This blogpost is part of a series of thematic blogs for the World Bank's Water Supply, Sanitation, and Hygiene (WASH) Poverty Diagnostic.
Addressing gender and sex inequalities in WASH is not only recognized in Sustainable Development Goals (SDGs) 4 and 6, it is central to the entire ambition of the SDGs themselves. Some water, sanitation, and hygiene issues are faced only by women because of their biological sex, whereas others are more influenced by gendered societal norms. To truly leave no one behind, we need to be mindful of and work against gender and sex inequalities in all development work.
Community-Led Total Sanitation might be the greatest Bangladeshi export you’ve never heard of. In countries across Asia, Africa and Latin America, a consensus has emerged that the best approach is Community-Led Total Sanitation, which is widely credited with changing people’s behavior around the world to no longer defecate in the open, which has greatly improved global health.
Bangladeshis can take plenty of pride in these far-away accomplishments. That’s because it is Northern Bangladesh - more specifically the Mosmoil village in Rajshahi district - that pioneered this approach seventeen years ago. Its success at home led to its widespread adoption abroad.
Safe drinking water is a right and proper sanitation is dignity of the citizens. Proper management of freshwater ecosystems and access to safe water and sanitation are essential to human health, environmental sustainability and economic prosperity. Water and sanitation are at the core of sustainable development critical to the survival of people and the planet. Goal 6 of Agenda 2030 not only addresses the issues relating to drinking water, sanitation and hygiene, but also the quality and sustainability of water resources worldwide.
The ‘Global Water Supply and Sanitation Assessment’ by World Health Organization (WHO), United Nations Children Fund (UNICEF), Water Supply and Sanitation Collaborative Council (WSSCC) reported that in 2012 about 40% (2.6 billion) of the world’s population was without access to safe water. Approximately 4 billion cases of diarrhea each year causes 2.2 million deaths, and majority of them are children under the age of five. This situation in Bangladesh is also challenging. A study by Water and Sanitation Program (WSP) wing of the World Bank reveals that Bangladesh incurred a loss of Tk295.48 billion in 2010 due to inadequate sanitation, which is 6.3% of the GDP.
Indeed, there is much to emulate in Bangladesh’s remarkable progress in recent years in the field known as WASH -water, sanitation access, and hygiene. Today, 98 percent of the population gets drinking water from a technologically improved source – water which comes from a manmade structure– up from 79 percent in 1990. Bangladesh also largely succeeded in providing access to basic sanitation. It is estimated that only three percent of the population practice open defecation, down from 34 percent in 1990, thanks to behavior change campaigns and the building of many new toilets.
But, much has yet to be done. Bangladesh has still a long way to go to meet the Sustainable Development Goal (SDG) of providing universal access to clean water and sustainable sanitation by 2030. The World Bank recently completed a study, the WASH Poverty Diagnostic, which examines the remaining challenges in ensuring access to safe water, sanitation, and hygiene. The findings are startling.
Natural hazard events can occur in any country, at any time. At present, India, Bangladesh, and Nepal are dealing with the aftermath of some of the worst monsoon flooding in years, which has left more than 1,200 people dead and millions homeless. At the same time, North America and the Caribbean region are responding to some of the strongest hurricanes on record.
At such times of peril, individual and community resilience is at a premium, and we cannot afford to miss opportunities to bolster that resilience wherever possible. This is especially true with respect to certain groups – such as persons with disabilities – who have historically been disproportionately affected by natural hazards.
While some strides have been made in addressing the needs of persons with different disabilities in response and recovery efforts, fewer efforts are aimed at incorporating lessons into long-term disaster and climate risk management at a systemic and/or policy level.
That regional cooperation in South Asia is lower than optimal levels is well accepted. It is usually ascribed to – the asymmetry in size between India and the rest, conflicts and historical political tensions, a trust deficit, limited transport connectivity, and onerous logistics, among many other factors.
Deepening regional integration requires sufficient policy-relevant analytical work on the costs and benefits of both intra-regional trade and investment. An effective cross-border network of young professionals can contribute to fresh thinking on emerging economic cooperation issues in South Asia.
Against this background, the World Bank Group sponsored a competitive request for proposals. Awardees from Bangladesh, India, and Pakistan, after being actively mentored by seasoned World Bank staff over a period of two years, convened in Washington DC to present their new and exciting research. Research areas included regional value chains, production sharing and the impact assessment of alternative preferential trade agreements in the region.
Young Economists offer fresh thoughts on economic cooperation in South Asia
Mahfuz Kabir, Acting Research Director, Bangladesh Institute of International and Strategic Studies and Surendar Singh, Policy Analyst, Consumer Unity Trust Society (CUTS International) presented their research: Of Streams and Tides, India-Bangladesh Value Chains in Textiles and Clothing (T&C). They focus on how to tackle three main trade barriers for T&C: a) high tariffs for selected, but important goods for the industries of both countries; b) inefficient customs procedures and c) divergent criteria for rules of origin classification.
