scholarly journals Explaining the outcomes of the ‘Clean India’ campaign: institutional behaviour and sanitation transformation in India

2019 ◽  
Author(s):  
Val Curtis
Keyword(s):  
Sustainable Development ◽  
Universal Access ◽  
Theory Of Change ◽  
Ethical Behaviour ◽  
List Type ◽  
Open Defecation ◽  
Sustainable Development Goal ◽  
Development Goal ◽  
The Sustainable Development ◽  
New Findings

AbstractIntroductionWhilst many less developed countries are struggling to provide universal access to safe sanitation, in the last five years India has almost reached its target of eliminating open defaecation. The object of this study was to understand how the Indian Government effected this sanitation transformation.MethodsThe study employed interviews with 17 actors in the Government’s ‘Clean India’ programme across the national capital and four states which were analysed using a theory of change grounded in Behaviour Centred Design.ResultsThe Swachh Bharat Mission (Gramin) claims to have improved the coverage of toilets in rural India from 39% to over 95% of households between 2014 and mid 2019. From interviews with relevant actors we constructed a theory of change for the programme in which high-level political support and disruptive leadership changed environments in districts, which led to psychological changes in district officials, which, in turn, led to changed behaviour concerning sanitation programming. The Prime Minister’s setting of the ambitious goal to eliminate open defecation by the 150th birthday of Mahatma Gandhi (October 2019) galvanised government bureaucracy, while early success in 100 flagship districts reduced the scepticism of government employees, a cadre of 500 young professionals placed in districts imparted new ideas and energy, social and mass media was used to engage and motivate the public and key players, and new norms of ethical behaviour were demonstrated by leaders. As a result, district officials engaged emotionally with the programme and felt pride at their achievements in ridding villages of open defecation.ConclusionsThough many challenges remain, Governments seeking to achieve the Sustainable Development Goal of universal access to safe sanitation can emulate the success of India’s Swachh Bharat Mission.SUMMARY BOXESWhat is already known?At least 47 countries are not on track to reach the Sustainable Development Goal of universal access to safe sanitation by 2030 and some 0.6 billion people are still defecating in the open.It is not clear how governments in low income countries can be galvanised to act to resolve this pressing public health problem.What are the new findings?The experience of the Clean India programme suggests that countries can almost eliminate open defecation.The success of the programme was due to factors including: the setting of ambitious targets; the use of modern communications strategies and monitoring technology; and the provision of visible reward and recognition for employees.What do the new findings imply?Disruptive leadership is needed to create working environments where sometimes jaded civil servants are given an opportunity to make a difference.Politicians who embrace the cause of sanitation may find that there are votes in toilets.

scholarly journals Policy Brief: Ending Open Defecation in Nigeria

2020 ◽  
pp. 47-54
Author(s):  
Mary Obidiya Okuku
Keyword(s):  
Sustainable Development ◽  
United Nations ◽  
Job Creation ◽  
Communication Strategy ◽  
Open Defecation ◽  
Sustainable Development Goal ◽  
Political Will ◽  
Development Goal ◽  
The Sustainable Development ◽  
The Impact

The purpose of this paper is to present a policy brief on ending open defecation in Nigeria. The briefing notes the burden of open defecation (OD) in Nigeria, its causes, the impact of OD practices, successes achieved so far, as well as the failures encountered and offers recommendations to end the practice in order to achieve the sustainable development goal (SDG) 6.2 of ending open defecation globally by 2030 as proposed by the United Nations.       Key Recommendations: Strong Political Will to uphold and implement policies on sanitation Building more latrines Establishing monitoring team Capacity building Sustainable job creation Improved communication strategy

scholarly journals Determinants of Skilled Birth Attendance in the Northern Parts of Ghana

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Kwamena Sekyi Dickson ◽  
Hubert Amu
Keyword(s):  
Sustainable Development ◽  
Universal Access ◽  
Healthcare Services ◽  
Skilled Birth Attendance ◽  
Household Wealth ◽  
Sustainable Development Goal ◽  
Skilled Delivery ◽  
Development Goal ◽  
The Sustainable Development ◽  
Birth Attendance

