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sanitation

Building institutional capacity for rural sanitation: India’s Uttar Pradesh State

Mariappa Kullappa's picture
Uttar Pradesh (UP), India’s most populous state with about 200 million people, has historically not performed well on sanitation. According to census figures from 2001 and 2011, the proportion of rural UP dwellers with a toilet increased slightly during the first decade of this century. However, the population grew as well, meaning that, overall, 13 million more people were defecating in the open in 2011. 

Pulling the chain: Business solutions for managing human fecal waste

Krishna Chaitanya Rao's picture
To understand why innovation in fecal sludge management matters, ask yourself this: In 15 years, when almost 5 billion people are using on-site sanitation, solutions like pit latrines and septic tanks, what will the world do with all the fecal waste? About half that many people use onsite sanitation today, and we already have a hard time keeping up.

Chickens don't use toilets: Why managing animal feces helps children grow taller

Derek Headey's picture
Those who have tried toilet training a pet dog or cat know that it is a difficult proposition. How about toilet training a flock of 30 chickens?

“Why would I want to?” Because in poor countries, chickens are everywhere, they are pooping wherever they want, and chicken feces is dangerous for young children.

Water, the economy, and development: New insights on a complex challenge

Scott Michael Moore's picture
In the World Bank Water Practice, we often talk about how issues like flooding and droughts threaten our mission to end poverty and boost shared prosperity. But how much do we actually know about how these floods and droughts — "water shocks" — impact farmers, firms, and communities? Perhaps adaptation in the economy has limited such impacts. Or maybe policies have led to economies being more vulnerable to such shocks.

Kicking off 2017 with the new Water Cartoon Calendar

Yehude Simon's picture
The Water Cartoon Calendar is definitely one of the most unconventional World Bank products. You won’t find anything else like it. If this is the first time you are hearing about it, the Water Cartoon Calendar is an illustrated calendar produced since the year 2000 by the Water and Sanitation Program. It features colorful cartoons depicting water related topics, combined with a mild touch of humor.

12 moments for water in 2016

Li Lou's picture

2016 has become the year for water. From the World Economic Forum, COP22, to the Budapest Water Summit, water has been widely acknowledged as a key to achieving the Sustainable Development Goals, and essential to the climate change solution.

Here are the defining moments of 2016 that put water security and sustainability on the global agenda like never before: 

Rajasthan tells an unexpected story of stopping open defecation under Swachh Bharat Mission

Mathews K. Mullackal's picture
Rajasthan has become an unlikely frontrunner in sanitation. Until recently, it was among Indian states with the lowest rates of toilet coverage. With a difficult terrain, scarce water, and low levels of literacy, the slow pace of progress was not surprising.

Since 2011, that has changed. As shown in Figure 1, the proportion of people with access to a toilet has more than trebled – from under 20 percent to nearly 68 percent. Of 9,892 Gram Panchayats, the local level of government in India, almost a third – 3,545 – has been declared free of open defecation. That includes all Gram Panchayats in five of the state’s 33 districts, with more set to follow. What has gone right?

 

Reaching the last mile in Latin America and the Caribbean: How to provide sustainable water supply and sanitation to Indigenous Peoples

Clementine Marie Stip's picture
Young Wayúu girls go fetch water in La Guajira, Colombia

Extending the human right of access to water supply and sanitation (WSS) services to Indigenous Peoples represents the final step for many countries to reach universal coverage in Latin America and the Caribbean (LAC). As the 7th Rural Water Supply Network Forum is underway in Abidjan, Côte d'Ivoire, we must remind ourselves what “inclusion” means in the WSS sector. Poverty levels among Indigenous Peoples are more than twice those found among other Latin Americans, and they are 10 to 25 percent less likely to have access to piped water and 26 percent less likely to have access to improved sanitation.

