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Pathways for Sustainable Sanitation

Pathways for Sustainable Sanitation

Arno Rosemarin | Nelson Ekane | Ian Caldwell | Elisabeth Kvarnstrom | Jennifer McConville | Cecilia Ruben | Madeleine Fogde

(2008)

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Book Details

Abstract

The report is a product arising from the work of the Sustainable Sanitation Alliance which was initiated prior to the International Year of Sanitation in 2008 in an attempt to inject sustainable development ideas into the sanitation sector. It functions as a vision document for those policymakers, researchers and practitioners that are striving towards fundamental reform and improvements within the sanitation sector in both rural and urban populations in all countries of the world. 
It reviews the global progress being made towards achieving the Millennium Development Goal (MDG) target on sanitation. A literature review is presented on sanitation provision including human health impacts and the estimated costs and benefits of achieving the MDG target. The report also provides a critique in that the UN has not yet introduced the concept of sustainability into the MDG programme in general and in particular into the sanitation sector which is highly dysfunctional and suffering from limited political leadership at both the local and global levels. It introduces the various sustainable sanitation options available and what approaches can be taken to improve sanitation systems – not just toilets which are only a small part of the overall system of food, nutrients and water cycles. 
The study estimates the numbers of urban and rural households, including slum populations that are being targeted in all world regions. It also evaluates the historic trends in morbidity and mortality linked to diarrhoea arising from lack of functioning sanitation services comparing these to the UN data on sanitation coverage. The report estimates the potential fertiliser replacement capacity that reuse of human excreta can have for all world regions. Finally it provides a vision for future development within the sector where more sustainable options like source separation and reuse are promoted giving positive environmental or “green” impacts but also catalysing greater involvement and understanding on the part of individuals in society.

Table of Contents

Section Title Page Action Price
Title 2
Copy right 3
Table of Contents 4
List of Figures 5
List of Tables 5
List of Boxes 6
1. Introduction 8
1.1. Objectives of the paper 8
1.2. The MDG on water and sanitation 8
1.3. The International Year of Sanitation 2008 9
1.4. Monitoring MDG 7 Target 10 10
1.5. The gap between water supply and sanitation 11
1.6. The urban/rural population split and growing slums 13
2. Linking Sanitation to Human Health 15
2.1. Impacts related to unsafe water, poor sanitation and poor hygiene 15
2.2. The disease burden caused by lack of sanitation systems 17
3. Linking Sanitation to Food Security 20
3.1. The agriculture challenge 20
3.2. Rising food prices and the fertiliser market 21
3.3. The geopolitical perils of fertiliser availability and supply 22
3.4. Future role of conservation agriculture and productive sanitation 25
4. Introducing Sustainable and Ecological Sanitation 27
4.1. Sustainable sanitation 27
4.2. Ecological sanitation 28
4.3. WHO guidelines for safe reuse 30
5. Policy, Planning and Implementation 35
5.1. Sanitation policy 35
5.2. Sanitation planning systems 36
5.3. Implementing improved sanitation 38
The case of Uganda 39
The case of Ethiopia 39
5.4. Choosing appropriate systems 40
6. Costing the Scaling-up to Meet the MDG Target 44
6.1. Cost-benefit analyses 44
6.2. Shortcomings of existing costing estimates 46
6.3. Cost comparisons 46
7. Achieving Sustainable Sanitation 49
7.1. Key drivers 49
7.2. Institutional players 49
7.3. Capacity development 50
Strategies to address capacity needs in sustainable sanitation 50
Tools available 51
7.4. SuSanA 52
7.5. Financing sanitation initiatives 52
7.6. Overall conclusions 57
8. References 59