The preparation of this document was prompted by the cholera epidemic in Haiti, in late 2010, and its impact on the Dominican Republic, as well as on the need to implement a water health surveillance program involving the operating entities of drinking water and sanitation services and the community, to strengthen interventions at the local level.

The publication proposes different interventions presented in action cards that are part of a water quality surveillance program with a comprehensive approach. Additionally, a community water quality surveillance component is included, taking into account the crucial role of the community through their local water committees and community leaders. Finally, tools are presented to implement community laboratories that can be used to generate and lead local processes of health and environmental education.

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