WASH

Healthy & Happy & Ready for 2023!

Healthy and Happy in 2023

Imagine for a minute — it’s the dead of winter. Suddenly the hot water and your shower at home both stop working. How long would you be able to make it?

That scenario is still the daily reality for school children all over rural China, including those in tiny Luoyan township — a small and unknown corner of China’s rural and remote southwest region.

In Luoyan township, there are nine primary schools, and many of the students attending these schools are boarding students. They live in dormitories on the school campus during the week because their families live too far away to be able to conveniently travel back and forth to school every morning and evening.

Thanks to your generous support of CWEF’s HEAL program, two of these schools — Tianjing Primary School and Gonghe Primary School — have became the first in the township to be able to offer warm showers to their students!

Inspecting new solar-heated shower rooms

In October 2022, the transformation of current facilities at the two schools into freshly renovated solar-heated shower rooms was completed, and our CWEF team members, along with local nonprofit, government, and school leaders, visited the Tianjing and Gonghe schools to conduct the official inspection and final acceptance of the project.

Prior to HEAL being launched at these two schools in 2022, none of the primary schools in Luoyan county had shower rooms or proper bathing facilities for the boarding students to use in order to keep clean and healthy while living and studying at school.

In addition to solar-heated shower rooms, your generous donations to the HEAL program also made it possible for both schools to receive much-needed upgrades to their dilapidated toilets and aging sewage systems, as well as 16 drinking water filter units to further ensure good health, sanitation, and hygiene for the students.

The HEAL program — which stands for “Health Education, Advocacy & Literacy” — is not just about buildings and health-related infrastructure like water filters, shower rooms, and sanitary toilets.

In conjunction with these upgrades to infrastructure, the CWEF team and our local partners also made important investments in the schools’ students and teachers themselves through the training of local health advocates and organizing health promotion activities.

Evaluation survey before health training

In November 2022, a health education program was initiated with 426 students and 31 teachers at Tianjing and Gonghe schools. Training sessions, demonstrations, and fun competitions were held to encourage healthy habits like washing hands, washing faces, brushing teeth, and keeping their school and dormitory environment clean and tidy.

Preparing for health training at Tianjing school
Health training at Gonghe Primary School

In addition, earlier in the year CWEF and our local partners brought in an experienced facilitator to guide 22 teachers from the two schools through a one-day mental health education workshop. The purpose of this course was to help the teachers understand and strengthen their own mental health, to learn to better understand the inner worlds of their young students, and to train the teachers in simple but effective ways to provide guidance and counseling to their students who may be struggling with poor mental health or challenges at home.

In 2022, your generous support of the HEAL program empowered our CWEF team and local partners to make important upgrades in the health-related infrastructure and external environment at Tianjing and Gonghe schools.

Jenny of CWEF with local partners

More importantly, your partnership has made valuable investments in the long-term physical, mental, and emotional health of the students who live and learn there.

With your help, 2023 will be a healthier and happier year for these special young people who are working hard to build a better future for themselves and their communities.

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p.s. — If you’d like to see an overview of all of CWEF’s work in rural China and Cambodia during 2022, you can watch this 3-minute video. Thank you for helping to make all of this good work possible!

This article was written by Joshua Lange – CWEF Executive Director.

Discover other rural Yunnan health initiatives that your giving makes possible here.

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women drinks clean water from her home in ratanakiri, cambodia

What Difference Does a BioSand Water Filter Make?

What difference does a BioSand Water Filter make?

 In the tropical country of Cambodia an estimated 2-3 million people get their daily drinking water from unsafe water sources. Rural communities gather water from rainfall, wells, rivers, or standing water. The Cambodian government has set an ambitious goal for 100% of the population to have access to safe drinking water by 2025.

If properly installed and maintained, a BioSand water filter can last up to 25 years! This slow drip system removes 100% of waterborne worms and eggs. Surface water is cleaned in the low-tech device and is easily accessed directly from the filter. When a filter is installed at home, families can conveniently treat water at home to protect against disease.

Playing games with local kids in Ratanakiri

What difference do CWEF’s local partners make?

