Category Archives: Progress on Sanitation

Don’t neglect shared latrines in drive for sanitation for all, agencies warn

Shared toilets in Kenya. Photo: Sanergy

Shared toilets in Kenya. Photo: Sanergy

• WaterAid joins WSUP, World Bank and leading academics in urging donors, policymakers and planners not to neglect shared sanitation
• Where private household toilets aren’t yet an option, safe, well-managed shared toilets are a crucial step to further improvement

Funding for safe, shared toilets in fast-growing developing-world cities is at risk of neglect from donors, policymakers and planners, a new journal article authored by sanitation specialists, senior economists and leading academics has warned.

Authors from the World Bank, WaterAid and Water & Sanitation for the Urban Poor have joined leading academics from the University of Leeds and the University of Colorado – Boulder in calling for shared toilets as an essential stepping-stone towards universal sanitation.

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Global Sanitation Fund reports improvements in sanitation and hygiene for millions of people

People-centred, nationally-led programmes empower millions to end open defecation, improve sanitation, and increase dignity and safety

Geneva, 29 June 2016 – A new report shows that WSSCC’s Global Sanitation Fund (GSF) has supported governments and thousands of partners across 13 countries, stretching from Cambodia to Senegal, to enable over 15 million people to end open defecation.


As the funding arm of the Water Supply and Sanitation Collaborative Council (WSSCC), GSF-supported programmes are contributing to the Council’s vision of universal access to sustainable and equitable sanitation and hygiene across countries throughout south Asia and sub-Saharan Africa. Focused on Sustainable Development Goal (SDG) target 6.2, GSF focuses on improving sanitation and hygiene in the poorest and most marginalized communities, thereby contributing to associated development goals for education, health, women’s empowerment, climate change and urban development.

The 2016 GSF Progress Report highlights activities and results achieved from the inception of the Fund to the end of the year. Cumulative results to 31 December 2016 include:

  • 15.2 million people have been empowered to live in ODF environments, just over the target of 15 million.
  • 12.8 million people have gained access to improved toilets, 16% more than the target of 11 million.
  • 20 million people have gained access to handwashing facilities, 81% more than the target of 11 million.

Read more or download the report in English or French

Ghana – Think tank for sanitation management inaugurated

Think tank for sanitation management inaugurated. Graphic, June 28, 2017.

An environmental sanitation think tank to serve as a focal point for providing long-term solutions to sustainable and environmental sanitation management in Ghana has been inaugurated in Accra.


Mr Joseph Kofi Adda, the Minister of Sanitation and Water Resources, swearing in the board of the Tersus Ghana Environmental Sanitation Think Tank at the Ghana Academy of Arts and Science conference room in Accra. Picture: EMMANUEL QUAYE

The think tank, called Tersus Ghana, will provide input and guidance for rigorous empirical research that will produce environmental sanitation-related information relevant to the sector and the nation as a whole.

Tersus, a Latin word for ‘clean-up’, will operate as a not-for-profit, non-partisan group with a membership made up of government, academia, as well as non-governmental organisations (NGO) and industry-based experts.

Read the complete article.

Changing the village, changing the country – World Bank Water Blog

Changing the village, changing the country. World Bank Water Blog, June 27, 2017.

How do you persuade people to use a toilet? This is an urgent question across rural India: somewhere near half a billion people are still defecating in the open, and the Swachh Bharat Mission is urging them to stop by 2019.

India has about 650,000 villages. Many have tried different techniques – some successfully, some not. What if there were a “Google of sanitation”, where you could search for success stories of others who have faced the same situation, and a “LinkedIn of Sanitation” where you could reach out to peers with questions?

India’s government and the World Bank are together creating a platform for this, using systematic knowledge-sharing and learning as an approach to support the Swachh Bharat Mission and change behaviors. The approach is based on the belief that many excellent local sanitation solutions exist and can be replicated across the country.

Read the complete article.


Pictures: Left: Ms Lunga Devi from Pawa, Pali is interviewed by Government officials in Rajasthan on how she became a natural leader on ODF in her village and helped it transform, as part of the ‘World Bank – Capturing Local Sanitation Solutions’ training. Right: Villagers from Muzzafarpur district in the State of Bihar talking about local sanitation solutions.

