Tag Archives: sanitation coverage

No evidence that current sanitation interventions stop faecal exposure

A systematic review [1] of 29 studies found “little to no effect from sanitation interventions” on “faecal-oral transmission of enteric and other pathogens”. The transmission pathways reviewed included “faecal pathogens or indicator bacteria in drinking water, hand contamination, sentinel toys, food, household and latrine surfaces and soil, as well as flies and observations of human faeces”.

There was some evidence showing the association of sanitation “with reductions in flies and a small effect on observations of faeces”. There was also evidence showing “an inverse relationship between the distance of a water supply from a latrine and level of faecal contamination of such water supply”.

The authors of the review conclude that current sanitation efforts in low-income countries are ineffective and unable to prevent contamination along well-known pathways. This may be because “interventions often fail to achieve universal coverage or use”, which is the subject of another forthcoming systematic review [2].

As expected from researchers, they are also recommend that more rigorous studies are required to investigate the impact of sanitation interventions on multiple transmission pathways.

Unfortunately this important study is not available as an open access article.

[1] Sclar GD, Penakalapati G, Amato HK, Garn JV, Alexander K, Freeman MC, Clasen T. Assessing the impact of sanitation on indicators of fecal exposure along principal transmission pathways : a systematic review. International Journal of Hygiene and Environmental Health. 2016 Oct 1.DOI:10.1016/j.ijheh.2016.09.021

[2] Garn, J.V., Sclar, G.D., Freeman, M.C., Alexander, K.T., Penakalapati, G., Brooks, P.,Rehfuess, E.A., Clasen, T.F., submitted. The impact of sanitation interventions on latrine coverage and latrine use : a systematic review and meta-analysis.

India census: more people have a mobile phone than a household toilet

Nearly half of India’s 1.2 billion people have no toilet at home, but more people own a mobile phone, according to the latest census data.

Only 46.9% of the 246.6 million households have lavatories while 49.8% defecate in the open. The remaining 3.2% use public toilets.

Census of India 2011 – Availability and Type of Latrine Facility: 2001-2011

Census 2011 data on houses, household amenities and assets reveal that 63.2% of homes have a telephone. More than half the population – 53.2% – have a mobile phone.

Continue reading

Advances in sanitation bypassing the poor and rural communities

The UN’s latest Millennium Development Goals Report notes that progress in sanitation has largely bypassed the poor while rural populations remain disadvantaged.

An analysis of trends over the period 1995-2008 for three countries in Southern Asia shows that improvements in sanitation disproportionately benefited the better off, while sanitation coverage for the poorest 40 per cent of households hardly increased. Although gaps in sanitation coverage between urban and rural areas are narrowing, rural populations remain at a distinct disadvantage in a number of regions.

Continue reading

Uruguay: legislation approved to make sewerage connections compulsory

All households in Uruguay must now have a  sewerage connection. Uruguay’s House of Representatives passed a bill making sewerage connections compulsory on 5 July 2011.

The new bill includes provisions to provide subsidies and grants to those who cannot afford a connection, as well as fines for those who fail to comply with the new law.

In the capital Montevideo, the local government will administer the new law, while state water utility OSE will be responsible for the rest of the country.

While improved rural sanitation coverage was estimated to be 99% in 2008 (WHO/UNICEF, 2010), some 50,000 households are still not connected to a sewerage network. In some areas only 15% of households have sewerage connections.

Source: La Republica [in Spanish], 05 Jul 2011

Bangladesh: government’s sanitation claim trashed

The finance minister’s claim that 90.6 percent families in Bangladesh are using sanitary latrines has been dismissed by experts. The Bangladesh Bureau of Statistics (Multiple Indicator Cluster Survey Report 2010) data shows the sanitary latrine coverage in Bangladesh is only 51.5 per cent (which is consistent with the 53 per cent coverage figure given by the WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation in 2010). Wateraid Bangladesh’s country director Dr Md Khairul Islam that there was ‘no way’ such huge coverage has been achieved as claimed by the finance minister and he was provided with ‘misleading’ data was provided to the minister.

Minister A.M.A. Muhith named the 90.6 per cent coverage figure while presenting the budget for fiscal year 2011-2012 year. In his 2009-2010 budget speech the minister announced a plan to construct 500,000 new latrines so that total sanitation coverage would be achieved by 2013.

Source: bdnews24.com, 10 Jul 2011

Burkina Faso: race to achieve goals on sanitation

The government of Burkina Faso has embarked on the construction of 55,000 latrines each year to improve access to proper sanitation for the population from the present 10 percent to 54 percent by 2015.

According to the authorities, the average rate of access to sanitation in urban areas is currently 20 percent, while in rural areas, it is as low as one percent in some areas.

Burkina Faso will invest 24 million dollars in each of the next five years. The government, which now spends $8 million a year thanks to support from donors, plans to double, even triple its own annual contribution of around $2 million from the national budget.

“When you look at all sectors, things are moving. But on sanitation, a domain so fundamental to quality of life, we can see that we are very far behind,” Laurent Sédogo, Burkinabé minister for agriculture, water and fisheries resources told IPS.

“To put it plainly, out of every 1,000 people, only 100 have adequate (sanitation) infrastructure. The other 900 must take to the bush and, to protect their modesty, many wait until the dead of night because of the loss of vegetation,” Sédogo said.

Amélie Ouédraogo, a resident of the Tanghin neighbourhood of the Burkinabé capital Ouagadougou, said that construction of latrines will permit the dead to regain their peace. “Even the cemeteries are not safe when night falls. We see people headed there, but we cannot prevent them from relieving themselves.”

