Other Poverty Study
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Publication
A Destiny Shaped by Water: A Diagnostic of Water Supply, Sanitation, and Hygiene and Poverty in Niger
(World Bank, Washington, DC, 2019-01-24)The Water Supply, Sanitation, and Hygiene (WASH) Poverty Diagnostic (PD) in Niger is part of a global initiative to improve evidence on the linkages between WASH and poverty. The Diagnostic provides a detailed analysis of sector status, strengths, and weaknesses to inform the attainment of the new Sustainable Development Goals (SDGs) that aim for universal access to safely managed water supply and sanitation. -
Publication
When Water Becomes a Hazard: A Diagnostic Report on The State of Water Supply, Sanitation, and Poverty in Pakistan and Its Impact on Child Stunting
(World Bank, Washington, DC, 2018-11-06)Despite a substantial decline in poverty, an increase in access to water and sanitation and a large decline in open defecation, diarrhea and stunting rates in Pakistan show few signs of a decline. This report provides evidence that the policy focus on eliminating open defecation rather than the safe management of fecal waste has been largely responsible for this. Water tests reveal shockingly high rates of E. coli contamination in both surface and ground water. To make matters worse, few households practice water treatment and untreated waste water is routinely mixed with surface and ground water for use in crop irrigation. This multiplies the channels through which the oral transmission of fecal bacteria can occur and creates strong downstream effects through food supplies headed to urban centers. Unsurprisingly, rates of diarrhea have remained stubbornly high even among the wealthiest households in metropolitan cities like Karachi. While the impact of of E. coli on diarrhea is well known, new research is showing the far more damaging impact of environmental enteropathy, a process by which fecal pathogens like E. coli can permanently damage the intestinal villi of young children making it difficult to absorb nutrients, even during periods when the child shows no signs of diarrhea. The report urges urgent action on safe sanitation and the treatment of water to combat this health crisis. -
Publication
Water and Sanitation for All in Tunisia: A Realistic Objective
(World Bank, Washington, DC, 2018-11)In recent decades, Tunisia has made remarkable progress in reducing poverty and increasing access to water supply, sanitation, and hygiene (WASH) services. More than 4 million people in Tunisia have gained access to improved sanitation between 1990 and 2015, and 4 million have gained access to water. This is a significant accomplishment, considering that Tunisia is currently home to 11 million people, 33 percent of whom live in rural areas. Despite this progress, however, around 250,000 people in Tunisia still rely on unimproved drinking water from mostly unprotected wells and springs; of the 900,000 people who use unimproved sanitation, about half use shared latrines, and the other half use mostly unimproved latrines. There are also substantial imbalances in terms of water-resource distribution between the better endowed North and the semi-arid South. If left unaddressed, deficiencies could become more severe in the coming years. Tunisia is a water-scarce country, and water supply security challenges are predicted to be exacerbated by climate change in the coming years. Opportunities for improvement are analyzed and condensed into five clear recommendations for the way forward for the WASH sector in Tunisia. -
Publication
The Connections between Poverty and Water Supply, Sanitation, and Hygiene in Panama: A Diagnostic
(World Bank, Washington, DC, 2018-07)The present report summarizes the evidence and findings from a series of studies and new data collection around water supply, sanitation, and hygiene (WASH) and poverty. This WASH poverty diagnostic was undertaken to increase our understanding of the linkages between monetary poverty and WASH services. The work focuses on answering four questions: who are the poor?, does access to WASH vary by poverty level?, what are the synergies between WASH and other sectors, and how does this affect welfare?, and what are the constraints to service and potential solutions to providing universal access to safely managed water supply and sanitation? Although the work done in the context of this diagnostic covered both urban and rural areas, the main focus has been on the rural, and particularly, the indigenous areas, as these are the ones facing the greatest gaps in services. A more in-depth exploration of urban issues has been left for a future date. -
Publication
All Hands on Deck: Reducing Stunting through Multisectoral Efforts in Sub-Saharan Africa
(World Bank, Washington, DC, 2018-06-26)As part of the effort to understand the underlying multisectoral nature of improving nutrition outcomes in sub-Saharan Africa, stylized country specific analyses were carried out for the 33 countries in the study. The methodology used for the regional study was applied at the country level, and the results are offered as a starting point for understanding and evaluating the multisectoral dimensions of nutrition in specific country contexts. The briefs layout the prevalence of stunting and access to nutrition determinants in the country, for select subpopulations within the country, and regionally. Briefs provide a useful starting point for diving deeper into the interplay of multisectoral determinants and nutrition in a country, they are just that, a starting point. -
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Promising Progress: A Diagnostic of Water Supply, Sanitation, Hygiene, and Poverty in Bangladesh
