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Sanitation barriers
2. ETYMOLOGY
1. Greek-sānus ( feminine -sāna ,
neuter - sānum)
a. - sound in body, healthy
b. - sound in mind, sane
c. - (of, style) correct sensible, sober
, chaste.
2. From French- sanitaire,
3. From Latin -sanitas (“health”)
3. Contd…
• First recorded in 1840-50; sanit(ary) + -ation
• The words "sanitary" and "sanity" sound
similar, But the connection between the two
seems tenuous;
• "sanitary" is generally used in reference to
cleanliness,
• whereas "sanity" has to do with one's mind.
• According to Etymology, both words share a
root in the Latin word "sanus," meaning
"healthy or sane."
4. SANITATION ?
Means-measures of promoting
health through prevention of human
contact with the hazardous wastes as
well as the treatment and proper
disposal of waste-water.
Hazards can be either physical,
microbiological, biological or
chemical agents of disease.
5. The World Health Organization defines the
term "sanitation" as follows:
“ Sanitation is the provision of facilities
and services for the safe disposal of
human urine and feces and
maintenance of hygienic conditions,
through services such as garbage
collection and wastewater disposal.
6. Contd…
• Wastes that can cause health
problems include ---
• Human and animal excreta, Solid
wastes, Domestic waste water
(sewage or greywater) industrial
wastes and agricultural wastes.
7. SANITATION
• Safe collection, storage, treatment and
disposal/re-use/recycling of human excreta
(faeces and urine)
• Management/re-use/recycling of solid waste
(rubbish)
• Collection and management of industrial
waste products
• Management of hazardous wastes (including
hospital wastes, chemical/ radio-active and
other dangerous substances)
9. HYGIENE ??
According to WHO ,
"Hygiene refers to set of practices
that help to maintain health and
prevent the spread of diseases”
10. Contd…
• In short, both words are meant for prevention
of diseases and health promotion.
• Hygiene is often associated with the human
body. We use the word “hygiene” for our body
by brushing our teeth, taking a bath, and so on
and so forth. Hand-washing is also part of
hygiene .
• Sanitation,” on the other hand deals with safe
disposal of all forms of waste, human as well
as environmental and other forms of waste
11. OBJECTIVES
The main objective of a sanitation
system is to –
1. protect and promote human health
by providing a clean environment
2. And breaking the cycle of disease.
12. PROBLEM STATEMENT
• Globally 2.6 billion people (1/3) remain
without access to any kind of improved
sanitation.
• Sanitation-related diseases and poor
hygienic conditions cause approximately
2.2 million annual deaths, mostly of
children under the age of five years
13. Indian Scenario….
• Four years ago, 60 per cent of the global
population defecating in open was in
India, it has been reduced to 20 per cent
today.
• In these four years, not just toilets were
built or villages and cities have become
ODF but regular use of toilets is also
more than 90 per cent."
14. CONTD…
• Now as many as 25 states of the country
have declared themselves open
defecation free (ODF).
• "The result of this "Janbhavna" is that
the radius of rural sanitation before 2014
was approximately 38 per cent but today
it is 94 per cent. The number of ODF
villages has surpassed five lakhs (oo 5.97
villages /722 districts /29 states 7 UTs).
15. PURPOSE
The overall purposes of sanitation are
1. to provide a healthy living environment for
everyone,
2. to protect the natural resources (such
as surface water, groundwater, soil),
3. and to provide safety, security and dignity for
people when they defecate or urinate.
16. CONTD…
• We also have a human right to
sanitation:
• In September, 2010, the UN Human
Rights Council adopted a resolution
recognizing that the human right to
water and sanitation are a part of
the right to an adequate standard of
living
17. • Effective sanitation systems provide
barriers between excreta and humans in
such a way as to break the disease
transmission cycle (for example in the
case of fecal-borne diseases).
• This aspect is visualized with the F-
diagram where all major routes of fecal-
oral disease transmission begin with the
letter F:
• FECES, FINGERS, FLIES, FIELDS, FLUIDS, FOOD.
