E T A W

H T L A E H & R

E F N CO

6 1 0 2 E C N E R

WHERE SCIENCE MEETS POLICY

10 - 14 October 2016 # UNCwaterandhealth

# UNCwaterandhealth

Quiet Work Space: Wintergreen Room Open Work Space: Willow Room

7:30 AM 8:30 AM -10:00 AM 10:00 AM - 10:30 AM 10:30 AM -12:00 PM 12:00 PM - 1:00 PM 1:00 PM - 2:15 PM 2:30 PM - 3:30 PM 3:30 PM - 4:00 PM 4:00 PM - 5:00 PM 5:00 PM - 6:30 PM

MONDAY Registration Opens Side Events Break Side Events Lunch Opening Keynote Verbal Presentations Break Verbal Presentations Reception

TUESDAY Registration Opens Side Events Break Side Events Lunch Theme Keynote Verbal Presentations Break Verbal Presentations Poster Reception

7:30 AM 8:30 AM -10:00 AM 10:00 AM - 10:30 AM 10:30 AM -12:00 PM 12:00 PM - 1:00 PM 1:00 PM - 2:15 PM 2:30 PM - 3:30 PM 3:30 PM - 4:00 PM 4:00 PM - 5:00 PM 5:00 PM - 6:30 PM 6:30 PM - 8:00 PM

WEDNESDAY Registration Opens Side Events Break Side Events Lunch Plenary Panel Verbal Presentations Break Verbal Presentations Poster Reception Conference Dinner

THURSDAY Registration Opens Side Events Break Side Events Lunch Theme Keynote Verbal Presentations Break Verbal Presentations Poster Reception Open Time

Overview

Conference Schedule

FRIDAY Registration Opens Side Events Break Side Events Lunch

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Overview

Table of Contents Overview Conference Schedule at a Glance....................................................... 1 General Information............................................................................... 4 Transportation......................................................................................... 5 Detailed Schedules Monday...................................................................................................... 7 Tuesday...................................................................................................... 15 Wednesday............................................................................................... 23 Thursday.................................................................................................... 32 Friday......................................................................................................... 41 Speakers.................................................................................................... 43 Sponsors................................................................................................... 48 Special Events........................................................................................... 54

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Overview

General Information CONFERENCE LOCATION The Friday Center - 100 Friday Center Drive, Chapel Hill, NC 27517 (919) 962-3000 INTERNET Wireless Network is “UNC Guest”. Click “Connect”, then “Agree to Terms” in order to connect. LOST & FOUND Please see The Friday Center Information desk. CONFERENCE HOTELS Marriott Courtyard (across from The Friday Center) 100 Marriott Way Chapel Hill, NC 27517 (919) 883-0700 or (800) 321-2211

Aloft (west of The Friday Center) 1001 S. Hamilton Rd. Chapel Hill NC 27517 (919) 932-7772 or (866) 716-8143



Hampton Inn & Suites Chapel Hill (east of The Friday Center) 6121 Farrington Rd. Chapel Hill, NC 27517 (919) 403-8700 or (800) 426-7866



Holiday Inn Express Chapel Hill (east of The Friday Center) 6119 Farrington Rd. Chapel Hill, NC 27517 (919) 489-7555 or (800) 465-4329

SHOPS & RESTAURANTS Franklin Street (downtown Chapel Hill) Shopping and Dining information: downtownchapelhill.com Parking information: parkonthehill.com

Downtown Carrboro Information: townofcarrboro.org/9/For-Visitors



Meadowmont Village (straight across Rt. 54, - 5 minute walk) UPS store (mailing & copy services), Wells Fargo Bank, Maupin Travel, Great Clips Haircuts, Elegance Dry Cleaners, Starbucks Coffee Shop, Harris Teeter Grocery Store, and various restaurants



New Hope Commons (15428 New Hope Commons Drive, Durham, NC 27707) Walmart, Best Buy, FedEx office Print/Ship Center, Marshalls, Barnes &Noble



Printing and Shipping - FedEx office Print/Ship Centers 114 West Franklin Street, Chapel Hill, NC 27516 (Hours: M-F 7a-11p; Phone: (919) 967-0790) 5319 New Hope Commons Drive, Durham, NC 27707 (Hours: M-F 7:30a – 9p; Phone (919) 402-8160)



Target in South Durham (8210 Renaissance Pkwy, Durham, NC 27713) Hours: Mon-Fri 8am – 11pm, Sat 8am – 12pm, Sun 8am – 11pm Triangle Transit Bus 800

Streets at Southpoint Mall (off of route 40 East at 751 South) More than 170 stores, restaurants and AMC movie theatres. Hours: 10am - 9pm Triangle Transit Bus 800

SPECIAL NOTIFICATIONS In the case of any situation requiring the delay or cancellation of events, attendees will receive an email* by 6:30 am the morning of the event. Notification will also be posted on the conference website home page. *NOTE: email is based on registration information. If someone else registered you and listed their email instead of yours, you will need to contact them or check the conference website: waterinstitute.unc.edu/waterandhealth 4

Overview

Transportation TRANSPORTATION Hotel Shuttles: Please contact your hotel directly (see above) to schedule service. **Please plan to be at the pick-up location at the appointed time (shuttle drivers do not wait). Taxi Service **Before entering the taxi, confirm that you are the intended passenger (provide your name).

Chapel Hill Taxi Service (919) 407-9747 or ChapelHillTaxiService.com 20% senior citizens discount and student ID discounts



GoodFellas (919) 537-2078 or goodfellastaxinc.com



RDU Airport Taxi (919) 840-7277



RDU Express Taxi (919) 771-8222 or (800) 840-8098 or RDUExpressTaxi.com with student/faculty ID, receive a lower rate to the airport



Tar Heel Taxi (919) 933-1255



Uber - sign up for UBER at get.uber.com

Bus Service Triangle Transit Bus Service: triangletransit.org/ride Chapel Hill Transit Bus Service: townofchapelhill.org/town-hall/departments-services/transit The routes that serve the Friday Center directly are the S and the HU. The FCX runs throughout the day from the park and ride lot on the north side of the building. There is also the V route, which runs from Meadowmont, across the street. Directions from the Friday Center to Nearby Locations Downtown Chapel Hill and UNC Campus 135 East Franklin Street, Chapel Hill, NC 27514 UNC campus, Student Stores, Walgreens, CVS, Fex Ex/Kinkos, shops, bars, restaurants Transportation: FCX, HU, S, or V Chapel Hill Transit bus to Student Stores. Then walk or take U/RU to Franklin St.

New Hope Commons 5428 New Hope Commons Drive, Durham, NC 27707 Walmart, Barnes & Noble Bookstore, Marshall’s, Best Buy Transportation: Taxi or Uber



Streets at SouthPoint 6910 Fayetteville Road, Durham, NC 27713 Nordstrom, Macys, Belk’s department stores, other shops and restaurants Target (8210 Renaissance Parkway) Transportation: 800 (Go Triangle)s

Special Events Bus Service Shuttle to Shopping Friday, October 14, 1-7 pm Our standard shuttle service will extend to include stops at nearby SouthPoint Mall and Target shopping center. Tickets for this special service are available for $10 - cash only. Please visit the registration desk to secure your ticket. Tickets must be purchased by end of day Wednesday.

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SAVE THE DATE

Water Microbiology 2017 May 15-19, 2017 Concurrent with the 2017 Water Microbiology Conference will be the 2017 IWA Health Related Water Microbiology Conference, also hosted by The Water Institute at UNC. IWA participants will be able to participate in all Water Microbiology Conference sessions as well as several IWA only sessions. Information regarding abstract and proposal submission, as well as registration fees, will be announced in late 2016.

Water and Health 2017 October 16-20, 2017 Our eighth annual Water and Health Conference:Where Science Meets Policy considers drinking water supply, sanitation, hygiene and water resources in both the developing and developed worlds with a strong public health emphasis.

http://waterinstitute.unc.edu/conferences

MONDAY 8:30 AM - 10:00 AM Side Events Open Meeting of the Regional Coalition for Water and Sanitation to Eliminate Cholera in Hispaniola Convened by Regional Coalition for Water and Sanitation to Eliminate Cholera in Hispaniola

LOCATION Azalea

Monday

This side event will consist of a meeting and strategic planning session for the Regional Coalition for Water and Sanitation to Eliminate Cholera in Hispaniola. The event will be open to all interested attendees at the UNC Water and Health Conference, and will discuss issues that apply to cholera and disaster recovery beyond Haiti. The largest cholera outbreak in modern history began in Haiti in October, 2010, less than 10 months after an earthquake had devastated the capital Port au Prince and surrounding areas in January of the same year. In January of 2012, the governments of Haiti and the Dominican Republic (DR), with support from the Pan American Health Organization (PAHO), the US Centers for Disease Control and Prevention (CDC) and UNICEF, issued a Call to Action for a Cholera-Free Hispaniola. The Call to Action appealed for an international effort to move from cholera control to cholera elimination through essential investments in water, sanitation and hygiene (WASH) infrastructure. Following the Call to Action, PAHO, CDC and UNICEF, in conjunction with the Haitian and DR governments, formed the Regional Coalition for Water and Sanitation to Eliminate Cholera in Hispaniola in June 2012. The aims of the Coalition include highlighting the issue of cholera in Hispaniola to help support the national plans of action in Haiti and the DR to eliminate cholera, coordinating efforts among Coalition partners, and providing technical expertise. The Coalition has grown to include over 20 institutional members, including International Organizations such as the World Bank and InterAmerican Development Bank, Non-governmental Organizations (NGOs) including the Millennium Water Alliance, Catholic Relief Services and World Vision, Professional Organizations, and the Private Sector. The Coalition also published a series of invited professional papers in the American Journal of Tropical Medicine and Hygiene on the cholera epidemic in Haiti.

Developing Climate-Resilient and Sustainable WaSH Solutions in Small Island Developing States (SIDS) Convened by Griffith University, International Water Centre, University of Alabama and The Water Institute, University of North Carolina

Bellflower

The task of delivering sustainable, climate-resilient WaSH services in Small Island Developing States (SIDS) is a major challenge for governments and the wider development community. Indeed, progress towards the WaSH Millennium Development Goals (MDGs) targets has been relatively poor in SIDS, due to their isolated geography, small and predominantly rural populations, thin human resource capacity, and diverse cultural contexts. In addition to these non-climatic challenges, climate change threatens lives and livelihoods and the delivery of sustainable WaSH services in many SIDS. Climate change is directly affecting the WaSH sector through changes to the water cycle rainfall, extreme events, storm surge, saltwater intrusion and sea level rise which is impacting both the availability and quality of water for human use. To promote WaSH resilience and incorporate issues of water security, water quality and climate change adaptation (CCA) into WaSH development activities, interventions must be evaluated and planned in a whole of catchment and more integrated context. In this session we highlight the WaSH and climate change challenges facing SIDS, particularly in relation to the Sustainable Development Goals (SDGs) and the Paris Climate Agreement, which include WaSH, CCA and Disaster Risk Reduction (DRRM) targets. To do this, we view WaSH through an Integrated Water Management (IWM) lens, and in the broader context of sustainable development and the DRRM cycle. To provide context of the rural communities at risk of climate change impacts and in need of WaSH services, we will present findings of household survey and focus group studies in the flood-prone Solomon Islands and the drought-prone Republic of the Marshall Islands. We will discuss the use of multiple water sources by households in remote communities and the role and interactions between traditional and modern adaptation strategies (like small scale reverse osmosis water treatment systems) and the impacts that these solutions might have on the long-term sustainability and vulnerability of remote communities. Our evaluation of the policy context for SIDS comes from our research experience across multiple Pacific countries (Fiji, Vanuatu, Solomon Islands, Papua New Guinea and the Republic of the Marshall Islands). We will present our findings of the extent to which CCA and DRRM are mainstreamed in WaSH policies, and where policies take a systems approach to include WaSH as part of the broader water cycle. These findings include recommendations from government and NGO partners for how mechanisms to promote integration of WaSH, CCA and DRRM could be strengthened. Bringing our research together, we will then share our framework for assessing climate change adaptation options for water and sanitation in Pacific Island Countries. The framework uses a Bayesian Belief Network (BBN) model to represent the water and sanitation and climatic settings of remote communities and it can be used to aid government and other stakeholders in their evaluation of adaptation options and climate risks for rural communities. Presentations from the research team, interactive discussions sessions, and a concluding Q&A panel with invited panellists will enable participants to learn more about WaSH settings and climate change adaptation options in SIDS and to explore climate change adaptation alternatives in the context of an integrated water management perspective.

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8:30 AM - 10:00 AM Side Events (continued) The Role of Advocacy to Achieve the SDGs: Building Civil Society Capacity for WASH and IWRM Convened by IRC, Simavi, Wetlands International, and Akvo

LOCATION Dogwood

Monday

Civil society organizations (CSOs) play a key role in government accountability; influencing policies and budgets; and increasing citizen engagement. Advocacy is an important component to achieve all of SDG 6. To achieve universal coverage of sustainable WASH services, actors in the WASH space need to address the governance challenge as well. CSOs can help drive the realization of the human rights to water and sanitation and equitable, sustainable allocation of water resources. There are a multitude of approaches civil society can use to influence national and sub-national WASH agendas. In many countries CSOs work in collaboration with government to support joint sector reviews and/or participate in national dialogues. Despite the extensive opportunities for civil society to engage and advocate, it is often done ad hoc or is based on the needs of an organization and lacks coordination and planning. Watershed: Empowering Citizens is a strategic partnership between the Dutch Ministry of Foreign Affairs and IRC, Simavi, Wetlands International, and Akvo. The program is designed to strengthen policy and advocacy capacity of civil society globally focusing on the linkages between WASH and IWRM. This session will share the outcomes from the policy and stakeholder analyses in six countries (Kenya, Uganda, Ghana, Mali, Bangladesh, and India) as well as regional and global analyses. These analyses provide insight into the gaps in advocacy capacity of civil society to support the government to achieve both the WASH and IWRM components of SDG 6. These assessments explore legal frameworks, national plans, enabling environments, links between WASH and ecosystems, and much more. In addition to presenting the policy analyses, representatives from each of the countries will provide an overview of the key stakeholders and the analysis done to help guide partnerships and targets. Participants will leave with an increased knowledge of the advocacy potential in the six program countries, regionally, and globally.

Meeting the SDGs in Latin America and the Caribbean: The challenges of monitoring universal access to sustainable and equitable WASH services. Convened by CRS, IRC, WaterAid and WfP

Mountain Laurel

After the adoption of the Sustainable Development Goals (SDGs) in September 2015, countries all over the world are presently designing strategies and plans that seek to achieve the objectives of sustainable development and commitment to full coverage with sustainable and equitable WASH services by 2030. Existing evidence indicates that Latin America and the Caribbean (LAC) has a relatively high coverage with 95% of the population with access to safe water and 83% with access to improved sanitation services (88% urban and 64% rural) ( JMP, 2015). The region met the MDGs for water and was not too far off in reaching the MDG for sanitation. The question is whether this relatively positive situation in the WASH sector is an evenly positive starting point for reaching the SDGs in the LAC region by 2030. This session will highlight the value of and some of the challenges to WASH service monitoring as a key building block for an effectively performing national WASH sector capable of reaching universal access by 2030. The session will propose a system strengthening approach for addressing the main challenges, and will focus on the challenges of achieving universal access, particularly reaching indigenous peoples and highly dispersed rural populations.

Monitoring Basic Sanitation and Hygiene Within SDG Target 6.2: Towards Universal Coverage Convened by WHO & UNICEF

Redbud

The principal indicator for monitoring sanitation in the SDGs, safely managed sanitation services, goes beyond basic sanitation to examine questions of wastewater treatment and reuse, and faecal sludge management. However, many countries have substantial challenges to improve coverage of basic sanitation services, which are a necessary precursor to safely managed systems. This session will examine aspects of basic sanitation that will be monitored by the WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (JMP) over the SDG period, including open defecation, disposal of child faeces, and the use of private and shared improved sanitation facilities. Indicators of hygiene will also be considered, notably the presence of hand-washing materials at the household level. As monitoring of basic services draws primarily on data from household surveys and censuses, inequalities can be readily highlighted by disaggregation by various stratifiers of inequality. A panel discussion session will focus on challenges of monitoring these levels of service, aligning them with national priorities and policies, and the linkages with the higher level of service reflected in the safely managed sanitation services indicator.