(World Bank, Washington, DC, 2018-03)This summary report presents the findings of the Bangladesh WASH Poverty Diagnostic (BWPD) study led by the World Bank's Water and Poverty Global Practices. Though very few Bangladeshis now fetch water from rivers or defecate in fields, the vast majority still live in environments plagued by inadequate water supply, sanitation, and hygiene (WASH) that hinder the country's overall development. BWPD is a data-driven exercise with an objective to highlight the key inadequacies in WASH service delivery and guide country and sector priorities for maximum impact during the Sustainable Development Goal era. BWPD gives a snapshot of the quality and inequality of WASH access by generating statistics from numerous datasets. BWPD also attempts to show the implications of these numbers on human development and poverty reduction. A large portion of the work is dedicated to presenting stylized facts on the synergies between different dimensions of WASH and human development outcomes such as in health, nutrition, and education. Further, the generated numbers should help government and other stakeholders identify gaps in service delivery and ask questions on why these gaps exist. The final portion of this study begins a discussion on the institutional challenges that could be inhibiting high-quality service delivery. The report concludes by offering recommendations for moving Bangladesh's WASH sector forward. -
Publication
Guatemala’s Water Supply, Sanitation, and Hygiene Poverty Diagnostic: Challenges and Opportunities
(Washington, DC: World Bank, 2018-03)Poverty rates in Guatemala are among the highest in Latin America and the Caribbean, and Guatemala is now the second poorest country in the region, with only post-earthquake Haiti being poorer. Guatemala is an extreme outlier in the region in terms of chronic malnutrition, and almost half of all children in the country suffer from stunting. This report is part of a global initiative to improve the evidence base on the linkages between water supply, sanitation, and hygiene (WASH), human development, and poverty and seeks to understand this paradigm through a careful examination of trends in access to water and sanitation and in corresponding linkages to poverty and health. It also reviews the governance structure and expenditure plans underpinning service delivery in WASH sectors in Guatemala. Finally, the report the challenges facing the water and sanitation sector in Guatemala are significant and will require, among other things, stronger political leadership to successfully reform and regulate the sector, greater focus on rural sanitation, and increased spending and budget execution. One of the key elements of this diagnostics is highlight what conditions led to a struggling WASH sector, particularly in rural areas. Despite a steep increase in water and sanitation coverage in the last 15 years, sanitation coverage is falling far behind drinking water coverage, with the lowest levels of coverage in rural areas affecting predominantly indigenous populations. -
Publication
Glass Half Full: Poverty Diagnostic of Water Supply, Sanitation, and Hygiene Conditions in Tajikistan
(World Bank, Washington, DC, 2017-08-29)Located on the western tip of the Himalayas, Tajikistan has abundant fresh water resources in its rivers, lakes, and glaciers. Yet, access to improved drinking water, and to sanitation connected to a functioning sewerage system, are among the most severe and unequally distributed services in the country. Unsafe water supply, sanitation and hygiene (WASH) conditions have significant adverse effects on well-being, particularly for rural residents, the poor and the children. Glass Half Full: Poverty Diagnostic of Water Supply, Sanitation, and Hygiene Conditions in Tajikistan documents the realities, characteristics, and priorities of Tajikistan’s WASH-deprived population. It presents new, comprehensive evidence on the coverage and quality of WASH service conditions, along with their diverse well-being impacts. It also identifies institutional gaps and service delivery models that can inform future policies and investments in the WASH sector. The findings communicate a sense of urgency that should inspire the government, civil society, and the international community to accelerate their actions toward addressing WASH deprivation in Tajikistan. -
Publication
The Geography of Welfare in Benin, Burkina Faso, Côte d'Ivoire, and Togo
(World Bank, Washington, DC, 2017-08)This report aims to assess the spatial disparities in economic development along four important dimensions: (i) It provides stylized facts of the underlying forces behind within-country inequality, namely natural endowment, agglomeration economies, and market access. These are the three building blocks of the economic geography literature; (ii) It examines spatial disparities in welfare and poverty. As the agricultural sector is a cornerstone of the economy in this sub-region, the report explores geographical differences in agricultural activity; (iii) It quantifies the roles of natural endowment, agglomeration economies, and market access in determining the spatial distribution of welfare and agricultural productivity; (iv) It suggests a number of policy guidelines that may help improve shared prosperity across space. -
Publication
Maintaining the Momentum While Addressing Service Quality and Equity: A Diagnostic of Water Supply, Sanitation, Hygiene, and Poverty in Ethiopia
(World Bank, Washington, DC, 2017-06-01)This summary report presents the findings of the Ethiopia WASH Poverty Diagnostic (EWPD) study led by the World Bank`s Water and Poverty Global Practices. Though Ethiopia has made good progress in increasing access to water supply, sanitation, and hygiene (WASH) services in recent years, the quality of many services are below the standards set for meeting the Sustainable Development Goals (SDGs). The study review existing institutional structures and challenges that are inhibiting high-quality service delivery. The EWPD also reviews the quality and inequality in access to WASH service between those living in urban and rural areas, as well as different regions, areas of water insecurity and amongst the poorest households. EWPD also attempts to show the implications of poor access to WASH services on human development (health, nutrition, and education) and poverty reduction. The analysis aims to support the government and other stakeholders identify gaps in service delivery and answer questions on why these gaps exist. The report concludes by offering recommendations for moving Ethiopia`s WASH sector forward.
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