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Progress on   D inking Water
       and              2012
                        UPDATE
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WHO Library Cataloguing-in-Publication Data

Progress on Drinking Water and Sanitation: 2012 Update

1. Water supply – standards. 2. Potable water – supply and distribution. 3. Sanitation 4. Millennium Development Goals. 5. Programme
evaluation

I. WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation.

ISBN: 978-92-806-4632-0 (NLM classification: WA 670)
ISBN: 978-924-1503297

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2011, Uganda
Progress on   D inking Water
       and              2012
                        UPDATE
Progress on Drinking Water and Sanitation > 2012 Update
Foreword


           Since the adoption of the Millennium Development Goals, the WHO/UNICEF Joint
           Monitoring Programme for Water Supply and Sanitation has reported on progress
           towards achieving Target 7c: reducing by half the proportion of people without sus-
           tainable access to safe drinking water and basic sanitation. This report contains the
           welcome announcement that, as of 2010, the target for drinking water has been met.

           Since 1990, more than 2 billion people have gained access to improved drinking
           water sources. This achievement is a testament to the commitment of Government
           leaders, public and private sector entities, communities and individuals who
           saw the target not as a dream, but as a vital step towards improving health and
           well-being.

            Of course, much work remains to be done. There are still 780 million people without
           access to an improved drinking water source. And even though 1.8 billion people
           have gained access to improved sanitation since 1990, the world remains off track
           for the sanitation target. It is essential to accelerate progress in the remaining
           time before the MDG deadline, and I commend those who are participating in the
           Sustainable Sanitation: Five Year Drive to 2015.

           This report outlines the challenges that remain. Some regions, particularly sub-
           Saharan Africa, are lagging behind. Many rural dwellers and the poor often miss
           out on improvements to drinking water and sanitation. And the burden of poor
           water supply falls most heavily on girls and women. Reducing these disparities
           must be a priority.

           The recognition by the UN General Assembly, in 2010, of water and sanitation as
           a human right provides additional political impetus towards the ultimate goal of
           providing everyone with access to these vital services. Many countries and agencies
           have joined hands in the Sanitation and Water for All partnership. Such collective
           efforts offer real promise and I urge all partners to contribute.

           I commend this report to all those working towards universal access to safe
           water and sanitation. Achieving the MDG drinking water target is a major step, but
           ultimately, only one step on a long journey that we have yet to finish. Let us use
           this success to invest our mission for sustainable, equitable development with
           renewed vigour so we can create the future we want.



                          Ban Ki-moon
                          Secretary-General, United Nations
Contents


           		 2	
            0       Looking Forward, Looking Back



           0
           	 3	     Global Drinking Water Trends 1990-2010
           	 04	    Progress Towards the MDG Target
           	 08	    Regional Trends
           	 11	    An Alternative Indicator of Progress
           	 12	    Urban-Rural Disparities



           14	
             	      Global Sanitation Trends 1990-2010
           	 15	    Progress Towards the MDG Target
           	 18	    Regional Trends
           	 22 	   An Alternative Indicator of Progress
           	 23 	   Urban-Rural Disparities



           	 6	
           2        The Equity Imperative
           	 27 	   Looking Beyond Averages
           	 28 	   Water & Sanitation Use in Least Developed Countries
           	 29 	   Water & Sanitation Use by Wealth Quintiles
           	 31 	   Gender and the Burden of Collecting Water



           	 2	
           3        JMP Methodology and What Lies Ahead
           	 33 	   JMP Estimates
           	 34 	   Growth of the JMP Database
           	 34 	   Data Limitations
           	 35 	   Data Reconciliation
           	 35 	   JMP Task Forces
           	 35 	   Looking Beyond 2015



           	 7	
           3        Statistical Tables
           	 38	    Country, Regional and Global Estimates on Water & Sanitation
           	 56	    Annex: Trends In Urban and Rural Drinking Water & Sanitation Coverage
           	 58	    Millennium Development Goals: Regional Groupings




                                                                                            01
Looking Forward, Looking Back


                                                          The WHO/UNICEF Joint Monitoring Programme for
                                                          Water Supply and Sanitation, known as the JMP, reports every
                                                          two years on access to drinking water and sanitation worldwide and on progress
                                                          towards related targets under Millennium Development Goal 7. This 2012 report
                                                          is based on data gathered from household surveys and censuses, including both
                                                          recent and older data sets that have come to the attention of the JMP. The estimates
                                                          presented here describe the situation as of end-2010 and supersede those of the
                                                          JMP update published in March 2010.

                                                          The report brings welcome news: The MDG drinking water target, which calls for
                                                          halving the proportion of the population without sustainable access to safe
                                                          drinking water between 1990 and 2015, was met in 2010, five years ahead of
                                                          schedule. However, the report also shows why the job is far from finished. Many
                                                          still lack safe drinking water, and the world is unlikely to meet the MDG sanitation
                                                          target. Continued efforts are needed to reduce urban-rural disparities and ineq-
                                                          uities associated with poverty; to dramatically increase coverage in countries
                                                          in sub-Saharan Africa and Oceania; to promote global monitoring of drinking
                                                          water quality; to bring sanitation ‘on track’; and to look beyond the MDG target
                                                          towards universal coverage.

                                                          Still, much has been achieved. As this progress report shows, over 2 billion people
                                                          gained access to improved water sources and 1.8 billion people gained access to
                                                          improved sanitation facilities between 1990 and 2010. This is impressive, par-
                                                          ticularly when the gains of countries that started at a low baseline and faced high
                                                          population growth are considered. Indeed, much of the progress of the last 20
                                                          years has been in the context of rapid population growth, and this is why some of
                                                          the news in this report is sobering. Over 780 million people are still without access
                                                          to improved sources of drinking water and 2.5 billion lack improved sanitation.
Progress on Drinking Water and Sanitation > 2012 Update




                                                          If current trends continue, these numbers will remain unacceptably high in 2015:
                                                          605 million people will be without an improved drinking water source and
                                                          2.4 billion people will lack access to improved sanitation facilities.

                                                          As we approach the 2015 target date for the MDGs, WHO and UNICEF are addressing
                                                          current monitoring challenges and those that lie ahead. The safety and reliability
                                                          of drinking water supplies and the sustainability of both water supply sources and
                                                          sanitation facilities are not addressed by the current set of indicators used to track
                                                          progress. Accordingly, this report details work under way to refine both indicators
                                                          and methods of monitoring, as part of the 2010-2015 JMP strategy. It also discusses
                                                          the beginnings of a process to develop new water, sanitation and hygiene goals,
                                                          targets and indicators beyond 2015, in alignment with the human right to water and
                                                          sanitation and the mandate of the UN Special Rapporteur on the Human Right to
                                                          Water and Sanitation.




02
Global D inking Water
			 Trends 1990-2010




                        03
Global Drinking Water Trends 1990-2010

                                                                                                                                      Progress Towards
                                                                                                                                      the MDG Target



                                                          The MDG drinking water target has                     First, huge disparities exist. While              quality of water at the national level in
                                                          been reached: Over 2 billion people                   coverage of improved water supply                 all countries is prohibitively expen-
                                                          gained access to improved water                       sources is 90 per cent or more in Latin           sive and logistically complicated;
                                                          sources from 1990 to 2010, and the                    America and the Caribbean, Northern               therefore, a proxy indicator for water
                                                          proportion of the global population                   Africa and large parts of Asia, it is             quality was agreed upon for MDG
                                                          still using unimproved sources is esti-               only 61 per cent in sub-Saharan Africa.           monitoring. This proxy measures the
                                                          mated at only 11 per cent (Figure 1).                 Coverage in the developing world                  proportion of the population using
                                                          This is less than half of the 24 per cent             overall stands at 86 per cent, but it is          ‘improved’ drinking water sources,
                                                          estimated for 1990. Almost 6.1 billion                only 63 per cent in countries desig-              defined as those that, by the nature of
                                                          people, 89 per cent of the world’s                    nated as ‘least developed’. Similar               their construction, are protected from
                                                          population, were using an improved                    disparities are found within countries            outside contamination, particularly
                                                          water source in 2010. The drinking                    – between the rich and poor and                   faecal matter. However, some of these
                                                          water target has thus become one of                   between those living in rural and urban           sources may not be adequately main-
                                                          the first MDG targets to be met.                      areas. These inequities are explored              tained and therefore may not actually
                                                                                                                later in this report.                             provide ‘safe’ drinking water. As a
                                                          While this tremendous achievement                                                                       result, it is likely that the number of
                                                          should be applauded, a great deal of                  Second, complete information about                people using safe water supplies has
                                                          work remains:                                         drinking water safety is not available            been over-estimated (see Box 1). 
                                                                                                                for global monitoring. Systematically
                                                                                                                testing the microbial and chemical



                                                            The MDG drinking water target has been met
                                                                     %
                                                                   100
                                                                                       24                21               17                14             11                   8
                                                                                                                                                                                             12 MDG target

                                                                    80
Progress on Drinking Water and Sanitation > 2012 Update




                                                                    60



                                                                                                                                                           89                   92
                                                                                                                          83                86
                                                                    40                 76                79




                                                                    20




                                                                        0
                                                                                      1990              1995             2000              2005            2010                2015
                                                                                                                                                                            (projected)

                                                                                   ■ improved sources                     ■ Unimproved sources                          MDG target