Background. An integral part of the Sustainable Development Goal three is to ensure universal access to sexual and reproductive healthcare services which include skilled delivery by the year 2030. We examined the determinants of skilled delivery among women in the Northern part of Ghana. Methods. The paper made use of data from the Demographic and Health Survey. Women from the Northern part of Ghana were included in the analysis. Bivariate descriptive analyses coupled with binary logistic regression estimation technique were used to analyse the data. Results. Region of residence, age, household wealth, education, distance to a health facility, religion, parity, partner’s education, and getting money for treatment were identified as the determinants of skilled delivery. While the probability of having a skilled delivery was higher in the Upper East Region, it was lower in the Northern and Upper West Regions compared to the Brong Ahafo Region. Conclusion. Our findings call for more attention from the Ghana Health Service and the Ministry of Health in addressing the skilled delivery gaps among women particularly in the Northern and Upper West Regions in ensuring attainment of the Sustainable Development Goal target related to reproductive health care accessibility for all by the year 2030.

scholarly journals The Determinants of Access to Sanitation: The Role of Human Rights and the Challenges of Measurement

Water ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 1676
Author(s):  
Rebecca Schiel ◽  
Bruce M. Wilson ◽  
Malcolm Langford
Keyword(s):  
Sustainable Development ◽  
Human Rights ◽  
Field Data ◽  
Data Availability ◽  
Regression Analyses ◽  
Human Right ◽  
Sustainable Development Goal ◽  
Development Goal ◽  
The Sustainable Development

Ten years after the United Nation’s recognition of the human right to water and sanitation (HRtWS), little is understood about how these right impacts access to sanitation. There is limited identification of the mechanisms responsible for improvements in sanitation, including the international and constitutional recognition of rights to sanitation and water. We examine a core reason for the lack of progress in this field: data quality. Examining data availability and quality on measures of access to sanitation, we arrive at three findings: (1) where data are widely available, measures are not in line with the Sustainable Development Goal (SDG) targets, revealing little about changes in sanitation access; (2) data concerning safe sanitation are missing in more country-year observations than not; and (3) data are missing in the largest proportions from the poorest states and those most in need of progress on sanitation. Nonetheless, we present two regression analyses to determine what effect rights recognition has on improvements in sanitation access. First, the available data are too limited to analyze progress toward meeting SDGs related to sanitation globally, and especially in regions most urgently needing improvements. Second, utilizing more widely available data, we find that rights seem to have little impact on access.

scholarly journals Establishing Sustainable Development Goal Baselines for Household Drinking Water, Sanitation and Hygiene Services

Water ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 1711 ◽  
Author(s):  
Robert Bain ◽  
Richard Johnston ◽  
Francesco Mitis ◽  
Christie Chatterley ◽  
Tom Slaymaker
Keyword(s):  
Sustainable Development ◽  
Drinking Water ◽  
World Health ◽  
Household Surveys ◽  
Sustainable Development Goal ◽  
Development Goal ◽  
The Sustainable Development ◽  
Sanitation And Hygiene ◽  
Joint Monitoring ◽  
Health Organization

The World Health Organization (WHO) and United Nations Children’s Fund (UNICEF), through the Joint Monitoring Programme (JMP), are responsible for global monitoring of the Sustainable Development Goal (SDG) targets for drinking water, sanitation and hygiene (WASH). The SDGs represent a fundamental shift in household WASH monitoring with a new focus on service levels and the incorporation of hygiene. This article reflects on the process of establishing SDG baselines and the methods used to generate national, regional and global estimates for the new household WASH indicators. The JMP 2017 update drew on over 3000 national data sources, primarily household surveys (n = 1443), censuses (n = 309) and administrative data (n = 1494). Whereas most countries could generate estimates for basic drinking water and basic sanitation, fewer countries could report on basic handwashing facilities, water quality and the disposal of waste from onsite sanitation. Based on data for 96 and 84 countries, respectively, the JMP estimates that globally 2.1 billion (29%) people lacked safely managed drinking water services and 4.5 billion (61%) lacked safely managed sanitation services in 2015. The expanded JMP inequalities database also finds substantial disparities by wealth and sub-national regions. The SDG baselines for household WASH reveal the scale of the challenge associated with achieving universal safely managed services and the substantial acceleration needed in many countries to achieve even basic services for everyone by 2030. Many countries have begun to localise the global SDG targets and are investing in data collection to address the SDG data gaps, whether through the integration of new elements in household surveys or strengthening collection and reporting of information through administrative and regulatory systems.

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