title: A community demand-driven approach toward sustainable water and sanitation infrastructure development.
abstract: In September 2001, Cooperative Assistance and Relief Everywhere, Peru Country Office (CARE Peru), obtained funding from the United States Agency for International Development (USAID) to implement community-supported, condominial water and sanitation interventions in Manuel Cardozo Dávila, a settlement in Iquitos, Peru. With technical support from the Centers for Disease Control and Prevention (CDC), CARE Peru's Urban Environmental Health Models (Modelos Urbanos de Salud Ambiental [MUSA]) project built on previous work from implementing the Protocol for Assessing Community Excellence in Environmental Health in this same community. The project led to the municipal water supply distribution system being extended 1.3 kilometers into the Southern zone of Iquitos, where it connected to the condominial water system. Altogether, 1030 households were connected to the water supply system after the installation of a condominial water and sewerage system in Cardozo. Diarrheal disease decreased by 37% for children less than 5 years of age from 2003 to 2004. This paper illustrates the strategy used by CARE Peru in conjunction with the Cardozo community to assure that the local demand for improved water and sanitation was met.
authors.affiliation: Environmental Health Services Branch, National Center for Environmental Health, United States Centers for Disease Control and Prevention, Department of Health and Human Services, Atlanta, GA 30341, USA. bhubbard@cdc.gov
authors.forename: Brian
authors.initials: B
authors.lastname: Hubbard
authors.forename: John
authors.initials: J
authors.lastname: Sarisky
authors.forename: Richard
authors.initials: R
authors.lastname: Gelting
authors.forename: Virginia
authors.initials: V
authors.lastname: Baffigo
authors.forename: Raul
authors.initials: R
authors.lastname: Seminario
authors.forename: Carlos
authors.initials: C
authors.lastname: Centurion
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D002675:Child, Preschool; D002713:Chlorine / Q000032:analysis; D004403:Dysentery / Q000453:epidemiology*; D004782:Environmental Health / Q000193:education; D006801:Humans; D006920:Hygiene / Q000193:education; D015994:Incidence; D007223:Infant; D010568:Peru / Q000453:epidemiology; D014481:United States; D054702:United States Agency for International Development; D014867:Water / Q000737:chemistry; D014871:Water Microbiology; D018508:Water Purification
chemical_list: D014867:Water; D002713:Chlorine