14 ways to make sanitation sustainable

wash hands

A guy is aided by his daughter as he washes his hands outdoors their property in a slum area in Mumbai, India. Photograph: Danish Siddiqui/Reuters

Binaya Raj Shrestha, programme coordinator, Sensible Action South Asia, Kathmandu, Nepal. @PracticalAction

Slow progress can be explained by lack of political prioritisation: In Nepal the coverage of mobile telephone is 64% but the coverage of toilets is 62%. It is not just the financial constraint that is triggering slow progress in tackling sanitation, it is lack of political will.

We want to boost hygiene awareness: From a study we did on an urban poor community in Nepal, we located that practically all wash hands before consuming meals and soon after employing toilet but nonetheless there is a large query mark regardless of whether men and women use soap or not. The survey reveals that individuals are still making use of mud for washing hands. It is also exciting to know that some individuals do not take into account children’s faeces as hazardous and therefore do not wash following touching it.

Kofi Yeboah, communications officer, Clean Group Ghana, Kumasi, Ghana. @kofiemeritus

Recognise sanitation as a standard necessity: Progress is slow, especially in sub-Saharan Africa due to the fact governments do not see sanitation as a simple necessity in the way they see water and electrical energy. Sanitation must be planned as a utility support that functions for all.

The NGO technique is no longer working: If it have been Ghana would have been much better off in sanitation difficulties. There is a want for the social enterprise model for sanitation which focuses on making social effect at an affordable value as effectively as making jobs for local men and women.

Jesse Shapiro, Wash and sanitation advisor, USAid, Washington DC, USA. @USAID

Beware of the complicated nature of the sector: This has been 1 significant cause for its bad functionality as in contrast to other MDGs. Sanitation responsibilities span numerous stakeholders and are not able to just be improved by the distribution of a solution. So unlike other troubles, tackling sanitation needs creating a significant sum of help in challenging political and monetary problems.

Steer clear of a 1-size-fits-all design of implementation: In buy to attain distinct bad communities and their distinct requirements, we will require to develop certain targeted and tailored methods for every single group.

Graham Alabaster, senior adviser, WHO-UNHabitat, Geneva, Switzerland. @WHO

We need properly managed communal facilities for large-density urban places: There are a lot of very good examples of this and the economies of scale make them suited to business, specially combined with community centres and bathing amenities. The most incredible example of this is the sulabh toilets in India.

Strengthening sanitation, in a nutshell: Initial, provide more help to neighborhood level sanitation ideas and strategies. Second, do more perform on faecal sludge monitoring and management. Third, talk the benefits of investing in sanitation to communities.

Rahul Ingle, sustainable sanitation programme advisor, GIZ, Eschborn, Germany. @giz_gmbh

Resource – monitoring sanitation progress making use of the sanitation ladder: With regards to making sure environmental, cultural and infrastructural requirements are responded to, it could be useful to check out the sanitation ladder. It is a seven-rung perform-primarily based sanitation ladder exactly where the functions can be broadly divided into overall health and environmental. The ladder is intended as an inspiration for nations to move in direction of a function-based rather than technology-based mostly monitoring of sanitation progress.

Helen Hamilton, policy advisor for neglected tropical diseases, Sightsavers, Haywards Heath, Uk. @Sightsavers

Hold equity at the heart of your technique to well being and sanitation: We have to carry on to produce additional cross-sector partnerships to increase accessibility to clean water and sanitation and halt the transmission of debilitating conditions this kind of as NTDs. As with so a lot of infectious ailments, remedies must go hand-in-hand with enhancements in water, sanitation and hygiene in purchase to sustain extended-term improved well being outcomes. An equity-targeted technique to sanitation and also to other elements of Wash will accelerate progress in the direction of enhanced wellness outcomes.

Increase the accountability of providers: Realising equity from a sanitation standpoint demands a basic shift in the way we measure achievement. Considerably a lot more demands to be completed to construct accountability of suppliers in direction of users, especially those from marginalised groups.

Darren Saywell, Wash director, Program Worldwide, Washington, DC. @darrens200368

How to work in the direction of scaleable outcomes in sanitation: To do this, first we want rapid modify in sector programming – we will reside or die by our critical reflection and capacity to internalise studying. We then want to feel ahead, move past our comfort zone, and confront rural to urban shifts. To achieve scalable outcomes in sanitation we will also need sharper analytic abilities, far better partnerships and a willingness to experiment and evaluable.

Ada Oko-Williams, technical support manager for sanitation, WaterAid, London, Uk. @WaterAidUK

Engineering will not do us any very good if we never also tackle behavioural modify: Promotion and information can assist make certain new toilet styles realize success. For behavioural modify we have to recognize what underlies the behaviour as the very first level, then target on what the impact of that habits is – on themselves, on the atmosphere, on people they care about. There are cultural, social, religious norms that underlie behaviours all around sanitation that we need to recognize.

Resource – sanitation and kid improvement: I want to introduce the emerging research exhibiting the sturdy causal relationship between amounts of open defecation and stunting of children beneath 2 many years outdated. The stunting in time leads to reduce cognitive growth. This new information has attracted curiosity our colleagues in the nutrition sector and we are now exploring ways to integrate sanitation programmes into nutrition programmes. Here are two back links to study briefs that present the romantic relationship in between open defecation and stunting in India and Cambodia.

Go through the rest of the tips shared in the Q&ampA here.

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