Tag Archives: latrines

Nepal: Sanitation finally a priority

The diarrhoea that spread earlier in 2009 in 18 districts across Nepal killed nearly 300 people; nearly six months after the initial outbreak, four ministries have finally made a joint commitment to launch a massive water and sanitation campaign to meet the state’s target of providing complete sanitation to all by 2017.

“We were not able to launch all components of water and sanitation in a comprehensive manner earlier, which is why we had diarrhea-related deaths every year,” said Dr. Babu Ram Marasini, chief of health sector reform unit at the Ministry of Health.

The programme was launched on Global Handwashing Day on 15 October 2009 as a comprehensive and combined effort by the Ministries of Health, Education, Physical Planning and Works, and Local Development. The programme will see extension of the construction of latrines in all 75 districts, awareness programmes, establishment of a national sanitation fund among others, according to Kamal Adhikari, an official at the Department of Water Supply and Sewerage. Adhikari also said that the ministries have planned to review the existing policies to provide complete sanitation to all by 2017.

According to a report by WaterAid, about 14.2 million people do not have access to sanitation and 7.1 million lack access to safe drinking water and sanitation in the country; similarly, according to the Ministry of Health, 54 percent of the country does not have access to latrines. Likewise, only 37 percent wash their hands, and only 12 percent use soap. Also, 45 percent of deaths caused by avoidable diseases is because of unsafe drinking water and lack of sanitation. “Earlier, we used to implement programmes related to water and sanitation separately but we are now planning to go ahead in a joint and comprehensive manner,” said Adhikari.

Source: The Kathmandu Post; The Rising Nepal; Gorkhapatra; Naya Patrika; Annapurna Post; Kantipur; Nepal Samacharpatra / NGO Forum, 15 Oct 2009

India, Haryana: New Seat of Power for Women – the success of the “No Toilet, No Bride” program

But by linking toilets to courtship, the “No Toilet, No Bride” program in Haryana has been the most successful sanitation promotion effort so far.

An ideal groom in the dusty farming village of Nilokheri is a vegetarian, does not drink, has good prospects for a stable job and promises his bride-to-be an amenity in high demand: a toilet.

In rural India, many young women are refusing to marry unless the suitor furnishes their future home with a bathroom, freeing them from the inconvenience and embarrassment of using community toilets or squatting in fields.

No-Toilet-No-Bride

Cartoon by Neelabh in Times of India, 23 Mar 2009

About 665 million people in India — about half the population — lack access to latrines. But since a “No Toilet, No Bride” campaign started about two years ago, 1.4 million toilets have been built here in the northern state of Haryana, some with government funds, according to the state’s health department.

Women’s rights activists call the program a revolution as it spreads across India’s vast and largely impoverished rural areas.

“I won’t let my daughter near a boy who doesn’t have a latrine,” said Usha Pagdi, who made sure that daughter Vimlas Sasva, 18, finished high school and took courses in electronics at a technical school. “No loo? No ‘I do,’ ” Vimlas said, laughing as she repeated a radio jingle.

“My father never even allowed me an education,” Pagdi said, stroking her daughter’s hair in their half-built shelter near a lagoon strewn with trash. “Every time I washed the floors, I thought about how I knew nothing. Now, young women have power. The men can’t refuse us.”

Indian girls are traditionally seen as a financial liability because of the wedding dowries [...] but that is slowly changing as women marry later and grow more financially self-reliant. More rural girls are enrolled in school than ever before.

A societal preference for boys here has become an unlikely source of power for Indian women. The [illegeal but widespread] abortion of female fetuses in favor of sons means there are more eligible bachelors than potential brides, allowing women and their parents to be more selective when arranging a match.

“I will have to work hard to afford a toilet. We won’t get any bride if we don’t have one now,” said Harpal Sirshwa, 22, who is hoping to marry soon. [...] “I won’t be offended when the woman I like asks for a toilet.”
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Satellite television and the Internet are spreading images of rising prosperity and urban middle-class accouterments to rural areas, such as spacious apartments — with bathrooms.

[...] With economic freedom, women are increasingly expecting more, and toilets are at the top of their list, they say.

[...] “Women suffer the most since there are prying eyes everywhere,” said Ashok Gera, a doctor who works in a one-room clinic here. “It’s humiliating, harrowing and extremely unhealthy. I see so many young women who have prolonged urinary tract infections and kidney and liver problems because they don’t have a safe place to go.”

Previous attempts to bring toilets to poor Indian villages have mostly failed. A 2001 project sponsored by the World Bank never took off because many people used the latrines as storage facilities or took them apart to build lean-tos, said Ranjana Kumari, director of the Center for Social Research in New Delhi, who worked on the program.

