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
Brian Arbogast is the Director of the Water, Sanitation and Hygiene program at the Bill & Melinda Gates Foundation.
At the Water Summit held in Budapest on October 8 this year, UN Secretary-General Ban Ki-Moon called for action on the urgent issue of sanitation to underpin human dignity and health, noting that “It is plain that investment in sanitation is a down-payment on a sustainable future. Economists estimate that every dollar spent can bring a five-fold return.”
The World Bank Group is searching internally and globally for 18 experienced and driven professionals to help achieve two ambitious goals: reducing the number of people living on less than $1.25 a day to 3% by 2030 and promoting shared prosperity by fostering the income growth of the bottom 40%. These leaders will be crucial to our plan to improve the way we work, so we can deploy the best skills and expertise to our clients everywhere, to help tackle the most difficult development challenges around the world.
Last month, the Bank Group’s member countries endorsed our new strategy which for the first time leverages the combined strength of the WBG institutions and their unique ability to partner with the public and private sectors to deliver development solutions backed by finance, world class knowledge and convening services.
Instrumental to the success of our strategy is the establishment of Global Practices and Cross-Cutting Solution Areas, which will bring all technical staff together, making it possible for us to expand our knowledge and better connect global and local expertise for transformational impact. Our ultimate goal is to deploy the best skills and expertise to our clients at the right time, and become the leading partner for complex development solutions.
We are accepting applications for the Global Practice senior directors who will lead these pools of specialists in the following areas: Agriculture; Education; Energy and Extractives; Environment and Natural Resources; Finance and Markets; Governance; Health, Nutrition, and Population; Macroeconomics and Fiscal Management; Poverty; Social Protection and Labor; Trade and Competitiveness; Transport and Information Technology; Urban, Rural, and Social Development; and Water.
- Public private partnership
- fiscal management
- Rural Development
- disaster risk management
- health nutrition and population
- Natural Resources Management
- global practices
- Urban Development
- Social Development
- Public Sector and Governance
- Labor and Social Protection
- Information and Communication Technologies
- Financial Sector
- Agriculture and Rural Development
Egyptian writer and commentator Bassem Sabry talks to Hartwig Schafer, World Bank Director for Djibouti, Egypt and Yemen about the economic challenges facing Cairo.
Sabry: What do you think are the questions that are missing from the discussion on Egypt right now?
Schafer: I think the question is, what is the priority right now for Egypt? If we go back two and a half years, the revolution was basically the result of growing exclusion and inequality. And that is still, in my view, the top priority.
Las organizaciones no gubernamentales (ONG), los organismos de crédito y el sector público están trabajando duro para cumplir la meta mundial de saneamiento. ¿Pero qué ocurre con el sector privado?, ¿y qué ocurre con las familias que no quieren esperar a la próxima ONG que golpee a su puerta con un mejor retrete? Durante los últimos años, la estrategia de Marketing Sanitario del Programa de Agua y Saneamiento (i) (WSP, por sus siglas en inglés) en Bangladesh (i) ha intentado abordar estas preocupaciones estimulando la oferta y la demanda de instalaciones sanitarias higiénicas a través de la movilización de empresarios locales. El objetivo del Marketing Sanitario es que las familias tengan el deseo y la facultad de autogestión para ascender en la escalera de saneamiento por su propia cuenta.
El programa piloto comenzó en 2009 en cinco aldeas del distrito de Jamalpur y se lo ha ampliado ahora hasta alrededor de 230 aldeas en todo Bangladesh con el apoyo de la Alianza Holandesa WASH, Empresas para el Desarrollo Internacional y la Fundación MAX. El WSP también crea estrategias e implementa el proyecto con Esperanza para los más pobres (HFP, por sus siglas en inglés), una ONG local de Bangladesh, y de la Asociación para el Progreso Social (ASA, por sus siglas en inglés), una institución de microfinanciamiento.
NGOs, lending agencies, and the public sector are hard at work in meeting the global sanitation target. But what about the private sector, and what about the families that do not want to wait for the next NGO to knock on their door with a better toilet? Over the past couple of years, the Water and Sanitation Program’s (WSP) Sanitation Marketing strategy in Bangladesh has tried to address these concerns by stimulating the supply and demand of hygienic sanitation facilities through the mobilization of local entrepreneurs. The objective of Sanitation Marketing is for families to have the desire and the agency to move up the sanitation ladder on their own.
In 2009, the pilot program began in five villages in the Jamalpur district, and has now been scaled-up to around 230 villages across Bangladesh with support from the Dutch WASH Alliance, International Development Enterprises, and the Max Foundation. WSP also strategizes and implements the project with Hope for the Poorest (HFP), a local Bangladeshi NGO, and the Association of Social Advancement (ASA), a microfinance institution.
Mohammed Jalal is one of the many sanitation entrepreneurs supported by Sanitation Marketing in the Hobiganj district where WSP has began scaling up the initiative since 2011. Through microfinance loans from ASA and small-business training sessions from WSP, Mr. Jalal was able to open two stores in Hobiganj. Mr. Jalal’s shops are decorated with colorful flags to attract customers and are filled with an assortment of sanitation products such as handwashing stations and off-set pit latrines. With a catalogue in hand, Mr. Jalal markets his products to local villages and gives households the chance to move up the sanitation ladder. Customers are able to choose the materials and colors of their latrine and are most importantly, able to choose the type of sanitation facility that fits into their budget. Products range from Tk 1,600 (US $20) to Tk 20,000 (US $250), and all Sanitation Marketing entrepreneurs offer an installment plan for families to pay for their products over time. WSP additionally connects these entrepreneurs to the local government in order to establish whether any families in the area are eligible for subsidies. In the Hobiganj district alone, Sanitation Marketing has been able to support over 17 entrepreneurs like Mr. Jalal to serve hundreds of happy customers.
I have been visiting coastal Odisha for the past four years, earlier when we were preparing the National Cyclone Risk Mitigation Project (NCRMP) and subsequently during project implementation.
Every time the project team visited a village, the local community was always there to welcome us and talk about their experience during the 1999 cyclone, the community members they lost, the houses damaged, the devastation inflicted. This was an event that was firmly etched in their memories even 10 years later. Every site visit was followed by a small function wherein the local community mobilizing volunteers spoke about the preparedness work they were undertaking in collaboration with the Odisha State Disaster Management Authority (OSDMA) and local community organizations. Almost every single meeting ended in their spoken resolve “Never Again!”
For those of us who were teenagers in the 1980s, it is difficult not to remember the famous Live record released in 1983 by the reggae band UB40. Almost 30 years later I am still listening to their sound. As we mark World Food Day on October 16, I am reminded of one of the songs in that album, Food for Thought. In fact, I still remember some of the lyrics: "Eat and drink rejoicing, joy is here to stay." Drink, eat, and rejoice – a reminder of the link between water, food, happiness, well-being, and prosperity.
Here’s something to ponder as we mark World Food Day: In the global fight against hunger, the world’s poorest continue to suffer the biggest losses.
The statistics are staggering. One in eight people are suffering from chronic hunger. More than 1 billion people are undernourished, and under-nutrition is to blame for one-third of all child deaths.
As the population booms, we can expect that the food insecurity challenge will only intensify.