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Sanitation strategies for reducing open defecation in rural areas of India and Ethiopia
Helena Humňalová, František Ficek
published online: 25. 05. 2023
Sanitation change continues to be on the forefront of the global development agenda, even as it is becoming clear that the targets established in the Sustainable Development Goals will not be met. But since improving access to safely managed sanitation facilities remains a cost-effective and impactful measure to improve people’s lives, it is still important to assess currently implemented policies to be able to learn from best practices and to understand how different approaches work under different contexts. This paper provides comparative analysis of country-level policies in India and Ethiopia, two countries that achieved notable progress in eliminating open defecation through distinct sanitation strategies, with the aim of confronting the advantages and disadvantages of both approaches. While in India the primary emphasis has been on the supply-side, i.e., provision of subsidized sanitation infrastructure, Ethiopian strategy prioritized the demand-side by addressing change in sanitation behavior through Community Total Led Sanitation. The analysis shows that neither of the strategies can fully achieve the sanitation change and a combination of both seems to be the most impactful approach in combating open defecation. It also argues that policymakers must consider not only local socioeconomic and budgetary constraints but also historical, institutional, sociocultural, and geographical specifics in deciding what type of subsidies would be the most fitting. At the same time, they also need to address the appropriate social norms to achieve the desirable change in sanitation behavior.
keywords: sanitation change; environmental health; India; Ethiopia; Sustainable Development Goals
1. Aalen, L., Tronvoll, K. (2009): The end of democracy? Curtailing political and civil rights in Ethiopia. Review of African Political Economy 36(120), 193-207. CrossRef
2. Abebe, T. A., Tucho, G. T. (2020): Open defecation-free slippage and its associated factors in Ethiopia: a systematic review. Systematic reviews 9(1), 1-15. CrossRef
3. Abraham, T., Ayalew, T. and Heald, R. (2019): From commitments to action: what will it take to integrate WASH and nutrition in Ethiopia? Posted on 31 July 2019. Available online https://washmatters.wateraid.org/blog/from-commitments-to-action-what-will-it-take-to-integrate-wash-and-nutrition-in-ethiopia.
4. Achenbach, M. (2022): Reaching 100 percent sanitation access in Ethiopia - Can it be done? Available online https://www.ircwash.org/blog/reaching-100-percent-sanitation-access-ethiopia-%E2%80%93-can-it-be-do.
5. Alemu, F., Kumie, A., Medhin, G., Gebre, T., Godfrey, P. (2017): A socio-ecological analysis of barriers to sustained adoption of rural sanitation in Ethiopia, a qualitative study. 40th WEDC International Conference, Loughborough, UK, 2. CrossRef
6. Andres, L. A., Deb, S., Joseph, G., Larenas, M. I., Grabinsky Zabludovsky, J. (2020): A Multiple-Arm, Cluster-Randomized Impact Evaluation Ofthe Clean India (Swachh Bharat) Mission Program in Rural Punjab, India. World Bank Policy Research Working Paper, 9249. CrossRef
7. Aragie, S., Wittberg, D. M., Tadesse, W., Dagnew, A., Hailu, D., Chernet, A., Keenan, J. D. (2022): Water, sanitation, and hygiene for control of trachoma in Ethiopia (WUHA): a two-arm, parallel-group, cluster-randomised trial. The Lancet Global Health 10(1), 87-95. CrossRef
8. Assefa, Y., Gelaw, Y. A., Hill, P. S., Taye, B. W., Van Damme, W. (2019): Community health extension program of Ethiopia, 2003-2018: successes and challenges toward universal coverage for primary healthcare services. Globalization and health 15, 24(2019). CrossRef
9. Banteyerga H. (2011): Ethiopia's health extension program: improving health through community involvement. MEDICC review 13(3), 46-49. CrossRef
10. Barnard, S., Routray, P., Majorin, F., Peletz, R., Boisson, S., Sinha, A., Clasen, T. (2013): Impact of Indian Total Sanitation Campaign on latrine coverage and use: A cross-sectional study in Orissa three years following program implementation. PloS ONE 8(8): e71438. CrossRef
11. Baye, D. (2021): Sustainable Development Goals (SDG) Target 6.2 in Ethiopia: Challenges and Opportunities. Open Access Library Journal 8(5), 1-28. CrossRef
12. Behailu, B. M. (2015): Dry Toilet Sanitation as an Alternative Solution to the Rural Ethiopia. In 5th International Dry Toilet Conference 2015.