Pastor John is a farmer and serves a local congregation in his hometown in Ratanakiri province. As a local partner of CWEF, he provides important health training to families in his area who receive gifts of BioSand Water Filters, because of your generous giving.

When a family receives a water filter, they immediately experience many health benefits. Furthermore, local partners like Pastor John also train families in how to properly maintain their water filter, and lessons in sanitation and hygiene practices give families additional tools for preventing disease and improving their overall health.

In 2022 and 2023, CWEF will provide clean and safe drinking water via BioSand Water Filters for over 100 families in two rural communities in Ratanakiri province. The partnership with local Christian pastors like Pastor John, together with their congregation members in the Deh and Chang villages, will make your gift of safe drinking water more powerful and sustainable for the long-term.

You can see Biosand Water Filter #39 in Ratanakiri province by watching this video.

CWEF’s Kanhchana leads a health lesson with kids

What difference are you making by supporting CWEF BioSand Water Filters in Cambodia?

Globally, diarrhea is one of the leading causes of death in children under five years of age. Water-borne illnesses are preventable with the use of proper water treatment, such as the BioSand Water Filters you are supporting in Cambodia. Access to clean water, coupled with handwashing and other healthy hygiene habits, can bring a life-changing renewal of health to whole families. In particular, more children and their families in Deh and Chang villages in Ratanakiri will enjoy full health without the threat of malnutrition, dehydration, or death from diarrhea.

This past October, CWEF highlighted the importance of WASH (Water, Sanitation, and Hygiene), in connection with Global Handwashing Day on October 15.

Don’t forget — the next time you wash your hands or drink from an indoor faucet, you also can remember the gift of health that you have provided to families in rural Cambodia. Because of your generosity, they too can enjoy the immense gift of drinking water at home, and the improved health it brings.

Thank you for your partnership!

This article was written by Karin Semler, CWEF Board Member

Clan John with family members

Down an Impassable Road

John, a farmer from a remote mountain village in Cambodia, along with his wife and children always drank from the village well. Many times a year they would all fall ill with stomach aches and diarrhea as well as frequently experience other health complications like lower back pain and eye problems.

John filling up on clean water from the biosand water filter!

John is descended from an ancient Cambodian ethnic group. Because he lives in the remote mountains, it is very difficult to travel outside of his own village. John attended school until fifth grade and can speak two languages: Khmer and Jarai. In 1998 during the Pol Pot regime, he married his wife in Vietnam near the Khmer border. They had six children together; but sadly, in 2001, one of their daughters died from leukemia.

Now John owns 10 hectares of land where he works hard morning until evening six days a week with his wife to farm cassava and cashews. Despite all of their faithful hard work, for a long time John and his wife could not afford enough food or medical care for their family.

In 2010, a CWEF team – together with a partner organization – visited John’s village. They shared the gospel with John and his family and also taught them how to eat healthy, how to wash their hands with proper technique, and how to boil water in order to make it safe for drinking. After CWEF’s first visit, John began to serve his local church, study the Bible outside of his village, and share the gospel with other people in his own community. Because he speaks both languages, John also assists with translating the Bible from the Khmer language into the Jarai language so that people in his community can better understand God’s Word.

In 2014, a few years after CWEF’s first visit, John requested a biosand water filter from CWEF. Unfortunately, the materials for the filter could not be transported over the terrible village roads. But recently with improved roads, CWEF was finally able to fulfill John’s request and delivered thirty biosand water filters to John’s community! In 2023, with your generous support, we plan to provide clean and safe drinking water via biosand water filters to many more in John’s community and the surrounding area.

John with his children and a few nieces/nephews.

Today John says:

“My community is so blessed by God through receiving Biosand Filters from the CWEF organization. Now we do not spend a lot of time boiling drinking water, and we feel comfortable after we get safe drinking water at home. Thank you CWEF for continuing to work in my community and encouraging us so much in the name of God.”

John and his wife have also now achieved better production on their farm and are able to provide enough food and medical care for their family.

