Linking Service Delivery Processes and Outcomes in Rural Sanitation : Findings from 56 Districts in India

Linking Service Delivery Processes and Outcomes in Rural Sanitation : Findings from 56 Districts in India

The year 2012 marked the close of the Government of India's (GoI's) Total Sanitation Campaign (TSC). The program was started in 1999 to achieve universal rural sanitation coverage. Although rural sanitation coverage has increased during T...

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Bibliographic Details
Main Author:	World Bank
Format:	Working Paper
Language:	English en_US
Published:	Washington, DC 2014
Subjects:	ACCESS TO WATER BEHAVIOR CHANGE CONSTRUCTION OF LATRINES CONTROL OVER RESOURCES DIARRHEA DISEASES DISPOSAL OF GARBAGE DISSEMINATION DRAINAGE SYSTEMS DRINKING WATER ENVIRONMENTAL SANITATION ETHNIC GROUPS FAMILY HEALTH FECES DISPOSAL FLUSH TOILETS GARBAGE DISPOSAL GROSS DOMESTIC PRODUCT HEALTH PROMOTION HOUSEHOLD SANITATION HYGIENE HYGIENE BEHAVIORS HYGIENE EDUCATION HYGIENE PRACTICES ILLNESS IMPACT ON HEALTH INADEQUATE SANITATION INFORMATION SYSTEM INFORMED CHOICE LARGE-SCALE SANITATION PROGRAMS LATRINE LEGAL STATUS LOCAL GOVERNMENTS LOW BIRTH WEIGHT MALARIA MASS COMMUNICATION MASS MEDIA NATIONAL CAMPAIGN NATIONAL LEVEL NUMBER OF CHILDREN NUMBER OF PEOPLE NUMBER OF PERSONS NUTRITION PARADIGM SHIFT PERSONAL HYGIENE POLICY MAKERS POLITICAL LEADERSHIP POOR SANITATION POPULATION SIZE PRACTITIONERS PREVENTABLE DISEASE PROGRESS PUBLIC HEALTH PUBLIC HEALTH ENGINEERING PURCHASING POWER PURCHASING POWER PARITY QUALITY OF LIFE RESPECT RURAL AREAS RURAL DEVELOPMENT RURAL HOUSEHOLDS RURAL SANITATION RURAL SANITATION COVERAGE SAFE DISPOSAL SAFE SANITATION SANITARY FACILITIES SANITATION SANITATION COMMITTEES SANITATION INITIATIVES SANITATION PROGRAM SANITATION PROGRAMS SANITATION SECTOR SANITATION SERVICES SANITATION SITUATION SCHOOL SANITATION SEPTIC TANKS SERVICE DELIVERY SOAP STATE GOVERNMENTS STATUS OF WOMEN SUPPLY CHAINS SUSTAINABLE ACCESS TOILET TOILETS TOTAL SANITATION USERS WASHING WASTE MANAGEMENT WATER SUPPLY
Online Access:	http://documents.worldbank.org/curated/en/2013/01/17585214/linking-service-delivery-processes-outcomes-rural-sanitation-findings-56-districts-india http://hdl.handle.net/10986/16545

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Summary:	The year 2012 marked the close of the Government of India's (GoI's) Total Sanitation Campaign (TSC). The program was started in 1999 to achieve universal rural sanitation coverage. Although rural sanitation coverage has increased during TSC, progress still falls short of the program goal of universal coverage. The objectives of this assessment are to: provide GoI with an overview of the range of service delivery processes adopted by different districts across states and their relative performance in terms of outcomes; identify which service delivery processes are linked to better (or worse) performance; and identify where the key bottlenecks are to achieving or sustaining outcomes. In the first round of this assessment undertaken in 2010, six service delivery processes were identified as being critical for achieving sustainable rural sanitation outcomes at scale. In this second round, the number of processes assessed was increased to nine and grouped into three thematic components corresponding to the three stages in which the districts implement the program: catalyzing, implementing, and sustaining. Once this is in place, program implementation needs to focus on aligning operations to facilitate achievement of outcomes. Finally, the outcomes achieved must be sustained to achieve downstream impacts such as improvements in health and quality of life.

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