Sanitation and its global challenges

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(No Transcript)
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The scale of the challenge

• 2.5 billion people four in ten people in the
  world do not have access to a toilet.

• Every day, diarrhoeal disease kills 5,000
  children. Every week, it kills 42,000 people.
  Every one of these deaths is tragic and
  preventable.

• Without concerted action, the lack of sanitation
  will continue to impact the lives of billions of
  people and impede progress on development.

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The global picture

• Total Sanitation Coverage 2006

Less than 50 50 75 76 90 91 100 No or
Insufficient data
Note The boundaries and names shown and
the designations used on this map do not
imply official endorsement or acceptance
by the United Nations.
Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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The good news (1)
Regions on track to achieve their MDG sanitation
target

• Latin America and the Caribbean

• Western, Eastern and South-eastern Asia

• Northern Africa

Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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The good news (2)

• Coverage in the developing world has increased
  from 41 percent (1990) to 53 percent (2006)

gt 1.1 billion people gained access!

• Coverage in South-eastern and Eastern Asia
  increased with 17 percent.

Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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The good news (3)
Many countries are making rapid progress,
despite initial low coverage and rapid
population growth

• Vietnam 47 percent of the population gained
  access to sanitation (1990-2006).

• Philippines 43 percent of the population
  gained access to sanitation (1990-2006).

• Pakistan 40 percent of the population gained
  access to sanitation (1990-2006).

Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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The good news (4)
Many countries are making rapid progress,
despite initial low coverage and rapid
population growth

• Benin 30 percent of the population gained
  access to sanitation (1990-2006).

• Cameroon and Mali 29 percent of the population
  gained access to sanitation (1990-2006).

Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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The bad news (1)
Regions not on track to achieve their MDG
sanitation target

• Southern Asia

• Sub-Saharan Africa

Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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The bad news (2)

• Sub-Saharan Africa recorded the least progress
  only 5 percent from 26 (1990) to 31 percent
  (2006).

• Southern Asia recorded moderate progress 12
  percent from 21 (1990) to 33 percent (2006).

Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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The bad news (3)

• The majority of people without sanitation live in
  Asia (70 percent) and Sub-Saharan Africa (22
  percent).

• The world is not on track to meet the MDG
  sanitation target. At the current rate, we will
  miss the target by over 700 million people. (see
  next slide).

Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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The bad news (4)
Sanitation coverage trend 1990-2015
Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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Progress towards the MDG sanitation target 2006
On track Progress but insufficient Not on
track No or insufficient data
Sources World Health Organization and
United Nations Children's Fund Joint Monitoring
Programme on Water Supply and Sanitation
(JMP). Progress on Drinking Water and Sanitation
special focus on sanitation. UNICEF, New York,
and WHO, Geneva, 2008.
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Sanitation for all why is it important?
Five simple truths on sanitation

• Sanitation is vital for human health

• Sanitation generates economic benefits

• Sanitation contributes to dignity and social
  development

• Sanitation protects the environment

• Improving sanitation is achievable

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Sanitation is vital for human health (1)
Lack of sanitation is one of the biggest causes
of illness and death in the developing world

• One gram of faeces can contain 10 million
  viruses, one million bacteria, one thousand
  parasite cysts and 100 worm eggs.

• More than half the hospital beds in Sub-Saharan
  Africa are currently occupied by patients with
  preventable diarrhoeal disease improving
  sanitation and hygiene would free up money and
  resources to tackle other health issues.

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Sanitation is vital for human health (2)
Lack of sanitation is one of the biggest causes
of illness and death in the developing world

• Access to a toilet can reduce child diarrhoeal
  deaths by over 30 percent.

• Diarrhoea coupled with pneumonia kills more
  children than any other disease.

• Children infested by worms lose up to one-third
  of the nutrient value of their food.

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Sanitation generates economic benefits (1)

• Meeting the Millennium Development Goal for
  sanitation would cost about 10 billion every
  year, but yield benefits upwards of nearly 200
  billion per year.

• Sanitation is among public healths most
  cost-effective policy interventions.

• Around 12 percent of the health budget in
  countries of Sub-Saharan African is currently
  spent treating preventable diarrhoeal diseases.

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Sanitation generates economic benefits (2)

• Investing in sanitation makes investments in
  education more effective girls are more likely
  to go to school and stay in school when
  girls-friendly toilets are available.

• Investments in sanitation also protect water
  resources, make investments in water supply more
  effective, and increase tourism revenues.

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Sanitation contributes to dignity and social
development (1)

• 1.2 billion people defecate in the open, exposing
  themselves to ridicule, shame, and, for women and
  girls, the risk of attack.

• Within thirty years, UN-Habitat estimatesthat
  one in three people in the world will live in a
  slum. Without adequate sanitation,they will live
  surrounded by human filth.

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Sanitation contributes to dignity and social
development (2)

• Girls are nearly twice as likely as boys to fail
  to complete primary education. Improving
  sanitation with girls-friendly toilets at schools
  can help them catch up.

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Sanitation protects the environment
Investments in sanitation protect vital
natural resources, keep rivers and coastal seas
clean, and reduce degradation of productive land
and fisheries

• Worldwide, every year more than 200 million
  tonnes of human waste and vast quantities of
  solid waste and wastewater remain untreated.

• In Southeast Asia 13 million tons of faeces are
  released to inland water sources each year, along
  with 122 million m3 of urine and 11 billion m3 of
  gray water.

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Improving sanitation is achievable (1)

• Malaysia and Thailand achieved almost universal
  coverage through concerted programmes delivered
  over thirty years well ahead of the Southeast
  Asian economic boom.

• The Southern region of Ethiopia has seen a quiet
  revolution led by health extensionistswho have
  supported behaviour change andmoved to eliminate
  open defecation.

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Improving sanitation is achievable (2)

• Almost 10,000 villages in Bangladesh and
  countless others in more than 15 countries have
  become open-defecation-free through Total
  Sanitation approaches led by the community.

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Weve got what it takes a global consensus
There is a surprisingly high level of
consensus about what is needed

• approaches that respect and respond to peoples
  actual needs, preferences and demands

• suppliers of sanitation and hygiene services to
  meet those demands

• hard work and sustained funding over the long run

• plain talk about sanitation

• an inspiring vision of the future.