Page 269 - Social Marketing for Public Health Global Trends and Success Stories

57977_CH10_final.qxd:Cheng 11/5/09 4:43 PM Page 242

242 CHAPTER 10 ■ “Safe Water Saves Lives”

BOX 10-5 Union de Femmes FRAM du District Ambanja

Suzette is a mother of two children who attend the primary public school of
Ambanja in northern Madagascar. Since 2006, this school has collaborated
with the NGO Aide et Action and PSI to implement a Sekoly Sûr’Eau
project that promotes the use of safe drinking water and good hygiene
practices at school and in the household.
The method was appreciated by the students and their families—so much
so that Suzette took the initiative to create an association of the mothers of
students (known as “Union de Femmes FRAM du District Ambanja”) that
partners with PSI for community-based education and distribution. The
association began activities in March 2006 and had 12 active members. In
the 15-month period through June 2007, they sold more than 23,000 bottles
of Sûr’Eau. Thanks to Suzette, to the success of her association, and to the
Sekoly Sûr’Eau program, it is estimated that more than 1,500 families now
have regular access to safe drinking water in Ambanja.

CAM PAI G N TI M E FR AM E AN D B U D G ET

The Sûr’Eau program began in 2000 and continues to expand in 2009. Long-
term additional funding has been acquired for national expansion of the pro-
gram over the coming five years. To date, US$4.7 million has been spent over the
nine-year life of the project.

C A M PA IG N OUTC OM ES

The Sûr’Eau program in Madagascar has achieved remarkable success.
Provision of Sûr’Eau is estimated to have led to more than 441,000 cases of diar-
rhea averted through September 2008.
The program has achieved 110,000 disability-adjusted life-years (DALYs) of
health impact. Sales of Sûr’Eau over the last nine years have totaled more than
5.5 million units (see Figure 10-5). They continue to trend upward with an aver-
age of more than a million units now being sold annually. Research measuring
access and performance (MAP) was conducted in 2005 to assess product cover-
age and quality of coverage. Coverage of outlets in urban settings averaged 66%
while 21% coverage was achieved in rural areas. About 44% of urban consumers