Thank you for your generous support of the HEAL (Health Education, Advocacy, and Literacy) program, facilitate by CWEF! You make it possible for families like John’s to not only hear about the goodness and generosity of God, but also to experience it through clean water, health education, and improved sanitation. Your generosity is transforming lives!

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This story was written by Kanhchana, CWEF Director of Cambodia, and edited by April Chiasson, CWEF Communications Manager. This story was translated into Mandarin by Qian Qian, CWEF Volunteer.

She’s Transforming Her Village

Xingqi is a nineteen year old woman from a village in Yunnan belonging to the Miao ethnic minority group. When CWEF’s team first came to Xingqi’s village, they discovered many hazardous health conditions there. For example, farm animals lived inside the same houses with people. Livestock manure lay on the floor inside homes and throughout the village. Many families dumped trash behind their houses, and the trash continued to pile higher and higher. 

Xingqi’s village has 23 households that all belong to the Miao minority ethnic group. There are over nine million Miao people in China today, and traditionally, the Miao are known for their elaborate embroidery and silver jewelry. 

In 2015, CWEF began a clean water project for village residents. After establishing basic facilities for clean water, several villagers volunteered to participate in a program called HEAL (“Health Education, Advocacy, and Literacy”). Through this process, a core group of residents were trained to become health advocates for their own communities. 

Xingqi with the other residents from her village that volunteered to train as community health advocates

In Xingqi’s village, CWEF first implemented a strategy called Training of Trainers (TOT) where previously-trained health advocates from nearby Miao villages trained the Miao in Xingqi’s village. This process reinforces learning for the recently-trained health advocates. Also, when local people train their neighbors, they speak in their native language and share their culture which makes the health training more effective.  

And who showed up to the HEAL training? Xingqi, who was just starting middle school, and her mother. While Xingqi and her mother seemed nervous at first, the CWEF team also immediately recognized that these two women possessed outstanding communication and leadership abilities, and both women quickly mastered the new health knowledge and skills. 

Xingqi participating in HEAL (Health Advocacy and Literacy) training

Through health trainings, Xingqi learned about many topics such as: the safe use of pesticides, the hazards of abusing alcohol, how to treat children’s fever and much much more. As a core health advocate in her village, Xingqi came up with creative methods for promoting health education in her community, including using sketch performances with self-made props!  

Xingqi organizing a health promotion skit

CWEF taught procedures for maintaining environmental hygiene which explained that poultry should be kept in captivity to prevent zoonotic diseases, that livestock and people should live separately, and that garbage should be allocated to one communal place. 

An aerial view of part of Xingqi’s village

Xingqi said that the environmental sanitation and health conditions have changed significantly in her village. Now, one quarter of the community dumps their trash in a designated communal pit. And when you go out, it is rare to see livestock manure. All in all, Xingqi and her village enjoy a much cleaner and healthier living environment!  

Xingqi dressed up in traditional Miao clothing for a special occasion.

Thank you for your generosity and for making it possible for people like Xingqi to have opportunities to grow and thrive through life-changing health education and community advocacy!

This article was written by Jenny, Senior Program Director in Yunnan; translated from Mandarin into English by Qian Qian, Volunteer; and edited by both Joshua Lange, Executive Director, and April Chiasson, Communications Manager. 

 

HEALTHY BODIES, HEALTHY MINDS, HEALTHY PLANET

Students at Anla and Heshangzhuang Primary School in rural Yunnan province ended the previous school year and started the new school year strong and healthy. Students at both schools participated in TOT (“Training of Trainers”) activities as part of the ongoing HEAL (“Health Education, Advocacy & Literacy”) program facilitated by the CWEF team and our local partners. These student health advocates will go on to serve others in their families and school communities by sharing the knowledge and healthy habits they have learned through this series of HEAL training activities over the span of 1-2 years.    

Before their schools broke for the holiday, in June 2021 students at Anla and Heshangzhuang learned knowledge and practiced healthy behaviors related to personal hygiene, COVID-19 prevention, healthy diet, eye care, disaster preparedness, and basic first aid training.

