Author Archives: WASHplus

WASHplus Weekly: Focus on Sanitation as a Business

Issue 163 | Sept 26, 2014 | Focus on Sanitation as a Business

This issue highlights some recent reports, conference proceedings, catalogs, and blog posts on sanitation entrepreneurs, sanitation markets, and other sanitation as a business issues. Included are summaries of a conference in Uganda; a Hystra report on household mobile toilets; catalogs of sanitation business opportunities; and blog posts from Sanivation, Water and Sanitation for the Urban Poor Enterprises, and others.


Designing the Next Generation of Sanitation Businesses: A Report by Hystra for the Toilet Board Coalition, 2014. J Graf, Hystra. (Link)
This report discusses two models that combine an aspirational value proposition for base of the pyramid (BoP) families with a strong potential for financial sustainability. In rural areas, the authors analyzed projects that activate local rural sanitation markets. In urban areas, they analyzed initiatives servicing mobile home toilets. Based on an in-depth analysis of both the best practices and greatest challenges from a pool of 12 representative projects, the report suggests strategies to overcome challenges to sustainability and scale.

Sanitation Business Catalogue: Let’s Rapidly Scale Sanitation Services to the Poor!2014. APPSANI. (Link)
This catalog contains 27 business propositions of sanitation sector entrepreneurs from all over the world. Together, they offer a variety of services, and all of them are looking to consolidate or expand their business and bring sanitation services to scale for customers at the BoP. This catalog was compiled for the Sanitation Business Matchmaking event at the first BoP World Convention & Expo in Singapore, August 2014.

Ready for Funding: Innovative Sanitation Businesses, 2014. Aqua for All. (Link)
This document was developed to give insights into promising prospects in the sanitation sector in small towns and peri-urban areas in upcoming economies. The sanitation sector offers long term, slow, and stable return on investments. The challenge of the sanitation industry is to access to the right blend of financial products.

Sanitation as a Business: Unclogging the Blockages, 2014. Bill & Melinda Gates Foundation. (Link)
This report summarizes a two-day conference in Uganda. One of the results was recognition among participants of the importance of business- and market-based approaches as keys to address some of the main barriers for scaling sustainable sanitation solutions. While there is still a long way to go toward universal usage of these approaches, participants were able to get a much richer understanding of the principles and key tenets of how sanitation as a business programming works; many participants intended to go back to their respective environments and apply the lessons they had learned.

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Ending Open Defecation in Rural Tanzania: Which Factors Facilitate Latrine Adoption?

Ending Open Defecation in Rural Tanzania: Which Factors Facilitate Latrine Adoption? Int. J. Environ. Res. Public Health,  2014, 11(9), 9854-9870; doi:10.3390/ijerph110909854

Authors: Stephen Sara and Jay Graham. Department of Environmental and Occupational Health, School of Public Health and Health Services, George Washington University, 2100 M St., NW Suite 200, Washington, DC 20037, USA

Diarrheal diseases account for 7% of deaths in children under five years of age in Tanzania. Improving sanitation is an essential step towards reducing these deaths. This secondary analysis examined rural Tanzanian households’ sanitation behaviors and attitudes in order to identify barriers and drivers to latrine adoption. The analysis was conducted using results from a cross-sectional study of 1000 households in five rural districts of Tanzania. Motivating factors, perceptions, and constraints surrounding open defecation and latrine adoption were assessed using behavioral change theory.

Results showed a significant association between use of improved sanitation and satisfaction with current sanitation facility (OR: 5.91; CI: 2.95–11.85; p = 0.008). Livestock-keeping was strongly associated with practicing open defecation (OR: 0.22; CI 0.063–0.75; p < 0.001). Of the 93 total households that practiced open defecation, 79 (85%) were dissatisfied with the practice, 62 (67%) had plans to build a latrine and 17 (18%) had started saving for a latrine. Among households that planned to build a latrine, health was the primary reason stated (60%).

The inability to pay for upgrading sanitation infrastructure was commonly reported among the households. Future efforts should consider methods to reduce costs and ease payments for households to upgrade sanitation infrastructure. Messages to increase demand for latrine adoption in rural Tanzania should integrate themes of privacy, safety, prestige and health. Findings indicate a need for lower cost sanitation options and financing strategies to increase household ability to adopt sanitation facilities.

Validity of Rapid Measures of Handwashing Behavior: An Analysis of Data from Multiple Impact Evaluations

Validity of Rapid Measures of Handwashing Behavior: An Analysis of Data from Multiple Impact Evaluations in the Global Scaling Up
Handwashing Project, 2014. Water and Sanitation Program.

Authors: Pavani K. Ram, Michelle W. Sahli, Benjamin Arnold, John M. Colford, Claire Chase, Bertha Briceño, Alexandra Orsola-Vidal, and Paul Gertler

This multicountry analysis has shown that observation of handwashing materials at the places where people wash hands, at the times most necessary for washing (after fecal contact and before food preparation), is a valid measure of handwashing with soap in multiple cultural and geographic contexts. There continues to be an overarching need for developing valid measures of handwashing behavior that can be collected in an efficient and inexpensive fashion. The structured observation data indicating low rates of soap use for handwashing at times of pathogen transmission reinforce the global imperative to improve handwashing behavior for prevention of the leading causes of death in young children.

