Publication: What Works at Scale? Distilling the Critical Success Factors for Scaling Up Rural Sanitation
Loading...
Published
2014-05-27
ISSN
Date
2014-07-21
Author(s)
Editor(s)
Abstract
In February 2014, the Ministry of Drinking Water and Sanitation, Government of India, in collaboration with the Water and Sanitation Program (WSP) of the World Bank, brought together policy makers, scholars and practitioners in Jaipur, India, for the Knowledge Sharing Forum entitled what works at scale? Distilling critical success factors for scaling up rural sanitation. The forum participants reviewed the conditions required for successful sanitation programs and strategies that could lead to sound implementation of such programs and strategies in their own states and/or countries. Participants from within India came from State and District sanitation programs, international organizations, NGOs and the private sector. The forum also benefited from international experience, with strategic inputs provided by key resource people from Bangladesh, Cambodia, Indonesia, Tanzania, Thailand and Uganda. Prior to the formal sessions, international participants were able to visit two districts in Rajasthan to observe sanitation campaigns which had resulted in open defecation-free status. The Nirmal Bharat Abhiyan (NBA), Clean India Campaign, focuses on a comprehensive program to ensure the sustained use of safe sanitation facilities in rural areas, eliminating the practice of open defecation and ensuring a clean environment. The NBA experience has shown that without the motivation for safe sanitation, facilities will not be used with any degree of consistency. Demand creation must therefore take precedence over physical implementation and new practices must be sustained after construction. The focus is not on individual households but on groups of people at the habitation, village, community (Panchayat) levels who can work together, supporting each other to achieve long term open defecation-free status. Once the demand is created, a strong supply chain must be in place to ensure a rapid response.
Link to Data Set
Citation
“World Bank. 2014. What Works at Scale? Distilling the Critical Success Factors for Scaling Up Rural Sanitation. © http://hdl.handle.net/10986/18947 License: CC BY 3.0 IGO.”
Digital Object Identifier
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Scaling Up Rural Sanitation : Findings from the Impact Evaluation Baseline Survey in Madhya Pradesh, India(World Bank, Washington, DC, 2011-03)In India, Water and Sanitation Program's (WSP's) global scaling up rural sanitation program is supporting the Government of India's (GoI) Total Sanitation Campaign (TSC) in two states: Himachal Pradesh and Madhya Pradesh. TSC is an ambitious countrywide, scaled-up rural sanitation program launched by the GoI in 1999, which seeks to attain an Open Defecation Free (ODF) India by 2012. In contrast to earlier, hardware-centric supply approaches to rural sanitation, TSC aims to generate demand for and adoption of improved sanitation at the community level. The program focuses on creating ODF communities rather than bringing about incremental individual changes. The TSC aims not only to achieve ODF communities but also focuses on hygiene, waste management, and sanitation in schools and institutions. The main components of the intervention include: 1) community-led total sanitation, 2) social marketing of sanitation, 3) strengthening the enabling environment, and 4) nirmal gram puraskar awards. Although the data are limited in establishing causality, emerging trends indicate that gains in improved sanitation, likely to be brought about by TSC, could have positive impacts on the health and welfare of rural families, especially young children.Publication Marching Together with a Citywide Sanitation Strategy(Washington, DC, 2010-01)This book contains the principles a municipal government should consider before developing a citywide sanitation strategy. In this context, this strategy refers to a city's strategic mid-term sanitation development plan, which incorporates vision, missions, objectives and targets as well as specific strategies to improve sanitation services. Chapter one starts with an introduction of the background, objectives, concept, and the process of a city sanitation development, followed by a description of the position of the citywide sanitation strategy within the sanitation development planning process. The remaining chapters describe the steps to develop a citywide sanitation strategy. Chapter's two to six explain the five major steps of the process: a) establishing a working group, b) city sanitation mapping, c) defining a sanitation development framework, d) preparing a strategy for sanitation services development, and e) preparing a strategy for development of non-technical aspects. Finally, chapter seven concludes the book with a series of follow-up activities for implementation upon approval of the citywide