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	<title>Comments on: Water and community justice</title>
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	<link>http://blog.nyayahealth.org/2010/02/14/water-and-community-justice/</link>
	<description>Working towards Health Equity and Access in Rural Nepal</description>
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		<title>By: alka rambhia</title>
		<link>http://blog.nyayahealth.org/2010/02/14/water-and-community-justice/comment-page-1/#comment-126</link>
		<dc:creator>alka rambhia</dc:creator>
		<pubDate>Tue, 23 Feb 2010 15:17:11 +0000</pubDate>
		<guid isPermaLink="false">http://blog.nyayahealth.org/?p=1145#comment-126</guid>
		<description>Hi Chin
I do have water experieance to share. Growing up we use to get water 1 hour in the morning and 1 hour in the evening in our own home. right from river.  We would fill up about 8-10 buckets and some big pots and try to finish major laundry washing in that time. We were always careful about using water. Some times when water pressure is not good specially in summer we will go to ground floor to a shared tap to fill our buckets and carry them to second floor. And some times when everybody is trying to get water about 3-4 families from same place there would be arguments and verbal fights. Now thinking back I laugh about it but that time it was intense.
During the mansoon we use to collect rain water and clean it because some times river water would be very hazy and not clean.</description>
		<content:encoded><![CDATA[<p>Hi Chin<br />
I do have water experieance to share. Growing up we use to get water 1 hour in the morning and 1 hour in the evening in our own home. right from river.  We would fill up about 8-10 buckets and some big pots and try to finish major laundry washing in that time. We were always careful about using water. Some times when water pressure is not good specially in summer we will go to ground floor to a shared tap to fill our buckets and carry them to second floor. And some times when everybody is trying to get water about 3-4 families from same place there would be arguments and verbal fights. Now thinking back I laugh about it but that time it was intense.<br />
During the mansoon we use to collect rain water and clean it because some times river water would be very hazy and not clean.</p>
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		<title>By: Brian Englum</title>
		<link>http://blog.nyayahealth.org/2010/02/14/water-and-community-justice/comment-page-1/#comment-125</link>
		<dc:creator>Brian Englum</dc:creator>
		<pubDate>Mon, 15 Feb 2010 22:06:04 +0000</pubDate>
		<guid isPermaLink="false">http://blog.nyayahealth.org/?p=1145#comment-125</guid>
		<description>Chin-

Stong work!  I think the point you make about involving the Hosital in collaboration with government and local structures is right on.  Rather than considering the decision a failure due to the unfortunate outcomes, it&#039;s really a triumph in process.  Every difficulty that arises can be a learning and empowerment opportunity for these structures.  The only real problem is deciding how many of these challenges you can take on without being completely sidetracked from more direct healthcare activities.

I think that the water issues in Benin were different from those you&#039;re experiencing.  The health center in my village of Kalale (the largest center for a population of about 100,000, no real inpatient unit, no OR, mostly birthing/outpatient care) had a foot powered water pump.  In 2005, the village finally built a water tower with 10 faucets throughout a village of 10,000 people.  The faucets only functioned in the dry season, because water was otherwise fairly available through open wells and streams.  People were only willing to pay the water fee when other sources were maybe a half mile or more from home.

The main struggle in Kalale was convincing people and government the importance of clean drinking water.  Water-borne diseases -guinea worm, viral diarrhea, parasites -were prevalent, but no so dramatically that you could convince people to pay for clean pump water.  Despite widely available water well treatment programs, convincing local governments to fund and adhere to such programs was difficult.  

My most dramatic water experience actually occured on a trip to the Sahara in Niger, where we attended a nomadic herding festival of the Tuareg and Woodabe (Fulani) peoples called the cure salee.  The festival took place near a single well.  To get to water, a camel would pull the cord attached to a bucket at the base of well so deep that we couldn&#039;t see it the water from the surface.  By the time the bucket arrived at the surface, the camel had walked over 200 m from the well.  To make matters worse, there was no system as to who got the water that came to the surface.  A small fight would break out among the thirsty line of waiting people, spilling half the contents of the 20 L bucket that took 10 minutes to reach the surface.  Despite being free, the water took on a new value, and I began wondering how much longer this area would be able to sustain the herds of these nomads.

