Lack Of Progress On Sanitation Threatens To Undermine The Child Survival

Lack of progress on sanitation threatens to undermine the child survival and health benefits from gains in access to safe drinking water, warn WHO and UNICEF in a report tracking access to drinking water and sanitation against the Millennium Development Goals.

The Joint Monitoring Programme report, Progress on Sanitation and Drinking Water: 2015 Update and MDG Assessment, says worldwide, 1 in 3 people, or 2.4 billion, are still without sanitation facilities – including 946 million people who defecate in the open.

"What the data really show is the need to focus on inequalities as the only way to achieve sustainable progress," said Sanjay Wijesekera, head of UNICEF's global water, sanitation and hygiene programmes. "The global model so far has been that the wealthiest move ahead first, and only when they have access do the poorest start catching up. If we are to reach universal access to sanitation by 2030, we need to ensure the poorest start making progress right away."

The report said access to improved drinking water sources has been a major achievement for countries and the international community. With some 2.6 billion people having gained access since 1990, 91 per cent of the global population now have improved drinking water – and the number is still growing. In sub-Saharan Africa, for example, 427 million people have gained access – an average of 47,000 people per day every day for 25 years.

The child survival gains have been substantial. Today, fewer than 1,000 children under five die each day from diarrhoea caused by inadequate water, sanitation and hygiene, compared to over 2,000 15 years ago.

On the other hand, the progress on sanitation has been hampered by inadequate investments in behaviour change campaigns, lack of affordable products for the poor, and social norms which accept or even encourage open defecation. Although some 2.1 billion people have gained access to improved sanitation since 1990, the world has missed the MDG target by nearly 700 million people. Today, only 68 per cent of the world's population uses an improved sanitation facility – 9 percentage points below the MDG target of 77 per cent.

"Until everyone has access to adequate sanitation facilities, the quality of water supplies will be undermined and too many people will continue to die from waterborne and water-related diseases," said Dr Maria Neira, Director of the WHO Department of Public Health, Environmental and Social Determinants of Health.

Access to adequate water, sanitation and hygiene is critical in the prevention and care of 16 of the 17 'neglected tropical diseases' (NTDs), including trachoma, soil-transmitted helminths (intestinal worms) and schistosomiasis. NTDs affect more than 1.5 billion people in 149 countries, causing blindness, disfigurement, permanent disability and death.

The practice of open defecation is also linked to a higher risk of stunting – or chronic malnutrition – which affects 161 million children worldwide, leaving them with irreversible physical and cognitive damage.

"To benefit human health it is vital to further accelerate progress on sanitation, particularly in rural and underserved areas," added Dr Neira.

Rural areas are home to 7 out of 10 people without access to improved sanitation and 9 out of 10 people who defecate in the open.

Plans for the new Sustainable Development Goals (SDGs) to be set by the United Nations General Assembly in September 2015 include a target to eliminate open defecation by 2030. This would require a doubling of current rates of reduction, especially in South Asia and sub-Saharan Africa, WHO and UNICEF say.

WHO and UNICEF say it is vitally important to learn from the uneven progress of the 1990-2015 period to ensure that the SDGs close the inequality gaps and achieve universal access to water and sanitation. To do so, the world needs:

-Disaggregated data to be able to pinpoint the populations and areas which are outliers from the national averages;
-A robust and intentional focus on the hardest to reach, particularly the poor in rural areas;

-Innovative technologies and approaches to bring sustainable sanitation solutions to poor communities at affordable prices;

-Increased attention to improving hygiene in homes, schools and health care facilities.
STORY: UNICEF / WORLD SANITATION REPORT
SOURCE: UNICEF / FILE
RESTRICTIONS: NONE
LANGUAGE: ENGLISH/NATS

DATELINE: FILE AFGHANISTAN, SOUTH SUDAN, LIBERIA, YEMEN, MADAGASCAR


SHOTLIST:

Afghanistan, September 1, 2013
1. Wide shot, sanitation building
2. Close-up, soap container
3. Med shot, girl washing hands at sink
4. Close-up, girls hands
5. Med shot, boy walking into bathroom and cleaning toilet
6. Close-up, boy washing hands and face

Juba, South Sudan, May 20, 2014

7. Close-up, volunteer explaining risks of open defecation
8. Med shot, men listening
9.Close-up, men listening
10.Close-up, volunteer explaining risks of open defecation

Monrovia, Liberia, October 23, 2014

11.UPSOUOND Med shot, UNICEF worker explaining sanitation process of toilet at Ebola treatment centre
"After every patient who uses it, it is being cleaned up before another patient comes in, to avoid contamination from it. So the three lines I mentioned here, you see the normal water coming here. We have the low chlorination here for handwashing like this, as well, and then the highly chlorinated one for flushing the toilet
12. Close-up, chlorine water taps

Sana'a, Yemen, May 16, 2015

13. Wide shot, piles of garbage in streets
14.    Med shot, garbage in the streets

Antananarivo, Madagascar, March 11, 2015
15. Wide shot, exterior of rural settlement
16. Close-up, man pouring water into DIY toilet system
17. Med shot, man and little girl exit DIY latrine
18. Close-up, woman and little girl wash hands at DIY hand washing station


DURATION: 02:35