                                                             Figure 1       Trends in global drinking water coverage, 1990-2010, projected to 2015




04
Finally, more than 780 million people
remain unserved. Although the MDG
                                                     BOX 1
                                                               Monitoring the global targets for drinking water
drinking water target has been met, it                         and sanitation: Challenges and achievements
only calls for halving the proportion
of people without safe drinking water.
More than one tenth of the global                  In the two decades that WHO and UNICEF have been tracking progress in water
population still relied on unimproved              and sanitation, advances have been made in the availability and quality of data and
drinking water sources in 2010.                    the methods used to measure them:

                                                   n	 A shift from provider- to user-based data: Initially the JMP relied almost
Figure 2 illustrates the global trend
                                                     exclusively on government data, which were largely drawn from water-utility
in the use of drinking water sources,                companies and line ministries and were based on the number of facilities con-
disaggregated by category. The last                  structed. The figures did not reflect facilities that had fallen into disrepair or were
two decades have seen impressive                     constructed by others outside of government-supported programmes. A key
increases in the use of both piped con-              improvement in the mid-1990s was a shift to user-based data, collected through
                                                     household surveys and population censuses, which more accurately reflect actual
nections to a dwelling, plot or yard and
                                                     use of water and sanitation facilities by individual households.
other improved sources, such as pro-
tected dug wells, boreholes, rainwater             n	 More standardized data: Lack of comparability of data on drinking water
                                                     sources and sanitation facilities among countries and over time has posed a huge
collection and standpipes.
                                                     challenge to global monitoring. In response, WHO and UNICEF assisted the major
                                                     household surveys to incorporate harmonized questions into their questionnaires,
                                                     and in 2006 they published ‘Core Questions on Drinking Water and Sanitation
  Drinking water coverage                            for Household Surveys’ to encourage their more widespread use. This increased
  increased from 76 per cent                         standardization has greatly enhanced the comparability of data.
  in 1990 to 89 per cent
  in 2010                                          n	 Increased availability of data: The late 1990s saw an unprecedented increase
                                                     in the availability of household survey data, largely due to the implementation
                         6           3
                                                     of the UNICEF-supported Multiple Indicator Cluster Survey (MICS) and the
                                     8
                                                     Demographic and Health Survey (DHS), initiated by the United States Agency for
                         18                          International Development (USAID).

                                                   n	 Expanded JMP database: In 2000, some 220 sources of data could be found
                                                     in the JMP database; this current update reflects more than 1,400 sources.
                                    35
                                                   n	 Greater disaggregation of data: The introduction of drinking water and
                         31                          sanitation ‘ladders’ has allowed categories such as ‘piped drinking water on
                                                     premises’ and ‘open defecation’ to be highlighted.
         Coverage (%)




                                                   Still, data limitations abound. One major information gap is the safety of drinking
                                                   water supplies. Since cost-effective, periodic and standardized water quality
                                                   testing was not possible on a global scale when the MDG target was formulated,
                                                   and since nationally representative information on water safety was not available
                                                   for the period following the baseline year (1990), WHO and UNICEF were obliged
                                    54             to use a proxy for ‘sustainable access to safe drinking water’, as specified in the
                         45                        MDG target. The agreed proxy was ‘use of an improved water source’, where
                                                   ‘improved’ was determined by the type of technology a household reported as
                                                   their primary source.  An improved source is one that, through technological
                                                   intervention, increases the likelihood that it provides safe water.

                                                   To date it has remained impractical to obtain water quality data at the national
                                                                                                                                               G

                        1990        2010           level for all countries. The main international household surveys – MICS and DHS –
                        ■    Surface water         are piloting the inclusion of a water-quality module that will include testing for
                                                                                                                                               lobal dr




                        ■    Unimproved            the presence of E. coli. This is made feasible in part by the availability of new, rapid,
                        ■    Other improved
                                                   low-cost water quality testing kits. If successful, it could lead to further evolution
                        ■    Piped on premises
                                                   in monitoring and pave the way for a future drinking water target that includes a
                                                                                                                                               inking W




                                                   measure of water quality.
                        Trend in the proportion
                                                                                                                                               ater tr




   Figure 2             of the global population   Similarly, a proxy for sustainable access to basic sanitation is the use of improved
                        using piped drinking
                                                   sanitation facilities. Measuring the actual sustainability of both water and sanitation
                        water on premises, other
                                                   facilities remains an area that could benefit from further attention. For a more
                                                                                                                                               ends 1990-2010




                        improved drinking water
                        sources, unimproved        detailed discussion of these issues, see section on ‘Data Limitations’, on page 34.
                        sources and surface
                        water, 1990-2010




                                                                                                                                               05
Sub-Saharan Africa and Oceania are not on track to meet the MDG drinking water target




                                                                                                                                ■ 	 Onthe 2010 rate required toinmeet the target or was within 5%
                                                                                                                                	   of
                                                                                                                                       track: Coverage rate 2010 was >95%


                                                                                                                                ■ 	 Progress but insufficient: Coverage ratethe 2010 was between
                                                                                                                                	   5% and 10% of the 2010 rate required to meet
                                                                                                                                                                                 in
                                                                                                                                                                                    target

                                                                                                                                ■ 	 Notin 1990 or below 10% of thein2010 rate required to or lower than the
                                                                                                                                	   rate
                                                                                                                                         on track: Coverage rate 2010 was the same
                                                                                                                                                                                          meet the target

                                                            Figure 3   Progress towards the MDG drinking water target, 2010     ■ 	 insufficientto estimatenot applicable: Data were unavailable
                                                                                                                                	   or insufficient
                                                                                                                                                    data or
                                                                                                                                                            trends or a progress assessment was
                                                                                                                                	    not applicable




                                                          For the first time, data on the use of          national level. The same methodology               surprising, however, since the inhabit-
                                                          unimproved sources have been disag-             that is used to determine progress                 ants of these two countries represent
                                                          gregated into two categories: surface           at the global level can be applied to              46 per cent of the developing world’s
                                                          water and other unimproved sources.             individual countries, using JMP esti-              population.
                                                          The latter includes unprotected dug             mates to assess whether a country is
                                                          wells, unprotected springs and water            on- or off-track in meeting its targets.           Wide variations are found in the
                                                          delivered by cart or tanker. Surface            The results are illustrated in Figure 3,           rate at which regions have improved
                                                          water includes water collected directly         which shows that the majority of coun-             coverage. In general, regions in which
                                                          from rivers, lakes, ponds, irrigation           tries lagging behind on the drinking               coverage was already high have made
                                                          channels and other surface sources.             water target are in sub-Saharan Africa.            more modest gains, rising by only a
Progress on Drinking Water and Sanitation > 2012 Update




                                                          The use of surface water stands at              In fact, only 19 out of 50 countries in            few percentage points over 20 years.
                                                          a surprisingly high 3 per cent of the           that region are on track to meet the               Of note are the impressive gains in
                                                          global population, or 187 million               target by 2015.                                    Eastern Asia, which added 23 percent-
                                                          people. Most of these people – 94                                                                  age points, and the small decline in
                                                          per cent – are rural inhabitants, and           Figure 4 shows the number of peo-                  coverage in the Caucasus and Central
                                                          they are concentrated in sub-Saharan            ple who have gained access to an                   Asia2 and in Oceania (Figure 5).
                                                          Africa. In fact, 19 per cent of rural           improved drinking water source since
                                                          dwellers in sub-Saharan Africa and 39           1990. The progress of India and China
                                                                                                                                                             1 It should be kept in mind throughout this report that

                                                          per cent of rural residents in Oceania          not only dominates their respective                data from Oceania are limited. Each of the small island

                                                          rely on surface water for drinking              regions, but represents nearly half of             states in the region has a very small number of data
                                                                                                                                                             points, many of which date back several years, making

                                                          and cooking.1                                   the global progress towards the drink-             it difficult to prepare robust estimates for 2010.
                                                                                                                                                             2 The Caucasus and Central Asia is a newly formed
                                                                                                          ing water target. If only the developing           MDG region, replacing the Commonwealth of
                                                          The MDGs are global goals with                  world is considered, China and India               Independent States (which included the Russian
                                                                                                                                                             Federation, Ukraine and Belarus). The new region
                                                          associated global targets. These have           represent more than half of the people             is composed of Armenia, Azerbaijan, Georgia,
                                                                                                                                                             Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and
                                                          been translated into targets at the             who have gained access. This is not                Uzbekistan.




