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

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dc.contributor.authorWorld Bank
dc.date.accessioned2018-11-08T18:32:10Z
dc.date.available2018-11-08T18:32:10Z
dc.date.issued2018-11-06
dc.description.abstractDespite 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/649341541535842288/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
dc.identifier.doi10.1596/30799
dc.identifier.urihttps://hdl.handle.net/10986/30799
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesWASH Poverty Diagnostic Series;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectWATER SUPPLY
dc.subjectWATER AND SANITATION
dc.subjectPOVERTY
dc.subjectOPEN DEFACATION
dc.subjectENVIRONMENTAL ENTEROPATHY
dc.subjectACCESS TO WATER
dc.subjectINEQUALITY
dc.subjectSTUNTING
dc.subjectGOVERNANCE
dc.subjectINSTITUTIONS
dc.subjectSERVICE DELIVERY
dc.subjectPUNJAB
dc.subjectSINDH
dc.subjectPUBLIC SPENDING
dc.subjectWATER QUALITY
dc.titleWhen Water Becomes a Hazarden
dc.title.subtitleA Diagnostic Report on The State of Water Supply, Sanitation, and Poverty in Pakistan and Its Impact on Child Stuntingen
dc.typeReporten
dc.typeRapportfr
dc.typeInformees
dspace.entity.typePublication
okr.crossref.titleWhen Water Becomes a Hazard
okr.date.disclosure2018-11-06
okr.doctypeEconomic & Sector Work::Other Poverty Study
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/649341541535842288/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
okr.guid649341541535842288
okr.identifier.doi10.1596/30799
okr.identifier.externaldocumentum090224b08657aa05_1_0
okr.identifier.internaldocumentum30592277
okr.identifier.report131860
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/649341541535842288/pdf/131860-WP-P150794-PakistanWASHPovertyDiagnostic.pdfen
okr.region.administrativeSouth Asia
okr.region.countryPakistan
okr.sectorWater, Sanitation and Waste Management
okr.themeEnvironment and natural resource management :: Water resource management
okr.topicPoverty Reduction::Inequality
okr.topicPoverty Reduction::Poverty and Health
okr.topicWater Resources::Water and Human Health
okr.topicWater Supply and Sanitation::Sanitation and Sewerage
okr.topicWater Supply and Sanitation::Small Private Water Supply Providers
okr.topicWater Supply and Sanitation::Town Water Supply and Sanitation
okr.topicWater Supply and Sanitation::Water Supply and Sanitation Economics
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population::Health and Poverty
okr.unitWater South Asia Region (1) (GWA06)
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