19. • Water, sanitation and hygiene have
the potential to prevent at least
9.1% of the global disease burden
and 6.3% of all deaths.
• Water and sanitation interventions
are cost effective across all world
regions.
20. • Improved water sources reduce diarrhea
morbidity by 21%; improved sanitation
reduces diarrhea morbidity by 37.5%.
• Simple act of washing hands can reduce
diarrhea by 35%.
• Improvement of drinking-water quality, such
as point-of-use disinfection, would lead to a
45% reduction of diarrhea episodes
21. Ministry of Drinking Water and
Sanitation
Govt. of India launched “Swachh
Bharat Mission” with effect from 2nd
October 2014.
It aims to achieve Swachh Bharat by
2019, as a fitting tribute to the 150th
Birth Anniversary of Mahatma
Gandhi.
23. 1. Basic sanitation. In 2017, 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.
1.1 A lower level of service is now called "limited
sanitation service" which refers to use of
improved sanitation facilities that are shared
between two or more households.
Joint Monitoring Programme (JMP) for Water Supply and Sanitation
24. An improved sanitation facility is defined as one
that hygienically separates human excreta from
human contact.
1. Flush Toilet
2. Connection to a piped sewer system
3. Connection to a septic system
4. Flush / pour-flush to a pit latrine
5. Pit latrine with slab
6. Ventilated improved pit latrine (abbreviated as
VIP latrine)
7. Composting toilet
25. Unimproved sanitation
Sanitation facilities that are not considered as
"improved" (also called "unimproved") are:
1. Public or shared latrine (meaning a toilet that is
used by more than one household)
2. Flush/pour flush to elsewhere (not into a pit,
septic tank, or sewer)
3. Pit latrine without slab
4. Bucket latrines
5. Hanging toilet / latrine
6. No facilities / bush / field (open defecation)
27. CONTAINER-BASED SANITATION(CBS)
CBS refers to a sanitation system where
human excreta is collected in sealable,
removable containers (or cartridges) that are
transported to treatment facilities.
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.
28. COMMUNITY-LED TOTAL
SANITATION (CLTS)
Is an approach used mainly in developing countries
to improve sanitation and hygiene practices in a
community. It focuses on spontaneous and long-
lasting behavior change of an entire community.
The goal of CLTS is to end open defecation. 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.
29. DRY SANITATION
• The term "dry sanitation" is not in
widespread use and is not very well
defined. It usually refers to a system that
uses a type of dry toilet and no sewers to
transport excreta. Often when people
speak of "dry sanitation" they mean a
sanitation system that uses urine-
diverting dry toilet (UDDTs)
31. ECOLOGICAL SANITATION
• is commonly abbreviated to eco-san, 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.
• Put in other words: "Ecosan systems safely
recycle excreta resources (plant nutrients and
organic matter) to crop production in such a
way that the use of non-renewable resources
is minimised".
32. Contd…
• When properly designed and operated,
ecosan systems provide a hygienically safe,
economical, and closed-loop 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.
34. EMERGENCY SANITATION
Emergency sanitation is required in situations
including natural disasters and relief
for refugees and Internally Displaced Persons
There are three phases: 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.
35. ENVIRONMENTAL SANITATION
• Environmental sanitation encompasses
the control of environmental factors that
are connected to disease transmission.
• Subsets of this category are solid waste
management, water and waste
water treatment, industrial
waste treatment and noise and pollution
control.
36. LACK OF SANITATION
• Lack of sanitation refers to the absence of
sanitation. In practical terms it usually means
lack of toilets or lack of hygienic toilets that
anybody would n’t want to use voluntarily.
• The result of lack of sanitation is usually open
defecation (and open urination but this is of
less concern) with associated serious public
health issues.
37. ON SITE SANITATION
• Onsite sanitation (or on-site sanitation) is
defined as "a sanitation system in which
excreta and wastewater are collected and
stored or treated on the plot where they are
generated“
• The degree of treatment may be variable,
from none to advanced. Examples are
pit latrines (no treatment) and septic
tanks (primary treatment of wastewater).