06
Almost half of the two billion
people who have gained access
to drinking water since 1990                                                                                                                                                                      Millions
live in China or India                                                                                                                                                                            ■   Southern Asia 679
                                                                                                                                                                                                  	     in India 522
                                                                                                                                                                                                  ■   Eastern Asia 473
                                                                                                                                             India, 522 million
                                                                                                                                                                                                  	     in China 457
                                                                                                                                                                                                  ■   Sub-Saharan Africa 273
                                                                                                                                                                                                  ■   South-Eastern Asia 204
                                                                                                                                                                                                  ■   Latin America & the Caribbean 179
                                                                                                                                                                                                  ■   Developed regions 108
                                                                                                                                                                                                  ■   Western Asia 76
                                                                                                                                                                                                  ■   Northern Africa 49
                                                                                                                                                    China, 457 million                            ■   Caucasus and Central Asia 16
                                                                                                                                                                                                  ■   Oceania 1




Figure 4                        Number of people who gained access to improved drinking water sources from 1990 to 2010 by MDG region (millions)




Since 1990, drinking water coverage in the developing world has increased by 16 percentage points
                          25
 % pt. change 1990-2010




                          15
                                                                                                                                              23
                                                                                          17                                  18                                                                               16
                                                    12                                                                                                                                                                                                 13
                           5                                                                                                                                                         9
                                                                                                                 4                                                5                                                                     1

                           -5             -1                                -1



                          100




                          80




                          60
 Coverage (%)




                                                                                                                                                                                                                                    99
                                                                                                                                             91               92                    94
                                                                           87             88                   89            90                                                                                                                        89
                                                                                                                                                                                                               86
                          40

                                                    61
                                         54                                                                                                                                                                                                                    G

                          20
                                                                                                                                                                                                                                                               lobal dr




                           0
                                                                        Caucasus and




                                                                                                                                                                                                                                                       World
                                         Oceania




                                                                          Central Asia


                                                                                         South-Eastern Asia



                                                                                                              Western Asia



                                                                                                                             Southern Asia



                                                                                                                                             Eastern Asia




                                                                                                                                                                                  the Caribbean
                                                   Sub-Saharan Africa




                                                                                                                                                              Northern Africa


                                                                                                                                                                                Latin America &




                                                                                                                                                                                                              Developing regions



                                                                                                                                                                                                                                   Developed regions




                                                                                                                                                                                                                                                               inking W
                                                                                                                                                                                                                                                               ater tr
                                                                                                                                                                                                                                                               ends 1990-2010




Figure 5                        Use of improved drinking water sources by MDG region in 2010, and percentage-point change 1990-2010




                                                                                                                                                                                                                                                               07
Global Drinking Water Trends 1990-2010

                                                                                                                                                     Regional Trends




                                                          Figure 6 shows trends in the use of                               The second group consists of Eastern                         in 1990 and moving to 91 per cent
                                                          different types of water sources from                             Asia, Northern Africa, Western Asia                          coverage in 2010. This represents a 23
                                                          1990 to 2010, by MDG regions. Two                                 and Latin America and the Caribbean,                         percentage-point increase, far higher
                                                          clear groupings emerge. The first is                              where at least 70 per cent of the                            than any other region.
                                                          a set of regions in which the use of                              population are using piped water on
                                                                                                                            premises. Eastern Asia (dominated by                         Significant proportions of the popu-
                                                          piped water to a dwelling, plot or
                                                                                                                            China) has seen a dramatic increase                          lation in Oceania and sub-Saharan
                                                          yard is low (30 per cent or less). It
                                                                                                                            in piped water supplies since 1990,                          Africa are still using surface water.
                                                          includes sub-Saharan Africa, Oceania,
                                                          Southern Asia and South-Eastern Asia.                             gaining 35 percentage points in cover-                       Countries that still have less than 50 per
                                                          Although gains in the use of piped                                age in this category in 20 years; 562                        cent coverage in water supply are almost
                                                          water on premises have been made                                  million new users have been added                            all in sub-Saharan Africa (Figure 7).
                                                          in these regions, progress is mostly in                           during a period in which the world
                                                          the ‘other improved’ category of water                            as a whole added only 9 percentage                           Figure 8 shows the number of people
                                                          sources. Of note is the fact that 65 per                          points. Eastern Asia is also the region                      without improved water sources in the
                                                          cent of the population in Southern                                with the most dramatic increase in                           10 countries with the largest unserved
                                                          Asia are using other improved sources                             the use of improved drinking water                           populations. Though they are on track
                                                          rather than piped water on premises.                              sources overall, starting at 68 per cent                     to reach the target, China and India



                                                            Access to piped water supplies on premises varies widely among regions
                                                                                                                   1                                               1   2      2   1          2              1
                                                                                                           4            7        3    3              7                                             7                8        3   6           3
                                                                                                                                               7                              6                             5
                                                                                          13                       9                                               8   11         14         9                                               8
                                                                                                                                 9    9                                                            8
                                                                                                                                               6                                                                            11
                                                                                   24                                                                                                                       8
                                                                                                           24                                                                 9              5                                   18
                                                                                                34    31                22                           25                                                             22
                                                                                                                                                                                  13               12
                                                                                                                                                               21      29
                                                                                          26                                          32                                                                                                 35
                                                                                                                                              34
                                                                                   27                                                                                                                                       40
                                                                                                11    15                                                                                                                         31
                                                                                                                  65
Progress on Drinking Water and Sanitation > 2012 Update




                                                                   Coverage (%)




                                                                                                                                58                   33
                                                                                                                                                                                                                    38
                                                                                                           52           55
                                                                                                                                                                             83          84                86
                                                                                                29
                                                                                          45          30
                                                                                                                                                                                  72               73
                                                                                   34                                                                          70
                                                                                                                                      56                               58
                                                                                                                                              53                                                                                         54
                                                                                                                                                                                                                            46   45
                                                                                                                                                     35                                                             32
                                                                                                26    24          25            30
                                                                                                           20
                                                                                   15     16                            16


                                                                                  1990   2010 1990   2010 1990   2010 1990     2010 1990     2010 1990        2010 1990     2010 1990   2010 1990         2010     1990    2010 1990     2010
                                                                                  Sub-Saharan   Oceania     Southern   South-Eastern Caucasus and        Eastern       Northern    Western       Latin America &    Developing       World
                                                                                     Africa                   Asia         Asia       Central Asia        Asia          Africa      Asia          the Caribbean      regions

                                                                                  ■ Piped on Premises                         ■ Other Improved                                ■ Unimproved                              ■ surface water

                                                            Figure 6              Drinking water coverage trends by developing regions, 1990-2010




08
Sub-Saharan Africa has the lowest drinking water coverage of any region




                                                                                                        ■ 	 91-100%
                                                                                                        ■ 	 76-90%
                                                                                                        ■ 	 50-75%
                                                                                                        ■ 	 <50%
   Figure 7       Proportion of the population using improved drinking water sources in 2010            ■ 	 insufficient data or
                                                                                                        	not applicable




combined are still home to 216 million
people without access to improved                       Ten countries are home to two thirds of the global population
water supplies. This represents 28
                                                        without an improved drinking water source
per cent of the global population that
remains unserved.

The last two decades have seen
major shifts in the proportion of the
global population using various types
of drinking water sources (Tables
1 and 2).3 The biggest change has
been the increase in piped water sup-
plies on premises, which were used
by 54 per cent of people worldwide in                                                                                                         G

2010 – up from 45 per cent in 1990.
In rural areas, the use of piped water
                                                                                                                                              lobal dr




on premises grew even faster – from                                 Millions
18 per cent in 1990 to 29 per cent in                               ■   Rest of world 292        ■   Democratic Republic of the Congo 36
                                                                                                                                              inking W




                                                                    ■   China 119                ■   Bangladesh 28
2010. Over the same period, reliance                                ■   India 97                 ■   United Republic of Tanzania 21
on surface water was halved, from 10
                                                                                                                                              ater tr




                                                                    ■   Nigeria 66               ■   Sudan 18
                                                                    ■   Ethiopia 46              ■   Kenya 17
per cent to 5 per cent in rural areas
                                                                    ■   Indonesia 43
and from 6 per cent to 3 per cent for
                                                                                                                                              ends 1990-2010




                                                                    Ten countries with the largest population without access to an improved
                                                         Figure 8
3 This is discussed in more detail in the 2011 UNICEF               drinking water source in 2010, population without access (millions)
and WHO thematic report entitled Drinking Water:
Equity, Safety and Sustainability.




                                                                                                                                              09
the total population. In urban areas,                        44 million to 85 million (this category                         from an improved source for cooking
                                                          the proportion of people using piped                         does not count as ‘improved’, due                               and personal hygiene.
                                                          water on premises remained almost                            to concerns over water quality). The
                                                                                                                                                                                       The number of people using boreholes
                                                          the same in percentage terms, but the                        number of people using bottled water
                                                                                                                                                                                       (which are usually handpump-operated)
                                                          massive increases in urban populations                       to meet their drinking water needs
                                                                                                                                                                                       grew from 1 billion in 1990 to 1.3
                                                          during this time meant that the absolute                     also increased, rising more than
                                                                                                                                                                                       billion in 2010. Eighty per cent of
                                                          number of urban dwellers using water                         sixfold – from 37 million in 1990 to
                                                                                                                                                                                       borehole users, almost a billion people,
                                                          piped to their homes grew by a billion,                      228 million in 2010. A large majority
                                                                                                                                                                                       are in rural areas. While boreholes offer
                                                          from 1.8 billion to 2.8 billion.                             of bottled-water users live in urban
                                                                                                                                                                                       significant advantages over dug wells in
                                                                                                                       areas, and most are also users of
                                                          The number of people relying on                                                                                              terms of water quality, many boreholes
                                                                                                                       piped water on premises. Bottled
                                                          tanker trucks and small vendors for                                                                                          with handpumps still impose a consider-
                                                                                                                       water is considered ‘improved’ only
                                                          drinking water has almost doubled                                                                                            able burden on users in terms of the time
                                                                                                                       when the household also uses water
                                                          over the same 20-year period, from                                                                                           and effort needed to collect the water.