IWA – Faecal Sludge Management, systems approach for implementation and operation

This link also has a info on an online course, how to order the hardcopy, etc;

The first book dedicated to Faecal Sludge Management (FSM) has been published recently by IWA Publishing. The book ‘Faecal Sludge Management, systems approach for implementation and operation‘ as well as the individual chapters can be downloaded from this page. Damir Brdjanovic, Professor of Sanitary Engineering and Mariska Ronteltap, Senior Lecturer of Sanitary Engineering at UNESCO-IHE have edited the book, together with Dr. Linda Strande, director of the Excreta and Wastewater Management group at EAWAG (the Swiss Federal Institute of Aquatic Science and Technology). The book is funded by the Bill & Melinda Gates Foundation and the Swiss Agency for Development and Cooperation. fsm_book_0

The appropriate and adequate management of faecal sludge deriving from onsite technologies is imperative for the protection of human and environmental health. This is the first book dedicated to faecal sludge management. It compiles the current state of knowledge of this rapidly evolving field, and presents an integrated approach that includes technology, management and planning. It addresses the planning and organization of the entire faecal sludge management service chain, from the collection and transport of sludge and treatment options, to the final enduse or disposal of treated sludge. In addition to providing fundamentals and an overview of technologies, the book goes into details of operational, institutional and financial aspects, and provides guidance on how to plan a city-level faecal sludge management project with the involvement of all the stakeholders.

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WASHplus Weekly: Focus on WASH & Human Rights

Issue 162 | Sept 19, 2014 | Focus on WASH & Human Rights

This issue highlights the just-published handbook on WASH and human rights by Catarina de Albuquerque, the UN special rapporteur on the human right to safe drinking water and sanitation. Also included are studies from the UNC Water Institute; Human Rights Watch; fact sheets and position statements from the UN and UNICEF; country reports from the DRC, Haiti, and South Africa; and links to relevant websites.

Realising the Human Rights to Water and Sanitation: A Handbook, 2014. C de Albuquerque. (Link)
This handbook is the product of six years of work by the first UN special rapporteur on the human rights to safe drinking water and sanitation. It explains the meaning and legal obligations that arise from these rights, translating the often complex technical and legal language into accessible information. The target audiences for this handbook are governments at all levels, donors, and national regulatory bodies. It provides information that will also be useful to other local, regional, and international stakeholders, including civil society, service providers, and human rights organizations.

Fact Sheet on the Right to Water, n.d. United Nations. | Arabic | English | French |Spanish
The roots of the current water and sanitation crisis can be traced to poverty, inequality, and unequal power relationships, and it is exacerbated by social and environmental challenges: accelerating urbanization, climate change, and increasing pollution and depletion of water resources. To address this crisis, the international community has increasingly recognized that access to safe drinking water and sanitation must be considered within a human rights framework.

Translating the Human Right to Water and Sanitation into Public Policy Reform.Science and Engineering Ethics, Jan 2014. B Meier. (Link)
The development of a human right to water and sanitation under international law has created an imperative to implement human rights in water and sanitation policy. Through 43 interviews with informants in international institutions, national governments, and NGOs, this research examines interpretations of this new human right on global governance, national policy, and local practice.

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Factors Associated With Pupil Toilet Use in Kenyan Primary Schools

Factors Associated With Pupil Toilet Use in Kenyan Primary Schools. Int. J. Environ. Res. Public Health, 2014, 11(9), 9694-9711; doi:10.3390/ijerph110909694

Joshua V. Garn, Bethany A. Caruso, et al.

The purpose of this study was to quantify how school sanitation conditions are associated with pupils’ use of sanitation facilities. We conducted a longitudinal assessment in 60 primary schools in Nyanza Province, Kenya, using structured observations to measure facility conditions and pupils’ use at specific facilities. We used multivariable mixed regression models to characterize how pupil to toilet ratio was associated with toilet use at the school-level and also how facility conditions were associated with pupils’ use at specific facilities.

We found a piecewise linear relationship between decreasing pupil to toilet ratio and increasing pupil toilet use (p < 0.01). Our data also revealed significant associations between toilet use and newer facility age (p < 0.01), facility type (p < 0.01), and the number of toilets in a facility (p < 0.01). We found some evidence suggesting facility dirtiness may deter girls from use (p = 0.06), but not boys (p = 0.98).

Our study is the first to rigorously quantify many of these relationships, and provides insight into the complexity of factors affecting pupil toilet use patterns, potentially leading to a better allocation of resources for school sanitation, and to improved health and educational outcomes for children.

USAID DELIVER – Guide to Health Care Waste Management for the Community Health Worker

USAID Deliver Project – Guide to Health Care Waste Management for the Community Health Worker, 2014. (In English and French)

The USAID | DELIVER PROJECT has published a French language version of the Guide to Health Care Waste Management for the Community Health Worker. This illustrated guide is now available in French and English. wastemanagementfrench

This publication provides practical guidance for community health workers on how to safely handle and dispose of hazardous waste. It describes the basic principles of waste management and offers solutions for managing the waste generated from everyday activities carried out in the community.