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8:30 AM - 10:00 AM Side Events (continued) Annual Meeting of the WHO/UNICEF International Network on Household Water Treatment and Safe Storage Convened by WHO, United Nations Children’s Fund, and The Water Institute at UNC

LOCATION Sunflower

Monday

Household water treatment and safe storage (HWTS) is an important public health intervention to improve the quality of drinking-water and prevent water-borne disease at the point of use. When effective methods are used correctly and consistently, HWTS can reduce diarrhoeal disease by as much as 45%. The goal of the WHO/UNICEF International Network on Household Water Treatment and Safe Storage (the Network) as described in its Phase II (2011-2016) strategy is to contribute to a significant reduction in water-borne and water-related vector-borne diseases, especially among vulnerable populations, by promoting household water treatment and safe storage as a key component of community-targeted environmental health programmes. The Network includes those international, governmental and non-governmental organizations, private sector entities and academia that subscribe to the above mission. Under the current strategy, the four main areas of Network activities are: research, implementation and scaling up, creating an enabling environment, and monitoring and evaluation. The overall aim of the 2016 Network meeting is to share challenges, successes and lessons learned among Network participants in the key areas of strategic activities. The Network is at the end of its Phase II strategy (2011-2016), and therefore part of the discussions will focus on planning for Phase III.

WASH UP! Empowering Children as WASH Agents of Change in Rural Zambia Convened by Sesame Workship and World Vision

Windflower

The learning workshop session aims to orient researchers, academics, and practitioners to various components of WASH UP!, a water, sanitation, and hygiene education program led by the Sesame Street Muppets and currently implemented in three provinces in rural Zambia thanks to a strategic partnership with World Vision US and World Vision Zambia. Participants will be lead through the creation of Raya, a Muppet character designed specifically for WASH, the development of global messaging, the use of child-centered learning material, and what it means to train, implement, and monitor on the ground in very low-resource settings. The session will also discuss goals for program growth and comprehensive evaluation of the program.

10:00 AM - 10:30 AM Break - Atrium

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10:30 AM - 12:00 PM Side Events Open Meeting of the Regional Coalition for Water and Sanitation to Eliminate Cholera in Hispaniola Convened by Regional Coalition for Water and Sanitation to Eliminate Cholera in Hispaniola (continued)

Monday

Making the Ideal Real - From Design to Delivery Convened by iDE, PATH, and KOHLER

LOCATION Azalea

Bellflower

Ideal, quality, aspirational however you define it, research shows there is strong demand for high-end designed products among the poor (WSP, 2008). The challenge is - how can we make and deliver the aspirational yet affordable products people want in practice? iDE, PATH, and Kohler invite WASH sector professionals to a two-part workshop to leverage leading expertise and create breakthrough solutions. In Part 1, participants learn valuable insights built on decades of lessons learned. Working in teams of public-private partners, participants take action in Part 2 to solve some of the gaps and challenges they face. Inspired, equipped, and connected, WASH sector professionals leave with confidence in their next steps in designing and delivering the products people love and can afford. If the communities you work with could have any product to increase access to safe water, what would it be? And are you equipped to provide it? Join us.

Synergizing for Shared Impact to Achieve Sustainable Universal access to WASH services The Conrad Hilton Foundation, IRC, the Community Water and Sanitation Agency-Ghana, WaterAid Ghana, World Vision Ghana, Safe Water Network, and the Desert Research Institute

Dogwood

The session will share practical lessons and results of an inclusive partnership between the Government of Ghana’s agency for rural water supply -the Community Water and Sanitation Agency (CWSA), local governments and Conrad N. Hilton Foundation grantees in Ghana. This partnership is working to improve delivery of sustainable water services in communities in Ghana and seeks to jointly reflect with participants on ways to nurture such partnerships for collective achievement of the water, sanitation and hygiene (WASH) Sustainable Development Goals (SDGs). The SDGs recognize that global partnerships must be revitalized for sustainable development. The new agenda also includes a commitment to respect national policy space for sustained, inclusive and sustainable economic growth . As the development agenda turns towards inclusive growth, participatory decision making, collective action and innovative partnerships, the demand has grown for recognition of the private sector, NGOs and philanthropic community and other non-traditional donors’ participation in the co-creation of viable solutions. Partnership between government and NGOs are integral to achieving the SDGs for WASH, by increasing cooperation and coordination to maximize resources and improve the systems for service delivery in districts. With funding from the Hilton Foundation, a strategic partnership has been formed with the CWSA, 13 district assemblies and Foundation grantees to achieve sustainable WASH service delivery. The approach involves going beyond just the provision of infrastructure, and is supporting in the development of tools and guidelines and use of national systems, building capacity and forging partnerships for development. The partnership involves NGOs supporting and using the government monitoring system - District Monitoring and Evaluation System (DiMES) - and is aligning to the guidelines of government for service delivery in districts. It also involves the Government learning from innovations and leading in institutionalizing service delivery in districts together with NGOs. By working more effectively together partners aim to improve the sustainability of water assets financed by the Foundation and others in the participating districts. So far, there is the evidence of participating NGOs applying Government of Ghana (GoG) guidelines and standards and using the national systems; the water facilities of 13 districts were assessed through government monitoring system with reports shared for remedial actions and partners are in discussions to work on joint initiatives (training, development of WASH plans, etc). This case is a good example of how purposeful partnerships can be created with catalytic funding to ensure collaboration between government and NGOs to advance the use of and alignment with country systems; improve adherence to country norms and standards; and enhance local capacity, planning and coordination of delivery approaches and mutual accountability. The session will revolve around sharing of stories of success, challenges and opportunities behind the process of collaborating to maximize the shared impact of diverse but complementing efforts of the partners. After presenting these stories and cases, the hosts will facilitate a discussion with attendees to share their experiences and jointly reflect on how development partnerships can be nurtured and deepened to achieve universal access to WASH services.

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10:30 AM - 12:00 PM Side Events (continued) Can WASH Improve The Impact of Vaccination? Convened by London School of Hygiene and Tropical Medicine, Queen Mary University of London, SHARE Research Consortium, UNICEF, and WaterAid

LOCATION Mountain Laurel

Despite enormous potential for reducing the burden of communicable disease through immunization, oral vaccines perform less well in low-income settings where the need is greatest (Clemens et al 2011). This session brings the issue of WASH and vaccination to the UNC Water and Health Conference, with presentations from leading research organisations and international agencies active in this field.

Monday

There is suggestive evidence that intestinal health is an important determinant of oral vaccine immunogenicity (Madhi et al 2010). It is therefore plausible that reductions in environmental contamination through improved WASH could increase vaccine immunogenicity. Although studies confirming an effect of WASH interventions on oral vaccination are lacking, ongoing trials will likely make a significant contribution to this question. In addition to the benefits of WASH on vaccine performance, routine immunisation programmes may be a useful entry point for promoting safe hygiene among caregivers of children (Velleman et al, 2013), making WASH and immunization potentially synergistic public health strategies. This event will review the current evidence base on the effect of WASH on oral vaccine efficacy, and present important new studies in this field as well as practical examples of how WASH promotion can be integrated within national routine immunization programmes.

Monitoring Higher Levels of Sanitation Service Within SDG Target 6.2: Safely-Managed Sanitation Convened by WHO/UNICEF (JMP), BMGF, University of Leeds, The Water Institute at UNC, and IWMI

Redbud

This session will provide an opportunity to learn about monitoring safely managed sanitation services within the Sustainable Development Goal (SDG) agenda. The WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (JMP) will provide an update on SDG for safely managed sanitation under Targets 6.2 of the SDGs with linkages to and safely treated wastewater under Target 6.3. Technical partners and pilot countries (Senegal, Peru, Jordan, Bangladesh and Uganda) will present the proposed methodology and discuss opportunities and challenges of harmonising global monitoring approaches with existing national indicators and data collection. Countries and partners will also discuss how monitoring results inform county level planning and investments in sanitation and wastewater services. The session will also include opportunities for audience feedback on draft methods and definitions and a panel discussion covering application of monitoring approaches at country level.

Annual Meeting of the WHO/UNICEF International Network on Household Water Treatment and Safe Storage (continued) Convened by WHO, United Nations Children’s Fund, and The Water Institute at UNC

Sunflower

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10:30 AM - 12:00 PM Side Events (continued) The Policies, Politics and Power That Drive Better Performance in WaSH Delivery Systems Convened by The Water Institute at UNC

LOCATION Windflower

The Sustainable Development Goal (SDG) target of universal access to safe WASH by 2030 requires the sector to rethink its business as usual approach. The step change in sector performance prompts a new view of the types of reform that can bring about the necessary conditions for accelerating the delivery and sustainability of WASH services.

Monday

This session will hear briefly from 4 studies that attempt to identify the principal markers of successful WASH sectors. The first compares progress between 72 countries using an indicator of progress that takes into account different initial levels of WASH access. It assesses the bearing of a range of socioeconomic variables including per capita income, traditional assessments of government effectiveness, levels of official development assistance (ODA), education, poverty and inequality amongst others on progress in 72 countries. It finds that no one indicator is a clear determinant of success. The second is a qualitative analysis of the public policy drivers behind successful newly independent states. The paper summarizes the findings of four country case studies: Singapore, South Korea, Malaysia and Thailand, all of which produced rapid and remarkable results in delivering total sanitation coverage in their formative stages as nation states. It identifies some of the conditions that can inform discussions on the strategic approaches to delivering sanitation for all in an accelerated timeframe. In particular, it picks out monitoring as one of the critical conditions of success. The third study builds on the second by looking at country case examples that assessed how high-level political will translates into strong systems that deliver sanitation for all. It found that prioritisation had to trickle down to all levels of government systems and required course correction measures to address blockages and challenges. The study looks at how political prioritisation has found form in India, Indonesia and Ethiopia. The aim has been to understand whether these more recent cases with different political configurations tell similar stories, but also to understand what incentives (formal and informal) help spread high-level political will to deliver sanitation throughout the government machinery. Lastly, the fourth presentation visits some of the challenges faced by practitioners in efforts to institutionalise monitoring systems. The country case studies show weak district-level capacity to collect, analyse and feed data into decision-making. The studies conclude that more systemic level reforms and strengthened institutions are needed ahead of local level capacity building. These four quantitative and qualitative studies aim to improve our understanding of the policies and enabling environment characteristics that impact the WASH sector. This knowledge can then be used towards system strengthening and improved sector management.

12:00 PM - 1:00 PM Lunch 1:00 PM - 2:15 PM - Opening Plenary - Grumman Auditorium Dr. Jamie Bartram, Director of the Water Institute Dr. Greg Allgood, Vice President of Water for World Vision Carol L. Folt, Chancellor, University of North Carolina at Chapel Hill Taped remarks from Dr. David Nabarro, Special Adviser to the Secretary General For 2030 Agenda on Sustainable Development for United Nations Jyoti Shukla, Senior Manager for Water and Sanitation Program at Water Global Practice

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2:30 PM - 3:30 PM Verbal Presentations Latrines

LOCATION Redbud

The impact of sanitation interventions on latrine coverage and latrine use: A systematic review and meta-analysis Presented by Joshua Garn, Emory University

Monday

Effects of changes in psychosocial factors and quality of the latrine’s construction on habitual cleaning behavior and observed latrine cleanliness: Results from a longitudinal intervention study in rural Burundi Presented by Ina Sonego, EAWAG Longterm functionality and user adoption of subsidized pour-flush latrines Presented by Caroline Kostyla, Water Missions International

Hand-washing

Dogwood

Nudging Hand-washing: A cluster-randomized trial in Bangladesh Presented by Robert Dreibelibis, University of Oklahoma Povu Poa Cool Foam: A New Water Efficient Hand-washing Station with Low-Cost Foaming Soap in Kenya Presented by Amy Pickering, Stanford University Acceptability and feasibility of sharing a low-cost soapy water system for hand-washing in a low-income urban community in Dhaka, Bangladesh Presented by Farhana Sultana, icddr,b

WaSH in Healthcare Facilities

Bellflower

Developing scalable approaches for a hospital-based hand-washing with soap and water treatment intervention for household members of diarrhea patients in Bangladesh Presented by Elizabeth Thomas, Johns Hopkins Bloomberg School of Public Health WASH and IPC Training Needs Assessment for Clinicians and Cleaners in Cambodian Healthcare Facilities Presented by Lindsay Denny, Emory University WaSH in rural health facilities in Sub-Saharan Africa: A six-country cross-sectional study Presented by Amy Guo, The University of North Carolina at Chapel Hill

Chlorination

Mountain Laurel

Continuation of health behaviors: Progression of psycho-social factors for sustained drinking water chlorination in a longitudinal study from Chad Presented by Jonathan Lilje, EAWAG Are Bangladeshi urban slum landlords ready to pay for safe water? Willingness-to-pay for an automated chlorination device at shared water points in Dhaka, Bangladesh Presented by Sonia Sultana, icddr,b Strategies to increase demand for household chlorination in rural Haiti: A randomized evaluation of the impact of conditional in-kind incentives Presented by Michael Ritter, Tufts University

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3:30 PM - 4:00 PM Break 4:00 PM - 5:00 PM Verbal Presentations Mobile Data/Sanitation

LOCATION Redbud

Monday

Monitoring water safety in remote water supply schemes using novel procedures and tools: A pilot around SDG 6.1 in remote rural Nepal Presented by Arnt Diener, EAWAG Underreporting of high-risk WASH practices: Evidence from nine regions using a mobile platform Presented by Sridhar Vedachalam, Johns Hopkins University

Children’s Health

Dogwood

Disposal practices for young children’s feces are associated with child growth: Evidence from 34 countries Presented by Valerie Bauza, University of Illinois Unsafe Child Feces Disposal is Associated with Environmental Enteropathy and Impaired Growth Presented by Christine Marie George, Johns Hopkins Bloomberg School of Public Health Sanitation and child health in urbanized India Presented by Britta Augsburg, IFS

Fecal Sludge Treatment

Bellflower

Fecal Sludge Management in Haiti, or What Really Happens to all that “stuff”? Presented by Rick Gelting, CDC Study of fecal sludge treatment with the Anaerobic Digestion Pasteurization Latrine in Kenya, India, and the Philippines Presented by Marc Deshusses, Duke University Business Model Development for Fecal Sludge Management Insights from Bihar, India Presented by Sanjay Singh, PSI

Water Treatment The Price of Purity: Evaluating demand for water and air purification technologies in rural India Presented by Faraz Usmani, Duke University Can silver be used to reduce recontamination risks in treated water? Presented by Regula Meierhofer, EAWAG Performance and health outcomes of the MadiDrop drinking water treatment technology Presented by Courtney Hill, University of Virginia

5:00 PM - 6:00 PM Reception - Atrium

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Mountain Laurel

TUESDAY 8:30 AM - 10:00 AM Side Events Harnessing Information Systems to Improve WASH Access in the Developing World Convened by US Water Partnership

LOCATION Bellflower

Access to clean water and sanitation services is essential to building healthy communities and strong economies. Although many improvements have been made to advance global WASH services, it is clear that more progress is needed to achieve the Sustainable Development Goal (SDG) #6 of ensuring access to water and sanitation for all. Information systems increase the accessibility of valuable resources geared toward improving WASH services by disseminating WASH-related information to stakeholders in the developing world. This side event will focus on how to leverage the power of information systems to address WASH access challenges globally and achieve SDG #6. The objectives include:

Tuesday

Emphasizing the importance of information systems as a cornerstone of WASH access; Highlighting the role of innovative platforms, such as the Global Innovation Exchange and H2infO, to integrate and feature the diverse portfolio of USWP partners solutions to engaging multiple stakeholders as they work to support improved WASH access across the developing world; and Exploring the role, expertise and resources that different stakeholders contribute when addressing WASH access challenges globally and proposing potential collaboration.

Safely-Managed Drinking Water: Strengthening Regulation and Monitoring of Service Levels During the SDGs Convened by WHO, UNICEF and Aquaya

Dogwood

This session will provide an opportunity to learn about the current state of regulation of drinking water services and to consider how this may evolve over the Sustainable Development Goal period. The WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (JMP) will provide an update on SDG targets and indicators for drinking water and explain how it plans to make use of information from regulatory authorities. Through a national case study and the findings of the regional Monitoring for Safe Water project, the session will focus on the practical challenges of obtaining reliable information on drinking water services (quality, availability and accessibility) at a national level. Presentations on the transition from MDG to SDG and regulation of water quality in Africa will be followed by a panel discussion to identify how to most effectively support regulation, especially in lower-income countries. The aims of the session are to support broad understanding of the challenges in generating and utilizing regulatory data; to explore the role of research in strengthening regulation; and, to update stakeholders on progress with respect to SDG monitoring of drinking water services.

