Improving Access to Sexual and Reproductive Health Care in Burundi & Democratic Republic of Congo (TUMAINI)

Physical works include:

The construction of accessible and gender sensitive latrines and showers in existing buildings as specified below:

In Bukavu 6 toilets will be construced on the main floor of the training center; 4 toilets on the first floor, 4 toilets on the second floor and four toilets on the third floor. The center will also be equipped with a three-chamber septic system with wastewater discharge to a leaching bed.

In Kabondozi's reproductive health center 7 showers and 4 toilets will be constructed on the posterior side of the building, 2 toilets with showers in the building by the birthing ward and in the lodging part of the center, 4 toilets will be constructed. A three-chamber septic system with wastewater discharge to a leaching bed will be constructed.

In Kaziba administration building, 3 toilets with showers will be built on the side of the building and their one stop center will include the construction of 2 toilets and 2 showers on one side of the building and 2 toilets with showers on the right end of the main façade of the building. A three-chamber septic system with wastewater discharge to a leaching bed will be constructed for each buiding.

In Mwenga, the clinic will be equipped with 5 toilets with showers and the intensif care building will have 2 showers and two toilets built at each extremity of the building. A three-chamber septic system with wastewater discharge to a leaching bed will be constructed.

In each location, the septic tanks will be constructed on-site and sized according to the occupancy and use of the facilities. Sludge removal will be carried out according to a monitoring plan (quantity, spreading location and/or storage site) integrated into the Wastewater Management Plan (WMP).

The construction of three incinerators is planned for each health facility with the following capacity:

• KABONDOZI : 50 kg/day
• KAZIBA : 50 kg/day
• MWENGA : 75 kg/day

They will be equipped with a chimney at least 6 meters high, protected from rain, and with primary pyrolytic combustion chambers capable of reaching the regulatory temperatures for the disposal of biomedical waste, ranging between 800 and 1100°C.