Abstract
The sanitation target of the Sustainable Development Goals is that everyone should have a ‘safely-managed’ sanitation facility by 2030 and that open defecation be eliminated. The scale of this target is unprecedently large: ∼5.6 billion additional people will require safely-managed sanitation by 2030 (∼1 million per day), and ∼1.3 billion people will need to switch from open to fixed-defecation in a sanitation facility by 2030 (240,000 per day). Safely-managed shared sanitation and container-based sanitation are both likely to be part of the solution, particularly in urban slums. The SDG hygiene target covers facilities for handwashing with soap, menstrual-hygiene management, and food hygiene, but only handwashing with soap is monitored by WHO/UNICEF. In 2015, the percentage of people with handwashing-with-soap facilities at home ranged from 15% in Sub-Saharan Africa to 76% in Western Asia and North Africa. The costs to meet these targets are around US$46 billion in urban areas, and US$25 billion in rural areas, per year during 2016–2030. Benefit-cost ratios are ∼18 in rural areas. There is a correspondingly considerable need for training local sanitation and hygiene professionals, so that they can plan and design interventions to meet the SDG target.
Optimizing household survey methods to monitor the Sustainable Development Goals targets 6.1 and 6.2 on drinking water, sanitation and hygiene: A mixed-methods field-test in Belize