                                                            Global trends in the use of different drinking water sources (percentage)
                                                                                                                                   Urban (%)                               Rural (%)                               Total (%)
                                                                                Facility type
                                                                                                                          1990                 2010               1990                 2010               1990                 2010

                                                            Piped on premises                                                81                   80                  18                   29                 45                   54
                                                            Public taps                                                        5                   6                   6                    8                  5                    7
                                                            Boreholes                                                          6                   8                  29                   30                 19                   18
                                                            Rainwater                                                          0                   0                   1                    2                  1                    1
                                                            Dug wells                                                          5                   4                  27                   19                 18                   12
                                                            Springs                                                            1                   1                   8                    6                  5                    4
                                                            Tanker trucks and small cart with drum                             1                   1                   1                    1                  1                    1
                                                            Surface water                                                      1                   0                  10                    5                  6                    3
                                                            Bottled water*                                                     1                   6                   0                    1                  1                    3
                                                            *Survey data show that most people who use bottled water as their main source of drinking water also have piped water on premises as a secondary source. Bottled-water users
                                                            are counted under the category ‘piped on premises’ in the table above.




                                                             Table 1      Proportion of the population by types of drinking water sources by urban or rural areas, 1990 and 2010 (per cent)




                                                            Global trends in the use of different drinking water sources (population)
                                                                                                                              Urban (millions)                         Rural (millions)                        Total (millions)
                                                                                Facility type
Progress on Drinking Water and Sanitation > 2012 Update




                                                                                                                          1990                 2010               1990                 2010               1990                 2010

                                                            Piped on premises                                             1,820                2,763                538                   973             2,358                3,737
                                                            Public taps                                                     120                  205                168                   260               288                   465
                                                            Boreholes                                                       138                  255                878                   996             1,016                1,251
                                                            Rainwater                                                          6                  13                  41                   76                 47                   89
                                                            Dug wells                                                       111                  151                843                   656               954                   807
                                                            Springs                                                          15                   33                235                   221               250                   254
                                                            Tanker trucks and small cart with drum                           24                   42                  20                   43                 44                   85
                                                            Surface water                                                    17                   11                313                   175               331                   187
                                                            Bottled water*                                                   26                  192                  11                  36                  37                  228
                                                            *Survey data show that most people who use bottled water as their main source of drinking water also have piped water on premises as a secondary source. Bottled-water users
                                                            are counted under the category ‘piped on premises’ in the table above.




                                                             Table 2      World population by types of drinking water sources by urban or rural areas, 1990 and 2010 (millions)




10
Global Drinking Water Trends 1990-2010

                                                                An Alternative Indicator
                                                                of Progress



Assessing progress towards the MDG
                                                                                              Population                             Proportion
target alone creates an incomplete                                                            that gained                              of 2010
                                                                                  Water        access to                           population that
                                                                   Population
picture, since countries that started                               in 2010
                                                                                  supply       improved
                                                                                                               MDG progress
                                                                                                                                   gained access
                                                                                coverage in   sources of                            to improved
                                                                   (millions)
out with low baseline coverage have                                              2010 (%)       drinking                              drinking
                                                                                              water since                          water sources
had to work much harder to halve the                                                              1995                             since 1995 (%)

proportion of the population without          Malawi                 14.9           83            7.2             On track                48.4
water and sanitation. Added to this
                                              Burkina Faso           16.5           79            7.5             On track                45.5
is the challenge of rapid population
                                              Liberia                 4.0           73            1.7             On track                42.8
growth, which can easily mean that
                                              Ghana                  24.4           86          10.3              On track                42.3
any gains in people served are over-
                                              Namibia                 2.3           93            0.9             On track                40.6
taken by population growth. Moreover,
                                              Gambia                  1.7           89            0.7             On track                37.7
it is the poorest countries that are
                                              Rwanda                 10.6           65            3.3           Not on track              30.7
often characterized by a combination
of low baseline coverage and high             Sierra Leone            5.9           55            1.6           Not on track              27.0

population growth. This means that            Togo                    6.0           61            1.6           Not on track              26.1

countries may be making significant           Sub-Saharan Africa      856           61           221           Not on track               25.8
progress in the absolute number of
                                                         Selected countries in sub-Saharan Africa that have performed above the
people served, but still be persistently       Table 3   regional average in terms of the proportion of their 2010 population that
‘off track’.                                             gained access to improved drinking water sources since 1995


In response, the JMP has developed
an alternative indicator that represents    Table 3 shows selected countries in               The Democratic Republic of the Congo
the proportion of the current popula-       sub-Saharan Africa that have per-                 has provided improved water sources
tion that has gained access over the        formed above the regional average                 for only about 16 per cent of its popu-
period from 1995 to the most recent         of nearly 26 per cent. Some countries             lation since 1995; still, this represents
update, in this case 2010. It is thus the   have made remarkable progress in                  more than 10 million people. It is
percentage of people living in a country    providing large proportions of their              remarkable that sub-Saharan Africa
today who have gained access in the         population with access to improved                has outstripped Eastern Asia in terms
last 15 years.4 This indicator can be       drinking water sources, and this is true          of the proportion of the current popu-
used to assess a country’s performance      even of countries that are off track in           lation that have gained access in the
irrespective of whether it started out      terms of MDG progress. Rwanda and                 last 15 years.
with high or low baseline coverage.         Sierra Leone, for instance, both experi-
                                            enced conflict during the period 1995             Afghanistan also shows stunning                            G


The indicator is expressed as:              to 2010, but have nevertheless shown              progress when viewed in this way.
                                                                                              The country has provided almost half
                                                                                                                                                         lobal dr




the increase since 1995 in the number       greater progress than that suggested
                                            by the regional average. In Rwanda,               its population (more than 15 million
of people with access as a proportion
                                            more than 30 per cent of the popula-              people) with access to improved water
of the current ( 2010) population.
                                                                                                                                                         inking W




                                            tion have gained access to improved               sources during a turbulent 15-year
                                                                                              period, far surpassing the Southern
                                                                                                                                                         ater tr




                                            drinking water sources since 1995;
                                            this represents over 3 million people.            Asian regional average of 30.9 per cent.
                                                                                                                                                         ends 1990-2010




                                            Even countries that have not reported
                                            such good progress are noteworthy in              4 Although using population with access figures for 1990
                                                                                              would be ideal, 1995 is used instead since the JMP had
                                            terms of the number of people served.             drinking water coverage estimates for 191 countries for
                                                                                              1995, as opposed to only 157 countries for 1990.




                                                                                                                                                         11
Global Drinking Water Trends 1990-2010

                                                                                                                                                     Urban-Rural Disparities




                                                          In Figure 9, data used to track prog-                                  In urban areas, the rate of increase in                                      unimproved sources decreased from
                                                          ress towards the MDG drinking water                                    piped water on premises has stag-                                            1.1 billion to 653 million, during
                                                          target are disaggregated by rural and                                  nated over the last 20 years. The rate                                       a time of more modest population
                                                          urban areas. The results show stark                                    of increase has been higher in rural                                         growth. Though the ratio has improved
                                                          disparities between urban and rural                                    areas, but coverage remains low.                                             since 1990, the number of people in
                                                          coverage, illustrating the challenges in                                                                                                            rural areas using an unimproved water
                                                          equitable achievement of the MDGs.                                     Figure 10 shows the significant                                              source in 2010 was still five times
                                                                                                                                 increase in the urban population                                             greater than in urban areas.
                                                          An estimated 96 per cent of the                                        that gained access to improved
                                                          urban population globally used an                                      water sources between 1990 and                                               Figures 11 and 12 show that while
                                                          improved water supply source in                                        2010 – well over a billion people.                                           many countries have less than 50 per
                                                          2010, compared to 81 per cent of the                                   However, the number of urban                                                 cent coverage of drinking water in rural
                                                          rural population. This means that 653                                  dwellers using unimproved sources                                            areas, no country has less than 50 per
                                                          million rural dwellers lacked improved                                 actually increased, from 109 million                                         cent coverage in urban areas.
                                                          sources of drinking water.                                             to 130 million. This must be viewed in
                                                                                                                                 relation to the massive growth in the                                        The figures in the Annex on page 56
                                                          Similarly, 80 per cent of the world’s                                  urban population over the same time                                          illustrate urban-rural disparities in
                                                          urban population had piped water                                       period – rising from 2.3 billion to 3.5                                      drinking water coverage in develop-
                                                          connections, compared to only 29 per                                   billion people. By contrast, in rural                                        ing regions.
                                                          cent of people in rural areas.                                         areas, the number of people using


                                                            Piped water on premises is a convenience                                                     1.2 billion people in urban areas gained access
                                                            enjoyed largely by urban populations                                                         to an improved drinking water source between
                                                                                        1
                                                                                                                                                         1990 and 2010
                                                                                        4              4                   5
                                                                                                            10
                                                                                                                                                                                   4,000
                                                                                        14            16                  14
                                                                                                                                                                                                             130
                                                                                                            28
Progress on Drinking Water and Sanitation > 2012 Update




                                                                                                                                                                                   3,000                                                   653
                                                                                                                                                           Population (millions)




                                                                                                                                                                                                                           1139
                                                                                                                                                                                                                            ,
                                                                        Coverage (%)




