Outcomes ofOutcomes of

Prepared by UNSGAB on behalf of Prepared by UNSGAB on behalf of The UNThe UN--Water Task Force on SanitationWater Task Force on Sanitation

March 2009March 2009

Annual cost of not dealing with Annual cost of not dealing with water and sanitationwater and sanitation

Lives lostLives lost1.6 million annually due to 1.6 million annually due to diarrhoea alonediarrhoea alone

Health care costs:Health care costs:USD7 billion per year to health USD7 billion per year to health agenciesagenciesUSD340 million to individualsUSD340 million to individuals

Time lost to ill healthTime lost to ill health320 million productive days in 320 million productive days in 15 15 –– 59 age range 59 age range 272 million school days lost272 million school days lost1.5 billion healthy days for 1.5 billion healthy days for under 5sunder 5sCan be valued at US$9.9billion Can be valued at US$9.9billion per yearper year

Time lost to inconvenienceTime lost to inconvenience20 billion working days per 20 billion working days per yearyearCan be valued at US$64billion Can be valued at US$64billion per yearper year

Source WHO

Many countries not on track to Many countries not on track to meet the MDG sanitation targetmeet the MDG sanitation target

No or insufficient data

On track

Not on track

Progress but insufficient

Source: WHO/UNICEF Source: WHO/UNICEF Joint Monitoring Joint Monitoring

Programme. 2008Programme. 2008

Steps neededSteps needed

Political support

National Policy / Strategy design and

adoption

Fund raising

Infrastructure development

and use … sustained

Measurable improvement

Years

National strategy implementation: budget, focal point, coordination

Awareness

AwarenessAwareness

At global and regional levelsAt global and regional levelsPreparation and distribution of communication kitsPreparation and distribution of communication kitsLaunch of the IYSLaunch of the IYSGlobal Global HandwashingHandwashing Day Day –– 85 participating countries, 85 participating countries, 200 million school children200 million school childrenUpdate of regional study on sanitation in 22 countries of Update of regional study on sanitation in 22 countries of Latin AmericaLatin AmericaG8 G8 communiquecommunique mentioning sanitation for the first timementioning sanitation for the first timeInternational Seminars on Sanitation International Seminars on Sanitation Regional Sanitation ConferencesRegional Sanitation Conferences

Regional Sanitation Meetings : 80+ countries involvedRegional Sanitation Meetings : 80+ countries involved

No or insufficient data

On track

Not on track

Progress but insufficient

LATINOSAN 30 countries12-16 /11/2007 Cali, ColumbiaLATINOSAN II (in preparation)

SACOSAN I 9 countries21-23/10/2003 Dhaka, BangladeshSACOSAN II 11 countries20-21/09/ 2006 Islamabad, PakistanSACOSAN III (In preparation)16-21 November 2008 - New Delhi, India

EASAN 14 Countries30/11-1/12/2007 Beppu City, Japan

AFRICASAN 20 countries29/07-1/08/2002 Johannesburg, South AfricaAFRICASAN+5 32 countries18 - 20 February 2008 Durban, South Africa Sub-regional meetingsAfricaSan-South : 4-7/08/ 2003, Gaborone, Botswana AfricaSan-East : 1 – 3/02/2005, Addis Ababa, EthiopiaAfricaSan-West and Central : 21-23/02/2005, Ouagadougou, Burkina Faso

CARIBSAN 12 countries28-29 /04/2008 Kingston, Jamaica

Side-event of Pacific Water Conference 9-11/9/2008 Apia, Samoa

Immediate outputs of the SAN conferencesImmediate outputs of the SAN conferencesExtensive country participation: Extensive country participation: Nearly 90 countries Nearly 90 countries involvedinvolved

Wide spectrum of stakeholders participated: Wide spectrum of stakeholders participated: HighHigh--level decision makers (Ministers), local governments and level decision makers (Ministers), local governments and municipalities, civil society, technical professionals, private municipalities, civil society, technical professionals, private sector sector researchers representing different sectors including sanitation,researchers representing different sectors including sanitation, water, health, environment, financing.water, health, environment, financing.

