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Why Kenya’s sanitation challenge requires urgent attention

Pascaline Wanjiku Ndungu's picture

Kenya is one of the countries that did not achieve the Millennium Development Goal (MDG) for increasing access to water and sanitation. Only 30% of Kenyans have access to improved sanitation, that is, the use of sanitation facilities that hygienically separate excreta from human contact. This means that approximately 30 million Kenyans are still using unsafe sanitation methods like rudimentary types of latrines, and almost six million are defecating in the open.

Technological innovations are on exponential curves; but are water supply, sanitation, and hygiene (WASH) measurement methods stuck in time?

Luis Andres's picture

Co-authors: Evan Thomas and German Sturzenegger

Technological innovations have the potential to revitalize the global partnership for sustainable development—if we rise responsibly to the challenge of measuring their impact.

Fifteen years is a long time for technology. In 2003 the “World Wide Web” was pervasive by 1986 standards. Yet today, the web of 2003 may very well have been spun by a single spider.

It’s been over two years since the United Nations introduced the Sustainable Development Goals. How can we better monitor progress toward them? This month, the World Bank Group and the InterAmerican Development Bank, along with collaborators from partnering institutions, published an overview of innovations in the monitoring of water supply, sanitation, and hygiene (WASH) impact measures, directly tied to SDG #6: “Ensure availability and sustainable management of water and sanitation for all.” The authors explore the potential of new measurement technologies to “revitalize the global partnership for sustainable development in the sector,” one of the hopes pinned to the SDG framework.

How will Argentina achieve universal access to water and sanitation? Takeaways from International Water Association Conference in Buenos Aires

Gustavo Saltiel's picture
Palermo Water Treatment Plan, Agua y Saneamientos Argentinos, AySA, Buenos Aires

Argentina set ambitious targets of providing universal access to water and 75 percent access to sewerage services for its citizens. How can the country move toward this goal? 
That was the theme of the discussion on “Argentina Day” at the recent International Water Association (IWA) Water and Development Congress and Exhibition held in Buenos Aires, where water professionals from around the world and Argentinian officials met to exchange knowledge, experiences, and strategies.

The tyranny of toilets

Maitreyi Bordia Das's picture
Students heads to a female only toilets in Maskoke Primely and Secondly School
in Gode Town in Ethiopia. Credit: UNICEF Ethiopia

In the lead-in to World Toilet Day, we hear a great deal about the role of toilets in sanitation and in better health and human development outcomes.  Toilets are good development. Period.
We hear less about the fact that toilets are often sites and instruments of social exclusion.
Let me explain.
Segregated toilets for males and females were intended to give women privacy and to respect the “intrinsic” physical differences between the sexes.  In fact, in most developing countries, segregated toilets are a sine qua non for female participation in public spaces, in education and in employment. 
But the story is more complex.

Incentivizing collaboration to address childhood stunting

Craig Kullmann's picture

Childhood stunting is one of the most significant impediments to human development and economic growth, affecting approximately 155 million children under the age of five globally, with long-term consequences later in life such as impaired cognitive development, chronic disease, and lower earnings as adults. Evidence shows that there is an urgent need for collaboration between actions in water, sanitation, health, nutrition, and other sectors to effectively combat childhood stunting.

This was discussed during the recent World Bank-IMF Annual Meetings, where leaders from the World Bank and client countries met to talk about Changing Behaviors to Incentivize Collaboration to Address Childhood Stunting. Aimed to provide guidance on how to collaborate better across sectors and institutions, this event provided an opportunity to share the latest results from the global Water Supply, Sanitation, and Hygiene (WASH) Poverty Diagnostic Initiative, led by the World Bank’s Water and Poverty Global Practices in collaboration with the Health, Nutrition, and Population and Governance Global Practices.

“Compressed demand”: How Uttar Pradesh is making sure rural sanitation subsidies for toilets go to the most needy

Arun Kumar Dobhal's picture

When the “Swachh Bharat Mission-Gramin” (SBM-G) was launched in October 2014 with the goal of making rural India free from open defecation by 2019, it gave states and districts more flexibility than previous national sanitation programs had. This led to a successful experiment in Uttar Pradesh called “demand compression”.

The state was preparing to use a tried-and-tested triggering process, where trained motivators concentrate their efforts on a community to help improve their understanding of safe sanitation and stimulate demand for toilets in rural communities where open defecation is still common. However, they faced a problem. If all the households that were eligible for government subsidies would actually claim them, funds would soon run out. With an estimated 15 million households across Uttar Pradesh without a toilet and eligible for a government subsidy of around $200, about $3 billion would be needed.

Household toilet constructed from own resources

Towards a clean India

Guangzhe CHEN's picture

When Prime Minister Narendra Modi launched the Swachh Bharat Mission in 2014, it marked the beginning of the world’s largest ever sanitation drive. Now, a 2017 survey by the Quality Council of India finds that access to toilets by rural households has increased to 62.45 per cent, and that 91 per cent of those who have a toilet, use it. Given India’s size and diversity, it is no surprise that implementation varies widely across states. Even so, the fact that almost every Indian now has sanitation on the mind is a victory by itself.

 Guy Stubbs

Achieving a task of this magnitude will not be easy. Bangladesh took 15 years to become open defecation free (ODF), while Thailand took 40 years to do so. Meeting sanitation targets is not a one-off event. Changing centuries-old habits of open defecation is a complex and long-term undertaking.

When nutrition meets WASH: reflections from Ethiopia and Madagascar on fighting stunting

Claire Chase's picture

Co-author: Sophie Durrans, Research Uptake Officer at London School of Hygiene & Tropical Medicine

A child who is stunted early in life – who fails to grow as tall as expected for their age – often has reduced physical and mental development. Water supply, sanitation, and hygiene (WASH) influences a child's growth in multiple ways. Evidence across low and middle-income countries demonstrates that higher open defecation rates are associated with stunting and higher overall incidence of poverty.

Gender and sex inequalities in water, sanitation, and hygiene

Libbet Loughnan's picture

This blogpost is part of a series of thematic blogs for the World Bank's Water Supply, Sanitation, and Hygiene (WASH) Poverty Diagnostic.

Woman carries water containers near polluted stream and water pipe in Maputo, Mozambique

Addressing gender and sex inequalities in WASH is not only recognized in Sustainable Development Goals (SDGs) 4 and 6, it is central to the entire ambition of the SDGs themselves. Some water, sanitation, and hygiene issues are faced only by women because of their biological sex, whereas others are more influenced by gendered societal norms. To truly leave no one behind, we need to be mindful of and work against gender and sex inequalities in all development work. 
New World Bank research is a valuable contribution to doing just that.  ‘Reducing Inequalities in Water Supply, Sanitation, and Hygiene in the Era of the Sustainable Development Goals’ reveals that a drastic change is required in the way countries manage resources and provide key services, starting with better targeting to ensure they reach those most in need.  In many cases, this means women and girls.