                                                                                                                          52                                                                 109
                                                                                                                                                                                   2,000
                                                                                        81            80    44
                                                                                                                                                                                                             3,343
                                                                                                                                                                                                                                           2,747
                                                                                                                                                                                   1,000     2, 42
                                                                                                                                                                                              1
                                                                                                                                                                                                                           1,896
                                                                                                                          29
                                                                                                            18

                                                                                                                                                                                      0
                                                                                       1990           2010 1990           2010                                                               1990            2010          1990            2010

                                                                                              Urban               Rural                                                                              Urban                         Rural
                                                                       ■ Unimproved ■ surface water                                                                                        ■ Unimproved sources
                                                                       ■ Piped on Premises ■ Other Improved                                                                                ■ Improved sources

                                                                                                                                                                                           Population using improved and unimproved sources
                                                                       Drinking water coverage trends by urban and rural                                                                   of drinking water by urban and rural areas, 1990-2010
                                                            Figure 9                                                                                     Figure 10
                                                                       areas, 1990-2010                                                                                                    (millions)




12
Most people without an improved drinking water source live in rural areas




                                                           Rural     ■ 	 91-100%
                                                                     ■ 	 76-90%
                                                                     ■ 	 50-75%
                                                                     ■ 	 <50%
Figure 11   Drinking water coverage in rural areas, 2010             ■ 	 insufficient data or
                                                                     	not applicable




                                                                                                G
                                                                                                lobal dr
                                                                                                inking W
                                                                                                ater tr




                                                           Urban     ■ 	 91-100%
                                                                     ■ 	 76-90%
                                                                                                ends 1990-2010




                                                                     ■ 	 50-75%
Figure 12   Drinking water coverage in urban areas, 2010             ■ 	 insufficient data or
                                                                     	not applicable




                                                                                                13
Progress on Drinking Water and Sanitation > 2012 Update




14
                                                  Global Sanitation
                                                  			 Trends 1990-2010
Global Sanitation Trends 1990-2010

                                                                           Progress Towards
                                                                           the MDG Target



Though it is unlikely that the world                  Figure 14 shows that 15 per cent of the                 Eastern Asia added 39 percentage points
will meet the MDG sanitation target                   population still practise open defeca-                  in coverage between 1990 and 2010.
by 2015, encouraging progress is                      tion, defined as defecation in fields,                  Unlike drinking water, no regions have
being made. Globally, 63 per cent of                  forests, bushes, bodies of water or                     experienced decreases in coverage.
the population use improved sanita-                   other open spaces. This represents 1.1
                                                      billion people. Though the proportion                   Figure 17 represents the number
tion facilities, an increase of almost
                                                      of people practising open defecation is                 of people who gained access to
1.8 billion people since 1990 (Figure
                                                      decreasing, the absolute number has                     improved sanitation facilities since
13). This means that we are within 10
                                                      remained at over one billion for several                1990, by MDG region.
per cent of being ‘on track’. At current
rates of progress, we will reach 67 per               years, due to population growth.                        Progress in China and India is high-
cent coverage in 2015, better than pre-                                                                       lighted, since these two countries
vious projections but still far from the              Many countries are off track in meeting
                                                      the MDG sanitation target, including                    represent such a large proportion of their
75 per cent needed to reach the target.                                                                       regional populations. While China has
Unless the pace of change in the                      much of sub-Saharan Africa and sev-
                                                      eral of the most populous countries in                  contributed to more than 95 per cent of
sanitation sector can be accelerated,                                                                         the progress in Eastern Asia, the same
the MDG target may not be reached                     Asia (Figure 15).
                                                                                                              is not true for India in Southern Asia.
until 2026. In 2010, an estimated                     Variation in the rate at which regions                  Together, China and India contributed
2.5 billion people were still without                 have increased access to improved                       just under half of the global progress
improved sanitation.                                  sanitation facilities is striking (Figure 16).          towards the MDG target in sanitation.



  If current trends continue, the world will not meet the MDG sanitation target
           %
         100


                             51                48                44                 40                 37                   33

          80
                                                                                                                                         25 MDG target



          60




          40
                                                                                                                            67
                                                                                    60                 63
                                                                 56
                                                                                                                                                           G




                             49                52
          20
                                                                                                                                                           lobal




              0
                                                                                                                                                           sanitation tr




                            1990              1995              2000               2005                2010                2015
                                                                                                                        (projected)

                         ■ improved sanitation                   ■ Unimproved sanitation                            MDG target
                                                                                                                                                           ends 1990-2010




  Figure 13       Trends in global sanitation coverage 1990-2010, projected to 2015




                                                                                                                                                           15
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update
Progress on Drinking Water and Sanitation 2012 Update

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Progress on Drinking Water and Sanitation 2012 Update

