Why Sanitation Access Doesn’t Work Unless the Entire Village Buys In
Jitender is a four-year old boy with forward-thinking parents. Although it’s common in his village, in the Indian state of Uttar Pradesh, for most people to defecate in the open, his parents have taken the lessons of the government’s sanitation campaign to heart. They know that open defecation spreads disease—so they construct a private toilet that hygienically isolates their waste from human contact. Nonetheless, a few months later, Jitender develops persistent diarrhea. He is often dehydrated, loses weight, and becomes pale. His immune system is weakened by multiple bouts of disease, and for the next several years he struggles with recurrent illness. He has trouble keeping up with his schoolwork, and, more perniciously, even though he ate more than enough calories each day, the diarrhea eventually caused malnourishment. He remains small for his height and suffers from subtle intellectual deficits that make it difficult for him to follow the teacher’s lessons even during those periods when he does manage to attend. Because of his low marks, his family isn’t able to fulfill their dream of sending him on to university. The village takes note of Jitender’s example and concludes that improved sanitation doesn’t provide much, if any, benefit. This is a fictional story; however, similar stories are being heard every day in South Asia.
Why Sanitation Access Doesn’t Work Unless the Entire Village Buys In
This year on World Polio Day, health practitioners, policymakers and supporters of the Global Polio Eradication Initiative (GPEI) are more determined than ever to eliminate a disease that has plagued humanity since ancient times. We are frustratingly close to our goal: By the end of 2012, the total number of polio cases worldwide dropped 66% over the previous year to 223. To cross the finish line, however, integrating polio eradication into routine immunization and broader health service delivery will be critical, particularly in communities where the security situation hampers highly visible health campaigns.
A year and two days ago today, a teenage girl was riding the school bus in northern Pakistan. Suddenly, a Taliban gunman got on the bus. He shot her. She almost died.
South Asia is the least integrated region in the world. Intra-regional trade in South Asia is less than 2% of GDP compared to over 20% in East Asia. Labor mobility and regional travel is minimal, with few exceptions. Even remote communication is low – only 7% of international telephone calls in South Asia are to countries within the region, compared to 71% for East Asia. The case for closer integration has remained strong for a while now, and it is refreshing to see that some movement, albeit watchful, in addressing some of the region's deep rooted political economy issues, particularly between India and Pakistan.
The discussions around closer integration have centered on energy, trade, connectivity and stability. All of these offer strong potential to enhance growth in the region. However, financial sector integration overall, and access to finance in particular, hardly ever make it to the agenda of regional integration forums and deliberations. This is unfortunate, because the region has a long way to go in providing adequate access to financial services and insurance products, especially to the vulnerable segments of the population. Given that South Asia is home to more than half a billion of the world’s poor, this becomes a poverty reduction goal as much as a financial inclusion goal.
Losses due to disasters to human and physical capital are on the rise across the world. Over the past 30 years, total losses have tripled, amounting to $3.5 trillion. While the majority of these losses were experienced in OECD countries, the trend is increasingly moving towards losses in rapidly growing states.
In a sense, increasing risk and losses caused by disaster are the byproduct of a positive trend - strong development gains and economic growth. This is because disaster loss is a function of the amount of human and physical assets exposed to seismic or hydrometeorological hazards, and the level of vulnerability of the assets. The richer a country gets, the more assets it builds or acquires, and therefore the more losses it potentially faces.
Rapid development across South Asia signals the need to commit greater efforts to increase resilience to disaster and climate risk. It also requires governments to develop a strategy to both protect against events today and to develop strategies to address the losses of the future. This is a challenge somewhat unique to South Asia. The losses of today, predominantly rural flooding that impacts wide swaths of vulnerable populations, will begin to diminish in relative importance to the losses of the future.
In Pakistan, one-third of primary school age children are not in school, and girls fare worse than boys – 37% of girls of primary school age are not in school, compared with 27% of boys*. Children living in remote parts of the country often have even fewer opportunities to get an education.
In Sindh province, on Pakistan’s southeastern border, government officials and World Bank experts crafted an innovative education program twinning public subsidies with private entrepreneurs to bring schools to poor villages where none existed. The goal of the program, which is ongoing, is to help all children have the chance to get not only an education, but a good one.
During the past few years, interest in high-frequency price data has grown steadily. Recent major economic events - including the food crisis and the energy price surge – have increased the need for timely high-frequency data, openly available to all users. Standard survey methods lag behind in meeting this demand, due to the high cost of collecting detailed sub-national data, the time delay usually associated with publishing the results, and the limitations to publishing detailed data. For example, although national consumer price indices (CPIs) are published on a monthly basis in most countries, national statistical offices do not release the underlying price data.
I normally try and keep Oxfam trumpet-blowing to a minimum on this blog, but am happy to make an exception for this piece from Jacky Repila (right) on a new report on our Raising Her Voice programme in Pakistan, a country that ranks 134th out of 135 countries on the Global Gender Gap Index (only Yemen is worse).
When Veeru Kohli stood as an independent candidate in Hyderabad’s provincial elections on 11th May, she made history.
Kohli is poor. Making the asset declaration required of candidates, Kohli listed just two beds, five mattresses, cooking pots and a bank account with life savings of 2,800 rupees, wages for labourers in Karachi are around 500 rupees a day.
She’s a member of a minority group – Hindus represent less than 6 per cent of the country’s total population. The vision of tolerance and inclusion of Pakistan’s founding father, Mohammad Ali Jinnah, has sadly been eroded as we can see from the 500 Pakistani Hindus who recently fled to India to escape discrimination.
She’s uneducated and does not boast the political connections or patronage of most politicians. In fact she has ruffled feudal feathers, escaping captivity from her former landlord and fighting in the courts for the release of other bonded labourers.
And then of course, she’s a woman. Only 3 per cent of all candidates contesting the general seats for the National Assembly were women.
And yet…. in spite of the inevitable establishment backlash seeking to devalue her credentials, on 11th May six thousand people voted for her. Although not enough to win the seat, the fact of Kohli’s standing is in itself a remarkable act.
"Let us pick up our books and our pens. They are our most powerful weapons,” said Malala Yousafzai, the 16-year-old Pakistani girl shot in the head on her way back from school in Pakistan’s Swat Valley last October.
“One child, one teacher, one book and one pen can change the world. Education is the only solution. Education first,” she continued from the podium at the United Nations Headquarters in New York on July 12, her 16th birthday. July 12 — “Malala Day” — will now be marked and celebrated by citizens worldwide, a day where people can advocate for education and girls’ empowerment.
If you missed Malala’s speech at the UN, you can watch the full video below.
When I heard the news last autumn that 15-year-old Malala Yousafzai of Pakistan had been shot simply for standing up for her right as a girl to get an education, I was horrified.
It also reminded me how lucky I was.
When I was offered a rare scholarship to study abroad, it wasn’t acceptable for me, as a young married Indonesian woman, to live apart from my husband. My mother laid out two options: Either he would join me, which meant giving up his job, or I had to decline the offer.
I know it was her way to advocate for my husband to support me, which he did without hesitation. We both went to the United States to complete our master’s degrees. I combined it with a doctorate in economics, and we had our first child, a daughter, while we both were graduate students.