The Story of Systems Building: Multi-Country Learning from Agenda for Change Convened by IRC, Osprey Foundation, Water For People, and WaterAid

Mountain Laurel

Achieving and sustaining universal access is not an easy task. It will take strong national and sub-national level systems, institutional frameworks, and financing to ensure we reach SDG 6. It will also take coordination by diverse actors to support and strengthen government systems already in place. Agenda for Change is a collaboration of non-governmental organizations, governments, and financing organizations (private and government) who have recognized that they can achieve more in WASH services by working together than independently. The goal of Agenda for Change is to promote harmonized district level work to ensure everyone at district level has adequate WASH services and that national level systems support and enable the districts to reach everyone with services that last. It puts the Sanitation and Water for All collaborative behaviours for effective, equitable and sustainable development cooperation in the water, sanitation and hygiene (WASH) sector into practice. Agenda for Change manifests itself differently in different countries due to differences in political structures, needs, capacity, etc. This session provides an opportunity to learn from partners in five countries how this type of collaboration at national and sub-national levels is a step towards achieving all of SDG 6. Case studies from Burkina Faso, Honduras, Ghana, Rwanda, and Uganda will highlight how each has approached a district wide approach from the policy, advocacy, and systems change angles. The session aims to provide practical examples of changes in water and sanitation systems intended to deliver sustained services across whole districts and to demonstrate how the approaches used in the country case studies could be replicated in the same countries or adapted to new countries and contexts. The session will start by getting to know the country level players involved in the WASH ecosystem. Short presentations will provide background information for each country including where they started their Agenda for Change journey; how they adapted the principles and roadmap to meet their needs and the needs of their government partners; and a snapshot of where they are now. The interactive second half of the session will include small table discussions of common issues across the 5 countries with each country illustrating one issue. The session will also look forward to future country plans and research opportunities. Participants will leave with a better understanding of the key ingredients for district level collaboration in action and ideas for practical application to their work.

16

8:30 AM - 10:00 AM Side Events (continued) City-Wide Inclusive Sanitation Convened by World Bank Water and Sanitation Program, The Bill and Melinda Gates Foundation, and Emory University Center for Global Safe WASH at Emory University

LOCATION Redbud

In 2015, 700 million urban residents lacked access to sanitation. Of those, 96 million, overwhelming the poorest, open defecate. Unfortunately, in some cities the number of individuals without access to sanitation is increasing. With rapid urbanization in developing countries, urban sanitation services are failing to keep pace with population growth. Even for those with improved sanitation at the household level, millions of tons of wastewater and fecal sludge are not adequately collected, transported or treated. The lack of sustainable sanitation has significant health, educational, environmental, social and economic costs. The Sustainable Development Goals require that both ends of this spectrum are addressed: achieving access to adequate and equitable sanitation for all and improving water quality by reducing pollution and untreated wastewater, while increasing recycling and reuse.

Drinking Water and Public Health in High Income Countries Convened by CDC

Tuesday

The session aims to stimulate a dialogue about approaches that could change current paradigms for urban sanitation. Discussions will focus on city-wide sanitation that is poor inclusive and urban service delivery that is sanitation inclusive. The session will start with an overview of the current state of knowledge about sanitation infrastructure and services in low-income urban settings, global best practices for providing WASH services to poor urban areas and lessons learned in reducing inequality gaps in urban sanitation services. The session will be designed to advance and consolidate collective thinking on: (i) city-wide inclusive sanitation learning needs and gaps; (ii) best practice approaches for documentation and dissemination; (iii) addressing knowledge and information gaps; and (iv) guiding policy and investments in urban WASH infrastructure and services. The session will build on and continue discussions on city-wide inclusive sanitation initiated at a workshop in June 2016 in Atlanta titled “Achieving Universal Access to Urban Sanitation Services” and continued at discussions at World Water Week and during World Bank’s international capacity building event on inclusive city-wide sanitation. Participants from organizations interested in advancing the city-wide inclusive urban sanitation agenda, including those new to the field, are encouraged to attend.

Sunflower

Despite a century of improvements to drinking water systems in the United States, public health issues remain. Issues related to drinking water in high income countries like the United States are complex and differ from the water, sanitation, and hygiene issues faced in the developing world. Effectively operated and maintained drinking water systems are vital for the health and economic well-being of communities. However, when water quality and supply problems occur in these systems, water-related emergencies and corresponding waterborne disease concerns can create challenges for public health departments. Recent examples include emergencies in Flint, MI (lead contamination and legionellosis outbreak), Toledo, OH (drinking water system shutdown due to algal toxins in tap water) and West Virginia (the Elk River chemical spill). While drinking water disinfection has been recognized as one of the top 10 public health achievements of 20th century, waterborne disease continues to occur in the United States. Outbreaks are reported to the Centers for Disease Control and Prevention (CDC) each year, particularly in underserved populations (i.e., those served by private wells, non-community systems and small community systems). Additionally, the uses for potable water have expanded. Water used in medical devices, facility heating and cooling systems, manufacturing processes, and agricultural operations has been associated with outbreaks and illnesses. A CDC effort to quantify the burden of waterborne disease has highlighted the role of premise plumbing and biofilm-associated pathogens, challenges not currently well-addressed by regulations or disinfection practices. Drinking wat= er infrastructure continues to age, while climate change and extreme weather events place additional strain on systems. Meanwhile, most state and local health departments lack dedicated waterborne disease prevention programs. Recent large water-related emergencies have demonstrated the enormous health and economic implications of drinking water system failures. These events erode public trust in municipal drinking water systems and disproportionately impact vulnerable populations. This session will describe the current state of waterborne disease in the United States, outline challenges and data gaps, and articulate opportunities for improving disease prevention.

Closing Knowledge Gaps in Global Health Research: Discovery from Innovative Exposure and Human Health Risk Research in Low-Income, Sanitation-Poor Settings Convened by University of Iowa, Georgia Institute of Technology, University of North Carolina, University of Michigan, and University of South Florida

Windflower

This session will bring together several teams of researchers employing innovative new tools and analytical methods to understand the transmission of gastrointestinal pathogens through water, sanitation, and hygiene (WASH) pathways in low-income settings. The goal of this session will be to discover any emergent themes that are being detected among these pioneering studies, to share knowledge on best approaches to measure and analyze WASH exposure in countries with high under five morbidity and mortality, and to discuss how these findings impact current and future policies related to conducting WASH interventions to prevent transmission of diarrheal and helminth pathogens. The session will be structured as a 1.5 hour series of 15 minute talks from six speakers representing a variety of studies addressing methodological knowledge gaps in microbial risk assessment. After a short break, the session will continue as a workshop, with two breakout groups focused on (1) field and laboratory exposure assessment methods and (2) modeling methods at the environmentmicrobe-human interface. Workshops will solicit feedback from the audience on information presented by speakers and discoveries from other ongoing projects also attempting to improve upon current methods in infectious disease exposure assessment and modeling.

17

10:00 AM - 10:30 AM Break - Atrium 10:30 AM - 12:00 PM Side Events Moving Beyond Talk Entry Points for WASH integration Convened by World Vision International, FHI360, Clean, Fed and Nurtured, and the BabyWASH Coalition

LOCATION Azalea

Increasing evidence exists about the impact of WASH integration in different sectors, particularly nutrition, early childhood development (ECD), and maternal, newborn and child health (MNCH). The BabyWASH Coalition and Clean, Fed & Nurtured are two ways in which organizations are coming together to learn about and implement integrated activities to promote child well-being in the first 1000 days of life.

Tuesday

During this session, participants will learn more about the purpose and progress of the BabyWASH Coalition. A panel of experts, including Clean, Fed & Nurtured and World Vision, will share their recent evidence and experience with innovation, as well as opportunities to advocate for, implement and effectively monitor integration for improved maternal and child well-being. Session participants will be invited to engage in an interactive discussion on integrating programming more effectively and identifying key gaps that the BabyWASH Coalition can work to fill in the coming months.

WHO International Scheme to Evaluate Household Water Treatment Technologies: Applying Lessons Learned From the Laboratory to the Field Convened by WHO

Bellflower

The International Scheme to Evaluate Household Water Treatment Technologies (the Scheme) was established by the World Health Organization (WHO) to independently and consistently assess the microbiological performance of HWT technologies against WHO health-based criteria. The results of these evaluations are intended to guide procuring governments, UN agencies and users at large in product selection. Concurrently, WHO is also working to strengthen the capacity of resource constrained countries in evaluating and regulating HWT technologies. The purpose of the session is to share experiences and challenges on HWT performance evaluation and discuss potential solutions. The session will present emerging evidence on HWT performance evaluation, and discuss its implications for how it can be applied with the Scheme evaluation protocols. In addition, the session will seek to stimulate discussion on opportunities and challenges in strengthening the capacity of laboratories in developing countries to conduct HWT performance evaluation.

A Shared Agenda for Monitoring, Part I: Introduction and Purpose of the MEL Series Convened by The Water Institute at UNC

Dogwood

In light of ambitious targets for water, sanitation, and hygiene (WaSH) service delivery, and while efforts to reach unserved populations continue, it is imperative to progressively improve the quality, sustainability, and service level of existing WaSH programs. WaSH implementers at multiple levels, including governments, NGOs, international aid and monitoring agencies, and others, are increasingly prioritizing monitoring, evaluation and learning (MEL) as a means of improving program outcomes. However, little coherence exists in the methods, approaches, and objectives of many MEL activities, and the sector lacks common best practices for how to collect, share, and use MEL data for improvement. The WaSH sector needs a shared agenda for high-quality MEL that would enable implementers to drive targeted program improvements while rigorously tracking the individual and collective impact of WaSH implementers at the sub-national, national, and international levels. The focus of these three sessions will be to outline the need for and requirements of such a shared agenda and to begin the process of charting an inclusive path forward.

18

10:30 AM - 12:00 PM Side Events (continued) The End of Projects! Understanding the Weakness of the Projectized Approach and Embracing Systems Convened by USAID

LOCATION Mountain Laurel

The recently adopted Sustainable Development Goals (SDGs) set targets of universal access to WASH by 2030. It is estimated that meeting this ambitious target will require $114 Billion a year, requiring governments to mobilize increase domestic resources and accelerate private sector involvement. This increased emphasis on governments necessitates increased use of local systems. Donor modalities of the past where each project functions in a silo will not be sufficient to support local systems. A paradigm shift in approaches is required. At the center of this shift is a systems-based approach to development. A systems oriented approach is rooted in the reality that achieving and sustaining any development outcome depends on the contributions of multiple and interconnected actors. Building the capacity of a single actor or strengthening a single relationship is insufficient. Rather, the focus must be on the system as a whole: the actors, their interrelationships and the incentives that guide them. Realizing improved development outcomes results from increasing the performance of multiple actors and the effectiveness of their interactions. Sustaining development outcomes depends on the sustainability of the local system. Specifically, its built-in durability and adaptability that allows actors and their interrelationships to accommodate shocks and respond to changing circumstances.

Tuesday

The 90 min session will introduce systems thinking, explain USAID’s approach to working with local systems, and share various initiatives by organizations leading the journey toward the end of projects. USAID and at least two other leading organizations embracing system-based approaches in the WASH sector will give presentations on how they have applied systems thinking to governance, service delivery and monitoring. Each presenter will also identify one significant challenge they are facing in applying a systems approach. The group will be divided into three small working groups, where each will identify potential solutions to one of the challenges. The group with then reconvene in a final plenary moderated by USAID.

City-Wide Inclusive Sanitation (continued) Convened by World Bank Water and Sanitation Program, The Bill and Melinda Gates Foundation, and Emory University Center for Global Safe WASH at Emory University

The Safe Drinking Water Act: Drinking water regulations and their impact on public health Convened by Virginia Tech, National Tribal Water Center, Corona Engineering

Redbud

Sunflower

As the Safe Drinking Water Act celebrates its forty-year anniversary of the National Primary Drinking Water Regulations, this side event examines drinking water regulations and their impact on public health. Through the lens of financial capital, operation and maintenance costs, and aging infrastructure, researchers will discuss the feasibility of implementing and complying with drinking water regulations. This discussion will blend into a dialogue about the current gaps and limitations in drinking water regulations protecting public health. Emphasis will be given to underserved communities, such as private wells, tribal communities, and smaller municipalities. Through participation in this session, individuals will: (1) gain an understanding of the complex relationship between drinking water regulations and the public health; (2) become familiar with current financial challenges to instituting and enforcing drinking water regulations; and (3) contribute to a collaborative dialogue that aims to improve the current state of drinking water quality in underserved communities.

Closing Knowledge Gaps in Global Health Research: Discovery from Innovative Exposure and Human Health Risk Research in Low-Income, Sanitation-Poor Settings (continued) Convened by University of Iowa, Georgia Institute of Technology, University of North Carolina, University of Michigan, and University of South Florida

Windflower

19

12:00 PM - 1:00 PM Lunch 1:00 PM - 2:15 PM - Theme Keynotes Domestic WaSH Marc Edwards, PhD, Charles Lunsford Professor of Civil Engineering at Virginia Tech Grumman Auditorium WaSH Disaster Management Melissa Opryszko, Ph.D MPH, WASH Team Lead at the Office of U.S. Foreign Disaster Assistance Redbud

Tuesday

System Strengthening Heather Skilling, Principal Global Practice Specialist, WASH, DAI Sunflower

20

2:30 PM - 3:30 PM Verbal Presentations

LOCATION

Open Defecation/CLTS

Redbud

Achieving and Sustaining of Open Defection Free villages in remote areas of Lao PDR Presented by George Josephs, World Bank Inclusive Sanitation in Rural Kenya: Can CLTS Reach the Elderly, the Chronically Ill and the Socio-Economically Disadvantaged? Presented by Orlando Hernandez, FHI360 Demand Creation and Supply Chain Development for Scaling Up Rural Sanitation in Hoa Binh Province (Vietnam) Post-Intervention Rapid Assessment Presented by Claire Chase, World Bank

Dogwood

Tuesday

WaSH Finance Bringing WaSH to the last-mile: IndiaPost and Water.org Presented by Lesley Pories, Water.org Evaluating the financial and economic of performance of alternative water tariffs in Nairobi, Kenya. Presented by David Fuente, The Water Institute at UNC Resource mobilization mechanisms for community-managed rural water systems: Alternatives to water fees Presented by Nikki Behnke, The Water Institute at UNC

Gender and WaSH

Bellflower

Investigating Fear, Shyness, and Discomfort Related to Menstrual Hygiene Management in Rural Cambodia: Intersections between Women’s Health and WaSH Presented by Gabrielle Daniels, Yale University Women’s sanitation experiences are associated with mental health: A mixed methods study in rural Odisha India Presented by Bethany Caruso, Emory University Inequities in access to menstrual hygiene management facilities and materials in Nairobi slum schools Presented by Candace Girod, Emory University

Disease Exposure

Mountain Laurel

Fecal Fingerprints: The Landscape of Enteropathogen Contamination in low-income, urban neighborhoods of Kisumu, Kenya Presented by Kelly Baker, University of Iowa Network Informatics for Strategic Infectious Disease Exposure Assessment Studies on Water-borne Fecal Pathogens Presented by Ananya Sen Gupta, University of Iowa Sanitation, water supply, and facial cleanliness coverage threshold levels, and protection against trachoma using Global Trachoma Mapping Project Data Presented by Matthew Freeman, Emory University

21

3:30 PM - 4:00 PM Break 4:00 PM - 5:00 PM Verbal Presentations

LOCATION Redbud

Community Sanitation Community Priorities for Sanitation and Energy Systems in Resource-Limited Communities Presented by Allison Davis, University of Colorado, Boulder Effect of community sanitation coverage on faecal contamination of the household environment in rural Bangladesh Presented by Tarique Huda, icddr,b

Tuesday

Community-level sanitation coverage is associated with child growth and household drinking water quality in rural Mali Presented by Michael Harris, Stanford University

Drinking Water Safety

Dogwood

Findings from Project Coyote Water: An Assessment of Unregulated Drinking Water on Tribal Lands within the United States Presented by George Goodwin, Alaska Native Tribal Health Consortium Impact of In-home Water Service on the Rates of Infectious Diseases: Results from Four Communities in Western Alaska Presented by Timothy Thomas, Alaska Native Tribal Health Consortium Prevalence and Impacts of Failing Septic Systems and Straight Pipes in Rural Alabama Presented by Mark Elliott, University of Alabama

