Handwashing is a critical practice that is promoted to protect public health, especially during outbreaks of infectious diseases such as COVID-19. Handwashing stations are used both in emergencies and in other contexts to provide locations for people to wash hands with soap. In refugee camps and internal displacement centres, units for handwashing should be installed both at households and next to latrines and in communal areas, such as in markets, schools, and health centres. This document lists a range of options for handwashing stations.
To date, over 900 TWT's (Tiger Worm Toilets) have been built and trialled across four countries by Oxfam in a range of settings including urban, peri-urban and camps. Trials have also been run by other organisations as well as installations by the private sector. They have been proven to work in both household and shared communal camp settings. However, the learnings show that TWTs are not the solution to all sanitation problems. This manual aims to present considerations for TWTs and provide a guidance for implementation based on globally relevant learnings from Myanmar.
A participatory assessment on disaster risk reduction (DRR) was undertaken in GAZA governorate in 2011, OXFAM being the lead agency within the WASH cluster emergency response and preparedness in this area. Three vulnerable neighbourhoods (AL MALALHA, AL MOGRAGHA and AL ZARGA), were identified and an integrated approach has been implemented in the past 2 years, including WASH, Advocacy, Psycho-social support and DRR components.