04/24/2026
I have a dream:
Integrated Community Health & Productivity Package
(WASH + Malaria + VSLA + Local Systems)
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🎯 Core Goal
Rapidly reduce disease and unlock productivity by removing the main “poverty drains”:
malaria
diarrhea
time lost collecting water
lack of capital
📦 Standard Unit (Repeatable Model)
1 Community = 500 people (~100 households)
Each community receives:
💧 Water Access
1 truck-drilled, locally finished borehole
Hand pump + platform + drainage
1 Water User Committee (WUC) trained
🚽 Sanitation & Hygiene (Community-led)
100% household latrine + handwashing coverage
Low-cost models (arbor loo, tippy tap)
Driven by:
community labor
local materials
behavior change (not subsidy-heavy)
🦟 Malaria Control (Lean Model)
Test & Treat (VHT-led)
Spatial repellents (transfluthrin strips)
Light monitoring
💰 Economic Engine (VSLA)
1 Village Savings & Loan Association
$1,500 revolving fund endowment
Focus:
small business growth
resilience
financing repairs & upgrades
👥 Local Capacity Systems
Village Health Teams (VHTs) trained/supported
Water User Committees (WUCs) trained
Program delivered through:
local leaders
existing structures
minimal external staff
📊 Measurement (Ultra-Lean)
Baseline + Endline surveys
conducted by local high school students
Key indicators:
malaria prevalence (2–5 yrs)
diarrhea (under-5)
water access time
sanitation coverage
Qualitative end survey
💰 Cost Structure (Per Community – 500 people)
Component
Cost
Borehole drilling + finishing + pump
$3,000
Malaria program (test/treat + repellents)
$3,750
Sanitation & hygiene mobilization
$1,000
VSLA endowment
$1,500
WUC training & tools
$150
M&E (baseline/endline share)
$1,250
Program support/logistics
$1,350
Total per community
~$12,000–12,500
🧮 What $100,000 Delivers
Coverage
8 communities
~4,000 people
Unit Costs
~$25 per person
~$12,500 per community
📊 Expected Outcomes (Based on Yumbe Experience)
Health Impact
Malaria: ↓ 60–80%
Under-5 diarrhea: ↓ 40–60%
Health facility burden: ↓ significantly
Time & Productivity
Water collection time:
→ from 2–3 hours/day →
The day we inaugurated a protected water source in a village in Congo, women sang. Children danced. One elder said, "Today, our daughters get their future back." Moments like this remind me why this work is sacred.