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The Region:




              2
South Asia and Sanitation Monitoring
• The region has held 4 sanitation conferences to date.
  Sacosan V is planned for Kathmandu, 11-14th November
• Monitoring is integral to South Asian regional meetings on
  sanitation. SACOSAN II in 2006, committed to reporting
  against a common set of indicators to be developed by the
  Inter Country Working Group (ICWG).
• The objective: To develop harmonised monitoring
  mechanisms with roles and responsibilities clearly
  defined, using agreed common indicators which measure
  and report on processes and outcomes at every level
  including households and communities, and which allow
  for disaggregated reporting of outcomes for marginalised
  and vulnerable groups
Common Indicators for monitoring
sanitation and hygiene across South Asia
Outputs/Outcomes   Indicators
Access/Practice    1. % of household using improved sanitation
                   2. % of household practising open defecation
Health and         1. % of schools with functional toilets separate for
Education          boys and girls
                    2. % of schools having functional hand washing
                   facilities
Equity             1. The gap in improved sanitation coverage by wealth
                   quintile
                    2. % of total sanitation budget allocated and utilized
                   for poor and
                       marginalized
Finance            1. % of total sector budget allocation to sanitation
                   and hygiene
                   2. % of total sanitation and hygiene budget utilization
                                                                             4
Regional positioning and coherence
• The South Asian Association for Regional Cooperation
  (SAARC) –organisation of 8 SA nations for economic and
  social progress.
• A recognition that challenges are transborder – and so are
  resources and solutions!
• In April 2012: a meeting of SAARC Health Ministers
  urged member states to ‘formulate an actionable
  framework to address the common challenges of
  sanitation and access to safe drinking water in the region.’
• The SAARC framework that is being developed will
  incorporate the regional monitoring framework agreed in
  November 2012 at the ICWG in Kathmandu.
                                                           5
Summary: Global Targets
1. Everyone has water, sanitation and
   hygiene at home.
2. All schools and health centres have
   water, sanitation and hygiene
3. Water, sanitation and hygiene are
   equitable and sustainable
  As elaborated by the 4 Working Groups convened in 2011 by the
       JMP Programme of WHO and UNICEF and finalised in 2012.

                                                                  6
Targets and dates
Dates   Sanitation              Hygiene              Water
2025    No open defecation


2030    Universal adequate      Universal adequate   Universal basic
        sanitation in schools   handwashing and      drinking water in
        and health centres      MHM in schools       schools and health
                                and health centres   centres


2040    Universal adequate
        sanitation at home

        Progress towards safe
        management of
        excreta
Ground truthing and reality checks


On 27th November, 8 countries in South Asia
               deliberated:

  Are these goals and targets relevant,
    feasible and politically palatable?


                                          8
‘Looks good, but …..’

• For countries with long conflicts and natural disaster ,
  WASH and Emergencies need to be incorporated in the
  targets and goals.
• The targets on open defecation (2025) looks achievable
• The targets for schools and health centers planned far
  ahead of the target of open defecation (2020).
• In Afghanistan there is lesser focus on sanitation and
  Hygiene , but the national WASH policy focuses on
  provision of all the three component (package). However
  does not detail about excreta management and equity.
‘Yes, in line- but reach
                  higher perhaps?’
• Bhutan policies are more ambitious in terms of
  dates for universal access
• Good to focus on open defecation but is it
  really possible to achieve 100%?
• We recommend:
• A focus on public toilets (as well as schools and health
  facilities) – particularly transit settings
• Focus on community participation to ensure ownership
• Advocacy and awareness raising at all levels

                                                             10
‘In Line, ‘not new …’

• India feels that all the draft goals are in line with its
  current policies and commitments
• Target 1: India’s Nirmal Bharat Abhiyan has already
  committed to achieve the same by 2022
• Target 2: Except health centers, all others already
  covered in the NBA, particularly WASH in schools to be
  achieved by March 2013
• Target 3: A strong foundation for the same is already laid
  in NBA and INDIA will be achieving the same probably
  much earlier
• Target 4:Social Audit, Conjoint approach, focus on Equity
  and inclusion, Centralised database etc are already very
  much in support of the same.
                                                          11
‘Yes but……..’

