Category Archives: East Asia & Pacific

Garbage clinical insurance wins sustainability entrepreneur prize

Garbage Clinical Insurance: Young Indonesian Doctor Receives Award From Prince of Wales | Source/complete article – Establishment Post, Feb 12, 2014.

Excerpts – Gamal Albinsaid, a young Indonesian doctor, has recently been awarded the inaugural “Prince of Wales Young Sustainability Entrepreneur Prize” from the Prince of Wales. He was given the award during a dinner reception at the Buckingham Palace at the end of January. His innovative project helps the poorest communities gain access to health services and education through the collection and recycling of garbage called the Garbage Clinical Insurance enterprise.

Photo: Courtesy of Indonesia Medika/Gamal Albinsaid Mr Gamal Albinsaid received his award from HRH Prince of Wales during a dinner reception at the Buckingham palace  at the end of January 2014.

Photo: Courtesy of Indonesia Medika/Gamal Albinsaid
Mr Gamal Albinsaid received his award from HRH Prince of Wales during a dinner reception at the Buckingham palace at the end of January 2014.

Mr Albinsaid, currently the chief executive officer (CEO) of Indonesia Medika, is the Founder of the Indonesian social enterprise Garbage Clinical Insurance (GCI). He was inspired to set up the micro-insurance programme to empower people to take an active role in managing their waste while improving their sanitation.

The 24-year-old doctor set up the initiative in 2009 when he was still a medical student at the Brawijaya University in Malang, East Java province. Mr Albinsaid was saddened upon hearing the death of a three year old child from diarrhea because the parents could not afford to take the child to any clinic for help.

The GCI has help communities in need turn in their household waste into something that could improve their health.

The scheme provides insurance to members of the clinic in return for their garbage.  Every weekend, members bring their organic and non-organic waste to a collection point near the clinic to be directly processed and sold.

Afterward, collected garbage is processed into money considered as “health fund premium” for all members.

WSP promoted CLTS approach in Indonesia criticised

A highly critical article in Development and Change argues that the Community-Led Total Sanitation (CLTS) approach, which the Water and Sanitation Program (WSP) has promoted in Indonesia, is not only “inadequate” but also “echoes coercive, race-based colonial public health practices”.

Susan Engel

Dr Susan Engel, University of Wollongong, Australis

Authors Dr Susan Engel and Anggun Susilo reveal striking similarities between developments in Indonesian sanitation in the 1920s and the 1990s. In both eras the focus changed from “the provision of hardware to [...] participation and social mobilization” to encourage “individuals and communities to construct and maintain their own sanitation facilities”.

In the 1920s, the Rockefeller Foundation led the change, 70 years later it was WSP. In both cases the approaches are said to have met resistance because they were coercive and humiliating for the poorest, who also had to pay for latrines they couldn’t really afford.

Engel and Susilo found no evidence that the CLTS approach in Indonesia was sustainable. They conclude that government involvement, not just self-help CLTS approaches, is essential for successful sanitation.

Engel, S, and Susilo, A., 2014. Shaming and sanitation in Indonesia : a return to colonial public health practices?. Development and change, 45, 1, pp. 157-178. DOI: 10.1111/dech.12075

See also:

  • India, Madhya Pradesh: sanitation campaign humiliates women, say critics, Sanitation Updates, 24 Dec 2014
  • WASHplus Weekly: Community-Led Total Sanitation, Sanitation Updates, 13 Dec 2013
  • Topic: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?, SuSanA Forum

 

WASHplus Weekly: Community-Led Total Sanitation

Issue 126 December 13, 2013 | Focus on Community-Led Total Sanitation

This issue updates the May 2013 Weekly on CLTS with more recent reports and other resources. Included are presentations from a sanitation workshop in Benin, reviews of CLTS successes and shortcomings, a UNICEF overview of CLTS in Asia and the Pacific, a video on school-led total sanitation in Nepal, among others. weekly

REVIEWS

Testing CLTS Approaches for Scalability: Systematic Literature Review (Grey Literature), 2012. V Venkataramanan. (Full text)
This study presents findings from a systematic literature review on the effectiveness and impact of CLTS programs. This document was prepared by The Water Institute at UNC for Plan International USA as part of the project Testing CLTS Approaches for Scalability, funded by the Bill & Melinda Gates Foundation.

Community-Led Total Sanitation in Africa: Helpdesk Report, 2013. Health & Education Advice & Resource Team (HEART). (Full text)
Decreases in diarrhea, cholera, and skin infections were the main health outcomes reported in this study. However, methodological weaknesses, including the lack of clarity around the proportions of the population exposed before and after implementation of CLTS to these conditions, made it challenging to determine the quality of the evidence presented.

