Wednesday, February 3, 2016

Sanitation problem faced in India and how can it be improved

[Re-posting my submission for a task in mygov.in.]

Introduction:
Over 600 million Indians have no access to toilets. The proportion is worse in rural India – where 68% of rural households don’t have their own toilets. This is the state of the country even after the government spends Rs. 7000 crores a year. Also, 60% of approved funds from the Government’s campaign have already been used, reports Deloitte, in its 2013 study titled ‘A market led, evidence based, approach to rural sanitation’.  The three main reason for this are as pointed in an article in The Alternative website are:
1) The poor cannot afford them: The subsidy amount under NBA, covers only part of the cost of toilets, and most households, particularly the poorest are still unable to afford the cost of construction and maintenance of individual toilets. The limited subsidy amount has also led to poor construction, leaving toilets unusable.  The per–toilet subsidy is currently around Rs. 4600 under NBA.
2. If they do get built, they quickly become unusable: The superstructure of a toilet does not require skilled masonry but the leach pit does. The Ministry of Rural Development reports that 78 million toilets were constructed under the TSC until March 2011, but the Census (2011) shows only 51 million households as owning working toilets. Toilet designs also need to be modified for flood prone or drier areas.
3. Men are the decision makers, while women face issues: In most households, men are the decision makers but women face inconvenience due to lack of toilets. People also rarely see the link between open defecation and ill-health, unless they have been subjected to a personal health crisis in the family that can be directly linked to toilets.
Gramalaya has been constructing toilets in rural India for over 2 and a half decades now and lists the following conditions as factors to be taken into account for toilets to become household and community-friendly:
• Affordability
• Space in the home
• Geographical conditions – soil/water table etc
• Cultural habits
• Availability of water/scarcity of water
• Availability of skilled or semi skilled manpower
Toilet models in India
The rural environment in India is complex, and there are a variety of models available for constructing and funding these toilets – and some of these models work better in some places than others – depending on region, implementing agencies, availability of credit etc.
Worldwide, there are several models that have shown success. In India, there are two:
1)      The government led subsidy model: Here the government subsidises toilet construction. The subsidy model has had limited success because of the partial subsidy, and because people do not see it as a priority.
2)      Community Led Total Sanitation (CLTS): CLTS works primarily by raising awareness that as long as even a minority continues to defecate in the open everyone is at risk of disease. The CLTS also creates village-level water sanitation committees, with volunteers who generate awareness about the health hazards of open defecation. CLTS is an example of how rejecting the subsidy model has actually worked, and focuses instead on persuasion and reward. CLTS has shown remarkable progress in certain Indian states. For example, Haryana : Census 2001 data shows that 71% of households had no toilets, but by Census 2011, this number had fallen to  36%. Haryana and Himachal Pradesh show similar leaps in toilet construction and are great examples of the success of CLTS model which was implemented in all districts of these states.
Also, Monitor Deloitte recently brought out a white paper on rural sanitation in India, bringing out two potential models for toilet construction. Both models require a central player or ‘market maker’ to conduct market-building activities to get the models started. Organisations such as NGOs, microfinance institution (MFIs) and cement companies can play this role, while the Government has a key role in facilitating the development of the sanitation market.
1)      DIY (Do It Yourself) model: Here the customer collects all the construction material from suppliers, and supervises or involves himself in the construction. This model has the benefit of customization and potential cost savings though it is time-consuming. It is also the familiar way of building private and home toilets.
2)      TSP (Turnkey Solution Provider) model: Here an entrepreneur sells a toilet as a product, and delivers the chosen product at the promised price. The TSP model provides toilets of a fixed quality as construction is done by specialists.
An article in The Alternative website suggested ten models that may be suitable for India:
1. Plinth level toilet with temporary superstructure
2. Toilet only model with hollow bricks
3. Toilet attached bathroom (w/ hollow bricks and no roof)
4. Toilet only model (w/ concrete rings pit and roof)
5. Twin pit – Pour flush latrine
6. ECO-SAN toilets
7. Bio-gas linked toilets
8. Child friendly toilets
9. School sanitary complex
10. Anganwadi Toilets
The details of each of these are given in this article: http://www.thealternative.in/business/10-toilet-designs-for-rural-india/
Some of the other prominent toilets that can be well suited for India are:
1)      Bio – Toilets:  Invented & Certified by DRDO & endorsed by the Government of India, these toilets ensure 100% Sludge – Free Disposal of Human Waste and Eliminates need for Manual Scavenging.  They decompose Solid Waste into Water & Bio Gas making them Eco-Friendly. They are 100% Hazard Free and 100% Maintenance Free. They can play a critical role in Preventable Healthcare as the Bio Toilet eliminates disease causing pathogens completely! More details are given in the following links: http://www.wockhardtfoundation.org/pro-bio-toilet.aspx 
2)      Self-flushing hi-tech toilets:  Toilets that gives the user an automated entry at the drop of a coin and flush itself at arrival and exit, is going to debut in Navi Mumbai. Such hi-tech toilets are already there in Delhi and Kerala. Such toilets can be very useful in urban scenario, railway stations, bust terminus etc.  More details are given here: http://indiasanitationportal.org/18677
3)      Sulabh Toilets: These are toilets developed by Sulabh International Social Service Organisation as part of their efforts to eradicate the practice of Manual Scavenging. More details are given their website: http://www.sulabhinternational.org/content/advantages-sulabh-toilets
4)      Otji dry toilets: This system has been used in Namibia where water is scarce. Such system could be useful in dry places of India. The detailed working principle are given in this website                             http://www.otjitoilet.org/toilet/toilet.htm#how it works  
Water.org, Co-founded by Gary White and Matt Damon, is a nonprofit organization that has analysed and given a detailed solution for this problem. Their detailed solution is described in the below link:   http://water.org/solutions/  
Clean Team is another organisation that works on this problem. Their mode is given here http://www.cleanteamtoilets.com/our-model/
A World Bank funded Sanitation marketing program has shown progress in making more people use toilets and helping the poor. http://www.worldbank.org/en/news/feature/2014/04/08/in-bangladesh-sanitation-marketing-helps-make-toilets-more-available-and-affordable
The World Toilet organisation’s Sanishop model is explained here: http://worldtoilet.org/what-we-do-sanishop.html

Gramalaya has been implementing  various  toilet models for over 25 years in South India, depending on the geographic area, water availability and costs. http://www.gramalaya.in/pdf/appropriateLowcost_toilet_technology.pdf

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