• In principle Maldives is in line with what has been
  proposed for global targets. But key issues for us-
• Availability of freshwater in outer islands
• make water stocks available within atolls in
  emergencies and disasters
• introduce renewable energy in water supply and
  sewerage projects
• ensure water supply and sewerage facilities are
  developed free from climatic change impacts (e.g sea
  level rise)
                                                         12
South Asia largely in line with Global..
 Focus on universality, equity, reduction in disaparities
 Emphasis on participation and social audits
 Clear mention of hygiene and use versus access
 Strong endorsement of affordable, accessible,
  functional facilities in schools.
   Reccommendations from South Asia:-
   Targets not ambitious enough – need something for high achievers too
   Include emergency contexts, climate change impacts
   In South Asia targets need to also focus on governance related
   outcomes such as effective utilisation of resources and financing,
   Need to reflect the importance of community participation and advocacy
    High population density targets must include public WASH facilities
                                                                       13
THANK YOU!




             14
Detailed targets
Target 1: by 2050 no one pratices open defecation,
and inequalities in the practice of open defecation
have been eliminated.
Target 2: By 2030 everyone uses a basic drinking
water supply and hand washing facility when at
home, all schools and health centres provide users
with basic drinking water supply and adequate
sanitation, hand washing facilities and menstrual
hygiene facilities and inequalities in access ...have
been eliminated.
Detailed targets contd.
Target 3: By 2040 everyone uses adequate
  sanitation when at home, the proportion of
  the population not using an intermediate
  drinking water supply service at home has
  been reduced by half, the excreta from at
  least half of the schools, health centres and
  households with adequate sanitation are
  safely managed and inequalities in access to
  each of these services have been
  progressively achieved.
                                              16
Detailed targets contd.

Target 4: all drinking water supply,
  sanitation and hygiene services are
  delivered in a progressively affordable,
  accountable and financially and
  environmentally sustainable manner.




                                             17
Objectives behind the targets
• Progressive realisation through:
  – increasing the numbers of people using the
    services
  – Reducing inequalities
  – Increases in service levels
  • Progress in schools, health centres and
    households
  • Achievement of universal coverage by 2040
  • Sustained coverage over the long term
                                                 18

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Harmonised monitoring for SACOSAN and the post-2015 sanitation goals