The Cost of a Knowledge Silo: A Systematic Re-Review of Water, Sanitation and Hygiene Interventions, 2013. M Loevinsohn. (Full text)
The health impacts of CLTS have yet to be comprehensively assessed, although it is evident that people realize a range of benefits such as dignity, privacy, security—especially for women—and a clean environment, which they may value more than protection from infection.

Continue reading

“Poo, Pee and be Happy” sculpture unveiled in Singapore for World Toilet Day

Mr. Toilet Jack Sim unveils sanitation sculpture in Singapore

Mr. Toilet Jack Sim unveils sanitation sculpture. Photo: Sunday Times, Singapore

A sculpture representing the World Toilet Day logo has been unveiled on Singapore’s Marina Barrage. Commissioned by the World Toilet Organization, the sculpture’s title “Evolution of Man: Poo Pee Happy” represents the evolution from cave man to civilised man, who enjoys clean sanitation.

World Toilet Day logo

World Toilet Day logo

The World Toilet Organization organised the unveiling ceremony together with PUB, Singapore’s water agency, and the Ministry of Environment and Water Resources (MEWR).

World Toilet Day is the brainchild of “Mr Toilet” Jack Sim, co-founder of the World Toilet Organization. Celebrated each year since 2001 on 19 November, the day has now been officially recognised by the United Nations. An interview with Jack Sim in the wake of World Toilet day was broadcast on Channel News Asia.

Related web site: World Toilet Day

Source: “Poo Pee Happy” sculpture to remind S’poreans of global sanitation crisis, Channel News Asia, 16 Nov 2013 ; Linette Lai, ‘Poo Pee Happy’ sculpture unveiled at Marina Barrage to commemorate World Toilet Day, Sunday Times, 16 Nov 2013

Sanergy from Nairobi wins first Sarphati Sanitation Award

Becky Auerbach (Sanergy)

Becky Auerbach (Sanergy). Photo: Dick de Jong, H2O Communications, 2013

Sanergy won the first Sarphati Santation Award because in the past two years it has built 242 sanitation facilities run by 130 local entrepreneurs from Nairobi’s slums, who earn US$ 2,000 per year in income for their families while providing hygienic sanitation to 10,000+ residents. The Mayor of Amsterdam awarded a cash prize of 50.000 euros (US$  67,000) and a statue by famous artist Marte Röling to the winner, Becky Auerbach from Sanergy during the International Water Week (IWW) in Amsterdam. IDE Cambodia and Mr. Toilet, Jack Sim were the runners up.

The three nominees have in common that they provide remarkable sustainable business solutions “turning shit into gold”. They have shown that it is very well possible to address sanitation and public health issues in developing countries while making profit. Over the past years interest has increased for new ways to address the Millennium Development Goal (MDG) for sanitation.

Continue reading

WaterSHED – Microfinance boosts latrine purchases in rural Cambodia

Microfinance boosts latrine purchases in rural Cambodia | Source: WaterSHED, Sept 27, 2013 |

An innovative way to integrate micro-finance and sanitation marketing is resulting in a truly Hands-Off success story and helping to scale up access to safe toilets by the rural poor. watershed

Many proponents of market-based sanitation programs around the world are keen to explore financing as a way to make toilets more accessible to the rural poor. The most repeated complaint by rural villagers when discussing toilet adoption in Cambodia, like elsewhere, is aut louy or “no money”.

Cost is also one of the major roadblocks in offering sanitation financing: loan assessment, disbursement, and payment collections are expensive activities. Because loans for toilets are relatively small, the interest (even at high rates) is not likely to offset the operating costs of the micro-finance institution (MFI). Furthermore, MFIs typically prefer to offer ‘productive’ loans as a opposed to ‘consumptive’ ones because of their lower risk of delinquency or default (a loan to buy a sewing machine for a small business that will generate revenue to make payments as opposed to a loan to repair the roof of a house). Loans to purchase toilets and water filters are considered consumptive.

Continue reading

Asian Development Bank and Gates Foundation set up new sanitation trust fund

Sanitation Financing Partnership Trust Fund infographic

Infographic: ADB and Bill & Melinda Gates Foundation

The Asian Development Bank (ADB) and the Bill & Melinda Gates Foundation have set up a joint trust fund to expand non-sewered sanitation and septage management solutions across Asia.

The Gates Foundation will invest US$ 15 million into the new Sanitation Financing Partnership Trust Fund, which will leverage more than US$ 28 million in investments from ADB by 2017.

The Trust Fund will pilot innovations in sanitation and septage management, provide grant funds for innovations in ADB’s sanitation projects, and support polices on septage management and sludge treatment for low-income urban communities who lack access to piped networks or safe wastewater disposal systems.

