This case study explores IFRC’s innovation process in developing and testing a comprehensive relief item to meet more effectively and appropriately the menstrual hygiene needs of women and girls in emergencies. To address the multifaceted nature of menstrual hygiene management (MHM), grantees used a kitbased approach, including appropriate sanitary and hygiene items along with training for staff and information for beneficiaries.
As an alternative, CLTS can appear fundamentally mismatched with post-emergency and fragile states contexts: the core principle that sanitation hardware should not be subsidised can conflict with urgent need, and with what some will view as a contravention to the right of human assistance. Affected populations have often lost all their wealth, and are traumatised, physically weak, insecure, and at the point of greatest dependency on the aid community. Furthermore, the least able memb
Emergency water trucking (EWT) is typically a short-term, life-saving intervention that is used to cover interruptions in water service or access to sufficient quantities of water to meet survival requirements. While playing a legitimate part in response when used appropriately, emergency water trucking often plays a very different role, as a coping mechanism in the daily lives of a large percentage of the population. EWT has become an almost yearly humanitarian intervention among aid organizations.
Refugee populations often flee with very little belongings and lack appropriate hygiene infrastructure in an environment that is unfamiliar to them. For women and girls, this also means that it is more difficult for them to have menstrual hygiene management (MHM). MHM is important in emergencies because it reduces the risk of infection to girls and women, provides empowerment to engage in activities and survival during emergencies, and the provision of safe facilities reduces risk of sexual abuse.
This article presents the experience of using the Community-Led Total Sanitation (CLTS) approach in a recent programme in Somalia and explains some of the adaptations that were necessary to adjust to the specifics of a fragile and insecure context. The article goes on to explore the applicability of CLTS in fragile and insecure contexts more generally, using examples from South Sudan, Chad, and Afghanistan, and argues that in some ways it is an ideal approach for overcoming some of the challenges of working in these areas.