading through the community. It would be hard to find worse conditions for good health. There is no running water and few here have access to electricity. The slum is an incubator for illness.

Dr. Robert Breiman heads the CDC’s Global Disease Detection Division in Kenya. Right now, his team is watching closely for swine flu: “In places where people are crowded into cramped quarters, and there are issues of sanitation and hygiene, the potential for a virus to be moved easily from person to person is larger. ”

“We’ve even seen evidence of a rise in seasonal influenza which we see every year.It moves through a community like Kibera within weeks instead of months or longer. So if you had some sort of doomsday pathogen that’s particularly harmful introduced into a place like this, the potential to spread to endanger other communities, and it’s one of the reasons we are doing this work in a place like this.”

Now, swine flu has not turned out to be a doomsday pathogen. So far, it has generally caused mild illness around this world. But in Kibera, more than 10 percent of adults are HIV positive.

And Harvard epidemiologist Marc Lipsitch says the disease could look very different among those with HIV.: “One reason to be concerned about that is that HIV positive people are at much higher risk of bacterial pneumonia, especially pneumococal pneumonia. Those pneumonias are often secondary complications of influenza infection as well.”

Lipsitch says it’s critical that medical workers keep an eye on how swine flu behaves if it arrives in a place like Kibera. The crowded conditions and poor health services might provide an environment where the virus could mutate in dangerous ways.

“There is definitely concern that this virus could become more virulent. Whether the vulnerable populations will be the locus of that is a complete unknown. I do think that the concern about either to virulence or to drug resistance or both are very serious ones and need to be monitored closely.”

The CDC is monitoring closely for any signs of swine flu. But CDC worker Yunus Mohamed says it can be hard to spot a new disease in a place where every day he sees serious symptoms: “Coughing, difficulties in breathing, pneumonia, diarrhea, yellow fever, yellow eyes, fever.”

Mohamed says swine flu is a serious concern — but in a place where malaria, tuberculosis, and AIDS are rampant, it’s just one more disease to worry about.

Source – PRI

Safe Water for All Harnessing the Private Sector to Reach the Underserved, 2009. (pdf, 2.5MB)

“In this report, we examine a range of technologies and revenue models intended to increase safe-water access among lower-income populations, with primary attention on East Africa, India, and China as important emerging markets.”

TABLE OF CONTENTS
EXECUTIVE SUMMARY
BACKGROUND
SECTOR OVERVIEW
Safe-water access needs to be significantly improved
Waterborne diseases cause significant social and economic burdens
Safe-water technology is effective; so, why isn’t it more widespread?
The safe-water market is growing rapidly
Challenges of safe-water market segments differ significantly
OVERVIEW OF BUSINESS MODELS
Legal structure
Access to financing
Entrepreneurial capacity
Partnerships
Revenue model
FACTORS INFLUENCING SCALE-UP OF SAFE-WATER PRODUCTS AND SERVICES
User awareness, consumer demand, and behavior
Product characteristics
Manufacturing and importation
Distribution Marketing
Financial barriers
GOVERNMENT AND POLICY ISSUES
The role of government in laying the groundwork for investment
The role of the international community in creating standards
ON THE HORIZON
New technologies
New delivery models
New partnerships
RECOMMENDATIONS TO ACCELERATE THE BOP SAFE-WATER MARKET
1. Strengthen the enabling environment
2. Strengthen commercial financial intermediaries.
3. Increase BOP consumer demand for safe-water technologies
4. Increase BOP consumers’ access to credit for water-related borrowing
5. Provide soft and flexible funding to safe-water entrepreneurs.
6. Invest in a portfolio of technologies and business models.
7. Invest as much in the entrepreneur as in the technology.
8. Identify and support enterprises that match products and strategies to the right market segments.
9. Improve technologies and business models through advisory services.
10. Incentivize producers of high-end technologies to target BOP markets.
APPENDIX I: COUNTRY REPORT: KENYA & UGANDA
Key findings:
East Africa
Safe-water sector overview
Case study: Ecotact Ltd. – Kenya
APPENDIX II: COUNTRY REPORT: INDIA
Key findings: India
Safe-water sector overview
Case study: Hindustan Unilever (HUL) and ACCESS
APPENDIX III: COUNTRY REPORT: CHINA
Key findings: China
Safe-water sector overview
Case study: Shangli Solar Cookers
SUGGESTED FURTHER READING

David Pennise, Simone Brant, Seth Mahu Agbeve, Wilhemina Quaye, Firehiwot Mengesha, Wubshet Tadele, Todd Wofchuck,

Indoor air quality impacts of an improved wood stove in Ghana and an ethanol stove in Ethiopia, IN: Energy for Sustainable Development, In Press, Corrected Proof, Available online 24 May 2009, ISSN 0973-0826, DOI: 10.1016/j.esd.2009.04.003.

