Improved sanitation (related to but distinct from a " safely managed sanitation service") is a term used to categorize types of sanitation for monitoring purposes. It refers to the management of human feces at the household level. The term was coined by the Joint Monitoring Program (JMP) for Water Supply and Sanitation of UNICEF and WHO in 2002 to help monitor the progress towards Goal Number 7 of the Millennium Development Goals (MDGs). The opposite of "improved sanitation" has been termed "unimproved sanitation" in the JMP definitions. The same terms are used to monitor progress towards Sustainable Development Goal 6 (Target 6.2, Indicator 6.2.1) from 2015 onwards. [2] Here, they are a component of the definition for "safely managed sanitation service".
The Joint Monitoring Program (JMP) for Water Supply and Sanitation has been publishing updates on the global sanitation situation on an annual basis. For example, in 2015 it was reported that 68% of the world's population had access to improved sanitation. [3]
In 2015 this goal was replaced by Sustainable Development Goal 6, in which Target 6.2 states: "By 2030, achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations." Indicator 6.2.1 is the "Proportion of population using (a) safely managed sanitation services and (b) a handwashing facility with soap and water". [4]
In 2017, the JMP defined a new term: "basic sanitation service". This is defined as the use of improved sanitation facilities that are not shared with other households. A lower level of service is now called "limited sanitation service" which refers to the use of improved sanitation facilities that are shared between two or more households. A higher level of service is called "safely managed sanitation". This is basic sanitation service where excreta is safely disposed of in situ or transported and treated offsite. [2]
The definition of improved sanitation facilities is: Those facilities designed to hygienically separate excreta from human contact. [2] :8
The ladder of sanitation services includes (from lowest to highest): open defecation, unimproved, limited, basic, safely managed. [2] :8
An improved sanitation facility is defined as one that hygienically separates human excreta from human contact. [5] It is not necessarily identical with sustainable sanitation. The opposite of "improved sanitation" has been termed "unimproved sanitation" in the JMP definitions.
To allow for international comparability of estimates for monitoring the Millennium Development Goals (MDGs), the Joint Monitoring Program (JMP) for Water Supply and Sanitation defines "improved" sanitation as the following kind of toilets: [5]
Sanitation facilities that are not considered as "improved" (also called "unimproved") are:
Whilst "shared" toilets are not counted as improved sanitation, data about usage of shared toilets is nevertheless reported in the annual progress reports of the JMP. [6]
Sanitation refers to public health conditions related to clean drinking water and adequate 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.
A latrine is a toilet or an even simpler facility that is used as a toilet within a sanitation system. For example, it can be a communal trench in the earth in a camp to be used as emergency sanitation, a hole in the ground, or more advanced designs, including pour-flush systems.
World Toilet Day (WTD) is an official United Nations international observance day on 19 November to inspire action to tackle the global sanitation crisis. Worldwide, 4.2 billion people live without "safely managed sanitation" and around 673 million people practice open defecation. Sustainable Development Goal 6 aims to "Ensure availability and sustainable management of water and sanitation for all". In particular, target 6.2 is to "End open defecation and provide access to sanitation and hygiene". When the Sustainable Development Goals Report 2020 was published, United Nations Secretary-General António Guterres said, “Today, Sustainable Development Goal 6 is badly off track" and it “is hindering progress on the 2030 Agenda, the realization of human rights and the achievement of peace and security around the world".
A pit latrine, also known as pit toilet, is a type of toilet that collects human feces 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.
A bucket toilet is a basic form of a dry toilet whereby a bucket (pail) is used to collect excreta. Usually, feces and urine are collected together in the same bucket, leading to odor issues. The bucket may be situated inside a dwelling, or in a nearby small structure.
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 behavior 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 behavior 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 behaviors. 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".
United Nations Water (UN-Water) is an interagency mechanism that coordinates the efforts of United Nations entities and international organizations working on water and sanitation issues.
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.
An improved water source is a term used to categorize certain types or levels of water supply for monitoring purposes. It is defined as a type of water source that, by nature of its construction or through active intervention, is likely to be protected from outside contamination, in particular from contamination with fecal matter.
A toilet is a piece of sanitary hardware used for the collection or disposal of human urine and feces. Toilets can be with or without flushing water. They can be set up for a sitting posture or for a squatting posture. Flush toilets are usually connected to a sewer system in urban areas and to septic tanks in isolated areas. Dry toilets are connected to a pit, removable container, composting chamber, or other storage and treatment device. Toilets are commonly made of ceramic (porcelain), concrete, plastic, or wood.
The Joint Monitoring Programme (JMP) for Water Supply and Sanitation by WHO and UNICEF is the official United Nations mechanism tasked with monitoring progress towards the Sustainable Development Goal Number 6 since 2016.
A dry toilet is a toilet that operates without flush water, unlike a flush toilet. The dry toilet may have a raised pedestal on which the user can sit, or a squat pan over which the user squats in the case of a squat toilet. In both cases, the excreta falls through a drop hole.
WASH is an acronym that stands for "water, sanitation and hygiene". Universal, affordable and sustainable access to WASH is a key public health 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 at equitable and accessible water and sanitation for all. "Access to WASH" includes safe water, adequate sanitation and hygiene education. Improving access to WASH services can improve health, life expectancy, student learning, gender equality, and other important issues of international development. This can reduce illness and death, and also affect poverty reduction and socio-economic development. Challenges include providing services to urban slums, improper management of water distribution systems, failures of WASH systems over time, providing equitable access to drinking water supply and gender issues. WASH services have to be provided to household locations but also to schools, healthcare facilities, work places, markets, prisons, train stations, public locations etc.
The Sanitation and Hygiene Fund (SHF) is a United Nations-hosted organization contributing to Sustainable Development Goal 6, Target 6.2 on sanitation and hygiene. It was established in 1990 and changed name and structure in January 2021. WSSCC advocates for improved sanitation and hygiene, with a focus on the needs of women, girls and people in vulnerable situations.
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 space for defecation. They do so either because they do not have a toilet readily accessible or due to 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.
Container-based sanitation refers to a sanitation system where toilets collect human excreta in sealable, removable containers that are transported to treatment facilities. This type of sanitation involves a commercial service which provides certain types of portable toilets, and delivers empty containers when picking up full ones. The service transports and safely disposes of or reuses collected excreta. The cost of collection of excreta at usually borne by the users. With suitable development, support and functioning partnerships, CBS can be used to provide low-income urban populations with safe collection, transport and treatment of excrement at a lower cost than installing and maintaining sewers. In most cases, CBS is based on the use of urine-diverting dry toilets.
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.
Sustainable Development Goal 6 is about "clean water and sanitation for all". It is one of 17 Sustainable Development Goals established by the United Nations General Assembly in 2015, the official wording is: "Ensure availability and sustainable management of water and sanitation for all." The goal has eight targets to be achieved by at least 2030. Progress toward the targets will be measured by using eleven indicators.