These HEAL Training of Trainer sessions were delivered as a collaborative effort — trainers from CWEF along with several partner organizations, including eye care and vision-focused non-profit Education in Sight, Zhengxin Social Work Service Center of Wuding county, and the Yunnan Mountain Eagle Rescue Service Center. Working in concert, our organizations can achieve more, and the training we provide to the students is more effective and has a stronger impact. 

Of equal importance is the varied mode of training that is used during these sessions. Our trainers use games, songs, videos, demonstrations, simulations, and other practical exercises to engage different parts of the students’ bodies, brains, and emotions, so that the knowledge and habits learned will have a better chance of sticking with them, and later, spreading to others in their community.

Jenny Chu of CWEF shares: 

“This way of combining theory with practice makes students learn more intuitively. We are helping them to enhance their awareness first, and then to support their knowledge with action.”

Most recently, in September 2021, students at Heshangzhuang Primary School participated in the third session of their HEAL student health advocate training. After learning to take care of their own health and that of their family and friends, they were introduced to the concept of caring for the health of the planet. The training facilitators framed this sometimes complex topic in more simple terms that connected students back to health concerns they are familiar with:

“The Earth has a fever. How can we help the Earth to be healthy?”

Cultivating a Healthier Future for Mrs. Hun’s Family

by Karin Semler, CWEF Board Member

In fall 2020, CWEF staff and local partners surveyed 50 families in several villages in Tboung Khmum province to assess their health needs. A request for water wells had been received, and research was done to assess the overall health situation, as well as other needs and opportunities in the area.

Mrs. Hun, her husband and 16-year-old son are one of the families being served by CWEF’s HEAL (Health Education, Advocacy & Literacy) project, which is providing Water Wells and BioSand Water Filters in addition to HEAL community health education training, in which local health advocates are identified and trained through a series of in-depth Training of Trainers (TOT) sessions.

Mrs. Hun’s family

Many families, like that of Mrs. Hun, face a myriad of challenges. Her husband of 28 years is disabled, adding difficulty for eking out a living in the countryside. Sadly, their son has also suffered from the after-effects of meningitis, which he contracted at the age of nine. Lack of clean water compounded the health problems for Mrs. Hun and her family.

The HEAL community health training seeks to provide both a growth mindset around community needs and opportunities, and specifically a deeper awareness of healthy habits related to basic health, sanitation, and hygiene. CWEF staff must find creative ways to provide the training to ensure understanding and encourage a change in behavior. In the case of this HEAL health education training, roughly a third of the participants are illiterate. The effectiveness of BioSand Water Filters and new water wells can only be sustained through health education and the integration of new healthy habits.

HEAL TOT (Training of Trainers) at Tboung Khmum

For this work, CWEF’s Cambodia team uses the mindsets and resources from the Global CHE (Community Health Evangelism) Network. In Tboung Khmum, we are partnering with Pastor Chea Sareun, Deaconess Kim Ly, members of the local church, and others from the surrounding villages who want to work toward positive change in their own communities.

CWEF projects provide a platform for encouraging sustainable change, aiming for long-term improvements in people’s lives. Project recipients are treated as partners as they receive awareness and training to enhance their livelihoods. Projects like HEAL provide both needed infrastructure, such as water filters and/or water wells, and deeper health and hygiene education for the whole community.

CWEF’S Kanhchana Thoy, with local church partners

Gifts like yours provide life-changing BioSand Water Filters to families like that of Mrs. Hun. Her husband and son will have an improved quality of life as they are spared from additional water-related illnesses. Daily life for Mrs. Hun is positively changed as her access to clean, reliable water is given through your generous support.

Meili’s Meaningful Service and Promising Future

“I hear and I forget; I see and I remember; I do and I understand,” is a well-known Chinese proverb attributed to Confucius. Active involvement in community health education is a hallmark of the HEAL program, through the training of adult and children health advocates.  

CWEF’s Senior Programs Director, Jenny Chu, shares:

“There is a great advantage to training young health advocates since they easily learn and can change their behavior. Once they have new health knowledge—like the importance of hand washing or brushing their teeth—kids can develop good habits and improve their wellness.”

