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The CASHE Model: An Innovative Way of Implementing Decentralised Water and Sanitation Services in Uganda- Walude Mtwalib

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By Walude Mtwalib (info@amref.org) - AMREF

Although deaths and illnesses related to poor sanitation are entirely preventable, millions of people in developing countries continue to lose their lives every year. It is estimated that 80% of the disease burden in Uganda is associated with poor sanitation while diarrhoea alone accounts for 19% of all infant deaths. Despite the explicit commitments expressed by Uganda ’s decentralisation policies, the bulk of the water and sanitation activities are still implemented directly by district authorities. The CASHE model promotes capacity building of communities to implement their own water and sanitation services with emphasis on generating demand for sanitation and hygiene through social mobilisation by community resource persons. The result of the project activities has been cost-effective and equitable investment in sanitation and hygiene which optimizes utilisation of available community resources. It proved that community health workers when equipped with the necessary skills and knowledge can be effective in delivery of water and sanitation programmes.

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