With climate and environmental changes added to the continuing human population explosion, water issues will become increasingly prevalent throughout the world.  Learning to deal with them now in a tranparent way that involves the community will only pay dividends in the future.</description>
		<content:encoded><![CDATA[<p>Chin-</p>
<p>Stong work!  I think the point you make about involving the Hosital in collaboration with government and local structures is right on.  Rather than considering the decision a failure due to the unfortunate outcomes, it&#8217;s really a triumph in process.  Every difficulty that arises can be a learning and empowerment opportunity for these structures.  The only real problem is deciding how many of these challenges you can take on without being completely sidetracked from more direct healthcare activities.</p>
<p>I think that the water issues in Benin were different from those you&#8217;re experiencing.  The health center in my village of Kalale (the largest center for a population of about 100,000, no real inpatient unit, no OR, mostly birthing/outpatient care) had a foot powered water pump.  In 2005, the village finally built a water tower with 10 faucets throughout a village of 10,000 people.  The faucets only functioned in the dry season, because water was otherwise fairly available through open wells and streams.  People were only willing to pay the water fee when other sources were maybe a half mile or more from home.</p>
<p>The main struggle in Kalale was convincing people and government the importance of clean drinking water.  Water-borne diseases -guinea worm, viral diarrhea, parasites -were prevalent, but no so dramatically that you could convince people to pay for clean pump water.  Despite widely available water well treatment programs, convincing local governments to fund and adhere to such programs was difficult.  </p>
<p>My most dramatic water experience actually occured on a trip to the Sahara in Niger, where we attended a nomadic herding festival of the Tuareg and Woodabe (Fulani) peoples called the cure salee.  The festival took place near a single well.  To get to water, a camel would pull the cord attached to a bucket at the base of well so deep that we couldn&#8217;t see it the water from the surface.  By the time the bucket arrived at the surface, the camel had walked over 200 m from the well.  To make matters worse, there was no system as to who got the water that came to the surface.  A small fight would break out among the thirsty line of waiting people, spilling half the contents of the 20 L bucket that took 10 minutes to reach the surface.  Despite being free, the water took on a new value, and I began wondering how much longer this area would be able to sustain the herds of these nomads.</p>
<p>With climate and environmental changes added to the continuing human population explosion, water issues will become increasingly prevalent throughout the world.  Learning to deal with them now in a tranparent way that involves the community will only pay dividends in the future.</p>
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		<title>By: Lee Goeddel</title>
		<link>http://blog.nyayahealth.org/2010/02/14/water-and-community-justice/comment-page-1/#comment-124</link>
		<dc:creator>Lee Goeddel</dc:creator>
		<pubDate>Mon, 15 Feb 2010 18:59:34 +0000</pubDate>
		<guid isPermaLink="false">http://blog.nyayahealth.org/?p=1145#comment-124</guid>
		<description>Nairobi, Kenya is a sprawling concrete web of highway and roundabout with too few lanes to accommodate the expanding sea of automobiles amidst crowds of courageous pedestrian traffic.  The city architecture complements the industrial theme of a new West Africa, symbolizing the struggle of urbanization in the setting of a lagging infrastructure.  This last year the rainy season ended but the dry season did not.  Extending much longer than usual there was no rain to cultivate the little green spaces in the city or to replenish the city&#039;s water supply.  Even the wealthy neighborhoods submitted to rolling &quot;water-outs&quot; in addition to the more common electricity &quot;black-outs&quot; to conserve resources.  For a city so big, these plans only minimized the impact.  
The Masai tribe among others were forced to break the law.  The indigenous Masai tribe living on the outskirts of the city are banned from grazing their cattle within a certain radius of the city.  Their fields barren, they started to graze their emaciated livestock within city limits.  In the slums with the immense heat and little potable water, mortality rates higher than before.
 In \scientific circles we talk about the dangers of global warming.  With increased temperatures the world over, water evaporation patterns change.  What was once luscious, may dry.  What once was arid, may become deluged.  Nairobi  in the heart of West African development  may die of thirst one day if the rainy season fails to come.</description>
		<content:encoded><![CDATA[<p>Nairobi, Kenya is a sprawling concrete web of highway and roundabout with too few lanes to accommodate the expanding sea of automobiles amidst crowds of courageous pedestrian traffic.  The city architecture complements the industrial theme of a new West Africa, symbolizing the struggle of urbanization in the setting of a lagging infrastructure.  This last year the rainy season ended but the dry season did not.  Extending much longer than usual there was no rain to cultivate the little green spaces in the city or to replenish the city&#8217;s water supply.  Even the wealthy neighborhoods submitted to rolling &#8220;water-outs&#8221; in addition to the more common electricity &#8220;black-outs&#8221; to conserve resources.  For a city so big, these plans only minimized the impact.<br />
The Masai tribe among others were forced to break the law.  The indigenous Masai tribe living on the outskirts of the city are banned from grazing their cattle within a certain radius of the city.  Their fields barren, they started to graze their emaciated livestock within city limits.  In the slums with the immense heat and little potable water, mortality rates higher than before.<br />
 In \scientific circles we talk about the dangers of global warming.  With increased temperatures the world over, water evaporation patterns change.  What was once luscious, may dry.  What once was arid, may become deluged.  Nairobi  in the heart of West African development  may die of thirst one day if the rainy season fails to come.</p>
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