Category Archives: South Asia

Appraising the Sanitation and Hygiene Situation in Urban India and its Determinants

Published on Dec 15, 2016
Dr Papiya Guha Mazumdar, Associate Professor, Institute of Public Health Kalyani, West Bengal delivered lecture and highlighted the need to improve existing sanitation and hygiene situation in urban India, how the determinants should be decided and why behaviour change as a critical determinant needs to be looked at in greater detail.

She emphasized that building knowledge on good practices of sanitation and hygiene related behaviour change, and drawing relevant lessons for preparing a plan of action for sustainable development is extremely important. She discussed through a few good case studies how interventions have helped.

 

How a Bunch of College Kids Made Two Delhi Slums Become Almost Completely Open Defecation Free

How a Bunch of College Kids Made Two Delhi Slums Become Almost Completely Open Defecation Free. The Better India, Jan 3, 2017.

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Enactus is a global non-profit organisation run by students at individual university and college levels committed to using the power of entrepreneurial action to transform lives and shape a better and more sustainable world. In India, Enactus is active in more than 150 colleges and universities involving more than 4,300 students working on nearly 122 projects across the country. The SSCBS Enactus team comprises of 70 students, of which 20 are directly involved in Project Raahat.

In a bid to prevent open defecation and usher in hygiene and cleanliness among slum-dwellers of New Delhi, a group of college students have initiated a unique campaign that has brought down the open defecation rates in some slums from 95% to 3%.

Had you visited or wandered close to the slums in Sultanpuri and Kirti Nagar in New Delhi a year ago, you would have witnessed a common and appalling sight of slum-dwellers walking into open fields with a tin can to relieve themselves. You might have walked past stinky toilet complexes lying vandalized with broken, leaky walls, and pipes. But not anymore!

Thanks to a group of enterprising college students from Shaheed Sukhdev College of Business Studies (SSCBS), Delhi University, the open defecation rates in these slums have come down from 95% to a mere 3% in just one year.

Read the complete article.

Ending open defecation: The drive must go beyond mascots, jingles – even toilets

Ending open defecation: The drive must go beyond mascots, jingles – even toilets. Scroll.In, January 3, 2017.

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Image credit: NDMC handout

Even as Mumbai enlists the star power of Salman Khan to end open defecation and Delhi has its turbaned Swachh Sewak mascots patrolling the streets, whistling at and fining the guilty, the underlying lacunae that make people defecate in the open see little discussion and go almost completely unaddressed. A problem that should not take more than a year to be solved nationally, if addressed in mission mode, drags on through one scheme after the other.

The populist efforts are driven more by the aim of safeguarding the sensibilities of the privileged than out of a feeling of empathy for those who must go through the indignity of open defecation. A sincere desire to solve the problem is wanting. The Swachh Bharat Mission makes the right noises but lacks in empowering municipal officials adequately. Nice videos and musical jingles can only take you so far. The real difference comes from silent work carried out by a taskforce staffed with deeply committed and talented people.

In the urban context, especially, the issue becomes more complex. Land is scarce and has higher economic value, and urban planning and equitable housing policies have been neglected for a very long time. Open defecation arises from a neglect of these fundamental issues rather than just from the absence of adequate toilets. While we decide what we want to do with planning and governing our cities better, in the interim, it should not be difficult to construct a high number of high quality toilets, which become a natural attraction for those defecating in the open.

Read the complete article.

Higher incidents of rape in India linked to open defecation

Higher incidents of rape in India linked to open defecation: Study. Indian Express, December 15, 2016.

According to the study, women who use open defecation sites are twice as likely to get raped compared to women using a home toilet. 

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The researchers looked at the latest Indian National Family Health Survey data and analysed a nationally representative sample of 75,000 women to answer questions about access to a home toilet and their exposure to different types of violence.

Women in India who use open defecation are prone to sexual violence and infrastructure improvements can provide them with some level of protection, a US university researcher has said. “Open defecation places women at uniquely higher risk of one type of sexual violence: non-partner,” says Approva Jadhav from the University of Michigan in a research paper published in the latest issue of Bio-Med Central Journal.

