Evaluation of the Safe Water, Hygiene, and Sanitation Program in Adjara Schools

Abstract

Background: WASH (Water, Sanitation, and Hygiene) conditions in rural Georgian schools are inadequate, leading to health risks. The Georgian Medical Group (GMG) project, funded by USAID and the Coca-Cola Foundation from 2015 to 2021, aimed to address these challenges in the Adjara and Guria regions of Georgia. Objectives: This study evaluates the availability of WASH facilities, identifies key challenges, and examines the impact on students and teachers in rural schools. Methods: A case-control study was conducted using semi-structured interviews with ten schools, 50 teachers, and 382 students. Data were collected on water access, sanitation, and hygiene practices. Results: 54% of students reported consistent access to water, but 97% avoided drinking school water due to its poor quality. 76.5% of respondents reported avoiding using school toilets, citing cleanliness, odors, and distance as the primary barriers. Additionally, 80% reported experiencing challenges related to WASH. Conclusions: Major WASH issues, including poor water quality and sanitation, hinder hygiene practices. Improving water safety, toilet cleanliness, and facility accessibility is crucial for student health.