Indra Bhatia, who is raising seven children in Panchgujran, India, said her toilet has changed her life. When I marry my daughters off, I will make sure that their home is fully equipped with a toilet and the works, she said. (By Emily Wax -- The Washington Post)

Indra Bhatia, who is raising seven children in Panchgujran, India, said her toilet has changed her life. "When I marry my daughters off, I will make sure that their home is fully equipped with a toilet and the works," she said. (By Emily Wax -- The Washington Post)

But by linking toilets to courtship, “No Toilet, No Bride” has been the most successful effort so far. Walls in many villages are painted with slogans in Hindi, such as “I won’t get my daughter married into a household which does not have a toilet.” Even popular soap operas have featured dramatic plots involving the campaign.

“The ‘No Toilet, No Bride’ program is a bloodless coup,” said Bindeshwar Pathak, founder of Sulabh International, a social organization, and winner of this year’s Stockholm Water Prize for developing inexpensive, eco-friendly toilets. “When I started, it was a cultural taboo to even talk about toilets. Now it’s changing. My mother used to wake up at 4 a.m. to find someplace to go quietly. My wife wakes up at 7 a.m., and can go safely in her home.”

Pathak runs a school and job-training center for women who once cleaned up human waste by hand. They are known as untouchables, the lowest caste in India’s social order. As more toilets come to India, the women are less likely to have to do such jobs, Pathak said.

“I want so much for them to have skills and dignity,” Pathak said. “I tell the government all the time: If India wants to be a superpower, first we need toilets. Maybe it will be our women who finally change that.”

[This article has attracted 128 reader comments so far, unfortunately many are off-topic rants about religion, abortion etc and toilet jokes]

Source: Emily Wax, Washington Post, 12 Oct 2009

Pakistan: “There is no need for foreigners to tell us this [how to make latrines]” – insurgent leader

Insurgents in Pakistan’s volatile Swat Valley in North West Frontier Province (NWFP) who recently made a peace deal with the government now want all NGOs to leave the area.

“They come and tell us how to make latrines in mosques and homes. I’m sure we can do it ourselves. There is no need for foreigners to tell us this,” Muslim Khan, a spokesman for Tehrik-e-Taliban Pakistan (TTP), told IRIN from Swat Valley.

“NGO is another name for vulgarity and obscenity. They don’t want us to remain Muslims and want to take away the veil from our women,” Khan claimed.

He said NGOs hire women who work alongside men in the field and in offices. “That is totally un-Islamic and unacceptable,” he said.

Read more: IRIN, 22 Mar 2009

Sri Lanka, Kurunegala: Wilgodapura benefits from improved sanitation

In Wilgodapura, a remote hamlet close to Kurunegala, Wayamba Province, the entire community of over 400 villagers had to manage with just three water spouts and 14 latrines, of which only two were functional. As a result, most of the people were forced to use the canal as a toilet.

The EU funded project “Water and Sanitation for Poverty Alleviation” (WASPA) was launched in Kurunegala and Wilgodapura was identified by the team as an area that needed support. Community Self-improvement (COSI) and the International Water Management Institute (IWMI) were implementing the project and recognized that poor hygiene and lack of facilities posed a serious health threat. [A] stakeholder forum known as a “Learning Alliance” was established, bringing together the organizations concerned , the Municipal Council, other government agencies and community members who engaged in a dialogue and developed an action plan that included the rehabilitation of the water supply and sanitation facilities, plus hygiene education for the people.

The Wilgodapura Environmental Society community based organization (CBO) and its Village Action Committee (VAC) organized a shramadana ["gift of labour"] campaign to clean their environments. VAC provided unskilled labour required for rebuilding the latrines while the Environmental Society opened a bank account to manage the community funds. The result was the rehabilitation of 14 latrines. In addition, the dysfunctional cesspit was emptied with the help of the Municipal Council and its size increased to prevent flooding. With improved water supply and the toilets now functioning, the villagers no longer need to pollute the canal and they have a lot more privacy.

[...] When asked what the larger impact of this project was, the chairperson of the Wilgodapura CBO, Mr. Balakrishnan said, “The people are keeping their toilets and showers much cleaner now. They dispose of empty shampoo sachets in small garbage bins instead of littering the place and regularly check that the toilets are clean.”

Source: Ranmini Udukumbure (COSI) and Alexandra Evans (IWMI), The Island Online, 05 Dec 2008

Bangladesh: Willingness to pay for sanitation in the BRAC’s Water, Sanitation and Hygiene Programme

