Start Date: 2023

Client: African TA Hub/AfDB

Location: Ghana

Project: Citywide Inclusive Sanitation (CWIS) support in Ghana

Description: SaniPath International conducted feasibility studies and prepared designs for provision of sustainable access to fecal sludge management infrastructure and services in 12 urban centers in Ghana.

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Start Date: 2023

Client: Asian Development Bank

Location: Mongolia

Project: Evidence-based public health risk assessment funding for and development of WASH Behavior Change Communication Strategy and Action Plan for Soum Centers

Description: The SaniPath Tool was deployed in 5 priority soums across Mongolia. Results were used to develop a Behavior Change Communication Strategy as well as inform WASH related infrastructure development.

Start Date: 2022

Client: Asian Development Bank, Manila Water Company

Location: Manila, Philippines

Project: Introducing Wastewater Based Epidemiology (WBE) for SARS-CoV-2 in Metro Manila

Description: Institutionalizing Wastewater Surveillance within the Manila Water Company in Manilla, Philippines. This includes stakeholder engagement, field work, laboratory analysis, data management, and dissemination efforts.

Start Date: 2022

Client: Emory University

Location: Virtual

Project: WASH in Healthcare Facilities Training

Description: SPI converted an existing short course into an asynchronous, module-style course that can be accessed and tracked via a learning management system. This online, self-paced course seeks to equip WASH practitioners with a comprehensive introduction to the importance, severity, and implications of poor WASH conditions in healthcare facilities and provide a foundation to begin programming.

Start Date: 2022

Client: Asian Development Bank, Kathmandu Valley Water Supply Management Board and Kathmandu Upatyaka Khanepani Limited,

Location: Kathmandu, Nepal

Project: Institutionalizing Wastewater Based Epidemiology (WBE) in Kathmandu, Nepal

Description: Institutionalizing Wastewater Surveillance in Katmandu, Nepal. This includes stakeholder engagement, environmental sampling, laboratory set up and analysis, data management, and dissemination efforts.

Start Date: 2022

Client: Rockefeller Foundation

Location: Dhaka and Cox's Bazar, Bangladesh

Project: SARS-CoV-2 and enteric pathogen environmental surveillance in Dhaka wastewater

Description: Developing an environmental surveillance strategy in Dhaka, Bangladesh and Rohingya Refugee Camps and host communities for SARS-CoV-2, Salmonella Typhoid, Vibrio cholera, and Rotavirus A.

Start Date: 2022

Client: Rockefeller Foundation

Location: Accra and Northern Ghana

Project: Developing and institutionalizing environmental surveillance to guide public health response to COVID-19 and other infectious diseases in Ghana.

Start Date: 2020

Client: KEMRI, Wellcome Trust

Location: Nairobi, Kenya

Project: Assessment of Fecal Contamination in Low-Income Urban Settings.

Description: Conducting a multi-pathway exposure assessments in urban slums of Nairobi, Kenya with the addition of testing for Vibrio Cholera.

Start Date: 2020

Client: UNICEF

Location: Nairobi, Kenya

Project: Urban Liquid Sanitation Strategy and Models for Ghana

Description: This project entails developing a protocol, recruiting and training field staff, conducting a study including field testing, preparing a diagnostic report, conducting a comparative analysis of urban sanitation models, and developing an urban sanitation strategy along with scalable models for dissemination at regional and national levels in Ghana.

Start Date: 2020

Client: MSWR/ GAMA Project

Location: Accra, Ghana

Project: GAMA SWP (Household Toilets)

Description: This project involves conducting field surveys, preparing detailed toilet designs, creating demand for household toilets, collecting beneficiary contributions, mobilizing construction materials, supervising construction processes, and inspecting the constructed facilities to ensure compliance with construction standards and procedures.

Start Date: 2018

Client: GAMA Project, World Bank

Location: Ghana

Project: GAMA SWP (Household Toilets)

Description: This project involves start-up activities, stakeholder analysis, community engagement, service improvement, ICT-based customer profiling, scorecard implementation, satisfaction measurement, post-construction monitoring, capacity-building, knowledge management, and policy review with advisory services

Start Date: 2018

Client: Water and Sanitation for the Urban Poor (WSUP)

Location: Bangladesh

Project: Pathogen Flows

Description: Despite wide usage of on-site sanitation, there is limited field-based evidence on the removal or
release of pathogens from septic tanks and other primary treatment systems, such as anaerobic baffled reactors (ABR). In two low-income areas in Dhaka, we conducted a cross-sectional study to explore pathogen loads discharged from commonly used on-site sanitation-systems and their transport in nearby drains and waterways.

Start Date: 2018

Client: Ministry of Health, Uganda, General Electric Foundation

Location: Uganda

Project: Infection Prevention and Control Assessment In Private and Not for Profit Healthcare Facilities and Government Healthcare Facilities in Western Uganda

Description: In Uganda, the CGSW partnered with World Vision, CARE, Uganda Protestant Medical Bureau and Makerere University to assess WASH in HCF conditions and practices. The results of this assessment is being used to guide programmatic interventions, capacity building and advocacy.

Start Date: 2018

Client: UNICEF Uganda & CARE Uganda

Location: Uganda

Project: Water, Sanitation and Hygiene Conditions assessment in Health Care Facilities in the Karamoja and West Nile Sub –Regions, Uganda

Description: An assessment of WASH conditions in healthcare facilities in Karamoja and West Nile regions is guiding intervention plannin

Start Date: 2018

Client: Ministry of Health-Uganda, Ministry of Health- Ethiopia and Ministry of Health-Cambodia, GE Foundation

Location: Cambodia, Ethiopia, Uganda

Project: Environmental Contamination Studies.

Description: In Cambodia, the CGSW undertook a pilot project in 2017 to compare the WASH conditions with the environmental microbiological contamination. The CGSW is currently working with Makerere University and Emory University School of Nursing in Uganda and Ethiopia respectively, expanding the study to include associations with neonatal health outcomes.

Start Date: 2010

Client: Gates Foundation

Location: Sub regional/Regional/Multi-country (Atlanta, GA; Dakar, Senegal; Dhaka, Bangladesh; Kampala, Uganda; Accra and Kumasi, Ghana; Lusaka, Zambia; Maputo, Mozambique; Siem Reap Cambodia; Vellore, India.)

Project: Assessment of Fecal Contamination in Low-Income Urban Settings (SaniPath)

Description: The SaniPath Exposure Assessment Tool is designed to assess and quantify exposure to fecal contamination in low-resource urban environments. The tool helps identify high-risk pathways for exposure to fecal contamination, such as through water, food, surfaces, and environmental conditions, providing critical data that informs policy and infrastructure decisions for public health and sanitation improvements.