Tag Archives: Bangladesh

Open Defecation Ends in Bangladesh – Almost

Open Defecation Ends in Bangladesh – Almost | Source: The Wire, March 7 2016 |

Bangladesh has virtually eliminated open air defecation, bringing it down to only 1% of its population who do not have access to indoor toilet facilities.

For most of her 50 years, Rokeya Begum has lived without a toilet in her house – waiting for the curtain of darkness to go out to the fields or the jungles near her village to defecate, come winter, summer, rain or illness. Not any more though. With Bangladesh declaring itself virtually open defecation free, Rokeya Begum, too, has a sanitary latrine in the tiny home she shares with five other family members.

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A family in Sirajganj district in Bangladesh installing sanitary latrine. Credit: Development Organization for the Rural Poor/The Third Pole

In a remarkable achievement, official data reveals that open defecation has reduced to only 1%, a “milestone change” from the 42% in 2003, making it a role model for other countries in the region. Approximately 595 million people in India, about half the population, do not use toilets. In Pakistan the number is 41 million, or about 21%, while for Nepal the number is 15.5 million, or 54% of the population. Only Sri Lanka, of all other South Asian states, has managed, like Bangladesh, to virtually wipe out open air defecation.

“We have no sanitation problem. Although we are poor, we are living in society now with dignity,” Rokeya Begum, who lives in Kishoreganj’s Gobaria village, says with a broad smile. Like poor households in the country, her family would also use the roadside, open fields and jungles to defecate. Then things changed when the local administration helped her install a sanitary latrine in her home a few years ago.

As Bangladesh makes huge strides towards achieving the Millennium Development Goals (MDG), virtually the entire country has been brought under the sanitation umbrella. It was a life changer for Rokaya and millions of Bangladeshis, particularly women, who put their health at risk as they waited endless hours for nightfall to defecate, as well as bore the ignominy of the practice.

Moreover, open defecation contaminates fruits and vegetables, pollutes surface and groundwater and spreads diseases. Diarrhoeal diseases remain common in Bangladesh, causing around 100,000 deaths a year, due to contamination of food and drinking water, according to icddr,b.

Read the complete article.

CARE/Bangladesh -Towards Total Sanitation

 

WSUP – Behavior change in Dhaka

 

Small Intestine Bacterial Overgrowth and Environmental Enteropathy in Bangladeshi Children

Small Intestine Bacterial Overgrowth and Environmental Enteropathy in Bangladeshi Children. mBio, Jan 2016

Authors: Jeffrey R. Donowitz, Rashidul Haque, et al.

Recent studies suggest small intestine bacterial overgrowth (SIBO) is common among developing world children. SIBO’s pathogenesis and effect in the developing world are unclear. Our objective was to determine the prevalence of SIBO in Bangladeshi children and its association with malnutrition. Secondary objectives included determination of SIBO’s association with sanitation, diarrheal disease, and environmental enteropathy.

The strongest predictors of SIBO were decreased length-for-age Z score since birth (odds ratio [OR], 0.13; 95% confidence interval [CI], 0.03 to 0.60) and an open sewer outside the home (OR, 4.78; 95% CI, 1.06 to 21.62). Recent or frequent diarrheal disease did not predict SIBO. The markers of intestinal inflammation fecal Reg 1β (116.8 versus 65.6 µg/ml; P = 0.02) and fecal calprotectin (1,834.6 versus 766.7 µg/g; P = 0.004) were elevated in SIBO-positive children. Measures of intestinal permeability and systemic inflammation did not differ between the groups.

These findings suggest linear growth faltering and poor sanitation are associated with SIBO independently of recent or frequent diarrheal disease. SIBO is associated with intestinal inflammation but not increased permeability or systemic inflammation.

Water, Sanitation, Hygiene, and Nutrition in Bangladesh:

Water, Sanitation, Hygiene, and Nutrition in Bangladesh” Can Building Toilets Affect Children’s Growth? 2015.

Authors: Iffat Mahmud and Nkosinathi Mbuya. World Bank.

This report provides a systematic review of the evidence to date, both published and grey literature, on the relationship between water and sanitation and nutrition. bangladesh-wash-1

We also examine the potential impact of improved water, sanitation, and hygiene (WASH) on undernutrition. This is the first report that undertakes a thorough review and discussion of WASH and nutrition in Bangladesh.

The report is meant to serve two purposes. First, it synthesizes the results/evidence evolving on the pathway of WASH and undernutrition for use by practitioners working in the nutrition and water and sanitation sectors to stimulate technical discussions and effective collaboration among stakeholders.

Second, this report serves as an advocacy tool, primarily for policy makers, to assist them in formulating a multisectoral approach to tackling the undernutrition problem.

A toilet for 66 million people in rural Bangladesh

BRAC staff member on a household visit

BRAC staff member on a household visit

ik_pictureIn Bangladesh, the largest NGO in the world BRAC is working its way up to help the country to get proper sanitation. It has reached more than half of the population since the start 9 years ago. It is one of the world’s largest sanitation implementation programmes. IRC works with BRAC to make it happen. In this interview, IRC sanitation expert Ingeborg Krukkert tells her story about her work in Bangladesh. ”

Bangladesh is well on track to meet the Sustainable Development Goals in 2030,” says Ingeborg Krukkert in IRC’s headquarters in The Hague. “This is undeniably due to BRAC because it’s serving half of the country. Bangladesh is a good example for others on how to achieve so much in such a short time. It is proof that change is possible.”

IRC’s Sanitation and hygiene specialist for Asia, Ingeborg Krukkert, travels to Bangladesh every two months to work with BRAC. Working on hygiene promotion and behavior change, she complements BRAC’s groundbreaking programme with IRC’s monitoring system to measure and enhance the true impact in sanitation and hygiene. Continue reading

#MenstruationMatters in Bangladeshi schools

28 May is Menstrual Hygiene Day. In Bangladesh, BRAC field staff are working hard to “end the hesitation around menstruation” especially in schools.

BRAC staff member (left) from Jessore district with sanitary napkins for schools.

BRAC staff member (left) from Jessore district with sanitary napkins for schools. Photo: Petra Brussee/IRC

Field staff of BRAC WASH in Bangladesh talk just as easily about menstrual hygiene as they do about water seals for toilets or hand pumps. At community level menstrual hygiene messages are included in the programme for adolescent girls and young women. Since 2006 about 45 million community cluster meetings have been organised.

In rural areas rags are used by women who cannot afford sanitary napkins. Field staff discuss menstrual hygiene with adolescent girls and young women, for example on how to wash rags with soap and dry them in the sun. They are also encouraged to speak up about menstrual hygiene says Abu Taleb Biswas of BRAC WASH in Hygiene Promotion – the backbone of BRAC WASH: “Women and adolescent girls learn to speak up about menstrual hygiene issues, something that was nearly unthinkable even a few years ago.”

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