This study was undertaken to assess the potential of two types of improved cookstoves to reduce indoor air pollution in African homes. An ethanol stove, the CleanCook, was tested in three locations in Ethiopia: the city of Addis Ababa and the Bonga and Kebribeyah Refugee Camps, while a wood-burning rocket stove, the Gyapa, was evaluated in Accra, Ghana.

In both countries, kitchen concentrations of PM2.5 and CO, the two pollutants responsible for the bulk of the ill-health associated with indoor smoke, were monitored in a before and after study design without controls. Baseline (`before’) measurements were made in households using a traditional stove or open fire. `After’ measurements were performed in the same households, once the improved stove had been introduced. PM2.5 was measured using UCB Particle Monitors, which have photoelectric detectors. CO was measured with Onset HOBO Loggers. In Ghana and Kebribeyah Camp, CO was also measured with Gastec diffusion tubes.

In Ghana, average 24-hour PM2.5 concentrations decreased 52% from 650 [mu]g/m3 in the ‘before’ phase to 320 [mu]g/m3 in the ‘after’ phase (p = 0.00), and average 24-hour kitchen CO concentrations decreased 40% from 12.3 ppm to 7.4 ppm (p = 0.01). Including all three subgroups in Ethiopia, average PM2.5 concentrations decreased 84% from 1 250 [mu]g/m3 to 200 [mu]g/m3 (p = 0.00) and average CO concentrations decreased 76% from 38.9 ppm to 9.2 ppm (p = 0.00). 24-hour average CO levels in households using both the Gyapa and CleanCook stoves met, or nearly met, the World Health Organization (WHO) 8-hour Air Quality Guideline. PM2.5 concentrations were well above both the WHO 24-hour Guideline and Interim Targets.

Therefore, despite the significant improvements associated with both of these stoves, further changes in stove or fuel type or household fuel mixing patterns would be required to bring PM to levels that are not considered harmful to health.

Hilde M. Toonen

Adapting to an innovation: Solar cooking in the urban households of Ouagadougou (Burkina Faso), IN: Physics and Chemistry of the Earth, Parts A/B/C, Volume 34, Issues 1-2, Sustainable Water Solutions, 2009, Pages 65-71, ISSN 1474-7065, DOI: 10.1016/j.pce.2008.03.006.

Most households in Sub-Saharan Africa rely on wood as primary energy source. The availability of wood is decreasing and deforestation is a major ecological problem in Sub-Saharan Africa. The scarcity of wood is demanding for a sustainable solution. The sun seems to provide a good alternative. Solar energy is free, without unhealthy smoke or chances to burns. The idea of using solar energy for cooking is not new: many different techniques have already been tested. Most variants are expensive, and therefore not available for most families in Sub-Saharan Africa. A cheap solar cooking device is the CooKit, a cardboard panel cooker covered with aluminium foil.

In the adaptation to the CooKit, as to all innovations, it is important that the users are convinced of the advantages. An important step in the adaptation process is learning how to use the cooking device; the best way to do this is by home practice. Monitoring and evaluating the real use is needed, for it is interesting to know if the CooKit is actually used, and also to find out how women have implemented the new technique in their kitchens.

In 2005, the SUPO foundation started a project in Burkina Faso: Programme Energie Solaire Grand-Ouaga (PESGO). The aim of PESGO is to introduce the CooKit in the urban households in Ouagadougou by providing training sessions and home assistance. In this paper, a mid-term review on this small-scale cooking project is presented. The possibilities and challenges of solar cooking are outlined, taking the urban context of Ouagadougou in account. In PESGO, dependence on weather conditions is found to be one of the challenges: if sunrays are blocked by clouds or dust in the air, the cooking will be slowed down. The CooKit cannot replace firewood entirely, and a complementary element has to be found. SUPO is exploring the use of Jatropha oil as a complement to the CooKit. The Jatropha plant is drought tolerant and its fruits contain oil which can be used as fuel substitute. Further research on its use is interesting, because the combination of the CooKit and Jatropha oil seems to have high potential in the kitchens of West-Africa.

Singapore—June 26, 2009—The World Bank today launched a new urban development program that supports cities in developing countries in their move towards greater ecological and economic sustainability.

Called Eco2 Cities – Ecological Cities as Economic Cities, the program recognizes that successful cities create economic value and opportunities for their citizens in an inclusive, sustainable and resource efficient way, while also protecting and nurturing the local ecology and global public goods, for future generations.