Emergency WaSH

Bellflower

Chlorination of Drinking Water in Emergencies: Systematic Review of Knowledge, Recommendations for Implementation, and Research Needed Presented by Daniele Lantagne, Tufts University Disinfection of human excreta in emergency settings: Assessing the efficiency of chemical (super-chlorination) and physiochemical (hydrated lime) protocols Presented by Diogo Trajano, University of Brighton Community resilience to climate change - Modifying use of water sources to enhance human health outcomes in climate-vulnerable Pacific Island Countries (PICs). Presented by Wade Hadwen, Griffith University

WaSH in the U.S. Water Safety Planning: Measuring gains and implementing effective practices Presented by Karen Setty, The University of North Carolina at Chapel Hill Impact Assessment of Water Safety Plans in the Asia Pacific Region Presented by Ranjiv Khush, Aquaya Predicting Drinking Water Advisories in Small Community Water Systems Presented by Heather Murphy, Temple University

22

Mountain Laurel

5:00 PM- 6:30 PM Poster Reception - Atrium Domestic WaSH in High Income Countries Illustrating the Link Between Water Quality Mis-perception and Adverse Health and Afford-ability Impacts for Disadvantaged U.S. Households: California’s Retail Water Store Phenomenon

Gregory Pierce, UCLA

2

Climate Change Challenges and Adaptation Strategies: A Database of Case Studies on Water and Wastewater Utilities

Katie Connolly, UNC Chapel Hill

3

Occurrence of Antibiotic Residues in Wastewater and Reclaimed Water in the United States

Prachi Kulkarni, University of Maryland

4

Annual Burden of Acute Infectious Diseases in Physicians’ Offices: United States, 1997-2012

Sarah Collier, CDC

5

Risk factors for sporadic Giardia infection in the United States: a case-control study in Colorado and Minnesota

Kathleen Fullerton, CDC

6

Preliminary Report of CDC Water and Health Study: Epidemiologic Study of Health Effects Associated With Low Pressure Events in Drinking Water Distribution Systems

Elizabeth Adam, CDC

7

U.S. Wastewater and Reclaimed Water Harbor Diverse and Dynamic Bacterial Communities Throughout Treatment and Storage Processes

Prachi Kulkarni, University of Maryland

8

Lead in drinking water: Disparities in Water Infrastructure and Associated Homeowner Burdens

Kelsey Pieper, Virginia Tech

9

Improving the Management of Unregulated Drinking Water Programs

Raquel Sabogal, CDC

10

Constructing an Estimate of the Burden of Waterborne Disease in the United States

Katharine Benedict, CDC

Tuesday

1

Urban Sanitation 11

How do improved services to slum areas impact water demand at the city level? Modeling domestic water consumption in Nairobi and Accra

Sam Drabble, WSUP

12

Catalogue of capacity building organizations in decentralized sanitation in urban India

Laura MacDonald, CAWST

13

Menstrual Hygiene Management and Sanitation System Design: Preferences for Facilities, Products, and Disposal from urban Gujarat, India

Laura Morrison, RTI

14

Quantitative assessment of exposure to fecal contamination for young children in a crowded, low-income urban environment in the SaniPath Study of Accra, Ghana

Yuke Wang, Emory University

Changing Hand-washing Behaviors 15

Delayed Effects of Behavior Change Interventions on Observed Hand-washing with Soap in Senegal: A Longitudinal Study

Anna Gamma, EAWAG

16

Psychosocial determinants of hand-washing: Quantitative evidence from a multi-country study using the RANAS model of behavior change

Hans Mosler, EAWAG

17

Using Social Art to Influence WaSH Behaviors: Mexico Pilot Project

Lynda Rey, One Drop

18

Development of Psychological Interventions to Change WASH Behaviors Sanitation and Hygiene among Schoolchildren in Malawi

Jurgita Slekeine, EAWAG

23

5:00 PM- 6:30 PM Poster Reception - Atrium (continued) Household Drinking Water 19

Household-Level Hollow Fiber Water Filters to Reduce Pediatric Diarrheal Disease in Liberia: A Large-Scale Effectiveness Study and Cluster Randomized Controlled Trial

Christine Marie George, Johns Hopkins

20

Determinants of microbial drinking water quality at the source and household: A three-country study

Michael Fisher, UNC Chapel Hill

21

Improving households’ sanitation and hygiene practices in rural and peri urban settings

Amans Ntakarutimana, University of Rwanda

22

Effect of operation, total organic carbon loading, and schmutzdecke composition on Vibrio cholerae removal efficacy in lab and Haiti biosand filters

Danley-Thomson, Florida Gulf Coast University

Tuesday

Water Treatment & Quality Hazards

24

23

Evaluating Four Measures of Water Quality in Clay Pots and Plastic Safe Storage Containers in Kenya

Dr. Robert Quick, CDC

24

Thermal regeneration of biochar for adsorption of sulfamethoxazole in the presence of dissolved organic matter

Ben Greiner, University of Colorado Boulder

25

Optimization of silver ion release from porous silver-ceramic media used for point-of-use water treatment

Chloe Rento, University of Virginia

26

Groundwater quality of Nagpur and Bhandara district of India: Health risk assessment due to Nitrate contamination of groundwater

Pinky Taneja, NEERI

WEDNESDAY 8:30 AM - 10:00 AM Side Events Right Money, Right Time: Crossing the Infamous Chasm With Donors Convened by iDE, Bill and Melinda Gates Foundation, International Development Enterprises, the Stone Family Foundation, the Water and Sanitation Program of the World Bank

LOCATION Azalea

iDE’s Sanitation Marketing Scale-Up (SMSU) Program in Cambodia has facilitated over 200,000 latrine sales without subsidy in just over 7 years, resulting in more than a two-fold increase in improved latrine coverage in project areas. What made it possible for this program to defy the adage, “pilots never fail; pilots never scale”? Although unbeknownst to them then, the conveners of the event argue that the particular order of donors and partners, and the interests they represented, allowed for the program to go through necessary periods of forming, storming, norming, and performing. Seven years in, the program’s past and present donors come together to tell the story of how this program evolved and how it helped shape Cambodia’s sanitation sector. Through interactive panelist interviews and facilitated discussion, the group will reflect on key decision points and structural elements that enabled SMSU to cross the infamous chasm of jumping from early adopters to early majority customers, and moving from pilot to scale.

Urban Sanitation in the Era of Rapid Climate Change Convened by University of Leeds

Bellflower Wednesday

The challenge of providing sustainable sanitation services in the global south is immense. The new Sustainable Development Goals indicate that this challenge is even greater than might previously have been thought, given the commitment to achieve provision of safely managed sanitation services. In rapidly-growing cities and towns this challenge is further exacerbated because the service deficit is large and many of the unserved live in communities where the impacts of weather events can be catastrophic. As climate change adaptation and mitigation becomes an increasingly prominent item in the agendas and budgets of development organizations, it is essential to establish a scientifically sound linkage between urban sanitation services and climate. The relationship between urban sanitation services and climate is complex; on the one hand sanitation networks (whether road based or piped) are vulnerable to disruption or damage from weather events, particularly intense rainfall, pluvial and fluvial flooding, drought and temperature changes; while on the other hand the operation of sanitation services may be a major contributor to the use of fresh water, fossil fuels, and the production of carbon. In the next forty years the climate in many parts of the global south is likely to change significantly, and of particular concern is the increasing frequency of high intensity rainfall events and prolonged periods of drought. All of this will significantly impact on the optimum approach to delivery of sanitation services. The objective of this workshop is to elicit information from the WASH community about the nature, scale and direction of interconnections between urban sanitation and climate change. The workshop will contribute to the development of a framework for analysing these interconnections and linking them to economic and technical decisions about investments in sanitation goods and services in urban areas. The workshop will be led by the University of Leeds and the Bill & Melinda Gates Foundation. Inputs will include initial findings from a study which the team are carrying out and also preliminary findings from the DFID/NERC supported Future Climate for Africa HyCRISTAL project which includes a consortium of African, US and UK researchers.

Learning From Local Experiences in I+C63ntegrating WASH and Watershed Conservation Convened by Water For People, Catholic Relief Services, Conservation International and Millennium Water Alliance

Dogwood

This side event will look at challenges related to Reaching the Unserved Where They Are Experiences from the co-convening organizations have shown that the local context for providing sustainable WASH services often requires not only building infrastructure and influencing behavior change, but also the conservation of freshwater ecosystems. Watersheds that provide drinking water are essential for the sustainability of drinking water systems, especially in rural communities of developing countries where financial resources are limited. Treatment system and infrastructure improvements are costly compared to preventing degradation of water quality and quantity through protection of the source area. Watershed management can occur at many different scales, from one community and one water source to large river basins including hundreds of sources with different competing uses. We will discuss examples from: Water For People in El Negrito, Honduras; Millennium Water Alliance’s programs in east Africa and Latin America; Conservation International’s One Health Project in South Africa; and CRS’s global approach to integration of WASH and watershed conservation through local Diocesan partners. We seek dialog with the audience about how WASH and Conservation/Watershed Management can be integrated and deployed in other places facing similar challenges.

25 7

8:30 AM - 10:00 AM Side Events (continued) The Intangible Essence of a Community and Its Relationship to Intervention Success: Metrics and Analytical Approaches for Assessing Social Constructs in the Context of WASH Interventions Convened by Emory University, Center for Global Safe WASH; London School of Hygiene & Tropical Medicine, Environmental Health Group, The Water Institute at UNC

LOCATION Mountain Laurel

Collective efficacy, social cohesion, and social capital are all latent constructs believed to influence the quality, effectiveness, and sustainability of interventions, especially those based on action at the community level. In the literature, social scientists discuss various conceptualizations of these social constructs, and there is much debate about how these constructs relate to each other. General conceptualizations of collective efficacy assume it is a latent construct comprised of a combination of the structural and cognitive components that facilitate a community’s shared belief in its ability to come together and execute actions related to a common goal (Bandura 1997). Social capital is often conceptualized as the features of social structures (e.g., levels of interpersonal trust and norms of reciprocity and mutual aid) which act as resources for individuals and facilitate collective action (Berkman & Kawachi 2000 from Coleman 1990, Putnam 1983). Social capital is commonly conceptualized as a component of social cohesion (Berman & Kawachi 2008, Forrest & Kearns 2001). Some conceptualizations of social cohesion conceive it as a bottom-up process with a foundation in local social capital, where the social capital of a particular community “take[s] on a strong sense of local space, albeit with ambiguous and fluid boundaries (Forrest & Kearns 2001).

Wednesday

Regardless of whether collective efficacy, social cohesion, or social capital is measured, the idea that these constructs influence the quality and effectiveness of community-based interventions is broadly acknowledged. The influence collective efficacy more broadly, and social cohesion more specifically, have on intervention effectiveness may be explained, at least partially, by the theory of diffusion of innovations. This theory suggests that innovative behaviors diffuse much more rapidly in communities that are cohesive and in which members know and trust each other (Rogers 1983). These theoretical conceptualizations are supported by an empirical evidence base that suggests communities high in social constructs, such as social capital, witness higher uptake of WASH interventions and substantial health benefits (Cameron, Olivia, Shah 2015). However, the WASH sector is not currently using any standard metrics or analytical approaches to investigate the relationship between social constructs and intervention effectiveness, and no related recommendations are in place. The overarching goal of this side event is to draw attention to the work that is being done on latent social constructs and their relationship to intervention effectiveness in the context of WASH programming and research. More specifically, the purpose of this event is to provide a space for various entities to present their work on assorted social constructs and intervention effectiveness in the context of WASH programming and research. This side event will commence with a series of learning presentations, during which presenters will explain how and why they decided to measure collective efficacy, social cohesion, or social capital in the context of community-based and/or demand-driven WASH interventions. Upon the conclusion of the learning presentations, conveners will facilitate an open forum, during which the general audience will participate in a dialogue about related research and program agendas or other related work in the WASH sector, lessons learnt, best practices, and proposed ways forward.

Evidence for Action on WASH in Health Care Facilities: Harmonized National Monitoring and Burden of Disease Analysis Convened by WHO, Sanitation and Hygiene Applied Research for Equity at the London School of Hygiene and Tropical Medicine, UNICEF, and The Water Institute at UNC

Redbud

For the first time, in 2015, WHO and UNICEF, with technical support from UNC, accessed and reported on the status of WASH in health care facilities based on data from 54 countries representing over 66,000 facilities. The findings indicated large data gaps and urgent needs. Nearly 40% of facilities had no source of water within 500 m, 35% did not have soap for hand-washing and 19% lacked sanitation. In response, WHO and UNICEF led the development of a global action plan with WASH and Health partners with the overall aim of ensuring that every facility, in every setting has safely managed and reliable water, sanitation and hygiene services. The action plan contains five change objectives that are being addressed through task teams focusing on: advocacy/leadership, monitoring, evidence and facility-based improvements. The purpose of the session is to share and advance work task teams are undertaking on monitoring and evidence. The first half of the session will focus on monitoring and will present the latest data on access to WASH in health care facilities which will inform the WHO/UNICEF Joint Monitoring Programme reporting under SDG 6 (WASH). Specific issues to be explore include gaps for specific areas (i.e. water availability, usable latrines, safe health care waste management) as well as inequities among facilities. Country examples will also be shared of implementing the new global core and expanded indicators and specific challenges in their use and how they have been overcome. The second half of the session will focus on presenting the latest progress and engaging participants in a discussion on the development of a burden of disease analysis. Initial work including a mapping of WASH pathways and health outcomes and priority burden of disease areas was conducted at a recent global workshop on this topic in London in March 2016. A UNC workshop will allow for engaging and updating a wider WASH audience on the progress, including a presentation of systematic reviews, draft protocols and possible modelling scenarios. The outcomes from the session will be shared widely through the WASH in health care facilities knowledge portal (www.washinhcf.org). It will serve to help catalyse and coordinate efforts within the WASH Sector on both of these important topics and in doing so, enable a clear and unified voice when engaging with the Health Sector.

26

8:30 AM - 10:00 AM Side Events (continued) Transformational Change to Reach the SDGs: Putting SWA’s Collaborative Behaviours Into pPractice Convened by Sanitation and Water for All ( SWA) partnership with WaterAid, IRC, WSP/WB and WHO

LOCATION Sunflower

The global partnership for Sanitation and Water for All (SWA) is a world-wide, multistakeholder movement that brings together national governments, civil society organizations, the private sector, research and learning institutions and external support agencies, to work collectively towards a vision of sanitation, water and hygiene for all, always and everywhere. The SWA partnership’s strategy recognizes the development of strong systems and adequate sector capacity as essential building blocks to achieve its vision. Strengthening government-led national processes is one of SWA’s key objectives and central to the Partnership’s strategy. SWA’s strategy puts accelerating the development of strong systems and adequate sector capacity through the adoption of Collaborative Behaviours at the heart of the partnership’s activities. Delivering transformational change is a prerequisite for achieving the SDGs and requires effective collaboration across all the sector actors.In the recent SWA High Level meeting in Addis Ababa ( March, 2016), Water, Sanitation, Hygiene (WASH) and health ministers from more than 30 countries and their respective delegations as well as development partners reaffirmed their commitment to achieving the SDGs by building strong sector systems through the adoption of the SWA Collaborative Behaviours. The solicited session proposes taking the conversation on the SWA collaborative behaviours forward. Information on the main discussions and outcomes of the SWA Ministers Meeting will be shared. The session will also include presentations of individual country case studies, in particular the ONEWASH programme from Ethiopia and other countries (tbd) as well as the experiences from development partners in putting the behaviours into practice. The session will provide ample opportunity for the participants to engage in a dialogue on practical obstacles, and ways to tackle them, in improving and achieving effective collaboration by sharing organizational experience and perspectives.

Controlling Persistent Organic Chemical Drinking Water Pollutants in Developing Communities: An Innovation Accelerator Convened by Aqueous Solutions

Wednesday

The second part of the session will look into the monitoring requirements of the effective behaviours. The SWA Global Monitoring Harmonization Task Team (GMHTT), in collaboration with the SWA Country Processes Task Team (CPTT), has developed indicators to monitor the four collaborative behaviours. The indicators include a sub-set of specific indicators for both the development partners and for national governments. To test the indicators, reports for five pilot countries have been generated. Those country profiles provide a snapshot of how both the government and development partners have adopted the behaviors. Participants will hear an update on progress and some first experiences with monitoring countries and development partner’s behaviours. The session will also provide an opportunity for participants to contribute to the work of the GMHTT and CPTT by sharing their experiences and perspectives on monitoring behaviours, which will help in further refining the monitoring framework.