  • 2. South Asia and Sanitation Monitoring • The region has held 4 sanitation conferences to date. Sacosan V is planned for Kathmandu, 11-14th November • Monitoring is integral to South Asian regional meetings on sanitation. SACOSAN II in 2006, committed to reporting against a common set of indicators to be developed by the Inter Country Working Group (ICWG). • The objective: To develop harmonised monitoring mechanisms with roles and responsibilities clearly defined, using agreed common indicators which measure and report on processes and outcomes at every level including households and communities, and which allow for disaggregated reporting of outcomes for marginalised and vulnerable groups
  • 3. Common Indicators for monitoring sanitation and hygiene across South Asia Outputs/Outcomes Indicators Access/Practice 1. % of household using improved sanitation 2. % of household practising open defecation Health and 1. % of schools with functional toilets separate for Education boys and girls 2. % of schools having functional hand washing facilities Equity 1. The gap in improved sanitation coverage by wealth quintile 2. % of total sanitation budget allocated and utilized for poor and marginalized Finance 1. % of total sector budget allocation to sanitation and hygiene 2. % of total sanitation and hygiene budget utilization 4
  • 4. Regional positioning and coherence • The South Asian Association for Regional Cooperation (SAARC) –organisation of 8 SA nations for economic and social progress. • A recognition that challenges are transborder – and so are resources and solutions! • In April 2012: a meeting of SAARC Health Ministers urged member states to ‘formulate an actionable framework to address the common challenges of sanitation and access to safe drinking water in the region.’ • The SAARC framework that is being developed will incorporate the regional monitoring framework agreed in November 2012 at the ICWG in Kathmandu. 5
  • 5. Summary: Global Targets 1. Everyone has water, sanitation and hygiene at home. 2. All schools and health centres have water, sanitation and hygiene 3. Water, sanitation and hygiene are equitable and sustainable As elaborated by the 4 Working Groups convened in 2011 by the JMP Programme of WHO and UNICEF and finalised in 2012. 6
  • 6. Targets and dates Dates Sanitation Hygiene Water 2025 No open defecation 2030 Universal adequate Universal adequate Universal basic sanitation in schools handwashing and drinking water in and health centres MHM in schools schools and health and health centres centres 2040 Universal adequate sanitation at home Progress towards safe management of excreta
  • 7. Ground truthing and reality checks On 27th November, 8 countries in South Asia deliberated: Are these goals and targets relevant, feasible and politically palatable? 8
  • 8. ‘Looks good, but …..’ • For countries with long conflicts and natural disaster , WASH and Emergencies need to be incorporated in the targets and goals. • The targets on open defecation (2025) looks achievable • The targets for schools and health centers planned far ahead of the target of open defecation (2020). • In Afghanistan there is lesser focus on sanitation and Hygiene , but the national WASH policy focuses on provision of all the three component (package). However does not detail about excreta management and equity.
  • 9. ‘Yes, in line- but reach higher perhaps?’ • Bhutan policies are more ambitious in terms of dates for universal access • Good to focus on open defecation but is it really possible to achieve 100%? • We recommend: • A focus on public toilets (as well as schools and health facilities) – particularly transit settings • Focus on community participation to ensure ownership • Advocacy and awareness raising at all levels 10
  • 10. ‘In Line, ‘not new …’ • India feels that all the draft goals are in line with its current policies and commitments • Target 1: India’s Nirmal Bharat Abhiyan has already committed to achieve the same by 2022 • Target 2: Except health centers, all others already covered in the NBA, particularly WASH in schools to be achieved by March 2013 • Target 3: A strong foundation for the same is already laid in NBA and INDIA will be achieving the same probably much earlier • Target 4:Social Audit, Conjoint approach, focus on Equity and inclusion, Centralised database etc are already very much in support of the same. 11
  • 11. ‘Yes but……..’ • In principle Maldives is in line with what has been proposed for global targets. But key issues for us- • Availability of freshwater in outer islands • make water stocks available within atolls in emergencies and disasters • introduce renewable energy in water supply and sewerage projects • ensure water supply and sewerage facilities are developed free from climatic change impacts (e.g sea level rise) 12
  • 12. South Asia largely in line with Global..  Focus on universality, equity, reduction in disaparities  Emphasis on participation and social audits  Clear mention of hygiene and use versus access  Strong endorsement of affordable, accessible, functional facilities in schools. Reccommendations from South Asia:- Targets not ambitious enough – need something for high achievers too Include emergency contexts, climate change impacts In South Asia targets need to also focus on governance related outcomes such as effective utilisation of resources and financing, Need to reflect the importance of community participation and advocacy  High population density targets must include public WASH facilities 13
  • 14. Detailed targets Target 1: by 2050 no one pratices open defecation, and inequalities in the practice of open defecation have been eliminated. Target 2: By 2030 everyone uses a basic drinking water supply and hand washing facility when at home, all schools and health centres provide users with basic drinking water supply and adequate sanitation, hand washing facilities and menstrual hygiene facilities and inequalities in access ...have been eliminated.
  • 15. Detailed targets contd. Target 3: By 2040 everyone uses adequate sanitation when at home, the proportion of the population not using an intermediate drinking water supply service at home has been reduced by half, the excreta from at least half of the schools, health centres and households with adequate sanitation are safely managed and inequalities in access to each of these services have been progressively achieved. 16
  • 16. Detailed targets contd. Target 4: all drinking water supply, sanitation and hygiene services are delivered in a progressively affordable, accountable and financially and environmentally sustainable manner. 17
  • 17. Objectives behind the targets • Progressive realisation through: – increasing the numbers of people using the services – Reducing inequalities – Increases in service levels • Progress in schools, health centres and households • Achievement of universal coverage by 2040 • Sustained coverage over the long term 18