Bin Seraj, K.F. (2008). Willingness to pay for improved sanitation services and its implication on demand responsive approach of BRAC Water, Sanitation and Hygiene Programme. (RED working paper ; no. 1).  Dhaka, Bangladesh, BRAC Research and Evaluation Division (RED). 16 p.
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This study aimed to provide some insights into sanitation-related strategies taken by the BRAC Water, Sanitation and Hygiene (WASH) Programme from an economic point of view. The aim of this report included measuring and identifying the factors that influence willingness to pay for improved sanitation services for the households without any latrine facilities in rural Bangladesh. A contingent valuation survey was carried out in four upazilas under BRAC WASH programme to determine household willingness to pay and affordability to pay for basic sanitary latrine options. The results indicate that about 80% of the households were willing to pay for improved sanitation services. Of the total households who were interested in paying for sanitary latrine about 92% preferred payment in monthly installments. The mean willingness to pay was found to be Tk. 69 if paid monthly installments and Tk. 825 if paid in single payment. The mean willingness to pay for the overall sample size was found to be within the range of 1-2% of the disposable income of the households. Economic hardship was found to be the major reason for not installing sanitary latrine. Health, cleanliness and prestige were found to be three major motivating factors for installing sanitary latrine. Regression analysis using ordered logit model showed that odds for spending money for improved sanitation services were higher for households with better income, households who believed that unsafe sanitation lead to diseases and households belonging to already intervened programme areas. As programmatic implications, this study suggests that credit facilities along with convenient location of the village sanitation centers are necessary to fulfill sanitation-related targets set by the programme. This study has also established a causal relationship between health awareness and willingness to pay for improved sanitation services. However, it was found that even if all the stated conditions are met, there will be some households who would not be able to pay for their latrines and will need some sort of cash incentive or subsidy.

Myanmar: Promoting hygiene in cyclone-affected areas

With the rainy season almost over, health officials are concentrating on providing sanitary facilities in the cyclone-affected areas in Yangon and Ayeyarwady divisions.

“Most of the cyclone-affected people are using unsanitary latrines …We need to help them build sanitary latrines to promote good hygiene practices,” Prasad Bhagwan Sevekari, WASH cluster coordinator for the UN Children’s Fund (UNICEF), told IRIN in Yangon, the former capital.

When Cyclone Nargis hit the delta on May 2-3, [2008] leaving up to 140,000 dead or missing and more than 2 million affected, most of the latrines in Yangon and Ayeyarwady divisions collapsed, while others are still unsafe.

According to the Post-Nargis Joint Assessment (PONJA) report, damage to latrines was extensive, with up to 40 percent of respondents in Yangon, and up to 45 percent in Ayeyarwady divisions, having switched from pit latrines to open defecation.

[...] In an effort to help build the sanitary latrines, [UNICEF] and its partners [like World Vision] are providing latrine kits. People prefer bamboo-based latrines as they cost less compared with brick and wood-based latrines, Sevekari said.

Read more: IRIN, 22 Oct 2008

Pakistan, NWFP: current status of water and sanitation related MDGs

The Water and Sanitation Program-South Asia (WSP-SA) office in Islamabad, Pakistan has researched the current status of water and sanitation related Millennium Development Goals (MDGs) in the North West Frontier Province (NWFP).

Sanitation

NWFP has already met its quantitative MDG Targets in sanitation: Household surveys indicate that 75% of the population has access to a latrine, with 95% access to latrines in urban areas and 71% in rural areas.

However, data from the 2001/2 NWFP Multiple Indicator Cluster Surveys (MICS) suggests that as many as half of these latrines may be unsanitary. A tradition of ‘open defecation’ in NWFP means that even if latrines are present in the home they are not always used. In addition, the coverage of latrines in public places (markets, bus stands, railways, industry) is poor.

Water Supply

NWFP is ‘on track’ to meet its quantitative MDG Targets in drinking water supply: According to the trends reported from successive Federal Bureau of Statistic Surveys, 71% of the population of NWFP (91% of the urban population and 64% of the rural population) have access to an improved source.

Access to an improved source of water does not necessarily mean that this water is safe. In urban areas, intermittent supplies results in contamination within the piped distribution networks. In rural areas, failures in the treatment and protection of improved sources also lead to contamination. The extents of these risks are such that only 38% of the water accessed by consumers is estimated to be chemically and bacteriologically safe.

Read more: WESNews / drinking water-Pakistan Google Group, Sep 2008

Viet Nam: modern school latrines to be built across the nation

HA NOI — The Ministry of Education and Training plans to introduce standard latrine designs in school across the country following the success of a pilot project in Thua Thien-Hue and Son La provinces.

The latrines were designed by architects from the ministry’s School Design and Research Institute.

The institute’s Le Thai Tuyen said the latrines would replace existing school toilets, which were often dilapidated. However, priority would be given to rural areas where the need was more urgent. “Our designs include latrines and septic tanks,” said Tuyen, adding that the addition of septic tanks made them suitable for use in remote areas that had no sewerage system.

[...] The Prime Minister’s Decision 277/2006/QD-TTg (dated December 11, 2006) governing clean water and environmental hygiene stated that the Government’s goal was for all kindergartens and schools to have hygienic latrines and access to clean water by 2010. [Currently] 30 per cent of [...] schools either do not have their own toilets or the toilets they have are inadequate.

The School Design and Research Institute has been working on the school latrine project for the last two years, with funding coming from UNICEF.

In 2006, three separate latrine designs for kindergartens, primary schools and high schools were tried out in three communes in the central province of Thua Thien-Hue. [Latrine costs range] from VND 70.7 million (US$4,160) to VND 97.5 million ($5,735).

Source: VNS, 23 Jul 2008