Windflower

In several instances, the United Nations Sustainable Development Goals (SGDs) explicitly highlight the threat to community health from environmental and drinking water exposure to toxic synthetic chemicals. For example: SDG 3.9 reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination SDG 6. i3 prove water quality by reducing pollution, eliminating dumping and minimizing release of hazardous chemicals and material SDG 12.4 achieve the environmentally sound management of chemicals and all wastes throughout their life cycle and significantly reduce their release to air, water and soil in order to minimize their adverse impacts on human health and the environment Unfortunately however, the global WASH development sector has so far paid insufficient (essentially zero) attention to organic chemical contaminants in drinking water. Environmentally persistent trace pollutants such as pesticide runoff, pharmaceutical residues, industrial effluents, manufacturing additives, disinfection by-products, as well as naturally occurring toxins impact water sources and threaten public health in communities around the world. Pollution by synthetic chemical contaminants is often more severe in developing countries compared to affluent regions as many compounds that have been banned or restricted in Europe and North America are used or disposed of throughout the developing world in an unregulated manner. Exposure to these chemicals can lead to cancer, birth defects, reproductive disorders, endocrine disruption, neurological dysfunction, organ damage, and other acute and chronic health problems. Environmental Engineering and Science researchers are broadly familiar with the impacts of organic chemical toxins on environmental quality and public health in affluent regions, and have begun to recognize the large potential for beneficial innovation serving developing communities. However, such efforts are limited by the inherent disconnect of professional, economic, and socio-cultural context between affluent and impoverished regions, as well as by the lack of sufficient funding channels to pursue thusly motivated R&D. The Innovation Accelerator Side Event will address these related challenges simultaneously by: (1) Raising the problem of organic chemical water contaminants to prominence in the global WASH sector (2) Stimulating targeted innovation of potential treatment technologies (3) Generating rapid evaluation and critical-constructive feedback from experts regarding technical merit and real-world applicability (4) Eliciting commitment to support research, field testing, deployment, and scale-up from major WASH agencie

27

10:00 AM - 10:30 AM Break - Atrium 10:30 AM - 12:00 PM Side Events Monitoring the Means of Implementation for SDG 6: Harmonization and Collaboration for 6a and 6b Convened by WHO & BMGF

LOCATION Azalea

The UN-Water Global Analysis and Assessment of Sanitation and Drinking-water (GLAAS) led by WHO has been monitoring the enabling environment for the WASH sector since its pilot in 2008. For its analysis, GLAAS has consistently drawn on OECD for Official Development Assistance (ODA) data. In addition, the OECD is developing a set of water governance indicators that can help assess the effectiveness of local participation and IWRM, two other targets of SDG6. Monitoring the proposed means of implementation (MoI) indicator for 6a, “the amount of water and sanitation ODA that is part of a government coordinated spending plan, will require close collaboration between OECD, WHO and UNEP. The GLAAS TrackFin initiative, which tracks financing to WASH at the national level, can also contribute data for monitoring this indicator. This side event will describe methods for data collection, analysis and integration that will be used in reporting progress on expanding international cooperation, capacity-building support and participation of local communities for WASH during the SDG period. Additionally, OECD, GLAAS and TrackFin data from Mali, a TrackFin pilot country, will be presented to highlight the proposed monitoring approach and expected synergies with other organizations.

Wednesday

Building the Evidence Base for Pre-Crisis Market-Based WASH Programming Convened by Oxfam, CRS, PSI, OFDA, and The Water Institute at UNC

Bellflower

Engagement with market actors is increasingly being recognised to be a key part of humanitarian programming as these actors are well positioned to provide services and distribute commodities to affected communities. At the same time, cash transfers are becoming more widely utilised to enable these same communities to access markets of goods and services that they urgently need. In this context, OFDA/USAID is funding an 18-month program implemented by Oxfam’s Global Humanitarian Team under the title: ‘Promoting market-based responses to emergencies through WASH market mapping and analysis’. The aim of the programme is to increase disaster resilience and effectiveness of WASH related emergency responses through market-based solutions. In order to build local, national and international stakeholder interest and buy-in to the concept of market-based programming, there is a need to develop and test a robust evaluation and monitoring framework to support market-based programming in the target countries and subsequently to build the evidence-base for market-based programming. The objectives of the session will be to: a) Present current thinking in relation to monitoring, evaluation, accountability and learning (MEAL) that is being developed to support market-based programming in the humanitarian WASH sector. b) Consider the strengths and weakness of the presented approaches for application in markets-based programming at different stages of the emergency cycle. c) Learn from the development community and consider opportunities for utilising the proposed approaches for simultaneous supporting the improvement of WASH services in non-crisis situations.

A Shared Agenda for Monitoring, Part II: Breakout Session with Discussion of MEL Core Questions Convened by The Water Institute at UNC

Dogwood

In light of ambitious targets for water, sanitation, and hygiene (WaSH) service delivery, and while efforts to reach unserved populations continue, it is imperative to progressively improve the quality, sustainability, and service level of existing WaSH programs. WaSH implementers at multiple levels, including governments, NGOs, international aid and monitoring agencies, and others, are increasingly prioritizing monitoring, evaluation and learning (MEL) as a means of improving program outcomes. However, little coherence exists in the methods, approaches, and objectives of many MEL activities, and the sector lacks common best practices for how to collect, share, and use MEL data for improvement. The WaSH sector needs a shared agenda for high-quality MEL that would enable implementers to drive targeted program improvements while rigorously tracking the individual and collective impact of WaSH implementers at the sub-national, national, and international levels. The focus of these three sessions will be to outline the need for and requirements of such a shared agenda and to begin the process of charting an inclusive path forward.

28

10:30 AM - 12:00 PM Side Events (continued) It’s Essential! Formalizing Essential WASH Actions as an Integration Tool Convened by FHI360, WaterAid/UK, The World Bank Water and Sanitation Programme, Action Against Hunger, USAID

LOCATION Mountain Laurel

WASH and nutrition contribute significantly to healthy child growth and development, and a movement exists to build, collect and share evidence and best practice of integrated early childhood programming for synergistic impact. Tools are needed to facilitate integration, such as a set of Essential WASH Actions. The term Essential Hygiene Actions has been lurking in the conceptual corridors since Essential Nutrition Actions were established over a decade ago. Yet they focus generally on hand-washing and water treatment; and corresponding training and support materials are limited in scope and specificity. With growing recognition that water, sanitation and hygiene are all essential to achieving nutrition, health and growth outcomes, implementing organizations have begun to develop a more comprehensive menu of Essential WASH Actions (EWAs) encompassing safe water, feces disposal including child feces, and multiple aspects of hygiene including hand-washing and food hygiene; elaborated by age cohorts corresponding to Essential Nutrition Actions for the First 1000 Days, SUN, Care for Child Development and other reference frameworks. The expanded Essential WASH Actions propose feasible, effective behaviors, with relevant detail to incorporate into nutrition or health programs; or to serve as the backbone of integrated planning efforts. Having consensus on a set of EWAs will facilitate WASH integration into nutrition-sensitive and other integrated programming, and can facilitate behavior-centered wash integration into capacity building and other support materials. These resources will, in turn, serve as practical guidance for practitioners and improve quality, efficiency and effectiveness of integrating WASH into nutrition and food security programming, among other integration areas. This working side session will introduce a draft set of Essential WASH Actions and engage participants in debating and critiquing the existing tools that have been drafted through consultations with child health specialists. The feedback received from this session will be incorporated into a final draft set of Essential WASH Actions that will be published and widely disseminated.

Wednesday

Evidence for Action on WASH in Health Care Facilities: Harmonized National Monitoring and Burden of Disease Analysis (continued) Convened by WHO, Sanitation and Hygiene Applied Research for Equity at the London School of Hygiene and Tropical Medicine, UNICEF, and The Water Institute at UNC

Redbud

Transformational Change to Reach the SDGs: Putting SWA’s Collaborative Behaviours Into Practice Convened by Sanitation and Water for All ( SWA) partnership with WaterAid, IRC, WSP/WB and WHO (continued)

Sunflower

Controlling Persistent Organic Chemical Drinking Water Pollutants in Developing Communities: An Innovation Accelerator (continued) Convened by Aqueous Solutions

Windflower

12:00 PM - 1:00 PM Lunch 1:00 PM - 2:15 PM - Plenary Panel - Grumman Auditorium The Role of Government Leadership in Optimizing Development Partner Support Clarissa Brocklehurst, moderator, Adjunct Professor in the Department of Environmental Sciences and Engineering of the Gillings School of Global Public Health of the University of North Carolina Sanjay Wijesekera, Chief of Section for Water, Sanitation and Hygiene, UNICEF Clare Battle, Senior Policy Analyst for Governance, Global Policy Team, WaterAid Louis Boorstin, Managing Director, Osprey Foundation

29

2:30 PM - 3:30 PM Verbal Presentations System Strengthening

LOCATION Redbud

Optimizing the Learning Process in WASH: Best practices for civil society organizations, intermediary organizations, and funders Presented by Emily Endres, Results for Development Institute Measuring Progress: How Alternative Measures to the JMP Estimates Change Perspectives on WaSH Progress Presented by Jami Nunez, University of New Mexico Institutional Analyses: An examination of 12 years of external support Presented by Clarissa Brocklehurst, Sanitation and Water for All

Water Collection/Delivery

Dogwood

The economics of Water Collection Times in Rural Kenya Presented by Joe Cook, University of Washington

Wednesday

Understanding water service levels in the context of multiple water source use: Nationally representative data from four low income countries Presented by Peter Burr, Oxford Policy Management Measuring the impact of multiple-use water services in Tanzania and Burkina Faso: Water service quality, nutrition, and health Presented by Sara Marks, EAWAG

Reaching Unserved

Bellflower

Reaching Lebanon’s Urban Refugee Populations Presented by David Rodgers, World Vision Lebanon Delivering a Human Right to Drinking Water at the Sub-National Scale: Evidence from California on Policy Successes, Challenges and Tradeoffs Presented by Gregory Pierce, University of California, Los Angeles WASH in Wetlands. Where do we stand? Presented by Carmen Anthonj, University of Bonn

Enteric Infection

Mountain Laurel

Evaluating the Impact of School WASH Improvements Using the Presence of Serum Antibodies for Enteric and Neglected Tropical Diseases among School Children in Mali Presented by Anna Chard, Emory University Prevalence of Enteric Infections Among Children Sharing Sanitation in Low-Income, Informal Neighborhoods of Maputo, Mozambique: Baseline data from the MapSan Trial Presented by Jacqueline Knee, Georgia Tech Risk Factors for Pediatric Enteric Infection in a Low-Income Urban Neighborhood: Examining the Contributions of the Household Environment, Neighborhood Geography, and Exposure Behaviors in Vellore, India Presented by David Berendes, Emory University

30

3:30 PM - 4:00 PM Break 4:00 PM - 5:00 PM Verbal Presentations Water System Functionality

LOCATION Redbud

Getting Functionality Monitoring Right can Help Ensure Rural Water Supply Sustainability Presented by Jeffrey Goldberg, USAID Hand-washing with Soap Practices Among Cholera Patients and their Accompanying Family Members in a Hospital Setting: An Observational Study Presented by Fatema Zohura, icddr,b

Urban Sanitation

Dogwood

Are we doing the right thing? Is city sanitation planning contributing to system strengthening? Presented by Antoinette Kome, SNV

Wednesday

Assessment of Exposure to Fecal Contamination in a Low-Income Neighborhood before and after a Shared Latrine Intervention Presented by Suraja Raj, Emory University A behavior change intervention to improve shared toilet maintenance and cleanliness in urban slums of Dhaka: A randomized control trial Presented by Mahbub-Ul Alam, icddr,b

Disease Burden

Bellflower

Estimating the global burden of disease attributable to intermittent water supplies using quantitative microbial risk assessment Presented by Aaron Bivins, Georgia Tech Climate Effects on Waterborne Disease Transmission: A Mechanistic Modeling Framework Presented by Alicia Mullis, University of Michigan Investigating spatial variation and determinants of childhood diarrhea in Ethiopia: A spatial and multilevel study Presented by Demewoz Haile, College of Health Sciences

WaSH

Mountain Laurel

Group led Self-supply as Alternative Model Presented by Bethel Gebremedhi, IRC Social Impact of Being Community Health Promoters in the WASH-Benefits Trial Presented by Farzana Begum, icddr,b Impact of Community Health Clubs on Diarrhea, Anthropometry, and Water Quality in Western Rwanda Presented by Sheela Sinharoy, Emory University

31

5:00 PM- 6:30 PM Poster Reception - Atrium Latrines 1

Improvement of urban sanitation in Benin using portable toilets: Narrative of the framework adopted for technology selection

Howard Lakougna, PATH

2

Unpacking Latrine Use: Opportunities for Behavior Change with Sanitation Interventions

Velma Lopez, University of Michgan

3

Access to a household toilet and its impact on stored household drinking water in context with widespread open defecation

Esther Sample, University of Leeds

4

Towards sustainable sanitation management: Establishing the costs and willingness to pay in rural districts with high rates of access to latrines

Soumya Balasubramanya, CGIAR

5

Rebar-fabric made Latrine Liners for Areas with Non-Cohesive Soil

Tesfayohanes Yacob, Messiah College

Wednesday

Finance & Business Models 6

An Analysis of Business Model Innovation Drivers of Container Based Sanitation Service Providers

Caroline Saul, EAWAG

7

Learnings from a water and sanitation microfinance program in informal urban settlements in Bangladesh

Gabrielle Puz, Water.org

8

Lessons Learned from the Azure Water Service Finance Model In El Salvador

Bryan Rhodes, Absolute Options

9

Building a Bathroom Products Business for the Next Three Billion

Jason Cardosi, American Standard

10

Creating Funding Facilities in Georgia, Cabo Verde, and Indonesia to Support Infrastructure

Rabia Chaudry, Millenium Challegne Corporation

11

Starting-up solutions to problems in the sanitation value chain in West Africa. What happens when NGOs attempt to act like start-ups.

Katharine McHugh, PSI

Monitoring & Standards 12

Practical advice on supporting government systems learned from strengthening Malawi’s Water SWAp

Kristina Nilsson, Engineers Without Borders Canada

13

Representing women through existing WHO/UNICEF Joint Monitoring Programme (JMP) estimates

Emily Rand, World Bank

Impact on Health

32

15

Developing mHealth for WASH: Lessons Learned from Building and Deploying Mobile Tools for WASH Projects in Low-Income Countries

James Michiel, Emory University

16

Estimating protozoa diarrheal disease burdens from drinking tubewell water in a rural population in India

Marion Jenkins, UC Davis

17

Epidemiological risk mapping of cholera as a guide for long-term water and sanitation plans in Haiti

Stanislas Rebaudet, Aix-Marseille University

5:00 PM- 6:30 PM Poster Reception - Atrium (continued) Impact on Health (continued) 18

A geospatial analysis of the relationship between water and sanitation infrastructure quality in health care facilities and care-seeking behavior: Evidence from Malawi

Lauren Joca, UNC Chapel Hill

19

Interventions to Improve the Effectiveness of Public Health Direct Selling Programs in Low and Middle-Income Countries

Nicole Grable, Private Sector Consultant

20

Probing the Link between High Incidences of Diarrhoea, and the Microbial Quality of Dust, Freshwaters, and Ready-to-Eat Fruits and Vegetables in Bindura Town, Zimbabwe

Amans Ntakarutimana, University of Rwanda

21

The importance of WASH factors in Nutritional Causal Analysis for a better nutrition-WASH programmi

Nicolas Villeminot, Action Against Hunger

22

Evaluation of WASH Conditions in Healthcare Facilities in Zambia

Kate Robb, Emory University

WaSH in Schools Factors associated with water quality in schools: Opportunities for interventions to improve health

Camille Morgan, UNC Chapel Hill

24

A Study on Water, Sanitation and Hygiene (WASH) Infrastructure of Community Schools of Pyuthan

Yadav Mainali, Save The Children

25

Financing School WASH Operation and Maintenance (O&M) in Bolivia

Yadav Mainali, Save The Children

26

Financing School WASH Operation and Maintenance (O&M) in South Africa

Yadav Mainali, Save The Children

27

Costing of WASH in Schools

Heather Murphy, Temple University

Wednesday

23

33

THURSDAY 8:30 AM - 10:00 AM Side Events Monitoring and Evaluation of Biosand Filter Construction and Implementation Programs Convened by Lehigh University, Centre for Affordable Water and Sanitation Technology, Pure Water for the World, and Samaritan’s Purse

LOCATION Azalea

The purpose of this session is to build upon the side events we hosted in 2014 (Biosand Filters: Defining Future Research Directions for Greater Impact) and 2015 (Biosand Filters: Connecting Research with Implementation) by bringing the biosand filter (BSF) community back together to discuss recent developments in BSF monitoring and evaluation programs. We intend to bring together practitioners implementing BSFs in developing countries, government officials, consultants, manufacturers, researchers, and funders to contribute to the group discussion. Globally, household water treatment (HWT) efforts are being advanced and supported by the development of HWT-specific policy and the means to evaluate HWT products and programs. On the international level, the WHO’s International Scheme to Evaluate HWT Technologies (the Scheme) aims to provide governments with information on microbiological performance based on clear, consistent evaluation procedures. At the practitioner level, there is increasing emphasis on monitoring for improvement and on quality assurance and control. And researchers and implementers continue to collaborate to evaluate performance in the lab and in the field. With this progress and the increasing availability of performance information, the environment in which HWT solutions are implemented is evolving. Among the many products available today, the BSF remains one of the most widely implemented more than 5 million people in 55 developing countries have, or have received, BSFs. The objective of this side event is to bring together the BSF community to discuss recent developments around HWT evaluation and to equip practitioners and researchers alike with the information and tools needed for relevant, effective BSF research and implementation.