According to Ouédraogo, the situation is even more dire during the rainy season, because the water which flows through the streets, a favourite playground for children, is polluted. “We have cases of diarrhoea, but people refuse to make the link between these illnesses and their causes.”

Mahamoudou Sana, a merchant in one of Ouaga’s livestock markets said, “Once we have latrines, both we and our customers can make ablutions and wash ourselves before prayers. Previously, we had to hide ourselves in tall bush to relieve ourselves during the day.”

The ministry of health underlines that the absence of toilets leads to illness, notably diarrhoea, which is responsible for 58 percent of child deaths in Burkina.

According to non-governmental organisation WaterAid, some 2,000 children die every day. The NGO adds that simply using toilets could reduce the incidence of diarrhoea by 40 percent; clean toilets, combined with safe drinking water and good hygiene, cases of diarrhoea could be reduced by 90 percent.

WaterAid is worried that 90 percent of African nations will not achieve the Millennium Development Goal on sanitation, and says that African heads of state – who re-committed themselves to promoting maternal health at the July summit of the African Union – to resolve questions of sanitation if they want to reduce child and maternal mortality.

In rural areas, where 80 percent of Burkina Faso’s population lives, the government’s plan is for 395,000 households to build toilets, as well as the construction of 12,300 public latrines. The programme also foresees 222,000 new household toilets in urban centres, alongside 900 public latrines in schools, health centres, markets and public transit points.

The Burkinabé president, Blaise Compaoré, personally participated in the launch of the campaign, with an eye to enlisting both the general population and international financial partners to make sanitation a national priority.

The government offensive comes after finding that the pace of progress is insufficient to attain the goal on sanitation in a context of rapid population growth. According to the last census in 2006, Burkina Faso’s growth rate of three percent is one of the highest in sub-Saharan Africa and the world.

“Across West and Central Africa, coverage in urban areas varies between 30 and 60 percent, while in rural areas the rate is from 1 to 22 percent,” says Armah Klutsé, of the Regional Centre for Low-cost Water Supply and Sanitation (known by its French acronym, CREPA).

With headquarters in Ouagadougou, CREPA is active in 17 West and Central African countries, where it supports governments in the design and implementation of policy on sanitation and potable water.

“With this display of political will, it seems that action will be taken to achieve (sanitation goals),” Klutsé says.

Source: Brahima Ouédraogo, Inter Press Service / allAfrica.com, 31 July 2010

Pakistan: ‘24% of country’s hospital beds occupied by waterborne disease patients’

In Pakistan, 38.5 million people do not have access to safe drinking water and 50.7 million do not have the facility of proper sanitation. These high statistics result in more than 24 percent of Pakistan’s hospital beds being occupied by the people suffering from waterborne diseases. Moreover, diarrhoea is the leading cause of mortality and second leading cause of morbidity among children under five years of age, said experts at a meeting in Karachi.

Addressing the session of the first day of Aga Khan University’s 13th National Health Sciences Research Symposium on ‘Impact of Water and Sanitation on Health: Our Problems and Our Solutions“, Pakistan government Health Director General Dr Rashid Jooma said that the work being done on the water and sanitation sectors in Pakistan is not like that being done in other countries, such as India, worsening the sanitation conditions.

Jooma said that the bad sanitation conditions are not only affecting human health but the environment too. He added that the estimated cost of environmental degradation in Pakistan is Rs 365 billion per year, of which Rs 112 billion [US$ 1.34 billion] is caused by inadequate water supply, sanitation and hygiene conditions.

Talking about the government’s response to these challenges, including legislation and policy, and initiatives for safe drinking water, sanitation and hygiene, he said there are several projects in the pipeline and more is yet to be done.

Senior Architect and Urban Town Planner Arif Hassan underlined the fact that over the last 50 years the government has invested considerable money, including aid, in drinking water and sanitation programmes. However, these projects have not been successful and have increased Pakistan’s foreign debt considerably. Some NGO projects have delivered positive results but unless their methodology becomes a part of the official policy, planning and implementation procedures, they cannot be successful to the extent required for servicing the growing demand for water and sanitation. In the past two years, the government has legislated a sanitation and drinking water policy which, to be successful, will need to relate to ground realities.

[…] Aga Khan Program for Islamic Architecture at MIT Professor Dr James Wescoat said landscape planning has an increasing role to play in helping expand household and neighbourhood water and sanitation solutions to rural and urban areas. “Environmental design has played a vital role in linking water and health, from Mohenjo Daro to Boston,” he said.

Addressing the Symposium via the Internet from India, Dr Bindeshwar Pathak, founder of the Sulabh Sanitary Movement, said low-cost sanitation technology is available and by adopting these technologies, any country can improve the sanitation sector. Sharing his experience of introducing a two-pit pour flush toilet that uses only 1-1.5 litres of water, he said that the technology is flexible and affordable and can be implemented at costs starting from USD 30, depending on the quality.

AKU’s Dr Iqtidar A Khan said that in Pakistan 90 percent of water is used for agriculture and less than 10 percent for drinking and sanitation. He said the water availability has fallen from 5,000 cubic metres per capita in the early 1950s to less than 1,500 cubic metres today. Quoting the words of former United Nations Secretary General Kofi Annan, he said that AIDS, tuberculosis, malaria and other infectious diseases will not be defeated until the battles for safe drinking water, sanitation and basic health care are won.

Source: Amar Guriro, Daily Times, 28 Oct 2009