A three-part book on the Eco2 Cities Program presents the program’s analytical and operational framework along with profiles of effective and practical methods and tools. The next step is to put the framework into action in a first set of cities.

Launching the Eco2 program at a seminar in Singapore on “Liveable Cities in Asia”, the World Bank’s Hiroaki Suzuki – team leader of the Eco2 Cities program – said cities like Curitiba in Brazil, Stockholm in Sweden, Singapore, and Yokohama in Japan have demonstrated that they can greatly enhance their resource efficiency while decreasing pollution and unnecessary waste.

Eco2 Cities co-team leader, Arish Dastur said many cities have found imaginative and practical solutions even with limited budgets. “Sustainable planning is an investment in the future of a city’s economy and welfare,” he said. “The Eco2 Cities program is designed to enable cities in developing countries to put the theory into practice.”

Developed collaboratively by an international team of practitioners and experts from the urban, transport, energy, water and waste management sectors – the Eco2 program is based on real experiences, challenges and lessons learnt from cities in the developed and developing world. The program is building strong linkages with best practice cities like Curitiba, Singapore, Stockholm and Yokohama.

For more information on Eco2, go to www.worldbank.org/eco2.

Source: Reuters- FEATURE-Microinsurance industry sees profits from the poor

Indonesia – By Sunanda Creagh

JAKARTA, June 25 (Reuters) – Slum-dweller Krustin bin Juri lost everything when floodwaters swept through his home and shop on the banks of Jakarta’s filthy Ciliwung river two years ago.

But when the next flood hits, and it will because Jakarta sees frequent floods in the rainy season, bin Juri may have a modicum of protection thanks to a low-cost insurance policy that he purchased this month.

He is among millions of the world’s poor who are covered for natural disasters by cheap insurance, or microinsurance, as commercial firms recognise that insuring the poor is not just good public relations but also profitable.

“Interest in microinsurance has been exploding throughout the world,” said Craig Thorburn, a senior insurance specialist at the World Bank who has developed microinsurance programmes and who advises countries on insurance market development.

“New projects and proposals are being developed in more and more countries. Government policy-makers are reviewing their regulations and the microinsurance sector does not appear to have been slowed by the crisis.”

Microinsurance began as a form of charity in the 1990s, when the International Labour Organisation began experimenting with super-cheap insurance policies, said Michael McCord, president of the U.S.-based MicroInsurance Centre who recently discussed the topic with officials at Indonesia’s central bank.

In 1995, McCord said he developed an entirely commercial microinsurance product backed by insurer AIG, with a view to selling it through a microfinance institute in Uganda.

“This example showed that commercial microinsurance is possible and became the demonstration model that helped other commercial insurers recognise the low-income market as viable,” he said.

Within a decade, AIG’s Ugandan business covered about 1.6 million lives, and microinsurance premiums accounted for nearly 17 percent of its Ugandan unit’s profits.

Today, a $1,000 life insurance policy sells for just $1 a year in Uganda, McCord said, making it affordable to the poor. He estimates that about 135 million low-income people worldwide are now covered by cheap insurance, up from 78 million two years ago.

Investors are seeing potential in what could be a multi-billion dollar industry. The Leapfrog Financial Inclusion Fund announced last week that it had raised $44 million for what it said was the world’s first microinsurance fund.

“The world desperately needs market-based solutions to poverty that draw in major financial investors by offering fair but competitive returns,” said Dr. Andrew Kuper, President and Founder of LeapFrog, a Luxembourg-based fund.

“Microinsurance is both profitable and scalable,” he was quoted as saying on the fund’s website. The fund will invest in India, Pakistan, South Africa, Ghana and Kenya, it added.

MIXED SUCCESS

Some governments have taken a more active role in promoting such insurance schemes to the poor. For example in India, it is compulsory for insurer firms to offer a microinsurance product, though the results have been mixed.

In practice, only about a third of India’s insurance firms offer such products, said Rupalee Ruchismita, founder of the Centre for Insurance and Risk Management in India, which works with insurers and microfinance firms to develop livestock, health, weather, and catastrophe insurance plans.

“Most insurance firms are doing it simply to meet targets or to be in the good books of the regulators, and their argument is that it is very difficult to reach the intended audience,” she said.

Insurance experts, including Ruchismita and McCord, said such microinsurance schemes tend to be more successful when a community-based organisation works in partnership with a private insurer, as both have strengths in different areas.

For insurers, the sheer number of potential customers in the low-income bracket makes this an attractive market.

“About 80 percent of the world population live in emerging markets but they account for only 22 percent of global GDP and 9 percent of global premiums,” said Kua Ka Hin, Munich Re’s chief executive for Singapore and Southeast Asia.