sanitation strategy.Publication Economic Assessment of Sanitation Interventions in Yunnan Province, People's Republic of China(Washington, DC, 2012-09)This study evaluates the costs and benefits of technical sanitation options and programs in Yunnan Province, China, as part of the Economics of Sanitation Initiative (ESI) conducted by the World Bank's Water and Sanitation Program in East Asia. As an underdeveloped province, Yunnan has achieved huge progress in sanitation improvement since the 1990s. Sanitation options evaluated in the study include the facilities to collect and convey human excreta, household wastewater treatment, and related hygiene practices. The benefits of sanitation evaluated include health, water quality, time to access sanitation facilities, external environment, reuse of human excreta, quality of life improvement, and other intangible benefits such as privacy, cleanliness and comfort. The costs of sanitation measured include investment costs and recurrent costs (operations and maintenance). The study compares the costs and benefits of alternative improved sanitation options over the expected life of each technology, to estimate efficiency of alternative sanitation options. For the study sanitation options in eight different sites throughout Yunnan Province were selected. Three rural sites include: a) villages in Luquan county s mountainous rural villages (R1); b) Dali Shangguan (R2) lakeside plain; and c) villages in Qiubei county (R3). Three urban sites represent: a) Kunming (U1); b) Dali (U2); and c) Qiubei (U3). Two peri-urban sites include: a) Kunyang town of Jinning County (PU1) and b) Dali Zhoucheng (PU2). The economic returns on all improved sanitation options are significant in all the sites evaluated, when compared with no access to basic sanitation.Publication Getting Africa to Meet the Sanitation MDG : Lessons from Rwanda(World Bank, Washington, DC, 2011-07)According to the 2010 Joint Monitoring Program (JMP) update household access to sanitation facilities has increased faster in rural Rwanda than in any other country in Sub-Saharan Africa. Almost four million people gained access to improved sanitation between 1990 and 2008. 54 percent of the population currently has access to improved sanitation, up from a baseline of 23 percent in 1990. Most of this progress has been with households upgrading 'unimproved' latrines to improved hygienic ones. While the greatest gains have been in rural areas, improvements in urban sanitation are notable as coverage has increased despite tremendous growth in the urban population. The analysis in the report is structured around these four phases of development, and seeks to identify factors, including the enabling policies, institutions, sector initiatives, and cultural aspects that help explain how Rwanda has made progress towards the sanitation Millennium Development Goal (MDG). While it is clear that the specific context that characterizes Rwanda is unique, the report will share some conclusions from Rwanda's experience for other countries to consider.Publication Promoting Handwashing and Sanitation : Evidence from a Large-Scale Randomized Trial in Rural Tanzania(World Bank Group, Washington, DC, 2015-01)The association between hygiene, sanitation, and health is well documented, yet thousands of children die each year from exposure to contaminated fecal matter. At the same time, evidence on the effectiveness of at-scale behavior change interventions to improve sanitation and hygiene practices is limited. This paper presents the results of two large-scale, government-led handwashing and sanitation promotion campaigns in rural Tanzania. For the campaign, 181 wards were randomly assigned to receive sanitation promotion, handwashing promotion, both interventions together, or neither. One year after the end of the program, sanitation wards increased latrine construction rates from 38.6 to 51 percent and reduced regular open defecation from 23.1 to 11.1 percent. Households in handwashing wards show marginal improvements in handwashing behavior related to food preparation, but not at other critical junctures. Limited interaction is observed between handwashing and sanitation on intermediate outcomes: wards that received both handwashing and sanitation promotion are less likely to have feces visible around their latrine and more likely to have a handwashing station close to their latrine facility relative to individual treatment groups. Final health effects on child health measured through diarrhea, anemia, stunting, and wasting are absent in the single-intervention groups. The combined-treatment group produces statistically detectable, but biologically insignificant and inconsistent, health impacts. The results highlight the importance of focusing on intermediate outcomes of take-up and behavior change as a critical first step in large-scale programs before realizing the changes in health that sanitation and hygiene interventions aim to deliver.