13. Bhattacharya, S., Sharma, D., Sharma, P. (2018): Swachh Bharat Mission: an integrative approach to attain public health in India. International Journal of Environment and Health 9(2), 197-212. CrossRef
14. Chakraborty, S., Novotný, J., Das, J., Bardhan, A., Roy, S., Mondal, S. Patel, P.P., Santra, S., Maity, I., Biswas, R., Maji, A., Pramanik, S. (2022): Geography matters for sanitation! Spatial heterogeneity of the district‐level correlates of open defecation in India. Singapore Journal of Tropical Geography 43(1), 62-84. CrossRef
15. Chandana, N., Rao, B. (2021): Status of sustainable sanitation chain in rural, semi-urban, and urban regions: a case study of Maharashtra, India. Journal of Water, Sanitation and Hygiene for Development 11(1), 112-125. CrossRef
16. Chawicha, K., Asnake, M., Kassie, G., Nigatu, T., Belachew, M., Zerihun, H. (2012): The status of hygiene and sanitation practice among rural model families of the Health Extension Program (HEP) in Wolayta and Kembata Tembaro Zones of Southern Nations, Nationalities and Peoples' Region of Ethiopia. Ethiopian Journal of Health Development 26(2), 93-100.
17. Coffey, D., Gupta, A., Hathi, P., Khurana, N., Spears, D., Srivastav, N., Vyas, S. (2014): Revealed preference for open defecation. Economic and Political Weekly 49(38), 43. CrossRef
18. Conceição, P. (2019): Human development report. 2019: beyond income, beyond averages, beyond today: inequalities in human development in the 21st century.
19. Côrtes, L., Gianella, C., Wilson, B. (2016): Enforcement of water rights. CMI Brief.
20. Crocker J, Saywell D, Bartram J. (2017): Sustainability of community-led total sanitation outcomes: evidence from Ethiopia and Ghana. International Journal of Hygiene and Environmental Health 220(3), 551-557. CrossRef
21. Cullet, P. (2018): Policy as Law: Lessons from Sanitation Interventions in Rural India. Stanford Journal of International Law 54, 241. CrossRef
22. Curtis, V. (2019): Explaining the outcomes of the 'Clean India' campaign: institutional behavior and sanitation transformation in India. BMJ global health 4(5): e001892. CrossRef
23. Delea, M. G., Snyder, J. S., Belew, M., Caruso, B. A., Garn, J. V., Sclar, G. D., Freeman, M. C. (2019): Design of a parallel cluster-randomized trial assessing the impact of a demand-side sanitation and hygiene intervention on sustained behavior change and mental well-being in rural and peri-urban Amhara, Ethiopia: Andilaye study protocol. BMC Public Health 19, 801(2019). CrossRef
24. Deshpande, A., Miller-Petrie, M. K., Lindstedt, P. A., Baumann, M. M., Johnson, K. B., Blacker, B. F., Abegaz, K. H. (2020): Mapping geographical inequalities in access to drinking water and sanitation facilities in low-income and middle-income countries, 2000-17. The Lancet Global Health 8(9), 1162-1185. CrossRef
25. Duggal, R. (1991): Bhore Committee (1946) and its relevance today. Indian Journal of Pediatrics 58, 395-406. CrossRef
26. Exum, N. G., Gorin, E. M., Sadhu, G., Khanna, A., Schwab, K. J. (2020): Evaluating the declarations of open defecation free status under the Swachh Bharat ('Clean India') Mission: repeated cross-sectional surveys in Rajasthan, India. BMJ Global Health 5(3), e002277. CrossRef
27. Feleke, B. E., Beyene, M. B., Feleke, T. E., Jember, T. H., Abera, B. (2019): Intestinal parasitic infection among household contacts of primary cases, a comparative cross-sectional study. PLoS ONE 14(10), e0221190. CrossRef
28. Freeman, M. C., Delea, M. G., Snyder, J. S., Garn, J. V., Belew, M., Caruso, B. A., Gobezayehu, A. G. (2022): The impact of a demand-side sanitation and hygiene promotion intervention on sustained behavior change and health in Amhara, Ethiopia: a cluster-randomized trial. PLOS Global Public Health 2(1): e0000056. CrossRef
