Plastic waste, dead leaves and human excrement used to litter the walkways between houses and buildings in Mariam’s village in Mali. She describes the smell, particularly in the rainy season, as ‘unbearable’. She says, ‘It could take over the whole village!’
Mariam has lived in this village, Péné, in the commune of Koro, her whole life. Now, aged 42, she is married with ten children – three boys and seven girls. They’ve all struggled with health issues caused by the unsanitary conditions that have been a problem in the community for many years.
The dangers of diarrhoea, malaria and typhoid fever
‘There were frequent cases of diarrhoea, malaria and typhoid fever,’ Mariam tells us. ‘My children would all get sick. This prevented us from saving money for a long time because all the money was spent on caring for the children.’
Around the world, the number of people facing the dangerous impacts of poor sanitation is staggering. Diarrhoeal disease kills around 443,832 children each year – in war zones it causes more deaths than war itself.
And, as with Mariam’s family, a lack of proper sanitation facilities can keep families locked in cycles of disease and poverty.
Mariam and the big, healthy change
But, things have changed in the village of Péné – and Mariam herself has been a key part of this transformation.
In June 2023, a local Tearfund partner, the Evangelical Development Agency of Mali, started to run training and awareness sessions in the village about health and sanitation. As Mariam took part, she started to understand more fully the causes of the problem and how they can be managed. She realised that the solution lay in the hands of women like her.