“Women who use open defecation sites like open fields or the side of a railway track are twice as likely to get raped when compared with women using a home toilet,” the study says. The research results, which suggest that women who use open defecation have twice the odds of non-partner sexual violence (NPSV) than women who use household toilets, indicate that infrastructure improvements can provide women with some level of protection against NPSV, it says.

“Our findings provide further rationale for NGOs and the Indian government to expand sanitation programmes, and raise new questions about the potentially protective role of sanitation facilities in other contexts beyond India,” the paper says.

Read the complete article.

The Community Incentive Model: Towards an Open Defecation Free Chhattisgarh

The Community Incentive Model: Towards an Open Defecation Free Chhattisgarh, 2016. Institute of Development Studies.

The Indian Governments Swachh Bharat Mission offers a 12,000 rupee incentive to Below Poverty Line and certain Above Poverty Line households without a toilet. However, translating the incentive into successful sanitation improvements has been a challenge. Innovative and customisable ways, ideas and processes are needed to ensure community buy-in and achieve greater ownership of the process and high rates of toilet use in an environmentally safe manner. vijeta_rao_chhattisgarh_report-draft_final-pdf

To date the State of Chhattisgarh has seen great successes in ending open defecation and ensuring usage of toilets. With two districts and over fifty blocks declared ODF, Chhattisgarh has also shown strong commitments to community-led processes and has seen a number of innovations, among them the Community Incentive Method.

This method has evolved to meet the specific requirements of the State and has shown promise especially in areas where there is a mix of households who are eligible and those who are not eligible for the incentive. Through this method, Chhattisgarh has paved the path for many more districts, both in terms of innovations around the incentive as well as to customise solutions for their own state.

This Learning Paper documents the Community Incentive Method. It focuses on how and why it evolved, how it works, the challenges of using a similar approach and recommendations.

Household sanitation facilities and women’s risk of non-partner sexual violence in India

Household sanitation facilities and women’s risk of non-partner sexual violence in IndiaBMC Public Health, November 2016.

Background – Globally, one in ten individuals practice open defecation. Despite media speculation that it increases women’s risk of sexual violence, little empirical evidence supports the claims. We investigate the relationship between household sanitation facilities and women’s risk of non-partner sexual violence (NPSV) in India, where nearly half of the population lives without a pit or toilet.

Methods – We use the most recent NPSV data, from the National Family Health Survey-III, to estimate logistic regression models of the effects of household sanitation facilities (toilet, pit, or none) on NPSV in the last year among women who have resided in their current home for one year or more. These effects are estimated net of other socioeconomic factors, compared to effects of household sanitation facilities on child diarrhea, and, as a falsification test, compared to effects of household sanitation facilities on intimate partner sexual violence (IPSV) in the last year.

Results – Net of their socioeconomic status, women who use open defecation are twice as likely to face NPSV as women with a household toilet. This is twice the association between open defecation and child diarrhea. The results of our falsification test indicate that open defecation is not correlated with IPSV, thus disconfirming a simultaneous selection of women into open defecation and sexual violence.

Conclusions
Our findings provide empirical evidence that lacking household sanitation is associated with higher risk of NPSV.

Read also the related press release “Lack of sanitation facilities linked to higher rape incidents in India“, 14 Dece 2016

RB, USAID and EY launch Hygiene Index on World Toilet Day

RB, USAID and EY launch Hygiene Index on World Toilet Day. Delhi Greens, November 23, 2016.

RB, a leading consumer health and hygiene company, in partnership with the U.S. Agency for International Development (USAID) and EY have launched a highly innovative Hygiene Index program. hand-wash-sanitation-and-hygiene

The announcement was made at the Global Citizen Festival organised in Mumbai where millions of people gathered to support key global issues including hygiene and sanitation.

The initiative has been taken to support of the Government of India’s flagship sanitation initiative Swachh Bharat Abhiyan.

Complementing RB’s Banega Swachh India campaign, the Hygiene Index focuses on six sectors – water, solid waste, sewerage, toilet, health and behaviour change communication.

The Index will be calculated for more than 100 cities based on primary and secondary data collection and stakeholder consultations.

In the first phase, 10 cities including Pune, Nagpur, Bhubaneswar, NDMC, Varanasi, Vizag, and Udaipur —will be analysed by January 2017. Using the tool, the performance of the cities will be benchmarked and easily comparable, along with analysis of the best practices adopted.

Read the complete article.