Learning From Knowledge Management Failures: An Opportunity to Learn From Others Convened by USAID, PSI, African Water Association, Florida International University, and U.S. EPA

Bellflower

Thursday

The goal of this brainstorming event is to spark interest in knowledge management, demonstrate the soundness of managing knowledge and sharing information in WASH, and highlight the importance of working collaboratively across various donor funded KM platforms by involving the beneficiaries at each step of WASH projects and programs. Such approach will encourage the beneficiaries to take ownership of WASH activities after projects and programs have closed out. In this session, the participants - WASH stakeholders - will share failures in knowledge management with respect to the approaches used in development projects and programs they are in charge of. They will also share their vision of knowledge management and information sharing. Each of the selected speakers will make a 15-minute presentation focusing on the biggest failures in KM, followed by a brainstorming session on creative solutions to overcome those failures. The audience will explore the following questions: “What do they think about knowledge management? Are they getting the information they need? What are the biggest failures they have experienced? What works, and what doesn’t? More specifically, participants will be asked to make a list of the failures they encountered and the best ideas to improve knowledge management. The results of this brainstorming will be grouped in order to create a map that shows why KM did not work for some and what can be done to fix it. The session’s approach will help define a common vision of success of the methods to ensure a sustainable access to WASH services by learning from failures, mitigate WASH related risks, and foster knowledge management for better results.

What is new in estimating the disease burden from water, sanitation and hygiene? Convened by WHO & IHME

Dogwood

This session aims at presenting new findings in the evidence and methods used for estimating the burden of disease from water, sanitation and hygiene (WSH). The following issues will be addressed: (a) Recent evolution in assessing the burden of disease from WSH. (b) Updated synthesis of evidence relating WSH to diarrhoea: New findings. (c) Key issues in estimating the disease burden from water, sanitation and hygiene, including: use of water quality data, choice of indicators, individual versus community indicators, non-linearity.

34

8:30 AM - 10:00 AM Side Events (continued) Scaling up Safe Water: Disinfection at the Point of Collection Convened by Stanford University, Medentech, Safe Water Network, Conrad N. Hilton Foundation

LOCATION Mountain Laurel

Despite considerable progress in expanding access to improved water sources over the past several decades, it is estimated that roughly one billion people still receive water that does not meet international standards for safety. The two dominant models for water treatment centralized and household or point-of-use can be effective in some contexts, but each faces challenges in scaling up access to safe water in developing countries. This session will present an alternative paradigm for water treatment in low-income areas, termed point-ofcollection (POC) disinfection. Most POC technologies treat water at shared water points such as handpumps, public taps, or kiosks, with minimal behavior change required on the part of end users. As such, disinfection strategies applied at the point of collection have the potential to ensure delivery of high quality water automatically and on a reliable basis. POC treatment is also amenable to small business development, as customers in some contexts are willing and able to pay cost-recovering prices for a reliable supply of high quality water. This side event will include presentations describing on-the-ground experience with POC disinfection, including current and potential market-based strategies for implementation. Presenters will also discuss the strengths and limitations of POC disinfection versus alternative water treatment strategies, and identify the conditions under which POC treatment is likely to be successful.

Community Health Clubs in Rwanda - Discussing the Results of an Impact Evaluation and Implications for Policy Convened by Bill & Melinda Gates Foundation, Africa Ahead, Rwanda Ministry of Health, Rwanda University School of Public Health, Georgetown University, Emory University

Redbud

The session will discuss the results of the impact evaluation of the Community Hygiene Clubs (CHC) approach in Rusizi District, Rwanda and the implications of these results for the future implementation of this approach. The Government of Rwanda aims to achieve total water and sanitation coverage of the entire population of over 11 million by 2020. To achieve this, an additional 4.9 million people need access to water supply, and 6.5 million to improved sanitation. Diarrheal disease is responsible for 18% of deaths of children under 5 in Rwanda, while 51% of the children are stunted. As part of this strategy, the Government of Rwanda is currently implementing a Community-Based Environmental Health Promotion Program (CBEHPP) which will establish Community Health Clubs (CHCs) in all 15,000 villages across Rwanda. The CHC model was originally developed in Zimbabwe by the NGO Africa AHEAD in 1995.

Thursday

In this context, and taking into account the growing but still limited rigorous evidence about the effectiveness and cost-effectiveness of interventions aimed at breaking the fecal-oral contamination route, an impact evaluation of the CHC approach has been carried out by Innovations for Poverty Action, in collaboration with the University of Rwanda, School of Public Health and Emory University. In order to understand which inputs and activities are essential for the achievement of the proposed outcomes, and thus to derive the most cost-effective approach, two CHC modalities were implemented during this evaluation: CHC Classic and CHC Light. The CHC Classic adheres to all the prescriptions of the model’s founders (Africa AHEAD) while the CHC Lite is less holistic. The evaluation was conducted in a representative sample of 150 villages in the Rusizi district. Out of these 150 villages, 50 were randomly assigned to receive the CHC Classic intervention at the beginning of year 1, 50 - to receive the CHC Lite intervention at the beginning of year 1, and 50 to receive the CHC Classic intervention at the beginning of year 3. Furthermore, to ensure equity and to alleviate any ethical concerns, the 50 villages that received the CHC Lite intervention will be upgraded to the CHC Classic intervention at the beginning of year 3, by being provided with additional training sessions and learning materials. The evaluation measured the impact of CHCs on a range of final and intermediate outcomes: health outcomes, knowledge and practice outcomes, environmental outcomes, community function and socio-economic outcomes . By measuring of a wide range of health (both related and unrelated to the fecal-oral transmission chain) and non-health outcomes the evaluation is well equipped to capture the integrated nature of the intervention.

35

8:30 AM - 10:00 AM Side Events (continued) Acting differently: Harnessing big ideas and new thinking for hand-washing behavior change Convened by Global Public-Private Partnership for Hand-washing, Splash, USAID WASHplus, WaterSHED Asia

LOCATION Sunflower

With the inclusion of hygiene in the SDGs, it is clear that the WASH sector needs to both take stock of the current evidence around what works in hand-washing behavior change and take action through incorporating this knowledge into program implementation. To meet this aim, in this session we will 1) explore current knowledge about hand-washing with soap; 2) share learnings from the 2016 Hand-washing Think Tank; and 3) spark collaborative thinking about hand-washing to drive forward the sector. Participants will not only learn about new approaches and thinking in behavior change, but also have the opportunity to discuss how it can be applied in their respective projects. In this session, after providing an overview of the basics of behavior change, the PPPHW and co-presenters will introduce attendees to three, new “big ideas”: hand-washing integration, the role of settings in sparking behavior change, and scale/sustainability. Each “big idea” will be accompanied by examples of innovative “new thinking” and ways in which organizations are confronting the challenges that face hand-washing behavior change. Julia Rosenbaum with USAID WASHplus will explore new thinking about integrating hand-washing into newborn care, Megan Williams will describe how Splash has tested the use of nudges to improve hand-washing behavior, and Geoff Revel (WaterSHED Asia) will outline how products can help achieve scale. After the presentations, participants will be led in a facilitated exercise identifying how they can apply the “new thinking” to their respective projects. Commitment making will conclude the event and encourage participants to take action on hygiene behavior change going forward.

Domestic Resource Mobilisation for WASH: What can realistically be expected in lower-middle income countries? Convened by WSUP and IRC

Windflower

Different countries are in different stages of their macroeconomic development, some have access to private capital for the WASH sector, others don’t. The water and sanitation service provision is also very different, some municipalities have access to loans and can raise taxes for the sector, others don’t.

Thursday

Using an interactive game, this session will: - Demystify what is meant by domestic resource mobilisation - Clarify the importance of domestic resource mobilisation to reach universal access - Present and discuss a simple methodology that shows the limitations and potential of specific financing mechanisms for different levels of development in a country or in a district - Show some examples of what has been working in some countries

36

10:00 AM - 10:30 AM Break - Atrium 10:30 AM - 12:00 PM Side Events

LOCATION

Monitoring and Evaluation of Biosand Filter Construction and Implementation Programs (continued) Convened by Lehigh University, Centre for Affordable Water and Sanitation Technology, Pure Water for the World, and Samaritan’s Purse

Azalea

Learning From Knowledge Management Failures: An Opportunity to Learn From Others (continued) Convened by USAID, PSI, African Water Association, Florida International University, and U.S. EPA

Bellflower

A Shared Agenda for Monitoring, Part III: Presentation by Groups and Team Leaders Convened by The Water Institute at UNC

Dogwood

In light of ambitious targets for water, sanitation, and hygiene (WaSH) service delivery, and while efforts to reach unserved populations continue, it is imperative to progressively improve the quality, sustainability, and service level of existing WaSH programs. WaSH implementers at multiple levels, including governments, NGOs, international aid and monitoring agencies, and others, are increasingly prioritizing monitoring, evaluation and learning (MEL) as a means of improving program outcomes. However, little coherence exists in the methods, approaches, and objectives of many MEL activities, and the sector lacks common best practices for how to collect, share, and use MEL data for improvement. The WaSH sector needs a shared agenda for high-quality MEL that would enable implementers to drive targeted program improvements while rigorously tracking the individual and collective impact of WaSH implementers at the sub-national, national, and international levels. The focus of these three sessions will be to outline the need for and requirements of such a shared agenda and to begin the process of charting an inclusive path forward.

Thursday

Sanitation in Emergencies: Establishing an Evidence-Based Approach Convened by The University of Brighton, UK

Mountain Laurel

Recent infectious disease outbreaks, including Ebola and cholera, have highlighted the hazards associated with human excreta management in emergency settings; they have also served to question existing protocols for preventing the onward transmission of disease through human contact with contaminated feces and through the potential fecal contamination of the water supply chain. In this side event, researchers from the University of Brighton will outline the outcomes of recent international collaborative research to investigate how human excreta might be effectively and safely disinfected during emergencies. Drawing on recent feedback from WASH experts from international NGOs, the researchers will outline the contents of a draft guidance manual on excreta disinfection in emergencies and seek feedback and expert advice from participants on the contents of the final version of the manual, which will be made freely available online.

Community Health Clubs in Rwanda - Discussing the Results of an Impact Evaluation and Implications for Policy (continued) Convened by Bill & Melinda Gates Foundation, Africa Ahead, Rwanda Ministry of Health, Rwanda University School of Public Health, Georgetown University, Emory University

Opportunities and Gaps Moving Forward with WASH in Non-Household Settings Convened by IRC

Redbud

Sunflower

We will be holding a one and a half hour session to advocate on the importance of institutional WASH. We will have four key speakers pitch for 5 minutes each on the following sub-topics, namely schools, health care facilities, work place and refugee camps. Guest speakers for the pitches include a key representative from UNC, UNICEF and WHO. We will then a short group exercise to reflect tools developed in the WASH in schools resource kit for measuring their effectiveness in the further promotion of highlighting the importance of extra household settings in terms of documentation and sharing knowledge.

37

8:30 AM - 10:00 AM Side Events (continued) Financing 2.0: Is the WASH Sector Ready for Impact Bonds? Convened by USAID

LOCATION Windflower

The SDGs ambitious focus on universal access to water, sanitation and hygiene requires an aggressive search for new financing tools that can attract the private capital needed to bridge the sector’s substantial funding gap. One promising tool being tested in other sectors is impact bonds. An outcome-based funding mechanism, impact bonds are steadily gaining support from government agencies, donors, and impact investors. Though deployed with some success in the US and UK, their use in developing countries is far more limited, and none has focused on WASH outcomes yet. This panel presentation and discussion meeting will convene experts in WASH, development finance, and impact investing to explore the challenges and benefits of impact bonds pay-for-success or outcomes-based funding model. Panelists will review experiences from other sectors where impact bonds have been deployed to determine how these learnings can be applied in the WASH sector. While not a panacea, impact bonds offer a promising new way to fund the testing and scaling of effective approaches for delivering WASH products and services. By involving private investors, impact bonds enable governments to transfer program risk to a third party, ensuring more effective allocation of public funds. The goal is to generate concrete, pragmatic ideas for leveraging this promising new business model to dramatically improve the delivery, accountability, and, ultimately, the impact of WASH programming globally.

12:00 PM - 1:00 PM Lunch 1:00 PM - 2:15 PM - Theme Keynotes

Thursday

WaSH Srinivas Chary Vedala, Director, Centre for Energy, Environment, Urban Governance and Infrastructure Development, Administrative Staff College of India Dogwood Reaching the Underserved Where They Are Gary White, CEO and co-founder, Water.org Redbud Public Health Engineering Rick Gelting, Centers for Disease Control and Prevention David Gute, Professor, Department of Civil and Environmental Engineering, Tufts University Sunflower

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2:30 PM - 3:30 PM Verbal Presentations

LOCATION

Demand

Redbud

Why is drinking water not being tested? Evaluating the drivers for institutional water quality testing performance in sub-Saharan Africa Presented by Rachel Peletz, Aquaya Sustainability of Demand Responsive Approaches to Rural Water Supply: The Case of Kerala Presented by Luis Andres, World Bank Evaluating the financial and economic of performance of alternative water tariffs in Nairobi, Kenya. Presented by David Fuente, The Water Institute at UNC

Water Quality

Dogwood

Water quality in Ethiopia: Learning from data Presented by Katie Shields, The Water Institute at UNC Correlations between self-reported and measured water quality in boreholes in Eastern Region, Ghana and implications on water use patterns and health Presented by Alexandra Kulinkina, Tufts University Does arsenic contamination in drinking water limit early childhood development in Bangladesh? Presented by Sabrina Haque, World Bank

WaSH and Ebola

Bellflower Thursday

Hand-washing for Ebola Outbreak Contexts: Comparison of the Safety and Efficacy of Soap, Hand Sanitizer, and 0.05% NaDCC, HTH, and NaOCl Chlorine Solutions Presented by Marlene Wolfe, Tufts University Small and Large Scale Disinfection of Ebola Virus Surrogates in a Matrix of Hospital Sewage and Human Fecal Samples Presented by Emanuele Sozzi, The University of North Carolina at Chapel Hill Selection of a biosafety level 1 surrogate for the Ebola virus: comparison of bacteriophages MS2, M13, Phi6 and PR772Phi6m Presented by Karin Gallandat, Tufts University

Diarrheal Disease

Mountain Laurel

Effectiveness of the H2S test as a water quality indicator for diarrhea risk in rural Bangladesh Presented by Mahfuza Islam, icddr,b Enterococci but not E. coli counts in drinking water are positively associated with gastrointestinal disease risk in urban Zambia Presented by Michelo Simuyandi, London School of Hygiene & Tropical Medicine Effects of functional latrine density on drinking water contamination, soil-transmitted helminth infection, and diarrhea: A spatial analysis Presented by Heather Amato, Emory University

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3:30 PM - 4:00 PM Break 4:00 PM - 5:00 PM Verbal Presentations

LOCATION

Sanitation

Redbud

Sustaining Sanitation: Evidence from Odisha, India on the long-term effectiveness of the shame and subsidy approach Presented by Jennifer Orgill, Duke University From political will to delivering sanitation: Incentives for prioritisation and course correction in India, Indonesia and Ethiopia Presented by Andres Hueso, WaterAid An approach to measurement of the sustainability of sanitation marketing programs Presented by Yi Wei, iDE

