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How Transformational Changes in Rural Sanitation Service Delivery in Indonesia Accelerated Access

Deviariandy Setiawan's picture
Open Defecation Free declaration billboard 
in Madiun city, East Java Province, Indonesia
Photo credit: Edy Basuki, East Java Health Office

Back in 2009, Ratih Purwindah, a 25-year-old newly appointed sanitation district facilitator, was not invited to sit in the car to travel with delegates from Indonesia’s Ngawi District to participate in the East Java province rural sanitation review meeting. Instead, Ratih was asked to take a bus the 180 km to Surabaya, even though there were vacant seats in the delegation’s car. She also did not get a desk at the district’s office. Five years onwards, this has changed and Ratih is now the provincial coordinator for the government’s sanitation program in Central Java. District sanitation facilitators working with her are recognized and empowered within District Health offices.  Ratih’s personal journey is a testament to the systemic changes that have taken place in Indonesia. With a focus on district-wide sanitation service delivery, Indonesia is accelerating access from below 1% to 2-3% a year and catching up to achieve the sanitation MDG. 

Why Choosing the Preferred Sanitation Solution Should Be More Like Grocery Shopping

Guy Hutton's picture

When we go to the supermarket, our decision-making is considerably aided by having the price, ingredients and source of goods clearly labeled. This allows us to rapidly compare the characteristics, perceived benefits, and price of different products to make what is usually an informed and instantaneous purchase decision. 

When it comes to making investment choices for public programs, we do not traditionally have the same luxury of information. The full benefits and costs of those interventions, including the long-term costs to maintain and operate a service, are rarely understood or taken into account in the decision. As a result, public decisions are usually made based on the most visible costs (capital investment required from the public budget), historical choices and the political process. 

Fixing Sanitation Service Delivery for the Poor to Meet the Twin Goals

Eddy Perez's picture

As I blogged a few weeks ago, the proposed WASH Post 2015 goals and targets for sanitation call for universal access to improved sanitation by the year 2030. I described how many governments have started working to achieve the goal of  universal access by taking steps to make the transformational changes and to stop doing “business as usual” in sanitation programs that have largely failed to deliver sustainable sanitation service delivery – especially for the poor. In addition to universal access, the WASH Post 2015 goals also call to progressively eliminate inequalities in access between population subgroups.
 

How and Why Countries are Changing to Reach Universal Access in Rural Sanitation by 2030

Eddy Perez's picture

The proposed WHO/UNICEF Joint Monitoring Program (JMP) WASH Post 2015 goals for sanitation calls for universal access to basic improved sanitation – by the year 2030. Using largely small scale project approaches that have failed to deliver sustainable sanitation service delivery – especially for the poor -- most countries have not yet achieved the more modest MDG sanitation goals. However, many countries have already started working to achieve the goal of universal access by taking steps to make the transformational changes needed to stop doing “business as usual” in their sanitation programs.

Cleaning Up One of the World’s Most Polluted Places

Guy Hutton's picture

For users of water-based sanitation, most of us give little thought to what happens after we hear the sound of the toilet flushing. Wooooosh -- out of sight, out of mind.

Certainly, there is massive benefit to be derived from owning and using a functioning toilet.

But what if you were told that there is nothing at the end of the sewage pipe that actually deals with what flows down the toilet? What if you learned that every flush pollutes the environment, and that combined with the chemicals, heavy metals and nutrients from industrial pollution and agricultural run-off, the improperly treated waste was turning rivers, lakes and estuaries into dead zones? Would you think twice next time you flushed?

What Do Toilets and Cell Phones Have in Common?

Jose Luis Irigoyen's picture

They both hold the potential to help meet the needs of the poor and end poverty. New ideas and innovative solutions are critical to address the 2.5 billion people who lack access to proper sanitation. Lack of access to clean water and sanitation kills more than 4,000 children a day and a lack of sanitation results in billions of dollars in economic losses to developing countries. Now that more people have access to a mobile phone than to a toilet or latrine, it’s time to leverage technology to help reach development goals.