Freddy the Fly – an animated video about a community’s journey to ODF status

Meet Freddy, a fly who loves toilet fondue! Find out what happens to him when the village he lives in is triggered into cleaning up their act to become open defecation free (ODF). Please share this video widely and use Freddy to illustrate how behaviour change methods, including Community-Led Total Sanitation, work to help communities become healthier and more productive. And join the ODF movement at!

Water and Sanitation Services: Rural or Urban Haiti First?

Water and Sanitation Services: Rural or Urban Haiti First? Huffington Post, June 16, 2017.

Low coverage rates for clean water and sanitation leave Haiti exposed to significant health burdens. According to the latest estimates, 72% of Haiti’s population lack access to improved sanitation facilities and use either shared facilities, other improved facilities, or defecate in the open. 




In urban areas, 66% of the population lacks access to improved facilities while in rural areas, 81% of the total population lacks access to improved facilities.

Between 2,000 and 4,500 people die each year from diarrheal disease. And the lack of basic water and sanitation services has contributed to the spread of waterborne diseases, including the cholera outbreak introduced by U.N. peacekeeping troops in 2010.

Better water and sanitation services would make it harder for such diseases to spread. But here, as in every other policy area, Haiti faces options.

Examining competing policy options is the purpose of the Haiti Priorise research project. More than 50 economists have written new research papers studying the costs and benefits of different proposals to improve the nation’s environmental, economic, and social conditions.

Read the complete article.

Developing Markets for Sanitation: A Blog Series

In response to the growing prevalence of market-based approaches to sanitation, the Bill & Melinda Gates Foundation convened a meeting between three leading sanitation development practitioners—iDE, PSI, and Water for People—to discuss their experiences in building supply capacity and demand for sanitation products and services, and possibly develop a joint understanding of the process. The result of those discussions are presented in this four-part blog series.

PART 4 of 4: For the Future: Making Markets Work for Everybody

Read Part 1 of 4: The Basics: Terminology, Organization, and Process
Read Part 2 of 4: Selling Sanitation: Who Does What?
Read Part 3 of 4: Achieving Sustainability and Measuring Results

When Do Markets Work?

Markets are not the silver bullet solution to all aspects of the sanitation crisis, and there is a limit to what markets can and cannot do. A market-based approach will only work under promising market conditions, which are determined by:

  • The market opportunity and consumer demand.
  • The level of consumer dissatisfaction with existing practices, designs, and/or pricing.
  • Sufficient market size for business owners to consider investing.
  • Sufficient market density to make it cost effective to promote and deliver the products / services.
  • Existing physical infrastructure for production and transportation.
  • Familiarity with market-based transactions within the community.
  • If the society is organized more around bartering or gifting, then a system based on buying and selling may pose challenges for adoption.
  • The priority given to spending on latrines within the household and whether there is sufficient disposable income. Households who are focused on covering basic needs, such as shelter, school fees, and food will likely not make latrine purchases a high priority.
  • The regulatory environment, including the government’s ability to enforce existing rules and improve regulations based on changing market conditions.

Even under ideal market conditions, market actors are driven to maximize profit, which provides little incentive to target the poorest of the poor. With this in mind, the group (and the sector as a whole) discussed two solutions—sanitation financing and smart subsidies—for ensuring that sanitation markets expand their reach to whole populations.

Photo by iDE / 2016

Finance Options

Research and experience (for example, the iDE-commissioned Willingness-To-Pay study)⁠ show that access to financing can significantly increase demand for sanitation at market price. Bottom of the pyramid customers may not be able to pay the full retail price of a latrine in one large single transaction, but they may be willing and able to pay in installments by taking out a loan to finance the purchase of a latrine. Financing can be an accelerator of demand. Repayment rates in iDE’s experience have been 100%, indicating the low-risk nature of sanitation loans in the Cambodian context.

PSI and Water for People are also experimenting with consumer financing for sanitation. The main results show that there is strong demand for consumer financing, but the sector is still working to develop a model that allows for financial sustainability and operational compatibility for the financial institution partners.