Sreerupa Sengupta, Ph.D. Scholar at Centre for Economic Studies and Planning, Jawaharlal Nehru University, New Delhi discussed Trade Cooperation and Production Sharing in South Asia – An Indian Perspective. Reviewing the pattern of Indian exports and imports in the last twenty years, her research focuses on comparing the Global Value Chain (GVC) participation rate of India with East Asian and ASEAN economies. Barriers to higher participation include a) lack of openness in the FDI sector; b) lack of adequate port infrastructure, and long port dwell times; and c) lack of Mutual Recognition Agreements (MRAs).
Aamir Khan, Assistant Professor, Department of Management Sciences, COMSATS Institute of Information Technology, Islamabad presented his work on Economy Wide Impact of Regional Integration in South Asia - Options for Pakistan. His research analyzes the reasons for Pakistan not being able to take full advantage of its Free Trade Agreement (FTA) with China, and finds that the granting of ASEAN-type concessions to Pakistan in its FTA with China would be more beneficial than the current FTA arrangement. The work also draws lessons for FTAs that are currently being negotiated by South Asian countries.
Crowded slums, poor sanitation and unhealthy diets. It’s a potent cocktail and for too many families across the world, a daily reality. Right now, an estimated one billion people live in slums and that number is expected to double by 2030. Slums are where the many deprivations facing the urban poor collide, including lack of access to clean drinking water, sanitation, safe and nutritious foods, sufficient living space, durable housing and secure tenure (UN Habitat). They’re where human waste is routinely emptied into streets, canals, and garbage dumps. And where overcrowding and low rates of immunization and breastfeeding combine to exacerbate the already perilous problems children face.
Children growing up in these surroundings are at a higher risk of death and disease and are more likely to be chronically malnourished (Ezeh et al. 2017). For example, forthcoming World Bank research from Bangladesh shows that children living in slums are 50 percent more likely to be stunted than children living in other urban areas. This doesn’t just have implications for today - children who are stunted early in life go on to learn and earn less, and face a higher risk of chronic disease as they grow older. Tragically, these effects are often passed on to offspring, trapping families in poverty and malnutrition for generations, as per findings in a forthcoming World Bank report called Uncharted Waters.
Everybody depends on it; there is no substitute for it if we run out; in some places, it’s more valuable than oil. Freshwater is at the very core of human development: it is inextricably linked to food security, economic growth, and poverty reduction.
At face value, water use for food production today largely occurs at the expense of ecosystems, which is the number one reason for their rapid degradation. Already, a quarter of the world’s major rivers no longer reach the ocean.
According to a new study published by Nature Communications, about 40% of global irrigation water is used unsustainably and violates life-supporting environmental flows of rivers. To achieve the UN’s Sustainable Development Goal (SDG) 6, these water volumes need to be re-allocated to the ecosystem, which puts a heavy strain on current agricultural water use: food production would drop by at least 10% on half of all irrigated land, with losses of 20-30% at the country level, especially in Central and South Asia.
Over the years, Bangladesh has taken major strides to reduce the vulnerability of its people to disasters and climate change. And today, the country is at the forefront in managing disaster risks and building coastal resilience.
Let’s compare the impact of the Bhola Cyclone of 1970 to the far stronger Cyclone Sidr in 2007. The 1970 cyclone was then the deadliest in Bangladesh’s history, and one of the 10 deadliest natural disasters on record. Official documents indicate that over 300,000 lives were lost, and many believe the actual numbers could be far higher.
By contrast, Sidr was the strongest cyclone to ever make landfall in Bangladesh. This time, fewer than 3,500 people lost their lives. While tragic, this represents about 1% of the lives lost in 1970 or 3% of the nearly 140,000 lost lives in the 1991 cyclone.
The cyclones of 1970 and 1991 were unprecedented in scale. Yet, they steered the country into action.
Amy Pickering laughs when she thinks of all the things that went wrong with the impact evaluation she recently completed of a water chlorination project in the slums of Bangladesh’s capital city Dhaka: delays, monsoons, and more delays.
“It was the hardest project I’ve ever done,” says the seasoned research engineer, now a professor at Tufts University, who was working on a project funded through the World Bank’s Strategic Impact Evaluation Fund.
Clean water is an issue in Dhaka and other overcrowded cities in the region, where contamination by bacteria can lead to high rates of diarrhea, harming children’s growth and health. For Pickering, who specializes in water quality and diarrheal disease, the challenge was finding a water treatment technology that could work without electricity and operate in Dhaka’s extreme weather.