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sanitation

Loyabi’s Story: Where There is a Will, There is a Way

Santanu Lahiri's picture

The author captured the story of Loyabi, in Chhaor Union Parishad. This is her story of how she provided her family with access to better Mariam, Loyabi's daughter, studies in Grade IXsanitation and improved their futures.

“I will teach my children how to read and write regardless of my difficulties in doing so.”

My name is Loyabi and I come from a very poor family of Mahadanga village in Chhaor Union Parishad. I was married to Abul Hassan, a man from my own village, at the age of 15. For several years our poverty did not prevent us from being happy. We were blessed with two daughters and two sons. However, when my husband was diagnosed with gallstones, I found I had to raise Taka 50,000/- ($630) for his operation.

We had no land of our own and lived on common land. I was able to collect some money by asking for assistance in different villages. I worked as a mid-wife for humans as well as cattle, bathed dead bodies before their burial and somehow put together the required amount of money to get my husband’s operation done.

Nepal aims to be “open defecation free”

Johannes Zutt's picture

The open toilet along the river in Nangkhel villageWe rarely give the toilet a second thought. We use it when we need to, and we flush and forget. We are also able to conveniently wash our hands afterwards. But imagine if you are on a long hiking trip or a bus ride with no stops in sight and had no access to a toilet or running water. It’s a situation most people would dread.

In poorer parts of the world, this is the daily reality for many. The humble toilet—perhaps the most important contributor to improved human health in history—is a luxury item which relatively few people enjoy. Without a toilet, the poor have to go in the open, behind bushes, or next to streams. They cannot flush their waste away or wash their hands afterwards if they wanted to. In poorer countries, managing human waste remains a major challenge, and failure to meet that challenge exposes millions of children and adults to waste-borne diseases that can have deadly consequences.

In Nepal, a country of approximately 26 million people, nearly 40% of the population do not have toilets. In parts the Terai or lowland areas, this number climbs to a staggering 75%. To be sure, the Government of Nepal has achieved remarkable progress in improving sanitation coverage in the last two decades. In 1990, only 6% of Nepalis had access to a toilet. By 2011, 62% had access, with the sanitation Millennium Development Goal (MDG) achieved ahead of the 2015 target. However, that achievement still leaves a large population—more than nine million people—without toilets. So the Government decided to aim for a new and more ambitious target—universal access by 2017. And it may get there.

Chaturman and Nyuchemaya outside the new toilet on their back porchLast month, I visited Nangkhel, a Newari village near Bhaktapur in the eastern corner of the Kathmandu Valley, to see how one village succeeded in bringing the luxury of a toilet to all 181 households (or about 900 people).
 

Your Neighbors Are Making You Sick

Luis Andres's picture

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.

What color latrine would you like? Sanitation marketing in Bangladesh

Sabrina Haque's picture

Mr Jalal with one of the hygienic latrines he built for a family. To the right is the family’s old latrine.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. 

How Can We Innovate for Development of Sanitation?

Naomi Ahmad's picture

In Bangladesh, around 90% of the people have access to a toilet. But only a third of those toilets are hygienic, and the country loses about 6.3% of its GDP every year to inadequate sanitation.

Join an online discussion on Innovation for Development: Improving Sanitation in Bangladesh at the World Bank Bangladesh Facebook page. Through the online discussion, we hope to hear from YOU on how Bangladesh can use ICT and new technologies to better understand the challenges and address the problems of sanitation.

Have Collective Sanitation Achievements Been Sustained in Rural Bangladesh?

Craig Kullmann's picture

Poor sanitation has devastating—often overwhelming—consequences. As sanitation advocate Rose George writes in “Why there’s a Sanitation Crisis and What We Can Do About It,” the health, social, and economic toll is hard to overestimate. Research from the World Bank’s Water and Sanitation Program’s (WSP’s) ongoing Economic Impacts of Sanitation Initiative shows that inadequate sanitation costs developing economies from 1% to 7% equivalent of their GDP and that investments in increasing access to improved sanitation and hygiene are needed. These findings are based on research conducted in Southeast Asia and India (similar studies are in progress for Bangladesh, Pakistan, and countries in Africa, Latin America, and the Carribean).

A key to improving sanitation is learning how to work at scale and how to strengthen the sustainability of improved sanitation. WSP has been implementing large-scale learning projects to investigate both questions. One place to look for insight is in Bangladesh, where access to basic sanitation in rural areas has grown significantly since 2003, when the Government of Bangladesh formulated a national sanitation policy and strategy that has been implemented by local governments.

An Inclusive Approach to Safeguarding the Basic Needs of the Poor

Mark Ellery's picture

If it were possible to separate public services into a public good aspect and a private good aspect, then government could probably ensure better outcomes for the poor by focusing primarily on the public good aspect.

A public good is both non-rival (the consumption of a unit does not reduce the units available for others) and non-excludable (it is not possible to include some while excluding others from this good). For example an illiteracy free community is a pure public good that demonstrates both non excludable and non rival qualities. It is non-excludable as it is not possible to exclude someone from the benefits of an illiteracy free jurisdiction while including others; and non-rival as one person consuming an illiteracy free jurisdiction does not reduce the stores for others. The private good have both rival and excludable characteristics (the consumption of a unit reduces the availability for others and it is possible to include some while excluding others during consumption). Alternatively a school is a private good - it is rival (there are only a certain number of children you can fit in a classroom) and excludable (you can be excluded if you do not meet certain socio-economic standards).

Assuming that all public services have rival and non-rival, excludable and non-excludable characteristics, it should be conceptually possible to separate the public good aspect and the private good aspect.