29. Freeman, M. C., Ogden, S., Jacobson, J., Abbott, D., Addiss, D. G., Amnie, A. G., Utzinger, J. (2013): Integration of water, sanitation, and hygiene for the prevention and control of neglected tropical diseases: a rationale for inter-sectoral collaboration. PLOS Neglected Tropical Disease 7(9): e2439. CrossRef
30. Gudavarthy, A., Vijay, G. (2020): Social Policy and Political Mobilization in India: Producing Hierarchical Fraternity and Polarized Differences. Development and Change 51(2), 463-484. CrossRef
31. Gupta, A., Khalid, N. Hathi, P., Srivastav, N., Vyas, S., Coffey, D. (2019): Coercion, construction, and 'ODF paper pe': The Swachh Bharat According to Local Officials. CrossRef
32. Gupta, A., Khalid, N., Deshpande, D., Hathi, P., Kapur, A., Srivastav, N., Vyas, S., Spears, D., Coffey, D. (2020): Revisiting Open Defecation: Evidence from a Panel Survey in Rural North India 2014 - 2018, IZA Discussion Paper No. 1206545. CrossRef
33. Haile, G., Davies, W. (2009): Sustainable financing for the water and sanitation sector in Ethiopia. 34th WEDC International Conference, Addis Ababa, Ethiopia, 2009.
34. Haile, G., Abajobir, A. (2015): Assessment of Functionality of Health Extension Workers and Its Determinants in East Gojam, Northwest Ethiopia: A Comparative Cross-Sectional Study. Primary Health Care 4(175), 2167-1079. CrossRef
35. Hueso, A., BellL, B. (2013): An untold story of policy failure: the total sanitation campaign in India. Water Policy 15(6), 1001-1017. CrossRef
36. Hueso, A., Boni, A., Fernández‐Baldor, Á. (2018): Embracing the complexity of policy processes in sanitation: Insights from India. Development Policy Review 36(2), 203-219. CrossRef
37. Hutton, G., Patil, S., Kumar, A., Osbert, N., Odhiambo, F. (2020): Comparison of the costs and benefits of the clean India mission. World Development 134, 105052. CrossRef
38. Iyengar, S., Dolšak, N., Prakash, A. (2019): Selectively Assertive: Interventions of India's Supreme Court to Enforce Environmental Laws. Sustainability 11(24), 7234. CrossRef
39. Jain, A., Wagner, A., Snell-Rood, C., Ray, I. (2020): Understanding Open Defecation in the Age of Swachh Bharat Abhiyan: Agency, Accountability, and Anger in Rural Bihar. International journal of environmental research and public health 17(4), 1384. CrossRef
40. Khan, S. (2006): Systems of medicine and nationalist discourse in India: towards "new horizons" in medical anthropology and history. Social Science & Medicine 62(11), 2786-2797. CrossRef
41. Kloos, H. (1998): Primary health care in Ethiopia under three political systems: Community participation in a war-torn society. Social Science & Medicine 46(4-5), 505-522. CrossRef
42. Kohlitz, J., Lala, S., Bartell, J., Halcrow, G., Foster, T., Willetts, J. (2022): Supporting the poor to access sanitation: key lessons from targeted household consumer subsidies in Cambodia. Development in Practice 32(6), 812-825. CrossRef
43. Kumar, A. (2017): Beyond toilets and targets: sanitation mission in India. Development in Practice 27(3), 408-413. CrossRef
44. Kurup, K. B. (1991): Community based approaches in water supply and sanitation program -An Indian experience. Social Indicators Research 24(4), 403-414. CrossRef
45. Makuwira, J. (2018): Power and development in practice: NGOs and the development agenda setting. Development in Practice 28(3), 422-431. CrossRef
46. Melberg, A., Mirkuzie, A. H., Sisay, T. A., Sisay, M. M., Moland, K. M. (2019): 'Maternal deaths should simply be 0': politicization of maternal death reporting and review processes in Ethiopia. Health Policy and Planning 34(7), 492-498. CrossRef
47. Ministry of Drinking Water and Sanitation (2018): Guidelines for Swachh Bharat Mission (Gramin). Available online https://jalshakti-ddws.gov.in/sites/default/files/SBM(G)_Guidelines.pdf.
