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The views expressed in this presentation are the views of the author and do not necessarily reflect the

views or policies of the


Asian Development Bank Institute (ADBI), the Asian Development Bank (ADB), its Board of Directors, or the governments they
represent. ADBI does not guarantee the accuracy of the data included in this paper and accepts no responsibility for any
consequences.
Capacity Building in Green Infrastructure and Housing
for Poverty Reduction in the Pacific Region

Greg Norman Architect


25 -27 June, 2018 Nadi, Fiji
Housing
for
Health
“Stop people getting sick”
Uwankara Palyanku Kanyintjaku
Yami Lester

1985
-
ongoing

H E A L T H A B I T A T
9
Healthy Living Practices

1washing 2
clothes
3
wastewater

4 5 6
nutrition crowding animals +

7dust 8 9
temperature injury
Safety & the Healthy Living Practices
SAFETY

electrical gas fire structural


HLPs
1 Washing people esp children
2 Washing clothes and bedding
3 Removing waste water safely
4 Improving nutrition, the ability to
store prepare and cook food
5 Reducing the negative impacts of
crowding
6 Reducing the negative effects of animals,
insects and vermin
7 Reducing the health impacts of dust
8 Controlling the temperature of the living
environment
9 Reducing hazards that cause trauma
Some
immediate
change
within
24 hrs
‘no survey
without service’
Dr Fred Hollows
Work with & employ
local people
=
Reducing the
impact of
Poor people
crowding
should receive
the same
professional
service as the
wealthy
Housing for Health
projects AUSTRALIA
houses Projects update
people

229
8,823
58,500
9%

Safety
Electrically safe
37%

Washing people
Shower working
60%

Removing waste
Toilet working
Myths that slow or stop progress
• “damage by residents….

• “Indigenous people are the problem

• “the problem too big to fix …

• Housing for Health projects are


insignificant they make small changes to
houses will not improve health.
8% 19% 73%
Damage? Faulty? Routine?
by the residents poor construction normal wear

267,883+ items fixed or inspected


With an average budget per house of $7,500 some improvements include

Electrically safe Shower working Toilet working


9% to 81% 37% to 87% 60% to 91%
Myths that slow or stop progress

• “Housing for Health projects are


insignificant - small changes to houses will
not improve health”
NSW - Housing for Health

2,230 houses

$11,000 per house (average)

Over 75% of all program staff were local


Indigenous people (planning, design, tools,
data, finance)

reduction in hospital separations for key


environmental health related illnesses

40% (acute respiratory, gut, skin and ear


infections)
www.housingforhealth.com

On-line directory detailing the links between housing and health


Detailed guidance on designing, building and maintaining the
living environment to improve safety and health

Health Professionals, Design Industry Professionals, Community


Development or NGOs, Construction & Infrastructure Industries,
Housing & Community Management, Community Advocacy,
Government
Housing for Health
7 stages
The spread of Housing for Health principles internationally

Nepal Bangladesh Ethiopia PNG South Africa USA


“We need toilets….” Bhattedande Village, Nepal
Nepal
Start small – Build a local,
2 toilets for 2 families resilient team
Removing waste safely + improving
nutrition and reducing smoke ….not toilet
design and construction
137 toilets (+ water + waste)
3 villages completed for 1,000 + people
Brooklyn
USA

Brownsville Partnership with


Common Ground

Locations of the 10 apartments for pilot


project - 4,388 apartments

Same old storey, same old problems


Diepsloot, Johannesburg, South Africa
2013-ongoing
Project Partners – Sticky Solutions,
WASSUP, World Skills Foundation
Other Partners – International association of
Plumbing and Mechanical Officials (IAPMO),
RMIT
Before After 2
weeks
A100 days: 4,000 litres per toilet per day saved
x 10 toilets = 4,000,000 litres of water saved
WASSUP Diepsloot Sanitation Project
Toilet and tap point - average water use / day / toilet in kilolitres (1,000 litres)
10

9
Kilolitres (1,000 litres)

0
3/13/14 3/20/14 3/27/14 4/3/14 4/10/14 4/17/14 4/24/14 5/1/14 5/8/14 5/15/14 5/22/14 5/29/14 6/5/14 6/12/14 6/19/14 6/26/14

Average for each of the 10 improved toilets and tap points, kL / day

Average for each of the 10 control toilets and tap points, kL / day
Sanitation Project Bangladesh
2013
Waste treatment
2 Options

Local concrete ring septic tank Local brick septic tank


Onsite lab created to test waste water

Coliform and E.coli measurement


E.coli
present
=0 <25

=0 <110
>1600
Local feedback + data reviewed
Full redesign and improvement
6 more units constructed
Local social business to use the
designs for new housing schemes

Washing people & Removing human waste, safely to improve health


Nepal Earthquake

Rebuilding safely with locally available building materials and


techniques after the devastation caused by the 2015 earthquakes

The toilets constructed earlier remained intact after the earthquake


The long term reconstruction of safer village houses
Nepal Earthquake – house reconstruction
Nepal School sanitation & health project

February 2016 Sanitation Design


Studio – Thangpal Dhap

Project commenced with the February


2016 Sanitation Design Studio – with
architectural design students from the
University of Newcastle, Australia
“ People are not the problem. We've
never found that. The problem: poor
living environment, poor housing and
the bugs that do people harm. None of
those are limited by geography, by skin
color or by religion. None of them. The
common link between all the work
we've had to do is one thing, and that's
poverty.”
– Paul Pholeros AM
We work always to deliver results on the first day of any project, work
with the guidance and support of local groups to ensure continuity and
maintenance of improved environmental health.
“No survey without service”

www.healthabitat.com