Dwifina loves art. Every day she looks forward to making her thread canvasses. Her only wish is that she had more time to spend on them. Being paralyzed, she spends a significant amount of time on mundane activities like getting ready for school and sorting out school supplies and books. She needs to ask friends to assist her in using the bathroom in school, as it lacks the design features for her to use it independently. Between homework and these extended activities of daily living, Dwifina finds little time for her true passion.
There are about a billion people with physical, cognitive, or psychological disabilities in the world, who struggle to access basic services required to perform daily functions. Unfortunately, most of these barriers to access are socially constructed.
It’s now 2010 and I’m still in Honduras, now amid the reform implementation when reality kicks in. Three new municipal utilities have been established, with catchy logos and new staff and management. Operating costs, salaries in particular, have been slashed, and there’s a sense of opportunity – but also challenges. Those elected mayors are thinking about the next election and not very keen on adjusting tariffs to where they need to be. Installing water meters, a cornerstone of the modernization strategy, is facing a huge backlash from those very customers who are making direct use of the shorter accountability route to make their concerns heard. And services aren’t really getting better as fast as we would want…
Forward to 2014 – I’m now in Croatia. I’m sitting in a non-descript conference hall in Zagreb, Croatia, trying to inform a diverse set of local and central government stakeholders about the pros and cons of merging municipal water utilities into regional operators, as everyone else seems to be doing in the region. In fact, since my transition to Europe & Central Asia the year before, I observe what appears to be a serious case of reformitis: consultants and policy advisors are dutifully preaching the regionalization of just recently decentralized service providers to help implement the European Union’s stringent and costly environmental regulations.
As the Fourth Arab Water Forum gets underway next week in Cairo, Egypt, much is at stake in the region’s water management. Armed conflict and massive numbers of refugees have put tremendous additional stress on land and water resources in MENA as well as on infrastructure in communities receiving the refugees. In Jordan alone, according to the country’s Ministry of Water and Irrigation, climate change and the refugee crisis have reduced water availability per person to 140 cubic meters, far below the globally recognized threshold of 500 cubic meters for severe water scarcity.
These recent developments compound the impact of decades of rapid population growth, urbanization and agricultural intensification. A recent World Bank report notes that more than 60% of the region’s population is concentrated in places affected by high or very high surface water stress, compared to a global average of about 35%. The report further warns that climate-related water scarcity is expected to cause economic losses estimated at 6-14% of GDP by 2050 – the highest in the world.
As governments search for solutions, two trends in particular could present game-changing opportunities to bolster water security. As captured in two recent reports by the International Water Management Institute (IWMI), the viability of these solutions will depend on how governments and societies respond to them.
In the lead-in to World Toilet Day, we hear a great deal about the role of toilets in sanitation and in better health and human development outcomes. Toilets are good development. Period.
We hear less about the fact that toilets are often sites and instruments of social exclusion.
Let me explain.
Segregated toilets for males and females were intended to give women privacy and to respect the “intrinsic” physical differences between the sexes. In fact,
But the story is more complex.
William Young, Lead Water Resources Management Specialist, the World Bank
The Ganges Basin in South Asia is home to some of the world’s poorest and most vulnerable communities. Annual floods during monsoon season cause widespread human suffering and economic losses. This year, torrential rains and catastrophic floods affected more than 45 million people, including 16 million children. By 2030, with ongoing climate change and socioeconomic development, floods may cost the region as much as $215 billion annually.
A new report, Flood Risk Assessment and Forecasting for the Ganges-Brahmaputra-Meghna River Basins, summarizes two recent initiatives aiming to reduce these flood losses: a flood risk assessment for the Ganges Basin and an improved flood forecasting system for the Ganges-Brahmaputra-Meghna basins.
Childhood stunting is one of the most significant impediments to human development and economic growth, affecting approximately 155 million children under the age of five globally, with long-term consequences later in life such as impaired cognitive development, chronic disease, and lower earnings as adults. Evidence shows that there is an urgent need for collaboration between actions in water, sanitation, health, nutrition, and other sectors to effectively combat childhood stunting.
This was discussed during the recent World Bank-IMF Annual Meetings, where leaders from the World Bank and client countries met to talk about ‘Changing Behaviors to Incentivize Collaboration to Address Childhood Stunting’. Aimed to provide guidance on how to collaborate better across sectors and institutions, this event provided an opportunity to share the latest results from the global Water Supply, Sanitation, and Hygiene (WASH) Poverty Diagnostic Initiative, led by the World Bank’s Water and Poverty Global Practices in collaboration with the Health, Nutrition, and Population and Governance Global Practices.
We’re used to talking about how the failure to invest in water management can impede economic growth, but the positive case for water management investments can be just as compelling. With support from the Israeli government, my colleagues and I recently took a study tour to Israel, and what we saw on the ground showed that combining policy and technology can lead not only to better local water management, but also result in a multi-billion dollar, export-driven industry.
When the “Swachh Bharat Mission-Gramin” (SBM-G) was launched in October 2014 with the goal of making rural India free from open defecation by 2019, it gave states and districts more flexibility than previous national sanitation programs had. This led to a successful experiment in Uttar Pradesh called “demand compression”.
The state was preparing to use a tried-and-tested triggering process, where trained motivators concentrate their efforts on a community to help improve their understanding of safe sanitation and stimulate demand for toilets in rural communities where open defecation is still common. However, they faced a problem. If all the households that were eligible for government subsidies would actually claim them, funds would soon run out. With an estimated 15 million households across Uttar Pradesh without a toilet and eligible for a government subsidy of around $200, about $3 billion would be needed.