Sanitation refers to public health conditions related to clean drinking water and treatment and disposal of human excreta and sewage. Preventing human contact with feces is part of sanitation, as is hand washing with soap. Sanitation systems aim to protect human health by providing a clean environment that will stop the transmission of disease, especially through the fecal–oral route. For example, diarrhea, a main cause of malnutrition and stunted growth in children, can be reduced through adequate sanitation. There are many other diseases which are easily transmitted in communities that have low levels of sanitation, such as ascariasis, cholera, hepatitis, polio, schistosomiasis, and trachoma, to name just a few.
WaterAid is an international non-governmental organization, focused on water, sanitation and hygiene. It was set up in 1981 as a response to the UN International Drinking Water decade (1981–1990). As of 2018, it was operating in 34 countries.
Human waste refers to the waste products of the human digestive system, menses, and human metabolism including urine and feces. As part of a sanitation system that is in place, human waste is collected, transported, treated and disposed of or reused by one method or another, depending on the type of toilet being used, ability by the users to pay for services and other factors. Fecal sludge management is used to deal with fecal matter collected in on-site sanitation systems such as pit latrines and septic tanks.
A pit latrine, also known as pit toilet, is a type of toilet that collects human waste in a hole in the ground. Urine and feces enter the pit through a drop hole in the floor, which might be connected to a toilet seat or squatting pan for user comfort. Pit latrines can be built to function without water or they can have a water seal. When properly built and maintained, pit latrines can decrease the spread of disease by reducing the amount of human feces in the environment from open defecation. This decreases the transfer of pathogens between feces and food by flies. These pathogens are major causes of infectious diarrhea and intestinal worm infections. Infectious diarrhea resulted in about 700,000 deaths in children under five years old in 2011 and 250 million lost school days. Pit latrines are a low-cost method of separating feces from people.
Ecological sanitation, commonly abbreviated as ecosan, is an approach to sanitation provision which aims to safely reuse excreta in agriculture. It is an approach, rather than a technology or a device which is characterized by a desire to "close the loop", mainly for the nutrients and organic matter between sanitation and agriculture in a safe manner. One of the aims is to minimise the use of non-renewable resources. When properly designed and operated, ecosan systems provide a hygienically safe system to convert human excreta into nutrients to be returned to the soil, and water to be returned to the land. Ecosan is also called resource-oriented sanitation.
Community-led total sanitation (CLTS): is an approach used mainly in developing countries to improve sanitation and hygiene practices in a community. The approach tries to achieve behaviour change in mainly rural people by a process of "triggering", leading to spontaneous and long-term abandonment of open defecation practices. It focuses on spontaneous and long-lasting behaviour change of an entire community. The term "triggering" is central to the CLTS process: it refers to ways of igniting community interest in ending open defecation, usually by building simple toilets, such as pit latrines. CLTS involves actions leading to increased self-respect and pride in one's community. It also involves shame and disgust about one's own open defecation behaviours. CLTS takes an approach to rural sanitation that works without hardware subsidies and that facilitates communities to recognize the problem of open defecation and take collective action to clean up and become "open defecation free".
Access to water supply and sanitation in Ethiopia is amongst the lowest in Sub-Saharan Africa and the entire world. While access has increased substantially with funding from foreign aid, much still remains to be done. Some factors inhibiting the achievement of these goals are the limited capacity of water bureaus in the country's nine regions, two city administrations and water desks in the 770 districts of Ethiopia (woredas); insufficient cost recovery for proper operation and maintenance; and different policies and procedures used by various donors, notwithstanding the Paris Declaration on Aid Effectiveness.
Sustainable sanitation is a sanitation system designed to meet certain criteria and to work well over the long-term. Sustainable sanitation systems consider the entire "sanitation value chain", from the experience of the user, excreta and wastewater collection methods, transportation or conveyance of waste, treatment, and reuse or disposal. The Sustainable Sanitation Alliance (SuSanA) includes five features in its definition of "sustainable sanitation": Systems need to be economically and socially acceptable, technically and institutionally appropriate and protect the environment and natural resources.
Water supply and sanitation in Rwanda is characterized by a clear government policy and significant donor support. In response to poor sustainability of rural water systems and poor service quality, in 2002 local government in the Northern Byumba Province contracted out service provision to the local private sector in a form of public–private partnership. Support for public-private partnerships became a government policy in 2004 and locally initiated public-private partnerships spread rapidly, covering 25% of rural water systems as of 2007.
The water supply and sanitation sector in Ghana is a sector that is in charge of the supply of healthy water and also improves the sanitation of water bodies in the country.
Water supply and sanitation in Tanzania is characterised by: decreasing access to at least basic water sources in the 2000s, steady access to some form of sanitation, intermittent water supply and generally low quality of service. Many utilities are barely able to cover their operation and maintenance costs through revenues due to low tariffs and poor efficiency. There are significant regional differences and the best performing utilities are Arusha and Tanga.