Filtration

Dogwood

Revitalization of Abandoned Biosand Filters Presented by Kristen Jellison, Lehigh University Evaluation of Fired-in Copper, Silver, and Iron Additives for Reduction of MS2 Virus and E. coli Bacteria by Amended Ceramic Water Filters with Filtered Water Storage Presented by Katie Friedman, The University of North Carolina at Chapel Hill

Thursday

Acceptability and microbiological effectiveness of a combined ceramic filter and brominator in Kenya and Haiti: A pilot study of a new household water treatment technology Presented by Anna Murray, Tufts University

Water Quality

Bellflower

On-site Water Reuse Systems - Innovation & Demonstration Presented by Aaron Dotson, University of Alaska Anchorage Evaluation of sustained effectiveness of three centralized water treatment projects in Haiti Presented by Justine Rayner, Tufts University A Field Evaluation of E. coli Quantification in Compartment Bag Tests (CBT) Incubated at Ambient Temperatures Presented by Patricia Akers, CDC

WaSH and healthcare Predictors of water and sanitation service levels in health care facilities in Haiti Presented by Vidya Venkataraman, The Water Institute at UNC Water-borne infections from health care facility water systems: A systematic review Presented by Lydia Adebe, The Water Institute at UNC Prevalence and direct costs of emergency department visits for selected diseases transmitted primarily and partially through water, United States Presented by Elizabeth Adam, CDC

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Mountain Laurel

5:00 PM- 6:30 PM Poster Reception - Atrium Community Managed WaSH 1

Street level bureaucrats as anchors of community managed water systems in Honduras: Lessons for sustained last mile service

Sarah Long, UNC Chapel Hill

2

Successes and Limitations of Community Based WASH Governance in Haiti

Jason Rosenfeld, The University of Texas Health Science Center

3

Improving community well-being through marketing exchanges: Insights from a participatory action research study on water, sanitation and hygiene in four Melanesian countries

Kate Shields, UNC Chapel Hill

4

Participatory Engagement on Drinking Water of the Undeserved in Northern Uganda: How U.S. University Students Can Ethically Engage

Laura Brunson, University of Oklahoma

Sanitation Quantifying microbial risks of field-scale struvite production from source-separated urine using first-person videography exposure assessment

Tim Julian, Swiss Federal Institute of Technology

6

Nitrogen Recovery From Source-Separated Urine Using Ion Exchange Resins

Ileana Wald, UC Berkeley

7

Perceptions of Climate Risk and Adaptation among Water Professionals in Africa: Insights and opportunities for promoting climate resilient water and sanitation service delivery

David Fuente, UNC Chapel Hill

8

Soil-transmitted helminthiasis in preschool-aged children in Maputo: baseline results from the MapSan Trial

Trent Sumner, Georgia Tech

9

Evaluating the impact of the Sustainable Sanitation and Hygiene for All (SSH4A) program: a pre- post-assessment in 11 countries

Josh Garn, Emory University

10

Drivers for open defecation in riverine communities of Bayelsa State, Nigeria

Esther Sample, University of Leeds

11

Strengthening hand-washing promotion within CLTS : A rigorous intervention and evaluation in Nigeria

Carolien van der Voorden, WSSCC

Thursday

5

Water Access 12

Providing Water On-Premises for Rural Families

Bethel Gebremedhin, IRC

13

Water and Sanitation for the Urban Poor Research Strategy 2016-2020

Sam Drabble, WSUP

14

Hand pump use changes in response to rainfall - Observations and health implications.

Patrick Thomson, University of Oxford

15

Impacts of Water Fetching Distance on Water Accessibility in Developing Countries

Alexandra Cassivi, Université Laval

16

Full water coverage assessment in Zambia

Opong Emmanuel, World Vision International

17

Impact of social mobilization and village-level institutions on improved drinking water access in rural India

Ipsita Das, UNC Chapel Hill

18

Investigating the relationship between intermittent supply and pipe damage in drinking water networks

David Taylor, MIT

41

5:00 PM- 6:30 PM Poster Reception - Atrium (continued) Water Access (continued) 19

Drought response with reverse osmosis: Is modern technology making communities in the South Pacific more or less resilient?

Morgan MacDonald, CAWST

20

Water Quality of Capped Springs (Improved Water Sources) in Rural Democratic Republic of the Congo: New Implications and Challenges

Woody Collins, Congo Helping Hands

WaSH in Emergencies 21

Disinfection of surfaces in the Ebola context: Efficacy assessment of four chlorine types using E. coli and bacteriophage Phi6

Karin Gallandat, Tufts University

22

Small and Large Scale Experiments to Assess the Survival of Ebola Virus Surrogates in Hospital Sewage and Human Fecal Samples

Emanuele Sozzi, UNC Chapel Hill

23

An Assessment of Household Knowledge, Attitudes, and Practices during a Cholera Epidemic - Dar es Salaam, Tanzania, January-February 2016

Sae-Rom Chae, CDC

24

WASH Interventions in Emergencies and Outbreaks: Two Systematic Reviews and Impact Analyses

Travis Yates, Tufts University

Thursday

Fecal Sludge Treatment

42

25

A Neighborhood Fecal Sludge Treatment System Using Supercritical Water Oxidation

Marc Deshusses, Duke University

26

Addressing Shared Fecal Sludge Containment Needs in Abidjan, Côte d’Ivoire

Adam Drolet, PATH

27

Odors in Fecal Sludge Management: Sources, Impacts, and Control using Adsorption and Biofiltration

Kate Stetina, University of Colorado, Boulder

FRIDAY 8:30 AM - 10:00 AM Side Events

LOCATION

ODF advisory board meeting (closed meeting) Convened by USAID

Bellflower

Making Sense of Inequality in WASH, Its Impact, and Service Delivery in the Era of the SDGs Convened by World Bank

Dogwood

The adoption of the Sustainable Development Goal 6 raises the bar to ensure that all people have equal access to safe, reliable, affordable, and sustainable water and sanitation services. In doing so, Goal 6 highlights the need to ensure access to the unserved, move people up the “service ladder”, and eliminate inequalities in access if the sector is going to contribute to poverty reduction and reducing gender inequality. To meet this higher bar, new knowledge is required to inform policy and programs that extends beyond the technical issues of the water sector. We not only need to understand the finer details of where inequalities in service delivery persist, but also the multi-sectoral nature of poor WASH service delivery and the role of other sectors in contributing to improving service delivery. We need a better understanding key service delivery constraints that exacerbate inequality in service provision, and the politics and governance structures that maintain the status quo. The Water Supply, Sanitation, and Hygiene (WASH) Poverty Diagnostic is a global initiative led by the World Bank and is being implemented in 18 countries around the world. The diagnostic is an innovative, multidisciplinary effort between sector professionals that focus on water, poverty, health and nutrition, and governance to understand inequalities in service provision, the impacts of those inequalities, and the reasons for their persistence. This seminar session aims to demonstrate how we can make better use of existing data, underscore where knowledge gaps exist, demonstrate new thinking to inform policy and programs on the impacts of poor service provision- including climate variability, and discuss with participants key constraints and solutions, particularly the role of governance structures and political economy. The session will draw upon available data and analysis for up to 18 countries, and engage participants in a discussion around three areas: i.) Trends in monetary poverty, WASH, and inequality, ii.) quantifying the multi-sectoral nature of WASH and the implications of climate variability, and iii.) better understanding constraints and opportunities to improve service delivery to the poor and vulnerable – particularly through the lens of governance and political economy.

A practical guide for systematic behavior change using the RANAS approach: Applications in WASH projects demonstrating its practicability Convened by EAWAG

Mountain Laurel

Friday

This session introduces a practical guide to behavior change that is especially suited to both practitioners and behavioral scientists who want to apply behavior change systematically. Systematic behavior change is based on psychological theory and scientific evidence; it gives concrete and objective instructions about data collection, data analysis, and the selection of behavior change techniques for interventions tailored to target populations. The first part of the session is devoted to the different phases of systematic behavior change. Phase 1: Identify potential behavioral factors. Phase 2: Measure the identified potential factors and determine those steering the behavior. Phase 3: Select corresponding behavior change techniques and develop appropriate behavior change strategies. Phase 4: Implement and evaluate the behavior change strategies. A case study on handwashing in peri-urban Harare, Zimbabwe, is presented in parallel to illustrate the different phases. In the second part of the session, a poster market will take place. The posters will demonstrate which behavioral factors steer different behaviors, which behavior change techniques were applied to change behaviors, with what success, and how to understand the mechanisms of behavior change. The posters focus on three points. Safe drinking water: disinfecting drinking water with chlorine in Chad; safe transport of drinking water in Benin; drinking water from a fluoride removing community filter in Ethiopia; water from arsenic-free wells in Bangladesh. Sanitation: purchasing flood-resistant toilets in Dakar, Senegal; cleaning of privately shared toilets in Kampala, Uganda. Handwashing: studies in eight countries (Burundi, Ethiopia, The Gambia, Guinea-Bissau, Haiti, India, Senegal, Zimbabwe). The poster market gives participants the opportunity to (1) compare the RANAS behavioral factors in more detail with determinants which their experience has shown to be relevant (e.g. based on Knowledge, Attitudes, and Practice (KAP) surveys), (2) compare the catalog of behavior change techniques presented with promotion activities the participants have implemented, and (3) share their experiences of evaluations they have conducted. In the last part, a plenary discussion focuses on the practicability of the RANAS approach in WASH projects, especially how the approach can be merged with popular field practices: i) how a KAP survey can be improved; ii) how behavior change techniques can be derived from quantitative data; iii) how the effectiveness and effects of behavioral interventions can be evaluated objectively.

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8:30 AM - 10:00 AM Side Events (continued) Water Stability and Sustainability for a Changing North Carolina Population Convened by The Water Institute at UNC

LOCATION Redbud

Building on the theme of Domestic WaSH in high income countries, The Water Institute and guests from across North Carolina will convene to explore the changing population in North Carolina and examine how stakeholders can collaborate effectively to ensure regulations and standards mitigate exposure to contaminants, and lessen the impact that extreme weather events and harmful algal blooms have on our drinking water sources. The theme keynote Mapping Toxic Metals Across the State: Identifying Areas of Concern, will be delivered by Rebecca Fry, Associate Professor, Department of Environmental Sciences and Engineering Director, UNC Superfund Research Program.

Enveloped Viruses Convened by The Water Institute at UNC

Ceramic Pot Filters: Current Research, Future Directions and Defining Next Steps Convened by Ceramics Manufacturing Working Group and Tufts University

Sunflower

Windflower

The purpose of the Ceramic Pot Filter side session is to bring together those involved in filter manufacturing, marketing, dissemination and research in order to share successes and challenges over the past year and discuss future directions, challenges and solutions. We will have presentations and discussions on recent research and discuss current needs and goals for the following year.

10:00 AM - 10:30 AM Break - Atrium 10:30 AM - 12:00 PM Side Events

LOCATION Bellflower

Making Sense of Inequality in WASH, Its Impact, and Service Delivery in the Era of the SDGs (continued) Convened by World Bank

Dogwood

Friday

ODF advisory board meeting (closed meeting) (continued) Convened by USAID

Water Stability and Sustainability for a Changing North Carolina Population (continued) Convened by The Water Institute at UNC

Enveloped Viruses (continued) Convened by The Water Institute at UNC

Ceramic Pot Filters: Current Research, Future Directions and Defining Next Steps (continued) Convened by Ceramics Manufacturing Working Group and Tufts University

12:00 PM - 1:00 PM Lunch 44

Redbud

Sunflower

Windflower

Speaker Bios Greg Allgood Dr. Greg Allgood is Vice President at World Vision where he helps lead World Vision’s efforts to address the global clean drinking water crisis. He is also an Adjunct Professor at the University of North Carolina Water Institute. Prior to joining World Vision, he worked for Procter & Gamble (P&G) for 27 years and is the Founder of the P&G Children’s Safe Drinking Water Program. He has a PhD in Toxicology from North Carolina State University and a Master of Science in Public Health from the University of North Carolina at Chapel Hill, where he did research in water quality. In 2013, Dr. Allgood was named a Conde Nast Visionary for his advocacy to address the global water crisis. In 2012, he was a co-winner of the Economist Social Innovation Award for one of the world’s most impactful developments, was honored as Distinguished Alumni of the Year by the University of North Carolina-Chapel Hill, and was named as one of the top 100 marketers in the world by Internationalist Magazine for helping to shape P&G’s global image.

Clare Battle Clare Battle is Senior Policy Analyst for Governance in WaterAid’s Global Policy Team, based in the UK. Her work covers a range of sector governance issues, focusing in particular on improving policy and practice in support of WASH system strengthening and greater development effectiveness. Clare is also Chair of the Sanitation and Water for All partnership’s Country Processes Task Team (CPTT), which aims to coordinate SWA partners’ efforts towards strengthening country processes, particularly through the adoption to of the Collaborative Behaviours. She holds a BA in Geography from the University of Cambridge, and an MSc in International Politics from the School of Oriental and African Studies.

Louis C. Boorstin

45

Speakers

Louis is Managing Director of the Osprey Foundation, where he leads programs on water, sanitation and hygiene (WASH) and sustainable energy, including clean cookstoves. In addition to managing a portfolio of grants and impact investments, Louis works to advance these sectors through wide-scale systems change. From 2005-2013, Louis founded and led the WASH program at the Bill & Melinda Gates Foundation, building a portfolio of more than US$ 400 million, assembling a cross-disciplinary team, and focusing the program on non-piped sanitation. Prior to that, he worked for 15 years at International Finance Corporation of the World Bank Group, where he led the environmental finance team from 1997 to 2004. That team made over 30 impact investments totaling US$ 250 million in sectors ranging from solar power to sustainable agriculture.Louis holds a BA in economics from Yale University and an MBA and MA (Development Economics) from Stanford University.

Speaker Bios Clarissa Brocklehurst Clarissa Brocklehurst is an Adjunct Professor in the Department of Environmental Sciences and Engineering of the Gillings School of Global Public Health of the University of North Carolina, and an affiliated faculty member of the university’s Water Institute. Clarissa started her career working on the water and sanitation needs of indigenous communities in Canada and the US. She managed water and sanitation projects in Togo and Sri Lanka before becoming the Country Representative for WaterAid in Bangladesh, and a Regional Urban Specialist for the World Bank Water and Sanitation Program (WSP) in South Asia. Between 2007 and 2011 she was the Chief of UNICEF’s Water, Sanitation and Hygiene Section, overseeing UNICEF’s water and sanitation programming in 100 countries and playing a role in development of strategy and advocacy for the global water supply and sanitation sector. Clarissa is a member of the Board of Trustees of WaterAid UK and the Strategic Advisory Group of the WHO-UNICEF Joint Monitoring Program that tracks global progress on water and sanitation. She is a Senior Advisor to the global Sanitation and Water for All partnership, and works in a consulting capacity with several sector agencies.

Marc Edwards Marc Edwards received his bachelor’s degree in Bio-Physics from SUNY Buffalo. He received his M.S. and Ph.D. in Environmental Engineering from the University of Washington. In 2004, Time Magazine dubbed Dr. Edwards “The Plumbing Professor” and listed him amongst the 4 most important “Innovators” in water from around the world. The White House awarded him a Presidential Faculty Fellowship in 1996. In 1994, 1995, 2005, 2011 and 2016, Edwards received Outstanding Paper Awards in the Journal of American Waterworks Association, and he received the H.P. Eddy Medal in 1990. His M.S. Thesis and PhD Dissertation won national awards from the American Water Works Association (AWWA), the Association of Environmental Engineering and Science Professors (AEESP) and the Water Environment Federation. He was later awarded the Walter Huber Research Prize from the American Society of Civil Engineers (2003), State of Virginia Outstanding Faculty Award (2006), a MacArthur Fellowship (20082012), and the Praxis Award in Professional Ethics from Villanova University (2010). His paper on lead poisoning of children in Washington D.C., due to elevated lead in drinking water, was judged the outstanding science paper in Environmental Science and Technology in 2010. In 2013 Edwards’ was the 9th recipient (in a quarter century) of the IEEE Barus Award for “courageously defending the public interest at great personal risk,” and in 2016 he was named amongst the most influential people in the world by Fortune and Time magazine.

