SaniPath Tool used in the New Juaben Operation Clean Communities campaign

"Operation Clean Communities" launched in March 2021 by the New Juaben Traditional Council. The campaign will be implemented in three phases. The Pre-Intervention Phase will adapt and utilize the SaniPath Exposure Assessment Tool for use in New Juaben, Ghana to assess the various exposure pathways of contamination and behavioral patterns that influence exposure. The Intervention Phase will seek to disrupt the dominant exposure pathways identified from the SaniPath Tool through community health and sanitation education, cleanup initiatives, and public stakeholder engagement. The Post-Intervention Phase will be conducted one year after the Intervention Phase and will deploy another SaniPath Exposure Assessment to measure the impact of "Operation Clean Communities".

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The international implementation committee is made up of representatives from: International Water and Sanitation Centre (IRC); Emory University in Atlanta, Georgia, USA; New Juaben Traditional Council and its institutional members.

Fecal Exposure Assessment in Informal Settlements and Formal Neighborhoods of Siem Reap, Cambodia

J Green, S Raj, Y Wang, D Duong, M Yakushima, S Chhun, H Yakubu, J Michiel, J Wicken, CL Moe

UNC Water and Health Conference (October 2017)

At the 2017 UNC Water and Health Conference in Chapel Hill, North Carolina, Jamie Green presented a poster on an assessment of Exposure to Fecal Contamination in Informal Settlements and Formal Neighborhoods of Siem Reap, Cambodia. The CGSW’s Sanipath Tool was used to assess the risk of exposure to fecal contamination in 5 environmental pathways in 5 neighborhoods (3 formal and 2 informal settlements). Overall, there were large variations in exposure risks within formal neighborhoods and informal settlements. Results show that raw produce posed one of the greatest risks of exposure to fecal contamination across all five neighborhoods (100% of adults exposed to dose ranging from 7.59E05 to 1.78E07 CFU/month from produce). Participants in all neighborhoods reported bottled water and well water as main sources of drinking water, while few reported drinking municipal water. No E. coli was found in municipal water, while bottled water and well water had moderate amount of E. coli. The lowest dose of exposure for floodwater was found in the only neighborhood with a drainage system (4.79E02 CFU/month). Results from this study provide evidence for decision makers to prioritize efforts to reduce exposure to fecal contamination in Siem Reap.

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