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.
Drinking water or potable water is water that is safe for ingestion, either when drunk directly in liquid form or consumed indirectly through food preparation. It is often supplied through taps, in which case it is also called tap water.
Water politics, sometimes called hydropolitics, is politics affected by the availability of water and water resources, a necessity for all life forms and human development.
Water supply and sanitation in Indonesia is characterized by poor levels of access and service quality. More than 16 million people lack access to an at least basic water source and almost 33 million of the country's 275 million population has no access to at least basic sanitation. Only about 2% of people have access to sewerage in urban areas; this is one of the lowest in the world among middle-income countries. Water pollution is widespread on Bali and Java. Women in Jakarta report spending US$11 per month on boiling water, implying a significant burden for the poor.
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.
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.
Bangladesh is faced with multiple water quality and quantity problems along with regular natural disasters, such as cyclones and floods. Available options for providing safe drinking water include tubewells, traditionally dug wells, treatment of surface water, desalination of groundwater with high salinity levels and rainwater harvesting.
Drinking water supply and sanitation in Pakistan is characterized by some achievements and many challenges. In 2020, 68% Pakistanis, 72% Indians, 54% Bangladeshi had access to the basic sanitation facilities. Despite high population growth the country has increased the share of the population with access to an improved water source from 85% in 1990 to 92% in 2010, although this does not necessarily mean that the water from these sources is safe to drink. The share with access to improved sanitation increased from 27% to 38% during the same period, according to the Joint Monitoring Program for Water Supply and Sanitation. There has also been considerable innovation at the grass-root level, in particular concerning sanitation. The Orangi Pilot Project in Karachi and community-led total sanitation in rural areas are two examples of such innovation.
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.
Although access to water supply and sanitation in sub-Saharan Africa has been steadily improving over the last two decades, the region still lags behind all other developing regions. Access to improved water supply had increased from 49% in 1990 to 68% in 2015, while access to improved sanitation had only risen from 28% to 31% in that same period. Sub-Saharan Africa did not meet the Millennium Development Goals of halving the share of the population without access to safe drinking water and sanitation between 1990 and 2015. There still exists large disparities among sub-Saharan African countries, and between the urban and rural areas.
WASH is a sector in development cooperation or within local governments that provides water, sanitation, and hygiene services to people. The main purposes of providing access to WASH services include achieving public health gains, implementing the human right to water and sanitation, reducing the burden of collecting drinking water for women, and improving 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.
The main causes of water scarcity in Africa are physical and economic water scarcity, rapid population growth, and the effects of climate change on the water cycle. Water scarcity is the lack of fresh water resources to meet the standard water demand. The rainfall in sub-Saharan Africa is highly seasonal and unevenly distributed, leading to frequent floods and droughts.
Water issues in developing countries include scarcity of drinking water, poor infrastructure for water and sanitation access, water pollution, and low levels of water security. Over one billion people in developing countries have inadequate access to clean water. The main barriers to addressing water problems in developing nations include poverty, costs of infrastructure, and poor governance. The effects of climate change on the water cycle can make these problems worse.
Water supply and sanitation in Vietnam is characterized by challenges and achievements. Among the achievements is a substantial increase in access to water supply and sanitation between 1990 and 2010, nearly universal metering, and increased investment in wastewater treatment since 2007. Among the challenges are continued widespread water pollution, poor service quality, low access to improved sanitation in rural areas, poor sustainability of rural water systems, insufficient cost recovery for urban sanitation, and the declining availability of foreign grant and soft loan funding as the Vietnamese economy grows and donors shift to loan financing. The government also promotes increased cost recovery through tariff revenues and has created autonomous water utilities at the provincial level, but the policy has had mixed success as tariff levels remain low and some utilities have engaged in activities outside their mandate.
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.
Sustainable Development Goal 6 declares the importance of achieving "clean water and sanitation for all". It is one of the 17 Sustainable Development Goals established by the United Nations General Assembly to succeed the former Millennium Development Goals (MDGs). According to the United Nations, the overall goal is to: "Ensure availability and sustainable management of water and sanitation for all." The goal has eight targets to be achieved by 2030 covering the main areas of water supply and sanitation and sustainable water resource management. Progress toward the targets will be measured by using eleven indicators.
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.
Sustainable Development Goal 7 is one of 17 Sustainable Development Goals established by the United Nations General Assembly in 2015. It aims to "Ensure access to affordable, reliable, sustainable and modern energy for all." Access to energy is an important pillar for the wellbeing of the people as well as for economic development and poverty alleviation.
