Improved water and sanitation to speed up the achievement of all eight MDGs
Approximately 400,000 to.500, 000 children below five years of age die due to diarrhoea annually in India. Young children bear a huge part of the burden of disease resulting from the lack of hygiene and sanitation. Consumption of contaminated drinking water, improper disposal of human excreta, lack of personal and food hygiene, and improper disposal of solid and liquid waste have been the major causes of many diseases in India. High infant mortality rate and high levels of malnutrition are also attributed to poor sanitation.
Household data from the 2001 Census indicated that only 22 percent of rural households use sanitary facilities. Disparities exist across states - ranging from 81 percent in Kerala and 60 percent in Assam to 9 percent in Madhya Pradesh and 8 percent in Orissa. The landless and the marginalized continue to be left without toilets. Approximately 24 percent urban households either have no access or choose to pollute the environment and make it more conducive for the spread of communicable diseases including polio that has been long targeted for eradication.
The Total Sanitation Campaign (TSC) launched in 1999, has helped overcome some of these obstacles. Of the 138.2 million rural households in India, (2001) nearly 3.5 million have constructed household toilets with support from the TSC. Over 1,700 women’s complexes, 41,000 school toilets have been built, apart from other support facilities such as rural sanitary marts (RSMs), at a total cost of just over Rs. 2.92 billion (approximately US $ 62 million).
Among the fourteen objectives of the 10th Plan, the role of sanitation and hygiene are intrinsically linked to the objectives of reducing IMR; Maternal Mortality Ratio (MMR); ensuring completion of five years of schooling for all children by 2007; providing potable drinking water in all villages; cleaning of major polluted river stretches and to provide “shelter for all” by the end of the 10th Plan.
India’s first nationwide programme for sanitation, the Central Rural
The main objectives of the TSC are to:
• Generate demand through awareness and health education
Safe water and sanitation for India’s 638,738 primary schools is now a priority within both the Rural Development and Education Departments of GoI.
The TSC (currently covering 520 of India’s 607 districts) aims to cover all primary and upper primary schools with safe water, child-friendly toilets, and hygiene education that empower children to lead healthy lives.
Additionally, TSC attempts to cover village based early childhood development centres for under five children known as anganwadi
Recognizing the role of elected local representatives (Gram Panchayats) to promote sanitation through collective community action, the Government of India instituted an award, called Nirmal Gram Puraskar (NGP) in October 2003. The NGP awards are given to districts, blocks, and Gram Panchayats that have achieved 100% sanitation coverage of individual households, 100% school sanitation coverage, are free from open defecation and conduct clean environment maintenance. This award was given for the first time on 24th February 2005 by His Excellency, the President of India, Dr. A.P.J. Abdul Kalam. In 2005, forty Gram Panchayats from six states achieved open defecation free status. Over 1000 applications have been received for the 2006 award.
The TSC aims to make sanitation and hygiene a people’s agenda through a management structure that makes the gram panchayat the
Mayamma, a woman from Dammapeta in the state of Andhra Pradesh says “Earlier it was difficult for us to go for nature’s call but now we feel comfortable.”
UNICEF proposed measures until 2007
In order to create and sustain interest and vibrancy for improved sanitation and sanitation as a social movement within the civil society, CEP in collaboration with Advocacy and Partnership Section will increase its investment in media and visibility work and develop a number of advocacy materials and actions which will be used to influence decision makers and opinion leaders and formers. Key actions and interventions include:
Support to Government to develop policies/lead in Regional Cooperation
Development of advocacy strategy and media plan
Develop advocacy materials to document successful experiences
Work with Parliamentarians and Opinion Leaders
Work with Schools and Youth organizations in 16 integrated districts
Work with other partners (especially in the 16 districts, with an agreement at the national level)