  • 1. Progress on D inking Water and 2012 UPDATE
  • 2. © UNICEF and World Health Organization 2012 All rights reserved. UNICEF and the World Health Organization welcome requests for permission to reproduce or translate their publications – whether for sale or for non-commercial distribution. Applications and enquiries should be addressed to UNICEF, Division of Communication, 3 United Nations Plaza, New York 10017, USA (fax: +1 212 303 7985; e-mail: nyhqdoc.permit@unicef.org) or to WHO Press through the WHO website: http://www. who.int/about/licensing/copyright_form/en/index.html The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of UNICEF or the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The figures included in this report have been estimated by the WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (www.wssinfo.org) to ensure compatibility, thus they are not necessarily the official statistics of the concerned country, area or territory, which may use alternative rigorous methods. UNICEF and the World Health Organization do not warrant that the information contained in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use. WHO Library Cataloguing-in-Publication Data Progress on Drinking Water and Sanitation: 2012 Update 1. Water supply – standards. 2. Potable water – supply and distribution. 3. Sanitation 4. Millennium Development Goals. 5. Programme evaluation I. WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation. ISBN: 978-92-806-4632-0 (NLM classification: WA 670) ISBN: 978-924-1503297 Printed in the United States of America Design: Emerson, Wajdowicz Studios / NYC / www.DesignEWS.com Photo Credits: Front Cover © The Water Institute at the University of North Carolina (UNC)/Heather Arney, 2011, India; P. i UNICEF/Warrick Page; P. 3 UNICEF/Olivier Asselin; P. 4 UNICEF/Kate Holt; P. 8 UNICEF/Noah Friedman-Rudovsky; P. 11 UNICEF/Eric Bouvet; P. 12 UNICEF/ Veronique de Viguerie; P. 14 UNICEF/Jean-Baptiste Lopez; P. 15 UNICEF/ Marta Ramoneda; P. 16 UNICEF/Josh Estey; P. 18 UNICEF/ Susan Markisz; P. 22 UNICEF/Marco Dormino; P. 23 UNICEF/Kate Holt; P. 25 UNICEF/Marco Dormino; P. 26 UNICEF/Olivier Asselin; P. 27 UNICEF/Olivier Asselin; P. 28 UNICEF/Ami Vitale; P. 29 UNICEF/Roger LeMoyne; P. 31 (top): UNICEF/Olivier Asselin; (bottom): UNICEF/ Shehzad Noorani; P. 32 UNICEF/Tibebu Lemma; P. 37 UNICEF/Roger LeMoyne; Back Cover © The Water Institute at UNC/Emily Zuehlke, 2011, Uganda
  • 3. Progress on D inking Water and 2012 UPDATE
  • 4. Progress on Drinking Water and Sanitation > 2012 Update
  • 5. Foreword Since the adoption of the Millennium Development Goals, the WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation has reported on progress towards achieving Target 7c: reducing by half the proportion of people without sus- tainable access to safe drinking water and basic sanitation. This report contains the welcome announcement that, as of 2010, the target for drinking water has been met. Since 1990, more than 2 billion people have gained access to improved drinking water sources. This achievement is a testament to the commitment of Government leaders, public and private sector entities, communities and individuals who saw the target not as a dream, but as a vital step towards improving health and well-being. Of course, much work remains to be done. There are still 780 million people without access to an improved drinking water source. And even though 1.8 billion people have gained access to improved sanitation since 1990, the world remains off track for the sanitation target. It is essential to accelerate progress in the remaining time before the MDG deadline, and I commend those who are participating in the Sustainable Sanitation: Five Year Drive to 2015. This report outlines the challenges that remain. Some regions, particularly sub- Saharan Africa, are lagging behind. Many rural dwellers and the poor often miss out on improvements to drinking water and sanitation. And the burden of poor water supply falls most heavily on girls and women. Reducing these disparities must be a priority. The recognition by the UN General Assembly, in 2010, of water and sanitation as a human right provides additional political impetus towards the ultimate goal of providing everyone with access to these vital services. Many countries and agencies have joined hands in the Sanitation and Water for All partnership. Such collective efforts offer real promise and I urge all partners to contribute. I commend this report to all those working towards universal access to safe water and sanitation. Achieving the MDG drinking water target is a major step, but ultimately, only one step on a long journey that we have yet to finish. Let us use this success to invest our mission for sustainable, equitable development with renewed vigour so we can create the future we want. Ban Ki-moon Secretary-General, United Nations
  • 6. Contents 2 0 Looking Forward, Looking Back 0 3 Global Drinking Water Trends 1990-2010 04 Progress Towards the MDG Target 08 Regional Trends 11 An Alternative Indicator of Progress 12 Urban-Rural Disparities 14 Global Sanitation Trends 1990-2010 15 Progress Towards the MDG Target 18 Regional Trends 22 An Alternative Indicator of Progress 23 Urban-Rural Disparities 6 2 The Equity Imperative 27 Looking Beyond Averages 28 Water & Sanitation Use in Least Developed Countries 29 Water & Sanitation Use by Wealth Quintiles 31 Gender and the Burden of Collecting Water 2 3 JMP Methodology and What Lies Ahead 33 JMP Estimates 34 Growth of the JMP Database 34 Data Limitations 35 Data Reconciliation 35 JMP Task Forces 35 Looking Beyond 2015 7 3 Statistical Tables 38 Country, Regional and Global Estimates on Water & Sanitation 56 Annex: Trends In Urban and Rural Drinking Water & Sanitation Coverage 58 Millennium Development Goals: Regional Groupings 01
  • 7. Looking Forward, Looking Back The WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation, known as the JMP, reports every two years on access to drinking water and sanitation worldwide and on progress towards related targets under Millennium Development Goal 7. This 2012 report is based on data gathered from household surveys and censuses, including both recent and older data sets that have come to the attention of the JMP. The estimates presented here describe the situation as of end-2010 and supersede those of the JMP update published in March 2010. The report brings welcome news: The MDG drinking water target, which calls for halving the proportion of the population without sustainable access to safe drinking water between 1990 and 2015, was met in 2010, five years ahead of schedule. However, the report also shows why the job is far from finished. Many still lack safe drinking water, and the world is unlikely to meet the MDG sanitation target. Continued efforts are needed to reduce urban-rural disparities and ineq- uities associated with poverty; to dramatically increase coverage in countries in sub-Saharan Africa and Oceania; to promote global monitoring of drinking water quality; to bring sanitation ‘on track’; and to look beyond the MDG target towards universal coverage. Still, much has been achieved. As this progress report shows, over 2 billion people gained access to improved water sources and 1.8 billion people gained access to improved sanitation facilities between 1990 and 2010. This is impressive, par- ticularly when the gains of countries that started at a low baseline and faced high population growth are considered. Indeed, much of the progress of the last 20 years has been in the context of rapid population growth, and this is why some of the news in this report is sobering. Over 780 million people are still without access to improved sources of drinking water and 2.5 billion lack improved sanitation. Progress on Drinking Water and Sanitation > 2012 Update If current trends continue, these numbers will remain unacceptably high in 2015: 605 million people will be without an improved drinking water source and 2.4 billion people will lack access to improved sanitation facilities. As we approach the 2015 target date for the MDGs, WHO and UNICEF are addressing current monitoring challenges and those that lie ahead. The safety and reliability of drinking water supplies and the sustainability of both water supply sources and sanitation facilities are not addressed by the current set of indicators used to track progress. Accordingly, this report details work under way to refine both indicators and methods of monitoring, as part of the 2010-2015 JMP strategy. It also discusses the beginnings of a process to develop new water, sanitation and hygiene goals, targets and indicators beyond 2015, in alignment with the human right to water and sanitation and the mandate of the UN Special Rapporteur on the Human Right to Water and Sanitation. 02
  • 8. Global D inking Water Trends 1990-2010 03
  • 9. Global Drinking Water Trends 1990-2010 Progress Towards the MDG Target The MDG drinking water target has First, huge disparities exist. While quality of water at the national level in been reached: Over 2 billion people coverage of improved water supply all countries is prohibitively expen- gained access to improved water sources is 90 per cent or more in Latin sive and logistically complicated; sources from 1990 to 2010, and the America and the Caribbean, Northern therefore, a proxy indicator for water proportion of the global population Africa and large parts of Asia, it is quality was agreed upon for MDG still using unimproved sources is esti- only 61 per cent in sub-Saharan Africa. monitoring. This proxy measures the mated at only 11 per cent (Figure 1). Coverage in the developing world proportion of the population using This is less than half of the 24 per cent overall stands at 86 per cent, but it is ‘improved’ drinking water sources, estimated for 1990. Almost 6.1 billion only 63 per cent in countries desig- defined as those that, by the nature of people, 89 per cent of the world’s nated as ‘least developed’. Similar their construction, are protected from population, were using an improved disparities are found within countries outside contamination, particularly water source in 2010. The drinking – between the rich and poor and faecal matter. However, some of these water target has thus become one of between those living in rural and urban sources may not be adequately main- the first MDG targets to be met. areas. These inequities are explored tained and therefore may not actually later in this report. provide ‘safe’ drinking water. As a While this tremendous achievement result, it is likely that the number of should be applauded, a great deal of Second, complete information about people using safe water supplies has work remains: drinking water safety is not available been over-estimated (see Box 1).  for global monitoring. Systematically testing the microbial and chemical The MDG drinking water target has been met % 100 24 21 17 14 11 8 12 MDG target 80 Progress on Drinking Water and Sanitation > 2012 Update 60 89 92 83 86 40 76 79 20 0 1990 1995 2000 2005 2010 2015 (projected) ■ improved sources ■ Unimproved sources MDG target Figure 1 Trends in global drinking water coverage, 1990-2010, projected to 2015 04