Political commitments (Political commitments (declarations,declarations, e.g. e.g. eThekwinieThekwini))Recognition of reality!Recognition of reality!Unprecedented coordination among supporting Unprecedented coordination among supporting OrganizationsOrganizations (WSP, WHO, UNICEF, UNSGAB, UNDP, (WSP, WHO, UNICEF, UNSGAB, UNDP, WaterAidWaterAid, WSSCC and others) , WSSCC and others) both globally and both globally and nationallynationally

Awareness: MultiAwareness: Multi--stakeholder stakeholder conferencesconferences

At national levelAt national levelNationalNational SanitationSanitation Forum Forum oror SummitSummit: : CambodiaCambodia, China, , China, PeruSanPeruSan, , BoliviaSanBoliviaSan, , NicaraguaSanNicaraguaSan, M, Maliali, , EthioSanEthioSan, Burkina Faso, Philippines, Burkina Faso, PhilippinesGambia: Religious leaders forum on sanitation promotionGambia: Religious leaders forum on sanitation promotionSierra Leone: workshop for local councils representativesSierra Leone: workshop for local councils representativesSri Lanka: workshop on National Sanitation PolicySri Lanka: workshop on National Sanitation Policy

At subAt sub--national levelnational levelPeruPeru: 6 regional : 6 regional conferencesconferences as as PeruSanPeruSan preparationpreparationPhilippinesPhilippines: Mindanao : Mindanao andand LuzonLuzon Regional Regional SanitationSanitation SummitsSummitsProvinceProvince ofof HuilaHuila, Angola: , Angola: DeclarationDeclaration aimingaiming atat OpenOpen DefecationDefecation Free Free provinceprovince by 2012by 20122 autonomous regions of Costa 2 autonomous regions of Costa CaribeCaribe, Nicaragua: radio and television , Nicaragua: radio and television spots on sanitation, a series of sanitation forums spots on sanitation, a series of sanitation forums

Awareness: National eventsAwareness: National events

Designation of National Day or Week for Designation of National Day or Week for Sanitation, for Clean cities, for Hygiene Sanitation, for Clean cities, for Hygiene and Healthand Health

Designation of National Designation of National Sanitation Sanitation AmbassadorsAmbassadors

Publication of national Publication of national studies on sanitationstudies on sanitation

Awareness: media relationsAwareness: media relationsCreation of journalists networkCreation of journalists network

Field visits, roundtable sessions for journalistsField visits, roundtable sessions for journalists

Sanitation workshops for journalists Sanitation workshops for journalists

Television and radio broadcastsTelevision and radio broadcasts

2222--minute sanitation advocacy documentary (ADB)minute sanitation advocacy documentary (ADB)

Two major books published (The Last Taboo, The Big Two major books published (The Last Taboo, The Big Necessity) Necessity)

HighHigh--level political supportlevel political support

IYS IYS nationalnational launchinglaunching by by HeadHead ofof StateState ororrepresentativerepresentative in in severalseveral countriescountries (Burundi, (Burundi, Gambia, Gambia, LaoLao, , MaliMali, , TimorTimor--Leste, Uruguay)Leste, Uruguay)

India: Prime India: Prime MinisterMinister opensopens SACOSANSACOSANNigeria: Nigeria: HandwashingHandwashing campaigncampaign launchinglaunchingby by wifewife ofof PresidentPresidentSouthSouth AfricaAfrica: : PledgePledge signedsigned by by seniorseniorpoliticianspoliticians –– MinisterMinister, Premier , Premier ofof ProvinceProvinceMuchMuch more more eventsevents withwith ministerial ministerial supportsupport

Policy / strategy design and Policy / strategy design and adoption: nationaladoption: national

NationalNational SanitationSanitation StrategyStrategy underunder developmentdevelopment (Burundi, (Burundi, CambodiaCambodia, Cote , Cote dd’’IvoireIvoire, , DjiboutiDjibouti, Honduras, Vietnam) , Honduras, Vietnam) oror finalizedfinalized((AfghanistanAfghanistan, Gambia, Guyana, Madagascar, Malawi, , Gambia, Guyana, Madagascar, Malawi, MaliMali, Sri , Sri Lanka)Lanka)

India: India: NewNew UrbanUrban SanitationSanitation PolicyPolicy ((CleanClean CitiesCities AwardAward))

Indonesia: Indonesia: adoptionadoption ofof SolidSolid WasteWaste RegulationRegulation andand StrategyStrategy ononDomesticDomestic WasteWaste WaterWater ManagementManagement

AfricaSanAfricaSan FollowupFollowup Action Plan (Burkina Faso, Burundi, Action Plan (Burkina Faso, Burundi, Mozambique, Rwanda, Senegal, South Africa Tanzania, Uganda)Mozambique, Rwanda, Senegal, South Africa Tanzania, Uganda)

WatsanWatsan sector strategic plan for all member countries of sector strategic plan for all member countries of IaDBIaDB

Uruguay: official commitment for 100% coverage in the next yearsUruguay: official commitment for 100% coverage in the next years

National action plan National action plan implementation: national budgetimplementation: national budgetSignificantSignificant budgetbudget increasesincreases in in somesomecountriescountries ((BurkinaBurkina Faso, Cote Faso, Cote dd’’IvoireIvoire, China, , China, DjiboutiDjibouti, , IraqIraq, , Kenya, Nepal, Nigeria, Kenya, Nepal, Nigeria, PakistanPakistan, Tanzania), Tanzania)

