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
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.
Poverty has been a concern in societies even before the beginning of recorded history. In the past three decades extreme poverty in the world has decreased significantly. More than half of population in the developing world lived on less than $1.25 a day in 1981. This has dropped to 21% in 2010. More impressively, notwithstanding a 59% increase in population in developing countries, there were 1.2 people living on less than $1.25 a day in 2010, compared with 1.9 billion decades ago. However, the challenge of poverty reduction ahead remains daunting with 1.2 billion still living in extreme poverty. Freeing the world from poverty is perhaps the most important economic goal for the world today. More than a hundred countries are still not able to move away from high poverty traps.
Success Story from Nawalparasi District of Nepal
Within the next 30 years, urban populations in developing countries will double and UN-Habitat estimates that around 3 billion people will need housing and basic infrastructure. Already, 70% of existing housing in developing countries is built informally without appropriate structural standards. Thus, the challenge lies in reconciling informal settlements with existing and future planned environments.
In light of these challenges, the South Asia urban team at the World Bank, as part of its urbanization webinar series, organized a discussion on “Upgrading Housing in Informal Settlements.” This webinar highlighted the challenges of upgrading housing in informal settlements, and shared lessons from around the globe where targeted policy interventions and grassroots movements have mobilized resources to create success stories. Guest speakers and experts around the world joined the discussion on informal settlements.
“Ghaas Katne Khurkera, aayo joban hurkera…” (A Nepali folk song)
It would be an injustice to my childhood if I said that this song wasn’t a part of my growing up. Even before I knew the title of the TV drama, I knew this song by heart. I, along with my friends, would happily play and sing along to it. This was a famous song from a tele-series played by Nepal’s most celebrated comedians Madan Krishna Shrestha and Hari Bansha Acharya. Like this song, Madan Krishna and Hari Bansha, endearingly abbreviated as “MaHa” has been a household name to most Nepalis, either in Nepal or residing abroad.
They have, however, been different from other Nepali comedians- their comedy stand-ups or dramas have heavy dose of social morals in their highly creative and hilarious skits. After a break of two years, they are now back on TV with one such creation that infuses issues of social accountability with comedy. The tele-drama is titled “Aan” - A Nepali expression for opening mouth – metaphor for eating/misusing government resources.
“The subject is very dry. This is not like soap operas where the characters have highly dramatic lives. We have to heavily rely on artists’ performances as it should be technically sound to fetch audience attention,” says Hari Bansha Acharya, the producer and the actor for “Aan”. “We have previously worked on anti-corruption but this is the first time we are reflecting the real scenario at the village, district and national level. This is a virgin topic for TV and we hope we will be able to bring the kind of result that we are anticipating.”
The World Bank and Oxfam India co-organized a high energy event earlier this week - Joining Forces to End Violence Against Women. It was an intense two days – about 200 participants from diverse backgrounds gathered to listen, to educate each other, to speak up, and to build alliances; in short, to join forces towards the next step. Several of them congratulated the “movement” on progress – on having coopted unlikely allies, on the fact that more men were involved than ever before, and that public outrage against violence is widespread in South Asia. Surely, this will lead to change, is the implicit hope. But long-time warriors like Flavia Agnes, voiced angst and discouragement, as only those who have spent a lifetime of struggle are entitled to. Finally, the anger came from 21-year old Urmila Chaudhary – freed from bondage as a Kamalari – “where were you all when I was pledged to a family as a maid at the age of six”, she asked a somber audience?
It’s June 16th, 2013. When you walk through the desolate, empty streets of Kathmandu today, where the effects of another bandh (strike) are clearly visible, you can’t help but wonder: will we Nepalis ever stand up and speak out against any of the injustices we see in our society or will we silently trudge on as always?
Sitting in a conference room at the Trade Tower in Kathmandu, I feel enormous hope that yes, we will. It’s a room filled with more than a hundred young techies and gender activists, all of whom braved the monsoon and the bandh to be a part of the Violence Against Women (VAW) Hackathon – a platform to bring together diverse stakeholders to work on technology solutions to VAW issues.