India : How Many Toilets Does It Take to Improve Health?

Access to proper sanitation helps keep children healthy, but millions of people in the developing world still practice open defecation, putting children at risk. Diarrhea, which can result from the spread of fecal material into food or mouths, kill...

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Main Author: World Bank
Format: Brief
Language:English
en_US
Published: Washington, DC 2015
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2015/05/24525113/india-many-toilets-take-improve-health
http://hdl.handle.net/10986/22631
id okr-10986-22631
recordtype oai_dc
spelling okr-10986-226312021-06-14T10:22:00Z India : How Many Toilets Does It Take to Improve Health? World Bank SANITATION WASTE CHILD HEALTH COMMUNITIES ACCESS TO LATRINES CHILDREN HOUSEHOLDS TOILET RURAL AREAS LATRINE HEALTH EFFECTS HOMES PRIVATE TOILET FACILITIES HEALTH OUTCOMES DIARRHEA SERVICES LATRINES SANITATION COVERAGE HOUSEHOLD MARKETS FAMILY PLANNING COMMUNITY ACCESS TO SANITATION NEIGHBORHOOD HEALTH FAMILIES PROJECTS TOILETS PIT LATRINES WASTE DISPOSAL TOTAL SANITATION DESIGN SANITATION FACILITIES SIEF STRATEGIC IMPACT EVALUATION FUND E2P EVIDENCE TO POLICY Access to proper sanitation helps keep children healthy, but millions of people in the developing world still practice open defecation, putting children at risk. Diarrhea, which can result from the spread of fecal material into food or mouths, kills around 800,000 children under the age of five every year and leaves millions more malnourished and stunted. Whats the best way to create lasting change? Previous efforts often focused on encouraging individuals to invest in toilets for their households, but gains are limited if not everyone in the village does the same. One reason may be that sanitation has a communal element because even if only one family in a neighborhood practices open defecation, all families may be at risk of ingesting fecal matter. Sanitation therefore presents a unique challenge: If an individual family invests in a toilet, but their neighbors dont, are there still positive benefits? What proportion of households need to have improved sanitation for benefits to be seen across the whole village? And whats the impact in a village that goes from zero toilet use to full coverage? The World Bank is committed to helping countries develop the necessary infrastructure and practices to improve sanitation, reducing barriers families may face in raising healthy children. To better understand the impact of a whole village using improved sanitation – such as private toilets or pit latrines – compared with just a few people in the village having access to toilets, World Bank researchers analyzed a national survey database on more than 200,000 children younger than four years old in rural India. More than two-thirds of the people in the rural areas defecate in the open. The study found that diarrhea prevalence halved when sanitation coverage at community level is fully achieved. The study says that these results are mostly due to the positive spillover effects on everyones health that occurs when all (or the overwhelming majority of) households have toilets. The findings can help governments and development practitioners understand the importance of taking a communal approach to the problem. 2015-09-16T20:54:23Z 2015-09-16T20:54:23Z 2015-03 Brief http://documents.worldbank.org/curated/en/2015/05/24525113/india-many-toilets-take-improve-health http://hdl.handle.net/10986/22631 English en_US From Evidence to Policy; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Publications & Research Publications & Research :: Brief South Asia India
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic SANITATION
WASTE
CHILD HEALTH
COMMUNITIES
ACCESS TO LATRINES
CHILDREN
HOUSEHOLDS
TOILET
RURAL AREAS
LATRINE
HEALTH EFFECTS
HOMES
PRIVATE TOILET
FACILITIES
HEALTH OUTCOMES
DIARRHEA
SERVICES
LATRINES
SANITATION COVERAGE
HOUSEHOLD
MARKETS
FAMILY PLANNING
COMMUNITY
ACCESS TO SANITATION
NEIGHBORHOOD
HEALTH
FAMILIES
PROJECTS
TOILETS
PIT LATRINES
WASTE DISPOSAL
TOTAL SANITATION
DESIGN
SANITATION FACILITIES
SIEF
STRATEGIC IMPACT EVALUATION FUND
E2P
EVIDENCE TO POLICY
spellingShingle SANITATION
WASTE
CHILD HEALTH
COMMUNITIES
ACCESS TO LATRINES
CHILDREN
HOUSEHOLDS
TOILET
RURAL AREAS
LATRINE
HEALTH EFFECTS
HOMES
PRIVATE TOILET
FACILITIES
HEALTH OUTCOMES
DIARRHEA
SERVICES
LATRINES
SANITATION COVERAGE
HOUSEHOLD
MARKETS
FAMILY PLANNING
COMMUNITY
ACCESS TO SANITATION
NEIGHBORHOOD
HEALTH
FAMILIES
PROJECTS
TOILETS
PIT LATRINES
WASTE DISPOSAL
TOTAL SANITATION
DESIGN
SANITATION FACILITIES
SIEF
STRATEGIC IMPACT EVALUATION FUND
E2P
EVIDENCE TO POLICY
World Bank
India : How Many Toilets Does It Take to Improve Health?
geographic_facet South Asia
India
relation From Evidence to Policy;
description Access to proper sanitation helps keep children healthy, but millions of people in the developing world still practice open defecation, putting children at risk. Diarrhea, which can result from the spread of fecal material into food or mouths, kills around 800,000 children under the age of five every year and leaves millions more malnourished and stunted. Whats the best way to create lasting change? Previous efforts often focused on encouraging individuals to invest in toilets for their households, but gains are limited if not everyone in the village does the same. One reason may be that sanitation has a communal element because even if only one family in a neighborhood practices open defecation, all families may be at risk of ingesting fecal matter. Sanitation therefore presents a unique challenge: If an individual family invests in a toilet, but their neighbors dont, are there still positive benefits? What proportion of households need to have improved sanitation for benefits to be seen across the whole village? And whats the impact in a village that goes from zero toilet use to full coverage? The World Bank is committed to helping countries develop the necessary infrastructure and practices to improve sanitation, reducing barriers families may face in raising healthy children. To better understand the impact of a whole village using improved sanitation – such as private toilets or pit latrines – compared with just a few people in the village having access to toilets, World Bank researchers analyzed a national survey database on more than 200,000 children younger than four years old in rural India. More than two-thirds of the people in the rural areas defecate in the open. The study found that diarrhea prevalence halved when sanitation coverage at community level is fully achieved. The study says that these results are mostly due to the positive spillover effects on everyones health that occurs when all (or the overwhelming majority of) households have toilets. The findings can help governments and development practitioners understand the importance of taking a communal approach to the problem.
format Brief
author World Bank
author_facet World Bank
author_sort World Bank
title India : How Many Toilets Does It Take to Improve Health?
title_short India : How Many Toilets Does It Take to Improve Health?
title_full India : How Many Toilets Does It Take to Improve Health?
title_fullStr India : How Many Toilets Does It Take to Improve Health?
title_full_unstemmed India : How Many Toilets Does It Take to Improve Health?
title_sort india : how many toilets does it take to improve health?
publisher Washington, DC
publishDate 2015
url http://documents.worldbank.org/curated/en/2015/05/24525113/india-many-toilets-take-improve-health
http://hdl.handle.net/10986/22631
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