38. SAFELY MANAGED SANITATION
A relatively high level of sanitation
service is now called "safely
managed sanitation" by
the JMP definition. This is basic
sanitation service where in addition
excreta are safely disposed of in situ
or transported and treated offsite
39. SUSTAINABLE SANITATION
• Sustainable sanitation considers 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.
• In order to be sustainable, a sanitation system
has to be economically viable, socially acceptable,
technically and institutionally appropriate, and it
should also protect health the environment and
the natural resources.
40. SANITATION METHODS
• The sanitation process involves disposing of
waste properly, so it does not threaten the
environment or public health.
• There are four types of sanitation methods:
filtration, landfills, recycling and ecological.
Practicing proper hand washing and surface
cleaning techniques are all part of best
sanitation practices.
41. FILTRATION
• Filtration involves sterilizing water and filtering
away waste products, so it is safe for use and
consumption. This process involves passing
water through a filter, which separates solid
and liquid waste products.
• After adding pure oxygen and ozone, the water
passes through a smaller filter. Once this
process is complete, a water handler adds
chlorine to the water, killing any remaining
bacteria.
42. LANDFILLS
• Carrying waste products to a landfill is
another type of sanitation service.
Accordingly city garbage workers
transport waste to a temporary holding
place, or landfill.
• The purpose is to isolate the solid waste
from residential areas to avoid spreading
diseases.
43. RECYCLING
• Sanitation also includes recycling. Trained
workers at recycling plants sort paper,
plastic and other recyclables from a
general conveyor belt.
• Separated recyclables are crushed and
reprocessed, thereby preparing it for
reuse. Separated trash goes to the
landfill.
44. ECOLOGICAL MEASURES
• This concept involves the installation of toilets,
especially in developing countries where open
defecation take place. The building and
maintenance of safe, clean toilets is paramount,
according to the World Health Organization.
• In addition, ecological sanitation involves
teaching proper hand washing techniques before
handling food and after handling excrement.
According to the Centers for Disease Control and
Prevention, you should wash your hands with
soap and water for at least 20 seconds.
46. Lack of information
• Problems may be caused in many developing
countries by lack of recent, reliable information on
the condition of existing sanitation and hygiene
infrastructure, including whether or not it is actually
functioning.
• Official statistics on sanitation coverage are often
inconsistent or even hopelessly inflated. Needs and
demands, particularly in more remote rural areas, are
frequently unknown, making the task of setting a
coherent and balanced agenda more difficult.
47. Tensions between mindsets
• Mutual incomprehension between different
mindsets is frequently a barrier to improving
sanitation and hygiene provision. Some policy-
makers argue, for example, that sanitation as
a household amenity is a household
responsibility, so that public agencies should
concentrate their energies on public aspects
of sanitation, e.g. on public networks for
storm water drainage, sewerage etc, i.e. large
public works projects
48. Lack of coordination
Other commentators point to the lack of clarity in
some developing countries over who – or which
institution(s) – is responsible for which of the
functions .
The most commonly adopted arrangement is that
the institutional ‘home’ of sanitation is located
within ministries of water.
A second option can be to place sanitation within
the remit of the ministry of health .
Another possibility might conceivably be a separate
ministry for sanitation
49. Lack of political and budgetary
priority, lack of demand
• A limiting factor commonly evoked is lack of funds
for investment.
• Both water and sanitation have been losing out to
other sectoral interests in the competition for
scarce public funds.
• It prompts the question as to whether the
political will exists to increase budget priority of
sanitation
50. Donors’ agendas
In aid-dependent developing
countries, donor priorities will tend
to be influential in setting sectoral
agendas, and if pursued individually
they will undermine efforts to
promote collaborative planning.
51. POLICY IMPLEMENTATION
• The third stage of the typical policy
process is policy implementation.
• International commentators point to the
following barriers which commonly
need to be overcome in developing
countries.
52. LACK OF HUMAN AND TECHNICAL
CAPACITY
In many developing countries a lack of
capacity in terms of human resources
inhibits development, particularly at a
decentralised level.
