5 Core Duties of a Water and Sanitation Manager at MSF Holland

Ensuring Safe Water, Hygiene, and Disease Prevention in Emergency Settings
In humanitarian emergencies, access to clean water and proper sanitation can determine survival. The Water and Sanitation Manager role at MSF Holland is central to preventing disease outbreaks and maintaining public health in crisis-affected communities.
Working in conflict zones, refugee camps, and outbreak settings, this role combines technical engineering, public health planning, and team leadership to deliver life-saving services where infrastructure is weak or destroyed.
Below are five core responsibilities that define this critical humanitarian position.
1. Planning and Budgeting Water, Hygiene, and Sanitation Activities
A key responsibility is developing and managing the operational plan for all water and sanitation (WatSan) activities within a project.
This includes:
- Collaborating with medical and project coordinators to identify urgent needs
- Developing annual WatSan budgets based on population and risk assessments
- Prioritizing interventions such as water supply systems, sanitation facilities, and hygiene promotion
- Ensuring resources are allocated efficiently in high-pressure environments
This planning phase ensures that limited resources are directed toward interventions that have the greatest impact on disease prevention and community health.
2. Implementing Safe Water Supply and Sanitation Systems
The role involves designing and overseeing the installation of essential infrastructure that supports public health.
Core tasks include:
- Establishing safe and reliable water supply systems
- Constructing or upgrading latrines and sanitation facilities
- Managing solid waste and medical waste disposal systems
- Implementing drainage systems to prevent contamination and flooding
- Supporting vector control measures such as mosquito reduction strategies
These systems are essential in preventing waterborne diseases such as cholera, diarrheal infections, and other outbreak-prone conditions in emergency contexts.
3. Monitoring Hygiene and Disease Prevention Measures
Continuous monitoring is critical in ensuring that WatSan interventions remain effective and compliant with humanitarian standards.
Responsibilities include:
- Conducting regular field assessments of water quality and sanitation conditions
- Monitoring hygiene practices in both healthcare facilities and communities
- Identifying environmental and behavioral risk factors for disease transmission
- Ensuring compliance with organizational protocols and public health standards
- Reporting findings to medical and project leadership teams
This monitoring function allows for early detection of risks and rapid response to potential outbreaks.
4. Coordinating Emergency Preparedness and Technical Support
In crisis environments, preparedness is just as important as response. The WatSan Manager plays a key role in strengthening emergency readiness.
Key duties include:
- Contributing to emergency response planning with medical and logistics teams
- Ensuring availability of WatSan supplies and equipment
- Preparing rapid deployment systems for outbreak or disaster response
- Providing technical guidance on infection control measures
- Supporting integration of WatSan activities into broader health interventions
This coordination ensures that teams can respond quickly and effectively when emergencies escalate.
5. Training and Supervising Field Staff and Community Teams
Human capacity is essential for sustaining WatSan systems in the field. The manager is responsible for developing and guiding local teams.
This includes:
- Training locally recruited staff in water, hygiene, and sanitation practices
- Supervising field teams involved in construction, maintenance, and monitoring
- Building capacity for long-term sustainability of interventions
- Providing ongoing coaching and technical support
- Promoting safe hygiene behaviors within communities
Strong leadership in this area ensures that interventions continue effectively even in challenging or unstable environments.
The Broader Impact of the Role
The work of a Water and Sanitation Manager at MSF Holland goes far beyond infrastructure. It directly influences survival rates in emergency settings by preventing disease outbreaks and ensuring dignified living conditions.
In contexts such as cholera outbreaks, displacement camps, or conflict zones, clean water and sanitation systems can significantly reduce mortality and improve overall health outcomes. This role therefore sits at the intersection of engineering, medicine, and humanitarian response.
Final Thoughts
The Water and Sanitation Manager position is a high-responsibility, high-impact humanitarian role requiring technical expertise, leadership skills, and resilience. It demands the ability to operate in unstable environments while maintaining strict standards of public health and operational efficiency.
By planning systems, building infrastructure, monitoring risks, coordinating emergency responses, and training staff, the role ensures that vulnerable populations have access to one of the most basic human needs—safe water and sanitation.
In doing so, professionals in this position help protect communities from preventable disease and contribute to life-saving humanitarian action in some of the world’s most challenging settings.
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