WASH is a sector in development cooperation, or within local governments, that provides water, sanitation, and hygiene services to communities. The main purposes of providing access to WASH services are: achieve public health gains, implement the human right to water and sanitation, reduce the burden of collecting drinking water for women, and improve education and health outcomes at schools and health facilities. Access to WASH services is an important component of water security. Universal, affordable, and sustainable access to WASH is a key issue within international development, and is the focus of the first two targets of Sustainable Development Goal 6. Targets 6.1 and 6.2 aim for equitable and accessible water and sanitation for all. In 2017, it was estimated that 2.3 billion people live without basic sanitation facilities, and 844 million people live without access to safe and clean drinking water. The acronym WASH is used widely by non-governmental organizations and aid agencies in developing countries.
Responsibility of water supply in Nigeria is shared between three (3) levels of government – federal, state and local. The federal government is in charge of water resources management; state governments have the primary responsibility for urban water supply; and local governments together with communities are responsible for rural water supply. The responsibility for sanitation is not clearly defined.
Open defecation is the human practice of defecating outside rather than into a toilet. People may choose fields, bushes, forests, ditches, streets, canals, or other open spaces for defecation. They do so either because they do not have a toilet readily accessible or due to archaic traditional cultural practices. The practice is common where sanitation infrastructure and services are not available. Even if toilets are available, behavior change efforts may still be needed to promote the use of toilets. 'Open defecation free' (ODF) is a term used to describe communities that have shifted to using toilets instead of open defecation. This can happen, for example, after community-led total sanitation programs have been implemented.
Water supply and sanitation in Zimbabwe is defined by many small scale successful programs but also by a general lack of improved water and sanitation systems for the majority of Zimbabwe. Water supply and sanitation in Zimbabwe faces significant challenges, marked by both successful localized efforts and widespread deficiencies in infrastructure. According to the 2019 Multiple Indicator Cluster Surveys (MICS), conducted by UNICEF, disparities persist in access to clean drinking water and sanitation facilities. While overall access to improved drinking water sources increased to 77.1% in 2019 from 76.1% in 2014, significant gaps remain between urban and rural areas, as well as within urban centers. For instance, 97.3% of urban households have access to improved water sources compared to only 67.9% of rural households. Similarly, disparities exist across regions, with Harare boasting the highest access at 96.6%, contrasting sharply with 64.8% in Matabeleland South. Additionally, approximately 67.8% of households have access to improved, non-shared sanitation facilities, indicating ongoing challenges in this domain. Urban areas, in particular, grapple with chronic water shortages amid rising consumption demands. There are many factors which continue to determine the nature, for the foreseeable future, of water supply and sanitation in Zimbabwe. Three major factors are the severely depressed state of the Zimbabwean economy, the willingness of foreign aid organizations to build and finance infrastructure projects, and the political stability of the Zimbabwean state.
A urine-diverting dry toilet (UDDT) is a type of dry toilet with urine diversion that can be used to provide safe, affordable sanitation in a variety of contexts worldwide. The separate collection of feces and urine without any flush water has many advantages, such as odor-free operation and pathogen reduction by drying. While dried feces and urine harvested from UDDTs can be and routinely are used in agriculture, many UDDT installations do not apply any sort of recovery scheme. The UDDT is an example of a technology that can be used to achieve a sustainable sanitation system. This dry excreta management system is an alternative to pit latrines and flush toilets, especially where water is scarce, a connection to a sewer system and centralized wastewater treatment plant is not feasible or desired, fertilizer and soil conditioner are needed for agriculture, or groundwater pollution should be minimized.
Self-supply of water and sanitation refers to an approach of incremental improvements to water and sanitation services, which are mainly financed by the user. People around the world have been using this approach over centuries to incrementally upgrade their water and sanitation services. The approach does not refer to a specific technology or type of water source or sanitation service although it does have to be feasible to use and construct at a low cost and mostly using tools locally available. The approach is rather about an incremental improvement of these services. It is a market-based approach and commonly does not involve product subsidies.
Emergency sanitation is the management and technical processes required to provide sanitation in emergency situations. Emergency sanitation is required during humanitarian relief operations for refugees, people affected by natural disasters and internally displaced persons. There are three phases of emergency response: Immediate, short term and long term. In the immediate phase, the focus is on managing open defecation, and toilet technologies might include very basic latrines, pit latrines, bucket toilets, container-based toilets, chemical toilets. The short term phase might also involve technologies such as urine-diverting dry toilets, septic tanks, decentralized wastewater systems. Providing handwashing facilities and management of fecal sludge are also part of emergency sanitation.
Lesotho is a mountainous and fairly 'water-rich country', but suffers from a lack of clean drinking water due to inadequate sanitation. In recent decades, with the construction of dams for the Lesotho Highlands Water Project (LHWP), Lesotho has become the main provider of water to parts of northern South Africa. Despite the economic and infrastructure development occasioned by the LHWP, waterborne diseases are common in the country and the infant mortality rate from them is high. In 2017, a project to improve the rural water supply in the Lesotho Lowlands was funded by the Global Environment Facility and the African Development Bank, and is ongoing.
The Rural Water Supply Network (RWSN) is a global, multi-stakeholder network focused on achieving universal access to safe, affordable drinking water for all rural people worldwide. Established in 1992 as the Handpump Technology Network (HTN), the organization originally concentrated on the development and maintenance of handpump technologies. Over time, it expanded its scope to address broader rural water supply issues, and in 2004, it was rebranded as RWSN. The network has no legal structure and instead is a loose collaboration.