The multi-faceted nature means that a
wide range of different disciplines and
skills is required to improve sanitation
and hygiene provision.
53. LOW CAPACITY TO ABSORB FUNDS
In a sector where spending has historically
been low, a question arises about the rate at
which flows of finance may be increased, at
least funds channelled through state (public)
bodies.
It cannot simply be assumed that more
resources will rapidly translate into improved
outcomes.
54. Lack of service providers
The reality in many locations in India
is that there is limited choice of
sanitation and hygiene providers,
whether agencies of local
government, community
associations, NGOs or private
suppliers.
55. ILL-SUITED METHODS/TECHNOLOGY
Suitable sanitation services/facilities will
vary according to context: there will be
differences between urban and rural
contexts, large and small towns, planned
and unplanned settlements – as well as
between different ethnic and social
settings (e.g. communities with more or
less collective organisation and identity)
56. Lack of access to credit
Loans available are often only for income
generating activities, rather than for
improving community and household
infrastructure (both sanitation and water
facilities).
And credit such as is available may not be at
affordable interest rates or offer repayment
periods long enough for poor borrowers
57. Lack of strong messages
Promoting sanitation and hygiene presents a
substantial communication challenge. As one
Indian specialist explains: ‘Statistics make no
impact on people, so that it is not enough to
state to villagers that diarrhoea kills x
thousands of children in their country every
year …The real challenge is to make clear the
links between common illness and the
practice of open defecation’
58. Lack of arrangements for cleaning
and maintenance
• A key aspect of the financial viability of
shared and communal sanitation facilities is
payment for maintenance – cleaning and
pit-emptying. Sustained demand for use of
latrines will depend on their being clean
and without smell.
• If the rota or other system for cleaning
breaks down, the facility will become
unpleasant to use
59. COMPLEXITIES OF BEHAVIOUR
CHANGE
• However compelling the ‘societal’ reasons may be for
investing in sanitation – reduced disease burden,
reduced public health costs, increased school
attendance for girls, greater economic productivity
etc – the ‘private’ motivations of individuals for
better sanitation at home may be different.
• As commentators have pointed out, an individual is
likely to be prompted to improve his/her sanitation
facilities by a mix of motives, including some which
are not linked to a concern for health
60. CULTURAL’ FACTORS
Indeed, beyond individual motivations,
further potential barriers are cultural factors
which make the intended beneficiaries of
sanitation and hygiene promotion projects
reticent or resistant to new facilities.
Cultural difference arises from gender:
variations in the perspectives of women and
men on sanitation facilities are noted by many
commentators.
61. Contd…
• The views of adults and children vary
too. Household circumstances are
also diverse. Different ethnic groups
may have varying beliefs and
customs, while attitudes to
sanitation and hygiene may vary
substantially between urban and
rural contexts.
63. • Water, sanitation and hygiene have
the potential to prevent at least
9.1% of the global disease burden
and 6.3% of all deaths.
• Water and sanitation interventions
are cost effective across all world
regions.
64. • Improved water sources reduce diarrhea
morbidity by 21%; improved sanitation
reduces diarrhea morbidity by 37.5%.
• Simple act of washing hands can reduce
diarrhea by 35%.
• Improvement of drinking-water quality, such
as point-of-use disinfection, would lead to a
45% reduction of diarrhea episodes
65. Ministry of Drinking Water and
Sanitation
Govt. of India launched “Swachh
Bharat Mission” with effect from 2nd
October 2014.
It aims to achieve Swachh Bharat by
2019, as a fitting tribute to the 150th
Birth Anniversary of Mahatma
Gandhi.
66. Ministry of Drinking Water and
Sanitation
• Toilet Reported -- 371.15Toilet Built (in Lakh)
since 2nd Oct 2014
• 20.50% increase in HHs with Toilet since 2nd Oct
2014. 19443696Toilet Built in 2016-17.
In 2016-17
• 121No. of ODF Districts - Self Declared
• 84809No. of ODF Gram Panchayats --Self Declared
• 181904No. of ODF Villages- Self Declared