DecisionDecision toto betterbetter tracktrack sector sector budgetbudget andand toto havehave itit onon a a specificspecific budgetbudget lineline ((Gambia,Gambia,Uganda)Uganda)

National action plan National action plan implementation: focal pointimplementation: focal point

NationalNational TechnicalTechnical UnitUnit forfor EnvironmentalEnvironmentalSanitationSanitation in Angolain Angolaseparateseparate ministryministry andand departmentdepartment forfor PublicPublicHealthHealth andand SanitationSanitation in Kenyain KenyaSanitationSanitation TaskTask ForceForce in in MinistryMinistry ofof WaterWaterSupplySupply andand DrainageDrainage in Sri Lankain Sri Lanka

National action plan National action plan implementation: coordinationimplementation: coordination

CoordinationCoordination amongamong MinistriesMinistries (Mauritania)(Mauritania)

CoordinationCoordination amongamong allall stakeholdersstakeholders (Gambia, (Gambia, India, Nicaragua, India, Nicaragua, MaliMali, , SurinameSuriname, Tanzania, Vietnam), Tanzania, Vietnam)

National action plan National action plan implementation: community implementation: community

involvementinvolvementNationalNational StrategyStrategy onon CommunityCommunity ActionAction forfor Total Total SanitationSanitation (Indonesia, Myanmar)(Indonesia, Myanmar)CommunityCommunity--ledled Total Total SanitationSanitation campaignscampaigns(Mauritania, Zambia)(Mauritania, Zambia)SpecialSpecial programmesprogrammes toto provideprovide supportsupport totomunicipalitiesmunicipalities ((SouthSouth AfricaAfrica) ) GovernmentalGovernmental financialfinancial incentive incentive forfor openopendefecationdefecation free free villagesvillages (Nepal)(Nepal)DeclarationDeclaration ofof FirstFirst OpenOpen--DefecationDefecation Free Free villagevillage, , pilotpilot projectproject CLTS in 4 CLTS in 4 villagesvillages (Eritrea)(Eritrea)

FundFund--raisingraising

CreationCreation ofof Global Global SanitationSanitation FundFundIDB: IDB: setset up up ofof AquafundAquafundADB: ADB: releaserelease ofof SanitationSanitation StrategyStrategy –– commitmentcommitment totoallocateallocate 20% 20% ofof WaterWater FinancingFinancing ProgramProgram toto sanitationsanitationSanitationSanitation DonorDonor GroupGroup oror BasketBasket FundFund (Indonesia, Nepal, (Indonesia, Nepal, PakistanPakistan))PhilippinesPhilippines: : creationcreation ofof InnovativeInnovative SanitationSanitation InterventionsInterventionsProject Project FundFund; ; creationcreation withwith WSP WSP ofof SuSEaSuSEa--PhilippinesPhilippines totoincreaseincrease accessaccess ofof poorpoor toto sanitationsanitationVietnam: Vietnam: donordonor--ledled 33--foldfold budgetbudget increaseincrease in 6 in 6 provincesprovinces

Field activities: Infrastructure Field activities: Infrastructure developmentdevelopment

Afghanistan: special project Afghanistan: special project ““Clean Clean VillagesVillages””; first women; first women--led toilet elements led toilet elements production production centercenter openedopenedBostwanaBostwana: extensive latrine construction, : extensive latrine construction, DukweDukwe Refugee CampRefugee CampPilotPilot projectsprojects forfor sanitationsanitation in in schoolsschools(Sierra (Sierra LeonLeon, Sri Lanka, , Sri Lanka, SurinameSuriname, , TimorTimor--Leste)Leste)

Field activities: trainingField activities: training

RefurbishmentRefurbishment ofof SanitationSanitation ParkPark atat FijiFijiSchoolSchool ofof MedicineMedicineNationalNational consultationconsultation andand training training forforsanitationsanitation engineersengineers ((PhilippinesPhilippines))HandsHands--onon training training withwith governmentgovernmentrepresentativesrepresentatives, , NGOsNGOs andand communitiescommunities((PhilippinesPhilippines, , SurinameSuriname, Tanzania), Tanzania)

More examples availableMore examples available

On On www.sanitationyear2008.orgwww.sanitationyear2008.org

And now?And now?

We are not on track to meet the Sanitation We are not on track to meet the Sanitation MDG, what do we do about it?MDG, what do we do about it?

Should countries adopt guidelines or Should countries adopt guidelines or common goals on wastewater collection, common goals on wastewater collection, treatment and reuse?treatment and reuse?