With support from Fresh2o and donors, 85 water filters have now been provided to schools, a youth centre and to some of the most vulnerable households in project areas. For schools, these have been accompanied with 120 litre water containers and, for households, with 50 litre water containers. These were distributed between August and October 2014, and training was carried out at the same time. Field agents ensure frequent follow up through visits to schools and households. Inspections are made of the filters on each visit and advice given. Filter distributed in Madagascar.

53 Beneficiaries have been overjoyed with new filters, and the majority declare that they feel their health improving with fewer and fewer cases of diarrhea disease occurring since using them. For many beneficiary households, it is their principal object of value and much cherished. The water containers have generally been placed above the ground in each household, with the water flow rate around 1 litre per minute.

Frequent follow up has been seen to be crucial in avoiding problems with the filters, particularly in light of the low educational levels of many beneficiaries. In addition, water is principally used by beneficiaries just for all drinking and cooking requirement sand more rarely for general washing purposes. This does mean that households often remain exposed to disease from contact with contaminated water when washing clothes or dishes in rivers or elsewhere.

To avoid these problems, field agents are demonstrating to households how to clean their filters and advise them on frequency of cleaning, where to place the filter/water container, and rat prevention and control. They also provide education on water, sanitation and hygiene, particularly related to ensuring clean water containers are used to drink filtered water, the importance of using filtered water to wash dishes if possible, and other ways to prevent water-­‐borne diseases.