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.
From 27 August – 1 September, 2017 there will be nearly 50 sanitation events to choose from at World Water Week in Stockholm.
You can learn about everything from Sanitary Safety Plans to the Second Sanitary Revolution, from sanitation in small towns to wastewater management for indigenous peoples, and from inclusive sanitation to sludge based solid fuel .
View the full list at:
Plan International USA and The Water Institute at UNC have conducted the first study to present comprehensive, accurate, disaggregated costs of a WaSH behaviour-change programme. The study calculated programme costs, and local investments for four community-led total sanitation (CLTS) interventions in Ghana and Ethiopia.
Jonny Crocker, Darren Saywell, Katherine F. Shields, Pete Kolsky, Jamie Bartram, The true costs of participatory sanitation : evidence from community-led total sanitation studies in Ghana and Ethiopia. Science of The Total Environment, vol. 601–602, 1 Dec 2017, pp: 1075-1083. DOI: 10.1016/j.scitotenv.2017.05.279 [Open access]
Evidence on sanitation and hygiene program costs is used for many purposes. The few studies that report costs use top-down costing methods that are inaccurate and inappropriate. Community-led total sanitation (CLTS) is a participatory behaviour-change approach that presents difficulties for cost analysis. We used implementation tracking and bottom-up, activity-based costing to assess the process, program costs, and local investments for four CLTS interventions in Ghana and Ethiopia. Data collection included implementation checklists, surveys, and financial records review. Financial costs and value-of-time spent on CLTS by different actors were assessed. Results are disaggregated by intervention, cost category, actor, geographic area, and project month. The average household size was 4.0 people in Ghana, and 5.8 people in Ethiopia. The program cost of CLTS was $30.34–$81.56 per household targeted in Ghana, and $14.15–$19.21 in Ethiopia. Most program costs were from training for three of four interventions. Local investments ranged from $7.93–$22.36 per household targeted in Ghana, and $2.35–$3.41 in Ethiopia. This is the first study to present comprehensive, disaggregated costs of a sanitation and hygiene behaviour-change intervention. The findings can be used to inform policy and finance decisions, plan program scale-up, perform cost-effectiveness and benefit studies, and compare different interventions. The costing method is applicable to other public health behaviour-change programs.
Posted in Africa, Publications, Research, Sanitary Facilities
Tagged Community-Led Total Sanitation, direct support costs, Ethiopia, Ghana, local investment, Plan International, programme costs, UNC Water Institute
Adopt or Adapt: Sanitation Technology Choices in Urbanizing Malawi. PLoS ONE 11(8): 2016.
Authors: Richard M. Chunga1, Jeroen H. J. Ensink, Marion W. Jenkins, Joe Brown
This paper presents the results of a mixed-methods study examining adaptation strategies that property owners in low-income, rapidly urbanizing areas in Malawi adopt to address the limitations of pit latrines, the most common method of disposing human excreta. A particular challenge is lack of space for constructing new latrines as population density increases: traditional practice has been to cap full pits and simply move to a new site, but increasing demands on space require new approaches to extend the service life of latrines.
In this context, we collected data on sanitation technology choices from January to September 2013 through 48 in-depth interviews and a stated preference survey targeting 1,300 property owners from 27 low-income urban areas. Results showed that property owners with concern about space for replacing pit latrines were 1.8 times more likely to select pit emptying service over the construction of new pit latrines with a slab floor (p = 0.02) but there was no significant association between concern about space for replacing pit latrines and intention to adopt locally promoted, novel sanitation technology known as ecological sanitation (ecosan).
Property owners preferred to adapt existing, known technology by constructing
replacement pit latrines on old pit latrine locations, reducing the frequency of replacing pit latrines, or via emptying pit latrines when full.
This study highlights potential challenges to adoption of wholly new sanitation technologies, even when they present clear advantages to end users. To scale, alternative sanitation technologies for rapidly urbanising cities should offer clear advantages, be affordable, be easy to use when shared among multiple households, and their design should be informed by existing adaptation strategies and local knowledge.
To learn how WASH can prevent the spread of healthcare-associated infections, join Medentech and the Global Handwashing Partnership on May 3 at 10 am EST for a webinar observing Hand Hygiene Day (May 5).
During this webinar, experts will share information on how to improve WASH in HCFs, including:
- The World Health Organization (WHO) will share an update from the WHO/UNICEF Global Action Plan on WASH in HCF;
- USAID’s Maternal & Child Program (MCSP) will discuss how WASH underpins quality of care and contributes to health systems strengthening effort, as well as the Clean Clinic Approach, a WASH program that empowers HCFs to become clean, safe, and desirable;
- The Beninese Association for Social Marketing (Association Béninoise pour le Marketing Social (ABMS), a member of the PSI network) will provide an overview of how it supports HCFs in Benin to improve hygiene and make services safer for patients;
- Medentech will share lessons learned from its work in infection prevention across the world and offer some tools for continued hygiene improvement in healthcare clinics globally.
Presenters will also share links to educational resources and tools during the webinar.
We look forward to having you join us on May 3 at 10 am EST! Please register here: bit.ly/WASHinHCF.