48. Ministry of Drinking Water and Sanitation (2012): Guidelines Nirmal Bharat Abhiyan. Available online https://www.indiawaterportal.org/sites/indiawaterportal.org/files/nba_guidelines_final.pdf.
49. Ministry of Drinking Water and Sanitation (2020): ODF villages. Available online https://sbm.gov.in/sbmdashboard/ODF.aspx.
50. Ministry of Health (2005): National hygiene and sanitation strategy for Ethiopia. To Enable 100% Adoption of Improved Hygiene and Sanitation. Available online http://documents1.worldbank.org/curated/en/216221468023104331/pdf/463600WSP0Box31SanitationStrategyAF.pdf.
51. Ministry of Health (2012): CLTSH verification and certification protocol. Ethiopia Ministry of Health. January 2012. Available online http://www.communityledtotalsanitation.org/sites/communityledtotalsanitation.org/files/Ve rification_Certification_Protocol_Ethiopia.pdf.
52. Ministry of Jal Sakthi (2019): Jal Jeevan Mission. Available online https://jaljeevanmission.gov.in/sites/default/files/guideline/JJM_note.pdf.
53. Mohapatra, G. (2019): Projected Behavioral Change in Swachh Bharat Mission: A Public Policy Perspective. Indian Journal of Public Administration 65(2), 451-474. CrossRef
54. Moyer, J. D., Hedden, S. (2020): Are we on the right path to achieve the sustainable development goals? World Development 127, 104749. CrossRef
55. Mushtaq, M. U. (2009): Public health in British India: A brief account of the history of medical services and disease prevention in colonial India. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine 34(1), 6. CrossRef
56. National WASH coordination office (2018): One WASH National Program (OWNP). A Multi-Sectoral SWAP. Review of Phase I. Available online https://www.unicef.org/ethiopia/media/1041/file/ONE%20WASH%20NATIONAL%20PROGRAM%20(OWNP)%20.pdf.
57. Novotný, J., Humňalová, H., Kolomazníková, J. (2018a): The social and political construction of latrines in rural Ethiopia. Journal of Rural Studies 63, 157-167. CrossRef
58. Novotný, J., Ficek, F., Hill, J. K., Kumar, A. (2018b): Social determinants of environmental health: A case of sanitation in rural Jharkhand. Science of The Total Environment 643, 762-774. CrossRef
59. Novotný, J. Mamo, B. G. (2022): Household-level sanitation in Ethiopia and its influencing factors: a systematic review. BMC Public Health 22(1), 1-15. CrossRef
60. OneWASH (2019): Program Operational Manual (POM) for the Consolidated WASH Account (CWA) Phase II. Available online https://www.cmpethiopia.org/content/download/3678/15026/file/Ethiopian%20OWNP-CWA%20-%20POM%20%20Second%20%20Draft%20June%203,2019.pdf.