Nineteen-year-old Meili is a high school senior in Lufeng County, Yunnan Province. She is from the Miao people group, which has its own unique language and culture. Meili was trained as a local health advocate and played a key role in the HEAL training activity in her home village of Beiyinqing during December 2020.

“Most older adults and younger children [in Beiyinqing] do not understand Mandarin Chinese. Meili, who is bi-lingual, explained the health lessons in the Miao language and combined the information with her own personal experience.”

Jenny Chu

Made possible by your generosity, a total of 18 children and 20 adults participated in the December training session, which covered personal hygiene, coronavirus prevention, and safe use of pesticides for the adults. Proper handwashing has always been a cornerstone of the HEAL curriculum, but “now school teachers value this part of the project even more. What happened in 2020 has drawn more attention to the importance of health education and good hygiene habits.”

Because of your generous gifts to the HEAL project, Beiyinqing village will complete construction of four new water cisterns in time for the Spring Festival (Chinese New Year) holiday. The new facilities will improve access to drinking water for the villagers, increase water access for domestic and livestock use, and increase irrigation reservoirs, improving farming and animal husbandry for the farmers in Beiyinqing. All of these improvements will improve the personal health and environmental sanitation for the whole community.

Parents in the village value their children’s education and support the training of youth health advocates and the subsequent education of their peers. The water and hygiene projects for the community can help to raise the quality of life and income for the families in the village.

A common path for those who are educated is to later leave Beiyinqing in search of better paying work, to help support their family members back in the village. The adults hope to raise the standard of living at home, so that their talented youth don’t need to leave for work, but can remain an integral part of community life. 

Meili shares this outlook of internal motivation to solve problems and find solutions without waiting for outside help. Her mother has admired Meili’s persistence and enthusiasm for learning. She hopes Meili will be able to go to a good school and have a bright future.

Meili is an exemplar of a peer leader, having already volunteered in other public welfare activities in the summer of 2020. She brought valuable skills, ideas, and language ability to the CWEF health education training for younger students in her village. Students who participated in the health education training will serve as health advocates for their fellow students—teaching them important health knowledge and modeling good habits.

As she looks to her own future, Meili hopes to study theology at a university in Yunnan, so that she can continue to teach and serve her Miao people in their own language and culture.

Thank you for your partnership in making our shared vision become a reality—where villages like Beiyinqing filled with people like Meili can grow into thriving communities, serving and inspiring hope in others.

BUILDING HEALTHY LIVES IN RURAL YUNNAN

The children were amazed to see the purple glow that emerged from on their classmate’s hands under the black-light. The idea of invisible bacteria and contaminants is difficult for anyone to understand. As part of CWEF’s health education curriculum, students participate in a simulation activity in which they see the transfer of ‘bacteria’ from hand to hand contact. The ‘bacteria’ is a transparent powder that is easily spread through contact. The transmission path can be seen when a black-light exposes the invisible fluorescent powder.

In December 2019, CWEF Health Director Jenny Chu led 30 children from two primary schools in Wuding county in rural Yunnan province through a two-day health education “Training of Trainers” session as a part of the HEAL (Health Education Advocacy & Literacy) program. These students will serve as health advocates—providing instruction and modeling to their peers in the areas of good hygiene and health promotion. 

The World Health Organization promotes proper handwashing to prevent illness and reduce the spread of disease. Once rural areas have access to reliable and safe drinking water, additional health and hygiene practices need to be introduced. Through HEAL training, children learn how to thoroughly wash their hands and gain knowledge about bacteria and contaminant transmission. Through reference books, hands-on training, the germ-glow black-light simulation, and a handwashing song, student health advocates learn knowledge and practice good habits. They are also equipped to teach their peers about the importance of handwashing and serve as models for this healthy habit.

In addition to handwashing, the program addresses oral hygiene and proper teeth brushing techniques, healthy diet and nutrition, and importance of keeping a sanitary environment. The training provides children with critical information for healthy living and opportunities for the health advocates to engage with their peers by sharing the information and leading activities. CWEF gathers baseline information regarding the knowledge and personal hygiene practices of the students in order to provide supplemental training and information.