Users also downloaded
Showing related downloaded files
Publication Argentina Country Climate and Development Report(World Bank, Washington, DC, 2022-11)The Argentina Country Climate and Development Report (CCDR) explores opportunities and identifies trade-offs for aligning Argentina’s growth and poverty reduction policies with its commitments on, and its ability to withstand, climate change. It assesses how the country can: reduce its vulnerability to climate shocks through targeted public and private investments and adequation of social protection. The report also shows how Argentina can seize the benefits of a global decarbonization path to sustain a more robust economic growth through further development of Argentina’s potential for renewable energy, energy efficiency actions, the lithium value chain, as well as climate-smart agriculture (and land use) options. Given Argentina’s context, this CCDR focuses on win-win policies and investments, which have large co-benefits or can contribute to raising the country’s growth while helping to adapt the economy, also considering how human capital actions can accompany a just transition.Publication Lebanon Economic Monitor, Fall 2022(Washington, DC, 2022-11)The economy continues to contract, albeit at a somewhat slower pace. Public finances improved in 2021, but only because spending collapsed faster than revenue generation. Testament to the continued atrophy of Lebanon’s economy, the Lebanese Pound continues to depreciate sharply. The sharp deterioration in the currency continues to drive surging inflation, in triple digits since July 2020, impacting the poor and vulnerable the most. An unprecedented institutional vacuum will likely further delay any agreement on crisis resolution and much needed reforms; this includes prior actions as part of the April 2022 International Monetary Fund (IMF) staff-level agreement (SLA). Divergent views among key stakeholders on how to distribute the financial losses remains the main bottleneck for reaching an agreement on a comprehensive reform agenda. Lebanon needs to urgently adopt a domestic, equitable, and comprehensive solution that is predicated on: (i) addressing upfront the balance sheet impairments, (ii) restoring liquidity, and (iii) adhering to sound global practices of bail-in solutions based on a hierarchy of creditors (starting with banks’ shareholders) that protects small depositors.Publication Digital Africa(Washington, DC: World Bank, 2023-03-13)All African countries need better and more jobs for their growing populations. "Digital Africa: Technological Transformation for Jobs" shows that broader use of productivity-enhancing, digital technologies by enterprises and households is imperative to generate such jobs, including for lower-skilled people. At the same time, it can support not only countries’ short-term objective of postpandemic economic recovery but also their vision of economic transformation with more inclusive growth. These outcomes are not automatic, however. Mobile internet availability has increased throughout the continent in recent years, but Africa’s uptake gap is the highest in the world. Areas with at least 3G mobile internet service now cover 84 percent of Africa’s population, but only 22 percent uses such services. And the average African business lags in the use of smartphones and computers as well as more sophisticated digital technologies that catalyze further productivity gains. Two issues explain the usage gap: affordability of these new technologies and willingness to use them. For the 40 percent of Africans below the extreme poverty line, mobile data plans alone would cost one-third of their incomes—in addition to the price of access devices, apps, and electricity. Data plans for small- and medium-size businesses are also more expensive than in other regions. Moreover, shortcomings in the quality of internet services—and in the supply of attractive, skills-appropriate apps that promote entrepreneurship and raise earnings—dampen people’s willingness to use them. For those countries already using these technologies, the development payoffs are significant. New empirical studies for this report add to the rapidly growing evidence that mobile internet availability directly raises enterprise productivity, increases jobs, and reduces poverty throughout Africa. To realize these and other benefits more widely, Africa’s countries must implement complementary and mutually reinforcing policies to strengthen both consumers’ ability to pay and willingness to use digital technologies. These interventions must prioritize productive use to generate large numbers of inclusive jobs in a region poised to benefit from a massive, youthful workforce—one projected to become the world’s largest by the end of this century.Publication World Development Report 2006(Washington, DC, 2005)This year’s Word Development Report (WDR), the twenty-eighth, looks at the role of equity in the development process. It defines equity in terms of two basic principles. The first is equal opportunities: that a person’s chances in life should be determined by his or her talents and efforts, rather than by pre-determined circumstances such as race, gender, social or family background. The second principle is the avoidance of extreme deprivation in outcomes, particularly in health, education and consumption levels. This principle thus includes the objective of poverty reduction. The report’s main message is that, in the long run, the pursuit of equity and the pursuit of economic prosperity are complementary. In addition to detailed chapters exploring these and related issues, the Report contains selected data from the World Development Indicators 2005‹an appendix of economic and social data for over 200 countries. This Report offers practical insights for policymakers, executives, scholars, and all those with an interest in economic development.Publication Classroom Assessment to Support Foundational Literacy(Washington, DC: World Bank, 2025-03-21)This document focuses primarily on how classroom assessment activities can measure students’ literacy skills as they progress along a learning trajectory towards reading fluently and with comprehension by the end of primary school grades. The document addresses considerations regarding the design and implementation of early grade reading classroom assessment, provides examples of assessment activities from a variety of countries and contexts, and discusses the importance of incorporating classroom assessment practices into teacher training and professional development opportunities for teachers. The structure of the document is as follows. The first section presents definitions and addresses basic questions on classroom assessment. Section 2 covers the intersection between assessment and early grade reading by discussing how learning assessment can measure early grade reading skills following the reading learning trajectory. Section 3 compares some of the most common early grade literacy assessment tools with respect to the early grade reading skills and developmental phases. Section 4 of the document addresses teacher training considerations in developing, scoring, and using early grade reading assessment. Additional issues in assessing reading skills in the classroom and using assessment results to improve teaching and learning are reviewed in section 5. Throughout the document, country cases are presented to demonstrate how assessment activities can be implemented in the classroom in different contexts.