In the North-West of Madagascar, to date many people die in their first decade of life from completely preventable diseases. Open defecation is a widespread practice which poses multi-dimensional challenges for local communities. The inability to access a toilet leads to: water-borne diseases, such as cholera and typhoid; gender-based violence and school drop-outs for young girls, among others.
Through this project, H4O addresses the social, economic and environmental challenges by providing all Nosy Komba families with a private bathroom by training local staff. Ultimately, our project is contributing to increased women and girls’ safety as well as develop domestic space and household practices for numerous families.