The Trust Fund will be part of ADB’s Water Financing Partnership Facility (WFPF), which has invested US$ 2.5 billion (out of a total of US$ 8.8 billion) in water supply, sanitation, and wastewater management projects since 2006.

So far the Gates Foundation has funded 85 sanitation research & development projects as part of their grant schemes such as the “Reinvent the Toilet Challenge” and “Grand Challenges Exploration“. An overview of these projects and background information is available on the SuSanA website.

The BRAC WASH II programme in Bangladesh, which is co-funded by the Gates Foundation, includes a component for innovative action research on sanitation and water supply.

Source: ADB, 02 Sep 2013

Thai researcher reinvents toilets for urban poor

Thai researcher reinvents toilets for urban poor | Source: Ishani Bose, dna – Aug 18, 2013 |

Dr Koottatep aims to create a toilet that converts waste water into power, biogas. 

Studies show that while 900 million people in India have access to mobile phones, about 600 million people have no access to proper toilets. This interesting fact set the tone for our conversation with Dr Thammarat Koottatep, who has about 18 years of experience in environmental engineering, waste water treatment and decentralised sanitation technologies and planning.

A researcher in the Asian Institute of Technology (AIT), Thailand, Koottatep was in the city on Saturday with regards to his ongoing research on the subject of reinventing the toilets in the countries which received $5 million grant from the Bill and Melinda Gates Foundation.

Dr Thammarat Koottatep

Dr Thammarat Koottatep

Before coming up with this project, we conducted a study and we realised that there are two fundamental sanitation challenges. First is to expand and improve sanitation without central sewers, because this is by far the most common type of sanitation services used by the poor and the other is to make sanitation services safe and sustainable by addressing the failure to effectively transport, treat and reuse waste captured in on site facilities,” said Koottatep.

Continue reading

A cross sectional survey of knowledge, attitude and practices related to house flies among dairy farmers

A cross sectional survey of knowledge, attitude and practices related to house flies among dairy farmers in Punjab, Pakistan. Journal of Ethnobiology and Ethnomedicine 2013, 9:18

Hafiz Azhar Ali Khan. et al.

Background: House flies are of major public health concerns in areas with poor sanitation and hygienic conditions. Unfortunately, sanitation and hygiene have always been ignored in dairy farms particularly in the developing or
low-income countries. Management of these flies mostly depends on the awareness regarding associated hazards and protective measures taken by the people to minimize risks associated with flies. The present study therefore
explores the knowledge, attitude and practices taken by dairy farmers in Punjab, Pakistan against house flies.

Methods: The present study was based on a cross sectional self administered survey to a convenience sample of 173 small scale dairy farmers in four localities – Multan, Lahore, Shorkot and Faisalabad – of Pakistan. The
relationships between socio-demographics, knowledge and preventive practices were investigated through logistic regression analysis and chi-square test of association.

Results: Considerable number of dairy farmers 71/173 (41.04%) had no idea about the problems associated with house flies. Although 77/173 (44.51%) dairy farmers reported house flies as disease transmitters, only 23 (29.87%)
farmers were familiar with diseases and 22 (28.57%) had somewhat idea of the mode of disease transmission. We found a positive association between dairy farmer’s education level and overall knowledge of house flies in multivariate analysis. Farmer’s education level and knowledge of the house flies breeding sites had a positive association with the adoption of house fly prevention practices by the respondents. However, knowledge of the problems associated with house flies and preventive measures had no association with house fly prevention practices.
Conclusion: The present ethnoentomological survey provides information about knowledge, attitude and practices of dairy farmers related to house flies in Punjab, Pakistan. We conclude that the farmers’ education level and knowledge of the breeding sites had a positive association with the adoption of prevention practices against house flies. The study also highlights the need of targeting the lack of knowledge of dairy farmers for the successful management of house flies.

The Economic Returns of Sanitation Interventions in Lao People’s Democratic Republic

Research Brief: The Economic Returns of Sanitation Interventions in Lao People’s Democratic Republic, 2013.

Water and Sanitation Program.

Key Messages

  • Sanitation interventions have very favorable socio-economic returns to households and society, contributing to improved health, clean environment, dignity and quality of life, among many other benefits
  • Economic efficiency of improved sanitation can be optimized by improving program performance, which leads to sustained behavior change
  • Sanitation solutions in urban areas that involve wastewater management are potentially cost-beneficial, despite not all benefits having been included.
  • Improved hygiene and sanitation conditions in institutions, public places and tourist sites are important to attract more businesses and tourists to Lao PDR.