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Drought and the overuse of groundwater for agriculture in Gujarat
State in western India have depleted water resources and contaminated
available water with fluoride and salinity. Villagers face a dire
health situation, with no other sources of water, inadequate storage
and distribution systems and little in the way of facilities to
treat and protect water supplies. Locating, collecting and transporting
small amounts of water especially places a heavy burden on women
and girls. Previous attempts to address the issue have led to inappropriate
and under-maintained facilities. Now the Gujarat Environmental Health
Improvement Program is improving water availability and quality
by involving the local community - particularly women and the poor
- in the planning of water and sanitation management in the area.
Education concerning personal hygiene and household sanitary practices
has been provided, village sanitation has been improved, and water
collection methods such as check dams and roof rainwater harvesting
have been introduced.
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Communities in East Africa lack basic health services and training
for health practitioners. The Advanced Nursing Studies Initiative
improves the health status of communities in the region and contributes
to health sector reform by enhancing the managerial and clinical
practices of nurses working in urban and rural settings.
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