Speakers

Edwards is currently the Charles Lunsford Professor of Civil Engineering at Virginia Tech, where he teaches courses in environmental engineering, applied aquatic chemistry and engineering ethics. Since 1995, undergraduate and graduate students advised by Edwards have won 25 nationally recognized awards for their research work. He has published more than 180 peer reviewed journal articles, made more than 300 national and international conference presentations, and has delivered dozens of keynote and endowed lectures. Edwards is a Past-President of the Association of Environmental and Engineering Science Professors, and in 2004 and 2010 he testified to the United States Congress on the issue of lead in Washington DC drinking water and scientific misconduct at the U.S. Centers for Disease Control (CDC), respectively. His research group is currently emphasizing research on premise plumbing-- a problem costing consumers in the U.S. billions of dollars each year and which also can endanger the safety of potable water. The National Science Foundation, individual water utilities and homeowners’ groups, the AWWA Research Foundation, the United States Environmental Protection Agency (U.S. EPA), and the Copper Development Association and have supported that research. His students’ work has been featured in Time Magazine, Materials Performance, National Public Radio, Prism, Salon, Good Housekeeping, Environmental Science and Technology, Public Works, Earth and Sky, and in newspaper articles around the country, and has spurred several new Federal laws to protect the public from lead in water hazards. 46

Speaker Bios Rick Gelting CAPT Rick Gelting, PhD, MS, has worked for the Centers for Disease Control and Prevention (CDC) for over 15 years on water, sanitation and hygiene (WASH), recently with a special focus on these issues in Haiti. He has done research and provided technical assistance on issues related to the sustainability and health impact of WASH interventions, and has been closely involved in implementing and evaluating Water Safety Plans in Latin America and the Caribbean. Dr. Gelting has also been involved in environmental investigations related to numerous waterborne disease outbreaks, both in the US and other countries. He holds Ph.D. and M.S. degrees in environmental engineering from Stanford University, is a registered professional engineer, and was the 2013 Federal Engineer of the Year in the United States. Beyond his work with CDC, Dr. Gelting is also an Adjunct Professor of Global Health for Emory University.

David Gute David M. Gute is a Professor of Civil and Environmental Engineering at Tufts University. He holds a joint appointment with the Department of Public Health and Community Medicine at the Tufts University School of Medicine as well as at the Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy. He directs a M.S./Ph.D. program in Environmental Health and has served as the Academic Director of the Tufts in Talloires program located in the Haute Savoie, France. Prior to joining the Tufts faculty Dr. Gute served as an Assistant Commissioner responsible for personal and environmental disease risk factor reductions with the Massachusetts Department of Public Health and as an Epidemiologist with the Rhode Island Department of Health. He has served as a consultant for a number of organizations including the World Health Organization and AcademyHealth. He is interested and committed to offering environmental and public health training in a variety of settings including international venues, having lead and co-directed training programs in Brazil and the Philippines. Dr. Gute received his Ph.D. and M.P.H. from Yale University. Dr. Gute is a Fellow of the American College of Epidemiology.

Melissa Opryszko

47

Speakers

Melissa Opryszko is the WASH Team Lead for USAID’s Office of U.S. of Foreign Disaster Assistance (USAID/OFDA) where she has been a WASH Advisor for over five years. She has over twenty years’ experience in environmental health including disaster response, research, and community development projects. She has responded to acute and slow onset disasters as well as complex emergencies in more than 20 countries. Melissa’s research has focused on access to potable water supplies and improved hygiene behaviors including a multi-year post-conflict randomized controlled trial in rural Afghanistan. She holds a doctorate in Environmental Health Sciences and Master of Public Health from the Johns Hopkins Bloomberg School of Public Health. She also earned a Bachelor of Science in Biology from McGill University.

Speaker Bios Jyoti Shukla Ms. Shukla is currently a Senior Manager of the Water Global Programs (GWAGP). Part of the Global Water Practice of the World Bank, GWAGP is a multi-donor Partnership that supports safe, affordable and sustainable access to water and sanitation services, particularly for the bottom 40 percent. Ms. Shukla joined the World Bank as a Young Professional in 1994 and has since held multiple positions, largely in the area of public-private partnerships in infrastructure. Her most recent positions in the Bank Group have been as Senior Manager, Sustainable Development for the South Asia Region, Sector Manager, Energy for South Asia, Manager, Sustainable Development for the Latin America and the Caribbean region and Program Manager of the Public-Private Infrastructure Advisory Facility (PPIAF). Ms. Shukla is an Indian national and holds a Master’s degree in Economics from the Delhi School of Economics as well as a Master in Public Affairs from the Woodrow Wilson School of Public and International Affairs at Princeton University. Before joining the World Bank, she held a faculty position at Princeton University and worked with a development consulting firm in India.

Heather Skilling

Speakers

Heather Skilling has more than 25 years of experience in strengthening WASH service delivery in Africa and Asia through strategic, analytic, project design, and technical assistance work. At present, she is Principal Global Practice Specialist, WASH, at the consulting firm of DAI and working as a consultant to The World Bank Global Water Practice and WaterAid UK. She has worked directly with USAID, The World Bank, Asian Development Bank, DFID, and GIZ to improve performance of service providers (from utilities to small scale providers); strengthen operating environments including policy and regulatory regimes; and develop sector instruments such as corporate governance approaches, licences, contracts, and performance agreements. She has worked and written extensively on sustainability of WASH and on pro-poor services. With USAID she was Senior Water and Sanitation Advisor and on the Steering Committee of SWA, the WASH global partnership. She previously was Vice President and Practice Director of the international Regulation and PPP Practice of Stone & Webster Consultants, a division of the Fortune 500 Shaw Group. She has a graduate degree in International Economics and concentrations in Middle East and Latin American Studies.

48

Speaker Bios Srinivas Chary Vedala Prof V. Srinivas Chary is the Director of Centre for Energy, Environment, Urban Governance and Infrastructure Development at Administrative Staff College of India (ASCI). ASCI is a leading think tank on public policy and a capacity building institution in India of international repute. He is a specialist in water and sanitation. Chary has over 25 years of professional experience working with national, state and urban local bodies in India and outside. His work experience spans in the areas of service delivery improvement (24-7 water supply, SWM), PPP and ICT for urban development. He was conferred Ashoka Fellowship for promoting continuous (24-7) water supply. An engineer, urban planner and management professional by training, Chary, had education at University of Pennsylvania, Philadelphia, University of Bradford, UK, and Water Engineering Development Centre, UK. Chary has led over 170 advisory, consulting and research assignments both in India and South Asia. Chary is leading major research assignments for Bill and Melinda Gates Foundation related to non networked decentralized FSM solutions for urban sanitation in India. He facilitates the Swachh Bharat Awards and National Urban Water Awards to recognize excellence in urban sanitation and water management for water utilities and municipalities in India. Chary leads urban service level benchmarking programme of the Government of India involving over 1300 municipalities. As a member of the urban sanitation taskforce of the MoUD, he played a catalytic role in the formulation of the National Urban Sanitation Policy of the Government of India. As a team leader, he is instrumental in establishing WASH in School Benchmarking Programme (Swachh Vidhyala Puraskar) in partnership with Ministry of Human Resources Development, Government of India. He has published extensively in national and international professional journals and presented over hundred papers as invited speakers in conferences. He serves on numerous national and international committees. He supports Sub Committee on Sanitation established by Niti Ayog of GOI. He is passionately committed to capacity building with the objective of ensuring continuous water supply and open defecation free urban systems in India.

Gary White

In 2011 he was named to the TIME 100 list of the world’s most influential people. In 2012 Gary received the World Social Impact Award from the World Policy Institute as well as being named one of the Schwab Foundation Social Entrepreneurs of 2012. In addition to being elected as nominee for the 2015 Global Citizen Award, Gary received the Henry W. Bloch School of Management 2015 Entrepreneur of the Year Award. Gary is currently a leading member of the World Economic Forum’s Global Agenda Council on Water.

49

Speakers

Gary White is chief executive officer and co-founder of Water.org, a nonprofit organization dedicated to empowering people in the developing world to gain access to safe water and sanitation. Gary’s entrepreneurial vision has driven innovations in the way water and sanitation projects are delivered and financed, and these innovations now serve as a model in the sector. Since 1994, White has led Water.org through more than twenty years of sustained growth, while positioning the organization as an innovative leader in the global water supply and s anitation space. He developed the organization’s WaterCredit Initiative, creating new financing options for poor populations to meet their water supply and sanitation needs.

Speaker Bios Sanjay Wijesekera Mr. Sanjay Wijesekera joined UNICEF in October 2011 as the Chief of Section for Water, Sanitation and Hygiene. Before joining UNICEF, from 2005 – 2011, he was working for the United Kingdom’s Department for International Development (DFID), where he was responsible for managing overall policy and global programmes related to achieving the water and sanitation Millennium Development Goals. He also worked for DFID in Ghana as an infrastructure adviser, where he helped coordinate a Joint Assistance Strategy for the donor community and was the lead donor representative for the water sector. Prior to that, between 2003 and 2005, he worked for UNICEF as a water and sanitation adviser in Nigeria. Mr. Wijesekera worked for the Department of Water Affairs and Forestry in South Africa (2000 – 2002), supporting newly formed local governments to take on the responsibility for delivering water and sanitation services, and helping to regulate public and private sector service providers.

Speakers

He has also worked on emergency programmes in Rwanda for Oxfam in 1994 and for UNICEF, supporting post-tsunami reconstruction, in Sri Lanka in 2005. Mr. Wijesekera is a Chartered civil engineer, and holds a Master’s degree in Water and Environmental Management from the University of Loughborough, UK. Mr. Wijesekera is a Sri Lankan citizen.

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Sponsors PLATINUM Bill & Melinda Gates Foundation

Guided by the belief that every life has equal value, the Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. In developing countries, it focuses on improving people’s health and giving them the chance to lift themselves out of hunger and extreme poverty. In the United States, it seeks to ensure that all people—especially those with the fewest resources—have access to the opportunities they need to succeed in school and life. Based in Seattle, Washington, the foundation is led by CEO Sue Desmond-Hellmann and Co-chair William H. Gates Sr., under the direction of Bill and Melinda Gates and Warren Buffett.

GOLD Osprey Foundation

The Osprey Foundation strives to empower individuals and communities through education, health, economic opportunity and human rights in a sustainable way. Osprey’s water, sanitation, and hygiene (WASH) program has three main elements: 1) Supporting systems change that provides sustainable access to WASH services at scale; 2) Seeding innovative models for delivering WASH services to the poor; and 3) Advocating for change within the sector through collaboration and a focus on leveraged impact. Osprey supports select WASH initiatives, NGOs, and social ventures with grants, impact investments, and expert advice on strategy, funding and operations. It focuses its WASH program in sub-Saharan Africa, Latin America and the Middle East.

P&G Children’s Safe Drinking Water Program

The P&G Children’s Safe Drinking Water Program consists of not-for-profit social marketing and emergency relief efforts to provide P&G packets in the developing world with private, public, and NGO partners. Our goal is to reduce sickness and death in children that results from drinking contaminated water.

World Vision

World Vision, the leading NGO providing clean drinking water in the developing world, is a Christian humanitarian organization dedicated to helping children and communities reach their full potential by tackling the causes of poverty and injustice. We work in nearly 100 countries, serving all people, regardless of religion, race, ethnicity, or gender.

SILVER IAPMO

The International Association of Plumbing and Mechanical Officials has been protecting the public’s health and safety for more than eighty years. The IAPMO Group is a complete service organization, providing leadership towards the development of consensus based sustainable water and energy code provisions, leading educational programs, and a manufacturer-preferred 3rd party certification program.

Kohler

Sponsors

As a leading manufacturer in the plumbing industry, KOHLER is bringing its expertise to work with WASH partners in designing and delivering the aspirational, affordable products people want but to which they lack access. KOHLER Clarity – a ceramic water filter based on PATH’s C1 interface – is KOHLER’s first BOP product.

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Sponsors BRONZE Aquagenx

The Aquagenx Compartment Bag Test (CBT) is a portable water quality test kit that detects and quantifies E. colibacteria and determines if water poses a health risk. CBT Kits are ideal for on-site testing in low resource and disaster/emergency areas.

Aqua Research (H2Go Purifier/Aqua Access)

Aqua Research provides consulting and innovative technology solutions to serve the water needs of mankind.

Aquatabs (Medentech)

Aquatabs & Aquatabs Flo – water technology that delivers access to safe, clean drinking water with the drop of a tablet or easily installed water treatment system.

Catholic Relief Services

Since 1943, Catholic Relief Services (CRS) has been privileged to serve the poor and disadvantaged overseas. CRS works to uphold human dignity and promote better standards of living.

FHI 360

FHI 360 is a nonprofit human development organization dedicated to improving lives in lasting ways by advancing integrated, locally driven solutions. Our staff includes experts in health, education, nutrition, environment, economic development, civil society, gender equality, youth, research, technology, communication and social marketing — creating a unique mix of capabilities to address today’s interrelated development challenges. FHI 360 serves more than 70 countries and all U.S. states and territories.

MadiDrop

MadiDrop PBC provides safe drinking waer technologies throughout the world. Working with humanitarian organizations, we provide the MadiDrop – a simple approach to address waterborne diseases and contaminated water. Visit madidrop.com.

NSF International

NSF International provides independent, third-party testing and certification for evaluation of product performance and contaminant reduction claims.

Plan International

Plan International USA is a child-centered development organization that believes in the promise and potential of children. All of Plan’s programs are built with and owned by the community, resulting in a development approach designed to improve the lives of children and their families for the longest period of time.

Sponsors

RTI International

RTI International is one of the world’s leading research institutes, dedicated to improving the human condition by turning knowledge into practice. Our staff of more than 3,700 provides research and technical services to governments and businesses in more than 75 countries in the areas of health and pharmaceuticals, education and training, surveys and statistics, advanced technology, international development, economic and social policy, energy and the environment, and laboratory testing and chemical analysis. For more information, visitwww.rti.org.

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Sponsors BRONZE (continued) UNC Institute for the Environment

The Institute for the Environment is dedicated to solving the most pressing environmental challenges in North Carolina and beyond, through leading innovative research, educating the next generation and engaging our communities.

Sawyer

Sawyer is the global leader in point of use hollow fiber membrane water filtration systems. Join us as we change the world.

Village Water Filters

Village Water Filters is a non-profit corporation producing the best point of use hollow fiber membrane water filters at the lowest cost; all done with the sustainability of creating hope through business.

PARTNERS The NC Watershed Stewardship Network

The NC Watershed Stewardship Network is a community of watershed stakeholders working to increase capacity and collaboration for healthy streams and clean water.

Sponsors 53

Special Events Young Professionals Career Development Session

Monday, October 10 6 - 7:30 pm Redbud Room This roundtable session will be an opportunity to connect experienced practitioners with skilled young professionals and students and to discuss the transition into practice.

How to Work with USAID

Tuesday, Oct 11 and Thursday, Oct 13 12 - 1 pm Magnolia Room Join USAID for this informal lunch and learn. USAID staff will provide a brief overview of the agency’s water portfolio, including new central water mechanisms, share advice about how small NGOs and academic institutions can partner with USAID, and conclude with a Q&A session.

Strategies for Improving Drinking Water Quality in Underserved U.S. Communities

Tuesday, October 11 2:30 pm Grumman Auditorium Following Tuesday’s theme keynote, take part in this domestic WaSH panel discussion featuring: Marc Edwards, Virginia Tech; Alan Roberson, Corona Environmental Consulting; Wilson Mize, Environmental Services Department of Wake County, NC; and Eric Burneson, EPA. Moderated by: Vincent Hill, CDC

Water Stability and Sustainability for a Changing North Carolina Population

Friday, October 14 8:30 am - 4 pm Redbud Room Building on the theme of Domestic WaSH in high income countries, The Water Institute and guests from across North Carolina will convene to explore the changing population in North Carolina and examine how stakeholders can collaborate effectively to ensure regulations and standards mitigate exposure to contaminants, and lessen the impact that extreme weather events and harmful algal blooms have on our drinking water sources. The theme keynote Mapping Toxic Metals Across the State: Identifying Areas of Concern, will be delivered by Rebecca Fry, Associate Professor, Department of Environmental Sciences and Engineering Director, UNC Superfund Research Program.

Shuttle to Shopping

Friday, October 14 1 - 7 pm Our standard shuttle service will extend to include stops at nearby SouthPoint Mall and Target shopping center. Tickets for this special service are available for $10 - cash only. Please visit the registration desk to secure your ticket.

Pop-Up Meetings

Need a space to meet with colleagues? Visit the registration desk to reserve small meeting rooms for up to an hour. Space is available on a first come first serve basis from 9 am - 5 pm and accommodates up to 6 people at once.

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Notes

Notes

THE SPONSORS

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