Project Success Leads to New Work in Tboung Khmum

Since 2011, CWEF has collaborated with local churches and government partners in Cambodia’s Kampong Thom province to improve health through holistic development projects. A pillar of CWEF’s work in Kampong Thom has been the Biosand Water Filter project supported by your generous gifts, which have provided local families with convenient access to clean and safe water in their homes, reducing the impact of water-borne illnesses. Additional work in this area over the past decade has included an Animal Gift project, which has provided sustainable income for 44 low-income families, along with eight new water wells in four villages.

“When a family receives a Biosand Filter, they also participate in health education training related to safe drinking water, how to use the Biosand Filter, and instructions related to installation and maintenance,” shares Kanhchana Thoy, CWEF Cambodia Health Programs Director. CWEF works in partnership with local pastors and village leaders throughout the length of the project, providing these remote communities with life-changing health provisions.

In total, 310 Biosand Water Filters have impacted a total of 2320 people in the Sandan and Chheu Tile communes, serving both families and primary schools. From time to time, the filters need to be renewed and repaired, and this project also restores broken Biosand Filters as needed. We are thankful to share that because your generous gifts, the most acute needs of this remote area have been provided for.


CWEF’s Kanhchana Thoy expresses our gratitude to Pastor Koy Thea in Kampong Thom
Visiting families with Pastor Sareun in Tboung Khmum

Now, our CWEF team in Cambodia is shifting its focus to a new area, again working closely with local church and village leaders. Tboung Khmum province is the location for a newly launched HEAL (“Health Education, Advocacy and Literacy”) project, which includes holistic health education and infrastructure like water wells and Biosand Water Filters.

This community development work will help the “large population of older women, who are taking care of their grandchildren and receiving remittances from their adult children (especially daughters) working in urban areas,” shares Kanhchana. In this area, the average income is between $3 and $4 a day. The health education program, coupled with reliable water wells and Biosand Water Filters, will help “communities live better lives by reducing sickness.”



CWEF anticipates a process of 3-5 years to implement a holistic approach as we equip local health advocates and local families in Tboung Khmum with training and infrastructure.

“This project will have a sustainable impact on many families in Tboung Khmum as we equip them with new knowledge and skills they can use to develop their own communities,” shares Kahnchana.

Thank you! Your support continues to help bring a life-changing renewal of health and hope to families in rural Cambodia.

Health is Priceless

The rising costs of health care is a common concern in the West. People often take for granted the infrastructures and systems that automatically provide sanitary conditions and safe drinking water. Imagine what life is like for people, without health insurance, who are ill on a regular basis by simply drinking (unsafe) water.

Sambo and his wife, Ku, are 25-year-old farmers in the Sandan District of Kampong Thom Province in Cambodia. With a 7th grade education, Sambo makes a living by working the land on farms owned by others. But frequent diarrhea and abdominal pains not only kept Sambo from working; his chronic illness also incurred many medical bills for treatment. The whole family was ill and needed to borrow money just to cover their daily living expenses. The burden was very heavy on Sambo—how to provide for his family and pay the bills? Plus, all the while, they and their young son were struggling with poor health.

Using water from a well and collecting rainwater met their daily needs for washing clothes, cooking, and drinking. Ku believed that the rainwater was clean and was safe to use. However, the family was actually suffering from water-borne illnesses. In 2019, their lives dramatically improved after they decided to participate in a Biosand Water Filter and health training program facilitated by the local church and made possible by your generous donations to CWEF.

Sambo shares, “I regularly bottle the water from the filter and take it to the fields when I work, and I drink a lot of water before I go fishing on the river. All of my family members and I got healthier, and I hope that in the future my family’s living condition will continue to get better.”

Sambo now has enough time and energy to farm and provide for his family’s expenses. Not only are they healthy now—without abdominal pains and diarrhea—but they no longer need to spend so much money on medical treatments. Sambo and Ku can even begin to save money for their family’s future.

Here’s Sambo’s final word to you:

“Now, I am very happy after getting a Biosand Filter from Concordia Welfare & Education Foundation. Thank you for your donations to support my family’s living situation!”


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