  • 10. Finally, more than 780 million people remain unserved. Although the MDG BOX 1 Monitoring the global targets for drinking water drinking water target has been met, it and sanitation: Challenges and achievements only calls for halving the proportion of people without safe drinking water. More than one tenth of the global In the two decades that WHO and UNICEF have been tracking progress in water population still relied on unimproved and sanitation, advances have been made in the availability and quality of data and drinking water sources in 2010. the methods used to measure them: n A shift from provider- to user-based data: Initially the JMP relied almost Figure 2 illustrates the global trend exclusively on government data, which were largely drawn from water-utility in the use of drinking water sources, companies and line ministries and were based on the number of facilities con- disaggregated by category. The last structed. The figures did not reflect facilities that had fallen into disrepair or were two decades have seen impressive constructed by others outside of government-supported programmes. A key increases in the use of both piped con- improvement in the mid-1990s was a shift to user-based data, collected through household surveys and population censuses, which more accurately reflect actual nections to a dwelling, plot or yard and use of water and sanitation facilities by individual households. other improved sources, such as pro- tected dug wells, boreholes, rainwater n More standardized data: Lack of comparability of data on drinking water sources and sanitation facilities among countries and over time has posed a huge collection and standpipes. challenge to global monitoring. In response, WHO and UNICEF assisted the major household surveys to incorporate harmonized questions into their questionnaires, and in 2006 they published ‘Core Questions on Drinking Water and Sanitation Drinking water coverage for Household Surveys’ to encourage their more widespread use. This increased increased from 76 per cent standardization has greatly enhanced the comparability of data. in 1990 to 89 per cent in 2010 n Increased availability of data: The late 1990s saw an unprecedented increase in the availability of household survey data, largely due to the implementation 6 3 of the UNICEF-supported Multiple Indicator Cluster Survey (MICS) and the 8 Demographic and Health Survey (DHS), initiated by the United States Agency for 18 International Development (USAID). n Expanded JMP database: In 2000, some 220 sources of data could be found in the JMP database; this current update reflects more than 1,400 sources. 35 n Greater disaggregation of data: The introduction of drinking water and 31 sanitation ‘ladders’ has allowed categories such as ‘piped drinking water on premises’ and ‘open defecation’ to be highlighted. Coverage (%) Still, data limitations abound. One major information gap is the safety of drinking water supplies. Since cost-effective, periodic and standardized water quality testing was not possible on a global scale when the MDG target was formulated, and since nationally representative information on water safety was not available for the period following the baseline year (1990), WHO and UNICEF were obliged 54 to use a proxy for ‘sustainable access to safe drinking water’, as specified in the 45 MDG target. The agreed proxy was ‘use of an improved water source’, where ‘improved’ was determined by the type of technology a household reported as their primary source.  An improved source is one that, through technological intervention, increases the likelihood that it provides safe water. To date it has remained impractical to obtain water quality data at the national G 1990 2010 level for all countries. The main international household surveys – MICS and DHS – ■ Surface water are piloting the inclusion of a water-quality module that will include testing for lobal dr ■ Unimproved the presence of E. coli. This is made feasible in part by the availability of new, rapid, ■ Other improved low-cost water quality testing kits. If successful, it could lead to further evolution ■ Piped on premises in monitoring and pave the way for a future drinking water target that includes a inking W measure of water quality. Trend in the proportion ater tr Figure 2 of the global population Similarly, a proxy for sustainable access to basic sanitation is the use of improved using piped drinking sanitation facilities. Measuring the actual sustainability of both water and sanitation water on premises, other facilities remains an area that could benefit from further attention. For a more ends 1990-2010 improved drinking water sources, unimproved detailed discussion of these issues, see section on ‘Data Limitations’, on page 34. sources and surface water, 1990-2010 05
  • 11. Sub-Saharan Africa and Oceania are not on track to meet the MDG drinking water target ■ Onthe 2010 rate required toinmeet the target or was within 5% of track: Coverage rate 2010 was >95% ■ Progress but insufficient: Coverage ratethe 2010 was between 5% and 10% of the 2010 rate required to meet in target ■ Notin 1990 or below 10% of thein2010 rate required to or lower than the rate on track: Coverage rate 2010 was the same meet the target Figure 3 Progress towards the MDG drinking water target, 2010 ■ insufficientto estimatenot applicable: Data were unavailable or insufficient data or trends or a progress assessment was not applicable For the first time, data on the use of national level. The same methodology surprising, however, since the inhabit- unimproved sources have been disag- that is used to determine progress ants of these two countries represent gregated into two categories: surface at the global level can be applied to 46 per cent of the developing world’s water and other unimproved sources. individual countries, using JMP esti- population. The latter includes unprotected dug mates to assess whether a country is wells, unprotected springs and water on- or off-track in meeting its targets. Wide variations are found in the delivered by cart or tanker. Surface The results are illustrated in Figure 3, rate at which regions have improved water includes water collected directly which shows that the majority of coun- coverage. In general, regions in which from rivers, lakes, ponds, irrigation tries lagging behind on the drinking coverage was already high have made channels and other surface sources. water target are in sub-Saharan Africa. more modest gains, rising by only a Progress on Drinking Water and Sanitation > 2012 Update The use of surface water stands at In fact, only 19 out of 50 countries in few percentage points over 20 years. a surprisingly high 3 per cent of the that region are on track to meet the Of note are the impressive gains in global population, or 187 million target by 2015. Eastern Asia, which added 23 percent- people. Most of these people – 94 age points, and the small decline in per cent – are rural inhabitants, and Figure 4 shows the number of peo- coverage in the Caucasus and Central they are concentrated in sub-Saharan ple who have gained access to an Asia2 and in Oceania (Figure 5). Africa. In fact, 19 per cent of rural improved drinking water source since dwellers in sub-Saharan Africa and 39 1990. The progress of India and China 1 It should be kept in mind throughout this report that per cent of rural residents in Oceania not only dominates their respective data from Oceania are limited. Each of the small island rely on surface water for drinking regions, but represents nearly half of states in the region has a very small number of data points, many of which date back several years, making and cooking.1 the global progress towards the drink- it difficult to prepare robust estimates for 2010. 2 The Caucasus and Central Asia is a newly formed ing water target. If only the developing MDG region, replacing the Commonwealth of The MDGs are global goals with world is considered, China and India Independent States (which included the Russian Federation, Ukraine and Belarus). The new region associated global targets. These have represent more than half of the people is composed of Armenia, Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and been translated into targets at the who have gained access. This is not Uzbekistan. 06
  • 12. Almost half of the two billion people who have gained access to drinking water since 1990 Millions live in China or India ■ Southern Asia 679 in India 522 ■ Eastern Asia 473 India, 522 million in China 457 ■ Sub-Saharan Africa 273 ■ South-Eastern Asia 204 ■ Latin America & the Caribbean 179 ■ Developed regions 108 ■ Western Asia 76 ■ Northern Africa 49 China, 457 million ■ Caucasus and Central Asia 16 ■ Oceania 1 Figure 4 Number of people who gained access to improved drinking water sources from 1990 to 2010 by MDG region (millions) Since 1990, drinking water coverage in the developing world has increased by 16 percentage points 25 % pt. change 1990-2010 15 23 17 18 16 12 13 5 9 4 5 1 -5 -1 -1 100 80 60 Coverage (%) 99 91 92 94 87 88 89 90 89 86 40 61 54 G 20 lobal dr 0 Caucasus and World Oceania Central Asia South-Eastern Asia Western Asia Southern Asia Eastern Asia the Caribbean Sub-Saharan Africa Northern Africa Latin America & Developing regions Developed regions inking W ater tr ends 1990-2010 Figure 5 Use of improved drinking water sources by MDG region in 2010, and percentage-point change 1990-2010 07
  • 13. Global Drinking Water Trends 1990-2010 Regional Trends Figure 6 shows trends in the use of The second group consists of Eastern in 1990 and moving to 91 per cent different types of water sources from Asia, Northern Africa, Western Asia coverage in 2010. This represents a 23 1990 to 2010, by MDG regions. Two and Latin America and the Caribbean, percentage-point increase, far higher clear groupings emerge. The first is where at least 70 per cent of the than any other region. a set of regions in which the use of population are using piped water on premises. Eastern Asia (dominated by Significant proportions of the popu- piped water to a dwelling, plot or China) has seen a dramatic increase lation in Oceania and sub-Saharan yard is low (30 per cent or less). It in piped water supplies since 1990, Africa are still using surface water. includes sub-Saharan Africa, Oceania, Southern Asia and South-Eastern Asia. gaining 35 percentage points in cover- Countries that still have less than 50 per Although gains in the use of piped age in this category in 20 years; 562 cent coverage in water supply are almost water on premises have been made million new users have been added all in sub-Saharan Africa (Figure 7). in these regions, progress is mostly in during a period in which the world the ‘other improved’ category of water as a whole added only 9 percentage Figure 8 shows the number of people sources. Of note is the fact that 65 per points. Eastern Asia is also the region without improved water sources in the cent of the population in Southern with the most dramatic increase in 10 countries with the largest unserved Asia are using other improved sources the use of improved drinking water populations. Though they are on track rather than piped water on premises. sources overall, starting at 68 per cent to reach the target, China and India Access to piped water supplies on premises varies widely among regions 1 1 2 2 1 2 1 4 7 3 3 7 7 8 3 6 3 7 6 5 13 9 8 11 14 9 8 9 9 8 6 11 24 8 24 9 5 18 34 31 22 25 22 13 12 21 29 26 32 35 34 27 40 11 15 31 65 Progress on Drinking Water and Sanitation > 2012 Update Coverage (%) 58 33 38 52 55 83 84 86 29 45 30 72 73 34 70 56 58 53 54 46 45 35 32 26 24 25 30 20 15 16 16 1990 2010 1990 2010 1990 2010 1990 2010 1990 2010 1990 2010 1990 2010 1990 2010 1990 2010 1990 2010 1990 2010 Sub-Saharan Oceania Southern South-Eastern Caucasus and Eastern Northern Western Latin America & Developing World Africa Asia Asia Central Asia Asia Africa Asia the Caribbean regions ■ Piped on Premises ■ Other Improved ■ Unimproved ■ surface water Figure 6 Drinking water coverage trends by developing regions, 1990-2010 08
  • 14. Sub-Saharan Africa has the lowest drinking water coverage of any region ■ 91-100% ■ 76-90% ■ 50-75% ■ <50% Figure 7 Proportion of the population using improved drinking water sources in 2010 ■ insufficient data or not applicable combined are still home to 216 million people without access to improved Ten countries are home to two thirds of the global population water supplies. This represents 28 without an improved drinking water source per cent of the global population that remains unserved. The last two decades have seen major shifts in the proportion of the global population using various types of drinking water sources (Tables 1 and 2).3 The biggest change has been the increase in piped water sup- plies on premises, which were used by 54 per cent of people worldwide in G 2010 – up from 45 per cent in 1990. In rural areas, the use of piped water lobal dr on premises grew even faster – from Millions 18 per cent in 1990 to 29 per cent in ■ Rest of world 292 ■ Democratic Republic of the Congo 36 inking W ■ China 119 ■ Bangladesh 28 2010. Over the same period, reliance ■ India 97 ■ United Republic of Tanzania 21 on surface water was halved, from 10 ater tr ■ Nigeria 66 ■ Sudan 18 ■ Ethiopia 46 ■ Kenya 17 per cent to 5 per cent in rural areas ■ Indonesia 43 and from 6 per cent to 3 per cent for ends 1990-2010 Ten countries with the largest population without access to an improved Figure 8 3 This is discussed in more detail in the 2011 UNICEF drinking water source in 2010, population without access (millions) and WHO thematic report entitled Drinking Water: Equity, Safety and Sustainability. 09
