Safely managed sanitation is a focus of the Sustainable Development Goals (SDGs). It is central to stunting reduction and early childhood survival, both identified by the World Bank’s Human Capital Index as critical for humans to develop their full potential. It is widely known that 4.5 billion people lacked access to safely managed sanitation in 2015, according to the Joint Monitoring Programme. Less well understood is that hundreds of millions more people in densely populated rural areas are exposed to significant health risk due to unsafely managed sanitation.
In contrast to urban areas, fecal sludge management (FSM) is not yet recognized as a priority for the rural sanitation sector – it is assumed to be less of an issue because rural areas are more sparsely populated. However, some densely populated areas fall under rural administrations, notably in deltas and on the periphery of rapidly growing rural areas. In these areas there is also a need to safely manage fecal waste. Many sanitation systems that, for lack of scrutiny, are assumed to be improved and safe, but due to lack of scrutiny they fail to safely manage fecal sludge.
A new World Bank report-supported by the Global Water Security and Sanitation Program (GWSP) – and six case studies identified specific causes of health risks in locations in Bangladesh, Bolivia, Egypt, India, and Vietnam. They include compromised construction of on-site sanitation solutions, incorrect technology choices, poorly developed FSM markets, predominantly manual emptying practices and indiscriminate dumping of sludge in the immediate environment. They found that environmental regulations and building codes do not address FSM effectively, and enforcement is often weak. Rural administrations typically lack the mandate and institutional capacity to provide and manage FSM services.
Read the full blog by Joep Verhagen and Pippa Scott
“Verhagen, Joep; Scott, Pippa. 2019. Safely Managed Sanitation in High-Density Rural Areas : Turning Fecal Sludge into a Resource through Innovative Waste Management
. World Bank, Washington, DC. © World Bank. https://openknowledge.worldbank.org/handle/10986/32385
License: CC BY 3.0 IGO.”
Join the CLTS Knowledge Hub for a free webinar from Dr. Jeremy Kohlitz and Professor Juliet Willett, authors of the forthcoming edition of Frontiers of CLTS: Support Mechanisms for Rural Sanitation Programmes.
Date: Thursday 27th June 2019
Time: 11:00 – 12:30 (BST)
The webinar will focus on:
- Different individual support mechanisms including financial, in-kind and non-material that go beyond conventional CLTS support processes.
- How these mechanisms can be designed to address the challenges faced by disadvantaged individuals and groups.
- The necessary monitoring systems and knowledge sharing needs
- Recommendations for practice moving forward
It will begin with a presentation by authors Dr. Jeremy Kohlitz and Professor Juliet Willetts followed by a Q&A.
A renewed focus on equity is being driven by the Human Rights to Water and Sanitation framework and Sustainable Development Goal 6, which emphasise the importance of adequate and equitable sanitation for all. Community-Led Total Sanitation (CLTS) is based on the idea that sustained, collective improvements in sanitation work best when communities identify and drive their own sanitation solutions. However, there is evidence that CLTS processes to achieve community-wide outcomes are not always systematic, adequate, sustained, or sufficient to meet the needs of disadvantaged groups. To ensure equitable outcomes, there is increasing attention on additional support mechanisms that complement conventional processes of demand creation, behaviour change, community empowerment and community action.
The webinar is based on the forthcoming edition of Frontiers of CLTS: Support Mechanisms for Rural Sanitation Programmes, which will be available in print and online at the end of June/early July 2019. This is the second part of a two part series on the overarching theme of Equality and non-discrimination (EQND) in sanitation programmes at scale. Part one is available to download here.
By SSH4A Tanzania
In Tanzania, SNV has developed, under the Sustainable Sanitation and Hygiene For All programme, two innovative approaches to sustain handwashing with soap and open defecation free status in rural communities. These are triggering with soap at vaccination centres and Jirani (neighbours) sanitation groups.
The first intervention consists of triggering at vaccination centres as they were found to be ideal places to raise awareness of the importance of washing hands with soap among pregnant women, mothers and other caregivers.
The second intervention is based on having neighbours who monitor the sanitation and hygiene progress of the households closest to their homes and sensitise other neighbours on the importance of building, taking care of, and improving sanitation and handwashing facilities.
The following case studies provide practical information for implementing the interventions, and brief discussions on the remaining challenges and lessons learned by the SNV team and their partners on the ground:
SSH4A Tanzania, 2019. Emotional demonstrations (emo-demos) of handwashing with soap at vaccination centres. Dar es Salaam, Tanzania: SNV Tanzania. 8 p. Download case study
SSH4A Tanzania, 2019. Jirani sanitation groups : sustaining open defecation free status in Tanzania. Dar es Salaam, Tanzania: SNV Tanzania Download case study
Posted in Africa, Hygiene Promotion, Publications
Tagged case studies, gender, handwashing, hygiene behaviour, open defecation free, rural sanitation, SNV Tanzania, SSH4A, vaccination
How stakeholders should work together to end open defecation.
Toilet block in Odisha, India. Photo: Andrea van der Kerk/IRC
Solving rural sanitation problems in India requires the involvement of multiple stakeholders. These include government, programme implementers, financing institutions, entrepreneurs and households. Understanding the roles, strengths and weaknesses of each stakeholder, how they interact and complement each other, is key to achieving India’s ambitious goal of ending open defecation by 2019.
As a follow-up to the Sanitation Innovation Accelerator, IRC, Ennovent and Ecociate Consultants commissioned a study to gain insights in the sanitation market in Bihar and Odisha, two states with relatively low levels of sanitation coverage: 29% and 43% respectively. The study was conducted over a period of 3 months (from January to March 2017) in two rural districts: one with a high population density and situated in a heavy clay silt agricultural plain (Samastipur district, Bihar) and the other with a low population density situated in a sandy tropical coast (Ganjam district, Odisha).
3 steps to improve rural sanitation in India – a pathway to scale and sustainability | Source: World Bank Water Blog, July 7 2016 |
Almost 600 million Indians living in rural areas defecate in the open. To meet the ambitious targets of the Indian government’s Swachh Bharat Mission Grameen (SBM (G)) – the rural clean India mission – plans to eliminate open defecation by 2019.
Child using a latrine in Rajasthan. Photo credit: World Bank
SBM (G) is time-bound with a stronger results orientation, targeting the monitoring of both outputs (access to sanitation) and outcomes (usage). There is also a stronger focus on behavior change interventions and states have been accorded greater flexibility to adopt their own delivery mechanisms.
The World Bank has provided India with a US$1.5 billion loan and embarked on a technical assistance program to support the strengthening of SBM-G program delivery institutions at the national level, and in select states in planning, implementing and monitoring of the program.
Read the complete article.