With dire consequences on health, productivity, and well-being, these access gaps also exemplify two shortcomings of past engagement with Indigenous Peoples in the WSS sector: Indigenous territories have often been overlooked, and, even where investments specifically target Indigenous Peoples, WSS service sustainability remains a large issue. Several barriers explain this: investors’ and service providers’ lack of understanding of Indigenous Peoples' unique social and cultural characteristics, limited engagement with Indigenous authorities and attention to their priorities and aspirations, and the remoteness and difficult access to many Indigenous communities, to name a few. More generally, we need a tailored approach that responds to these challenges through institutional development, partnership with Indigenous authorities, and local capacity building for WSS services management in order to overcome the existing system that incentivizes physical interventions in easily accessible areas with limited social accompaniment. 

Helping children survive and thrive: How toilets play a part

Claire Chase's picture



While child mortality rates have plummeted worldwide, nearly one-third of all children under 5 in developing countries are stunted. Children who are stunted (having low height-for-age) suffer from a long-term failure to grow, reflecting the cumulative effects of chronic deficits in food intake, poor care practices, and illness. The early years of life, especially the first 1,000 days, are critical; if a child’s growth is stunted during this period, the effects are irreversible and have lifelong and intergenerational consequences on their future human capital and potential to succeed.  
 
For the water and sanitation community the year 2009 marked a turning point in our understanding of the role that Water, Sanitation and Hygiene (WASH) has on child stunting. A provocative Lancet article (Humphrey 2009) put forth the hypothesis that a key cause of child stunting is asymptomatic gut infection caused by ingestion of fecal bacteria. Small children living in poor sanitary environments are especially at risk, through frequent mouthing of fingers and objects during exploratory play, playing in areas contaminated with human and animal feces and ingesting contaminated food and water (Ngure et al. 2013). Researchers now estimate that up to 43 percent of stunting may be due to these gut infections, known as environmental enteric dysfunction (EED) (Guerrant et al. 2013).
 
Just last week estimates were released suggesting that poor sanitation is the second leading cause of child stunting worldwide (Danaei et al. 2016). In a key departure from previous work, the researchers defined risk as the sanitation level of a community, rather than an individual. This is consistent with mounting evidence showing that a community’s coverage of sanitation is more important than any one household’s (Andres et al. 2013). Across different studies, data sets and outcomes the evidence consistently shows that a threshold of around 60–70 percent household usage within a community is needed before the health and nutrition benefits of sanitation begin to accrue. Studies that have focused on an individual’s toilet use as a predictor, rather than a community’s use, may have vastly underestimated the impacts (Hunter and Prüss-Ustün 2016).  
 
As we advance our understanding of the ways in which a poor sanitary environment impacts growth in small children, we can better design water and sanitation interventions to target these pathways. While there is a role for multi-sectoral interventions, which can simultaneously target the underlying determinants of child undernutrition, such as food security, access to health services, and childcare practices — there are ways that the water sector can adapt its own approaches so that they are more nutrition-sensitive, and more impactful on nutrition. Here are four key actions:

Addressing the urban sanitation crisis: Time for a radical shift

Martin Gambrill's picture

Co-authors:

The Bill & Melinda Gates Foundation – Jan Willem Rosenboom
The University of Leeds – Barbara Evans
Emory University – Christine Moe & Eduardo Perez
The World Bank – Sophie Trémolet, Valérie Sturm, Clémentine Stip
WaterAid – Andrés Hueso
Plan International – Darren Saywell

Children in Maputo, Mozambique 
Photo credit: 
Isabel Blackett/The World Bank

A successful city is economically and culturally vibrant, healthy, safe, clean and attractive to business and tourism, and provides quality of life to its citizens. This vision is appealing but remains hard to realize as developing cities have to cope with changing demographics and climate with limited financial and human resources. The sustainable development goals have given a new impetus for cities to be inclusive, safe, resilient and sustainable (SDG11), ensure citizens’ health and wellbeing (SDG3) and secure access to sustainable water and sanitation services (SDG6).

World Toilet Day on November 19th is the opportunity to remind ourselves of a few facts and propose a set of guiding principles for a renewed and revitalized urban sanitation agenda.

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