  • 15. the total population. In urban areas, 44 million to 85 million (this category from an improved source for cooking the proportion of people using piped does not count as ‘improved’, due and personal hygiene. water on premises remained almost to concerns over water quality). The The number of people using boreholes the same in percentage terms, but the number of people using bottled water (which are usually handpump-operated) massive increases in urban populations to meet their drinking water needs grew from 1 billion in 1990 to 1.3 during this time meant that the absolute also increased, rising more than billion in 2010. Eighty per cent of number of urban dwellers using water sixfold – from 37 million in 1990 to borehole users, almost a billion people, piped to their homes grew by a billion, 228 million in 2010. A large majority are in rural areas. While boreholes offer from 1.8 billion to 2.8 billion. of bottled-water users live in urban significant advantages over dug wells in areas, and most are also users of The number of people relying on terms of water quality, many boreholes piped water on premises. Bottled tanker trucks and small vendors for with handpumps still impose a consider- water is considered ‘improved’ only drinking water has almost doubled able burden on users in terms of the time when the household also uses water over the same 20-year period, from and effort needed to collect the water. Global trends in the use of different drinking water sources (percentage) Urban (%) Rural (%) Total (%) Facility type 1990 2010 1990 2010 1990 2010 Piped on premises 81 80 18 29 45 54 Public taps 5 6 6 8 5 7 Boreholes 6 8 29 30 19 18 Rainwater 0 0 1 2 1 1 Dug wells 5 4 27 19 18 12 Springs 1 1 8 6 5 4 Tanker trucks and small cart with drum 1 1 1 1 1 1 Surface water 1 0 10 5 6 3 Bottled water* 1 6 0 1 1 3 *Survey data show that most people who use bottled water as their main source of drinking water also have piped water on premises as a secondary source. Bottled-water users are counted under the category ‘piped on premises’ in the table above. Table 1 Proportion of the population by types of drinking water sources by urban or rural areas, 1990 and 2010 (per cent) Global trends in the use of different drinking water sources (population) Urban (millions) Rural (millions) Total (millions) Facility type Progress on Drinking Water and Sanitation > 2012 Update 1990 2010 1990 2010 1990 2010 Piped on premises 1,820 2,763 538 973 2,358 3,737 Public taps 120 205 168 260 288 465 Boreholes 138 255 878 996 1,016 1,251 Rainwater 6 13 41 76 47 89 Dug wells 111 151 843 656 954 807 Springs 15 33 235 221 250 254 Tanker trucks and small cart with drum 24 42 20 43 44 85 Surface water 17 11 313 175 331 187 Bottled water* 26 192 11 36 37 228 *Survey data show that most people who use bottled water as their main source of drinking water also have piped water on premises as a secondary source. Bottled-water users are counted under the category ‘piped on premises’ in the table above. Table 2 World population by types of drinking water sources by urban or rural areas, 1990 and 2010 (millions) 10
  • 16. Global Drinking Water Trends 1990-2010 An Alternative Indicator of Progress Assessing progress towards the MDG Population Proportion target alone creates an incomplete that gained of 2010 Water access to population that Population picture, since countries that started in 2010 supply improved MDG progress gained access coverage in sources of to improved (millions) out with low baseline coverage have 2010 (%) drinking drinking water since water sources had to work much harder to halve the 1995 since 1995 (%) proportion of the population without Malawi 14.9 83 7.2 On track 48.4 water and sanitation. Added to this Burkina Faso 16.5 79 7.5 On track 45.5 is the challenge of rapid population Liberia 4.0 73 1.7 On track 42.8 growth, which can easily mean that Ghana 24.4 86 10.3 On track 42.3 any gains in people served are over- Namibia 2.3 93 0.9 On track 40.6 taken by population growth. Moreover, Gambia 1.7 89 0.7 On track 37.7 it is the poorest countries that are Rwanda 10.6 65 3.3 Not on track 30.7 often characterized by a combination of low baseline coverage and high Sierra Leone 5.9 55 1.6 Not on track 27.0 population growth. This means that Togo 6.0 61 1.6 Not on track 26.1 countries may be making significant Sub-Saharan Africa 856 61 221 Not on track 25.8 progress in the absolute number of Selected countries in sub-Saharan Africa that have performed above the people served, but still be persistently Table 3 regional average in terms of the proportion of their 2010 population that ‘off track’. gained access to improved drinking water sources since 1995 In response, the JMP has developed an alternative indicator that represents Table 3 shows selected countries in The Democratic Republic of the Congo the proportion of the current popula- sub-Saharan Africa that have per- has provided improved water sources tion that has gained access over the formed above the regional average for only about 16 per cent of its popu- period from 1995 to the most recent of nearly 26 per cent. Some countries lation since 1995; still, this represents update, in this case 2010. It is thus the have made remarkable progress in more than 10 million people. It is percentage of people living in a country providing large proportions of their remarkable that sub-Saharan Africa today who have gained access in the population with access to improved has outstripped Eastern Asia in terms last 15 years.4 This indicator can be drinking water sources, and this is true of the proportion of the current popu- used to assess a country’s performance even of countries that are off track in lation that have gained access in the irrespective of whether it started out terms of MDG progress. Rwanda and last 15 years. with high or low baseline coverage. Sierra Leone, for instance, both experi- enced conflict during the period 1995 Afghanistan also shows stunning G The indicator is expressed as: to 2010, but have nevertheless shown progress when viewed in this way. The country has provided almost half lobal dr the increase since 1995 in the number greater progress than that suggested by the regional average. In Rwanda, its population (more than 15 million of people with access as a proportion more than 30 per cent of the popula- people) with access to improved water of the current ( 2010) population. inking W tion have gained access to improved sources during a turbulent 15-year period, far surpassing the Southern ater tr drinking water sources since 1995; this represents over 3 million people. Asian regional average of 30.9 per cent. ends 1990-2010 Even countries that have not reported such good progress are noteworthy in 4 Although using population with access figures for 1990 would be ideal, 1995 is used instead since the JMP had terms of the number of people served. drinking water coverage estimates for 191 countries for 1995, as opposed to only 157 countries for 1990. 11
  • 17. Global Drinking Water Trends 1990-2010 Urban-Rural Disparities In Figure 9, data used to track prog- In urban areas, the rate of increase in unimproved sources decreased from ress towards the MDG drinking water piped water on premises has stag- 1.1 billion to 653 million, during target are disaggregated by rural and nated over the last 20 years. The rate a time of more modest population urban areas. The results show stark of increase has been higher in rural growth. Though the ratio has improved disparities between urban and rural areas, but coverage remains low. since 1990, the number of people in coverage, illustrating the challenges in rural areas using an unimproved water equitable achievement of the MDGs. Figure 10 shows the significant source in 2010 was still five times increase in the urban population greater than in urban areas. An estimated 96 per cent of the that gained access to improved urban population globally used an water sources between 1990 and Figures 11 and 12 show that while improved water supply source in 2010 – well over a billion people. many countries have less than 50 per 2010, compared to 81 per cent of the However, the number of urban cent coverage of drinking water in rural rural population. This means that 653 dwellers using unimproved sources areas, no country has less than 50 per million rural dwellers lacked improved actually increased, from 109 million cent coverage in urban areas. sources of drinking water. to 130 million. This must be viewed in relation to the massive growth in the The figures in the Annex on page 56 Similarly, 80 per cent of the world’s urban population over the same time illustrate urban-rural disparities in urban population had piped water period – rising from 2.3 billion to 3.5 drinking water coverage in develop- connections, compared to only 29 per billion people. By contrast, in rural ing regions. cent of people in rural areas. areas, the number of people using Piped water on premises is a convenience 1.2 billion people in urban areas gained access enjoyed largely by urban populations to an improved drinking water source between 1 1990 and 2010 4 4 5 10 4,000 14 16 14 130 28 Progress on Drinking Water and Sanitation > 2012 Update 3,000 653 Population (millions) 1139 , Coverage (%) 52 109 2,000 81 80 44 3,343 2,747 1,000 2, 42 1 1,896 29 18 0 1990 2010 1990 2010 1990 2010 1990 2010 Urban Rural Urban Rural ■ Unimproved ■ surface water ■ Unimproved sources ■ Piped on Premises ■ Other Improved ■ Improved sources Population using improved and unimproved sources Drinking water coverage trends by urban and rural of drinking water by urban and rural areas, 1990-2010 Figure 9 Figure 10 areas, 1990-2010 (millions) 12
  • 18. Most people without an improved drinking water source live in rural areas Rural ■ 91-100% ■ 76-90% ■ 50-75% ■ <50% Figure 11 Drinking water coverage in rural areas, 2010 ■ insufficient data or not applicable G lobal dr inking W ater tr Urban ■ 91-100% ■ 76-90% ends 1990-2010 ■ 50-75% Figure 12 Drinking water coverage in urban areas, 2010 ■ insufficient data or not applicable 13
  • 19. Progress on Drinking Water and Sanitation > 2012 Update 14 Global Sanitation Trends 1990-2010
  • 20. Global Sanitation Trends 1990-2010 Progress Towards the MDG Target Though it is unlikely that the world Figure 14 shows that 15 per cent of the Eastern Asia added 39 percentage points will meet the MDG sanitation target population still practise open defeca- in coverage between 1990 and 2010. by 2015, encouraging progress is tion, defined as defecation in fields, Unlike drinking water, no regions have being made. Globally, 63 per cent of forests, bushes, bodies of water or experienced decreases in coverage. the population use improved sanita- other open spaces. This represents 1.1 billion people. Though the proportion Figure 17 represents the number tion facilities, an increase of almost of people practising open defecation is of people who gained access to 1.8 billion people since 1990 (Figure decreasing, the absolute number has improved sanitation facilities since 13). This means that we are within 10 remained at over one billion for several 1990, by MDG region. per cent of being ‘on track’. At current rates of progress, we will reach 67 per years, due to population growth. Progress in China and India is high- cent coverage in 2015, better than pre- lighted, since these two countries vious projections but still far from the Many countries are off track in meeting the MDG sanitation target, including represent such a large proportion of their 75 per cent needed to reach the target. regional populations. While China has Unless the pace of change in the much of sub-Saharan Africa and sev- eral of the most populous countries in contributed to more than 95 per cent of sanitation sector can be accelerated, the progress in Eastern Asia, the same the MDG target may not be reached Asia (Figure 15). is not true for India in Southern Asia. until 2026. In 2010, an estimated Variation in the rate at which regions Together, China and India contributed 2.5 billion people were still without have increased access to improved just under half of the global progress improved sanitation. sanitation facilities is striking (Figure 16). towards the MDG target in sanitation. If current trends continue, the world will not meet the MDG sanitation target % 100 51 48 44 40 37 33 80 25 MDG target 60 40 67 60 63 56 G 49 52 20 lobal 0 sanitation tr 1990 1995 2000 2005 2010 2015 (projected) ■ improved sanitation ■ Unimproved sanitation MDG target ends 1990-2010 Figure 13 Trends in global sanitation coverage 1990-2010, projected to 2015 15