“These emerging markets still offer huge potential; they have got the large numbers which underline the principle of insurance.”

Kua says Munich Re is looking at microinsurance products in Asia covering earthquakes, typhoons and even loss of income for businesses forced to close because of a flu, or H1N1, pandemic.

FLOOD-PRONE JAKARTA

Last month, Munich Re began a trial of the world’s first flood microinsurance policy in flood-prone central Jakarta.

Residents in Manggarai district pay 50,000 rupiah ($4.88) for a flood “cash card” that can be cashed in for 250,000 rupiah if floodwater levels rise to or above 9.5 metres at the Manggarai Water Gate, which is 2 metres above normal levels.

So far only 50 policies have been sold, partly because the insurance only covers the very worst floods, not the recurrent knee-high flooding that can still ruin homes and possessions.

“People say 950 cm is too high and it’s unlikely to happen. Also, the payout, they said, is too small,” said Francis Purwanta, a spokesman for Munich Re’s local partner, Asuransi Wahana Tata, which sells the policies, pays out claims, and is then reimbursed by Munich Re.

“So we try to explain that it has happened before, at least three times in five years,” said Purwanta.

The idea of making a profit off the very poorest members of society is also controversial. Yet supporters say it is necessary if insurance companies are to back such policies.

“Companies can and should make profits of the low-income market. This is the only way we will get commecial insurers in the market,” said McCord, who adds that non-profit organisations working alone rarely have the technical expertise to calculate the risks and then design an effective insurance program.

“A commercial approach is what’s needed here, across the board. But what helps a lot is using institutions that people trust to deliver the product.”

However, some critics, such as Wardah Hafidz, from the Indonesian non-government organisation Urban Poor Consortium, suggest that governments are evading their responsibilities by expecting poor people to take out private insurance policies.

“The government should be giving protection from disasters to these people instead of assisting private business to target poor people to sell them their products,” she said.

The argument is less philosophical for flood victims such as Bin Juri who knows what it’s like to see his precious possessions washed away and is well aware that the 250,000 rupiah insurance policy he holds would be inadequate to cover his losses if another flood struck his home.

“That alone cost 90,000 rupiah,” he said, pointing to a large cooking pot at his feet. “But it’s some money at least.” ($1=10080 Rupiah) (Additional reporting by Rina Chandran in Mumbai; Editing by Sara Webb and Megan Goldin)

ugandaDeveloping countries aim to cut the proportion of people without safe drinking water in half by the year 2015, as stipulated by the United Nation’s Millennium Goals. Uganda has set a more ambitious target of 100 percent water access for its urban citizens as part of its National Poverty Eradication Action Plan. The country has launched a “pay-as-you-drink” public water project to pave the way.

With her baby strapped to one hip and a jerry can to the other, Aisha Nakawesa used to trek several miles from her home in the Ndeeba district of Kampala to get her family water. Once she reached the water point, she would pay eight cents to fill a 20 liter jerry can with water. Now, Nakawesa says she can fill six cans for the same price by inserting a token into a metal water unit right next to her home.

It is called a pre-paid water meter and this past year Uganda’s National Water and Sewerage Corporation installed 400 of them in the impoverished Ndeeba and Kisyeni sections of Uganda’s capital Kampala. The water points serve around 130,000 residents, a number that is expected to quadruple within the next year in Kampala with the launch of a World Bank funded extension of the project.

Residents pay standard rates directly to the government water operator each time they fill-up says Jon Bosco-Otema, Urban Pro-Poor manager at the National Water and Sewerage Corporation. “National water in the past used to bill customers at the end of the month and you don’t know how much you have consumed, don’t know how much you should prepare. But, with pre-paid meters you manage yout account and also pay-as-you-drink,” he said.

This is the first step in Uganda’s official pledge to make water access available in 100 percent of urban areas by 2015.

Several organizations warn the prepaid system can be abused. They cite Namibia where private operators installed prepaid meters that charge prohibitive costs to the poor. This arguably limits full access to water which is designated as a human right under Uganda’s constitution.

Uganda’s Pre-Paid Meter Project Manager Bosco-Otema responds that Uganda’s system is fully regulated by the government and the minimal amount the poor do pay for the water saves them money in unnecessary health costs associated with contaminated water. “Clean and portable water is very important in the lives of the urban poor. Almost 40 percent of diseases are water related and as results like diarrhea, dysentery, cholera – all this can be avoided by just having clean water,” he said.

Early next month governmental agencies from Tanzania and Kenya are scheduled to visit Uganda to discuss the expansion of prepaid meters across East Africa.

Source – Voice of America, June 21, 2009