61. OpenWASH (2016): Ethiopia's One WASH National Program, The Open University UK/World Vision Ethiopia/UNICEF.
62. O'Reilly, K., Dhanju, R. Goel, A. (2017): Exploring "the remote" and "the rural": Open defecation and latrine use in Uttarakhand, India. World Development 93, 193-205. CrossRef
63. O'Reilly, K., Dhanju, R. Louis, E. (2017): Subjected to sanitation: caste relations and sanitation adoption in rural Tamil Nadu. The Journal of Development Studies 53(11), 1915-1928. CrossRef
64. Pakhtigian, E. L., Dickinson, K. L., Orgill-Meyer, J., Pattanayak, S. K. (2022): Sustaining latrine use: Peers, policies, and sanitation behaviors. Journal of Economic Behavior & Organization 200, 223-242. CrossRef
65. Patil, S. R., Arnold, B. F., Salvatore, A. L., Briceno, B., Ganguly, S., Colford Jr, J. M., Gertler, P. J. (2014): The effect of India's total sanitation campaign on defecation behaviors and child health in rural Madhya Pradesh: a cluster randomized controlled trial. PLoS medicine 11(8). CrossRef
66. Routray, P., Schmidt, W. P., Boisson, S., Clasen, T., Jenkins, M. W. (2015): Socio-cultural and behavioral factors constraining latrine adoption in rural coastal Odisha: an exploratory qualitative study. BMC public health 15(1), 880. CrossRef
67. Routray, P., Torondel, B., Jenkins, M. W., Clasen, T., Schmidt, W. P. (2017): Processes and challenges of community mobilisation for latrine promotion under Nirmal Bharat Abhiyan in rural Odisha, India. BMC public health 17(1), 453. CrossRef
68. Sadoff, C. W., Borgomeo, E., Uhlenbrook, S. (2020): Rethinking water for SDG 6. Nature Sustainability 3, 346-347. CrossRef
69. Satyavada, A. (2019): More or Less: A Rapid Review of 'Water for Toilets' in Rural India, Sanitation and Hygiene Rapid Topic Review, Brighton: IDS. Available online https://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/15370.
70. Sarkar, S. K., Bharat, G. K. (2021): Achieving Sustainable Development Goals in water and sanitation sectors in India. Journal of Water, Sanitation and Hygiene for Development 11(5), 693-705. CrossRef
71. Siraj, K. T., Rao, P. P. (2016): Review on water resources and sources for safe drinking and improved sanitation in Ethiopia. International Journal of Applied Research 2, 78-82.
72. Sinha, A., Nagel, C. L., Schmidt, W. P., Torondel, B., Boisson, S., Routray, P., Clasen, T. F. (2017): Assessing patterns and determinants of latrine use in rural settings: a longitudinal study in Odisha, India. International journal of hygiene and environmental health 220(5), 906-915. CrossRef
73. UN (2018): Sustainable Development Goal 6: Synthesis Report 2018 on Water and Sanitation.
74. UNICEF (2017): Progress on CLTSH in Ethiopia: Findings from a National Review. Wash fieldnote. Available online https://www.unicef.org/ethiopia/media/176/file/WASH-fieldnote-2017.pdf.
75. WaterAid (2016): Making sanitation happen: turning 'political will' into action. Policy brief. Water Aid, London, UK. Available online https://washmatters.wateraid.org/sites/g/files/jkxoof256/files/making_sanitation_happen_turning_political_will_into_action.pdf.
76. WHO (2015): Progress on sanitation and drinking water: 2015 update and MDG assessment: World Health Organization.
77. WHO/UNICEF (2019): Progress on household drinking water, sanitation and hygiene 2000-2017. Special focus on inequalities. New York: United Nations Children's Fund (UNICEF) and World Health Organization, 2019.
78. World Bank (2016): Ethiopia health extension program: an institutionalized community approach for universal health coverage. Available online https://openknowledge.worldbank.org/bitstream/handle/10986/24119/9781464808159.pdf?sequence=2.
79. World Health Organization (2021): Progress on household drinking water, sanitation and hygiene 2000-2020: five years into the SDGs.
80. WSP (2010): A Decade of the Total Sanitation Campaign. Rapid Assessment of Processes and Outcomes. Water and Sanitation Program, Available online at: https://www.wsp.org/sites/wsp/files/publications/WSP_India_TSC_Report_Vol_1_Press.pdf.
81. Yogananth, N., Bhatnagar, T. (2018): Prevalence of open defecation among households with toilets and associated factors in rural south India: an analytical cross-sectional study. Transactions of The Royal Society of Tropical Medicine and Hygiene 112(7), 349-360. CrossRef
82. Zuin, V., Delaire, C., Peletz, R., Cock-Esteb, A., Khush, R., Albert, J. (2019): Policy diffusion in the rural sanitation sector: lessons from Community-Led Total Sanitation (CLTS). World Development 124, 104643. CrossRef
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