March Outcomes of. Prepared by UNSGAB on behalf of The UN-Water Task Force on Sanitation

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1 March 2009 Outcomes of Prepared by UNSGAB on behalf of The UN-Water Task Force on Sanitation

2 Annual cost of not dealing with water and sanitation Lives lost 1.6 million annually due to diarrhoea alone Health care costs: USD7 billion per year to health agencies USD340 million to individuals Source WHO Time lost to ill health 320 million productive days in age range 272 million school days lost 1.5 billion healthy days for under 5s Can be valued at US$9.9billion per year Time lost to inconvenience 20 billion working days per year Can be valued at US$64billion per year

3 Many countries not on track to meet the MDG sanitation target On track Progress but insufficient Not on track No or insufficient data Source: WHO/UNICEF Joint Monitoring Programme. 2008

4 Steps needed Awareness Political support National Policy / Strategy design and adoption Infrastructure development and use sustained Fund raising National strategy implementation: budget, focal point, coordination Measurable improvement Years

5 Awareness At global and regional levels Preparation and distribution of communication kits Launch of the IYS Global Handwashing Day 85 participating countries, 200 million school children Update of regional study on sanitation in 22 countries of Latin America G8 communique mentioning sanitation for the first time International Seminars on Sanitation Regional Sanitation Conferences

6 Regional Sanitation Meetings : 80+ countries involved LATINOSAN 30 countries /11/2007 Cali, Columbia LATINOSAN II (in preparation) SACOSAN I 9 countries 21-23/10/2003 Dhaka, Bangladesh SACOSAN II 11 countries 20-21/09/ 2006 Islamabad, Pakistan SACOSAN III (In preparation) November New Delhi, India EASAN 14 Countries 30/11-1/12/2007 Beppu City, Japan Side-event of Pacific Water Conference 9-11/9/2008 Apia, Samoa CARIBSAN 12 countries /04/2008 Kingston, Jamaica On track Progress but insufficient Not on track No or insufficient data AFRICASAN 20 countries 29/07-1/08/2002 Johannesburg, South Africa AFRICASAN+5 32 countries February 2008 Durban, South Africa Sub-regional meetings AfricaSan-South : 4-7/08/ 2003, Gaborone, Botswana AfricaSan-East : 1 3/02/2005, Addis Ababa, Ethiopia AfricaSan-West and Central : 21-23/02/2005, Ouagadougou, Burkina Faso

7 Immediate outputs of the SAN conferences Extensive country participation: Nearly 90 countries involved Wide spectrum of stakeholders participated: High-level decision makers (Ministers), local governments and municipalities, civil society, technical professionals, private sector researchers representing different sectors including sanitation, water, health, environment, financing. Political commitments (declarations,( e.g. ethekwini) Recognition of reality! Unprecedented coordination among supporting Organizations (WSP, WHO, UNICEF, UNSGAB, UNDP, WaterAid,, WSSCC and others) both globally and nationally

8 Awareness: Multi-stakeholder At national level conferences National Sanitation Forum or Summit: Cambodia,, China, PeruSan, BoliviaSan, NicaraguaSan,, MaliM ali, EthioSan,, Burkina Faso, Philippines Gambia: Religious leaders forum on sanitation promotion Sierra Leone: workshop for local councils representatives Sri Lanka: workshop on National Sanitation Policy At sub-national level Peru: : 6 regional conferences as PeruSan preparation Philippines: : Mindanao and Luzon Regional Sanitation Summits Province of Huila,, Angola: Declaration aiming at Open Defecation Free province by autonomous regions of Costa Caribe,, Nicaragua: radio and television spots on sanitation, a series of sanitation forums

9 Awareness: National events Designation of National Day or Week for Sanitation, for Clean cities, for Hygiene and Health Designation of National Sanitation Ambassadors Publication of national studies on sanitation

10 Awareness: media relations Creation of journalists network Field visits, roundtable sessions for journalists Sanitation workshops for journalists Television and radio broadcasts 22-minute sanitation advocacy documentary (ADB) Two major books published (The Last Taboo, The Big Necessity)

11 High-level political support IYS national launching by Head of State or representative in several countries (Burundi, Gambia, Lao, Mali, Timor-Leste, Uruguay) India: Prime Minister opens SACOSAN Nigeria: Handwashing campaign launching by wife of President South Africa: Pledge signed by senior politicians Minister,, Premier of Province Much more events with ministerial support

12 Policy / strategy design and adoption: national National Sanitation Strategy under development (Burundi, Cambodia,, Cote d Ivoire, Djibouti,, Honduras, Vietnam) or finalized (Afghanistan,, Gambia, Guyana, Madagascar, Malawi, Mali,, Sri Lanka) India: New Urban Sanitation Policy (Clean Cities Award) Indonesia: adoption of Solid Waste Regulation and Strategy on Domestic Waste Water Management AfricaSan Followup Action Plan (Burkina Faso, Burundi, Mozambique, Rwanda, Senegal, South Africa Tanzania, Uganda) Watsan sector strategic plan for all member countries of IaDB Uruguay: official commitment for 100% coverage in the next years

13 National action plan implementation: national budget Significant budget increases in some countries (Burkina Faso, Cote d Ivoire, China,, China, Djibouti, Iraq, Kenya, Nepal, Nigeria, Pakistan,, Tanzania) Decision to better track sector budget and to have it on a specific budget line (Gambia, Gambia, Uganda)

14 National action plan implementation: focal point National Technical Unit for Environmental Sanitation in Angola separate ministry and department for Public Health and Sanitation in Kenya Sanitation Task Force in Ministry of Water Supply and Drainage in Sri Lanka

15 National action plan implementation: coordination Coordination among Ministries (Mauritania) Coordination among all stakeholders (Gambia, India, Nicaragua, Mali, Suriname,, Tanzania, Vietnam)

16 National action plan implementation: community involvement National Strategy on Community Action for Total Sanitation (Indonesia, Myanmar) Community-led Total Sanitation campaigns (Mauritania, Zambia) Special programmes to provide support to municipalities (South Africa) Governmental financial incentive for open defecation free villages (Nepal) Declaration of First Open-Defecation Free village, pilot project CLTS in 4 villages (Eritrea)

17 Fund-raising Creation of Global Sanitation Fund IDB: set up of Aquafund ADB: release of Sanitation Strategy commitment to allocate 20% of Water Financing Program to sanitation Sanitation Donor Group or Basket Fund (Indonesia, Nepal, Pakistan) Philippines: creation of Innovative Sanitation Interventions Project Fund; creation with WSP of SuSEa-Philippines to increase access of poor to sanitation Vietnam: donor-led 3-fold budget increase in 6 provinces

18 Field activities: Infrastructure development Afghanistan: special project Clean Villages ; ; first women-led toilet elements production center opened Bostwana: : extensive latrine construction, Dukwe Refugee Camp Pilot projects for sanitation in schools (Sierra Leon,, Sri Lanka, Suriname, Timor- Leste)

19 Field activities: training Refurbishment of Sanitation Park at Fiji School of Medicine National consultation and training for sanitation engineers (Philippines) Hands-on training with government representatives, NGOs and communities (Philippines, Suriname,, Tanzania)

20 More examples available On

21 And now? We are not on track to meet the Sanitation MDG, what do we do about it? Should countries adopt guidelines or common goals on wastewater collection, treatment and reuse?