PSI has also demonstrated that there is demand for supply side financing, which can serve as a “carrot” of sorts to motivate businesses to cooperate with the NGO on matters such as record keeping.

Photo by Water For People

Smart Subsidies

A market-based approach does not mean the total absence of subsidies. In fact, everything we do as market-based NGOs is a form of subsidy, including R&D, capacity building, and demand creation activities. But practitioners should think about how subsidies can be used in a more strategic and targeted manner. In doing so, it is useful to think about subsidies in two categories. The first comprises subsidies for “behind the scenes” market development activities, while the second category is more closely aligned with traditional “direct” subsidies to consumers and businesses.

The group agreed that subsidies should be focused primarily on the first category, “behind the scenes,” which often include functions such as those listed above: R&D, capacity building, and demand creation. Product design is often a critical component of developing a healthy market, especially in cases where no affordable, desirable products or services exist. From the group members’ experiences, demand creation is also an area that often needs to be subsidized, particularly in the initial stages when trying to introduce a new form of service that users are not strongly “pulling” for on their own. In no instances have we seen businesses investing sufficient resources in actively generating demand to rapidly increase uptake. In fact, it is a common business practice in these markets to passively wait for customers to show up and sell only when a product is requested. As such, practitioners should be prepared to invest heavily in demand generation activities as a means of building the market. With that in mind, any demand creation program should be aware of customer acquisition costs and make an intentional decision about who should bear that cost and for what period: the NGO or the business.

Group members also agreed in their skepticism of the second category of subsidies, which comprises traditional, direct subsidies to consumers and businesses. This type of subsidy has the potential to create demand, crowd in other investments, and provide a one-time incentive for adopting a particular behavior (buying a toilet, in this case). However, direct subsidies to the customer-business transaction also have the potential to distort incentives on both the consumer and supply chain side, and to erode market health over the long term. Given the potential for these subsidies to undercut market development, the group agreed that they should be limited to those customers who genuinely cannot afford to pay at market price. In these cases, value-added services like loan financing can play a crucial role. The group members encourage other organizations to consider developing “smart” subsidies that precisely target poor customers through existing channels and market mechanisms, minimizing distortions in the rest of the market.

Photo by Kiran Thejaswi / PSI

Main Ideas for Building Markets

  • A market-based approach implies scale – we don’t do things one village at a time; you can’t tell a business where to sell and where not to sell. They will sell wherever they identify a profitable business opportunity, and this allows the impact to be district and country-wide.
  • Developing sanitation markets is not an add-on accessory effort to your existing sanitation approach. You need competent staff and you need to invest in quality. You need to have a team dedicated to sanitation, not someone who’s doing sanitation AND water supply AND business development, etc.
  • The market-based approach is also not a silver bullet. It does not work in EVERY circumstance, just like any other approach.
  • Market facilitation does not mean a lack of subsidies or incentives. Everything we do is subsidy. It’s just a matter of where you inject the subsidy. Use subsidy in a way that minimizes market distortion while maximizing impact.
  • You need to be nimble, iterative, and responsive to what you’re learning real-time from the market.
  • In order to do market development effectively, your organizational culture needs to be business-minded. It needs to be a part of your DNA. A handful of trainings and a set of guidelines will not be sufficient to respond to real-time problems. Product innovation alone is not enough. You need to get the product right, but the innovation really happens in the business model.

Read Part 1 of 4: The Basics: Terminology, Organization, and Process
Read Part 2 of 4: Selling Sanitation: Who Does What?
Read Part 3 of 4: Achieving Sustainability and Measuring Results

iDE creates income and livelihood opportunities for poor rural households. In the WASH sector, we design and build markets for products that have the potential to transform people’s health by preventing diarrheal-related disease. Yi Wei

Population Services International (PSI) is a global nonprofit organization focused on the encouragement of healthy behavior and affordability of health products. PSI uses a market development approach to deliver sanitation and fecal sludge management products and services in a sustainable manner.  Genevieve Kelly

Water For People exists to promote the development of high-quality drinking water and sanitation services, accessible to all, and sustained by strong communities, businesses, and governments. Steve Sugden