Publication: Scaling Up Rural Sanitation : Findings from the Impact Evaluation Baseline Survey in Indonesia
Loading...
Published
2010-11
ISSN
Date
2014-03-13
Author(s)
Editor(s)
Abstract
The overall purpose of the Impact Evaluation is to provide decision makers with a body of rigorous evidence on the effects of the hand washing and sanitation projects at scale on a set of relevant outcomes. It also aims to generate robust evidence on a cross-country basis, understanding how effects vary according to each country's programmatic and geographic contexts, and generate knowledge of relevant impacts such as child cognitive development, child growth (anthropometric) measures, anemia, acute lower respiratory disease, and productivity of mother's time, among many others. The studies will provide a better understanding of at-scale sanitation and hygiene interventions. The improved evidence will support development of large-scale policies and programs, and will inform donors and policy makers on the effectiveness and potential of the Global Scaling Up projects as massive interventions to meet global needs.
Link to Data Set
Citation
“Cameron, Lisa; Shah, Manisha. 2010. Scaling Up Rural Sanitation : Findings from the Impact Evaluation Baseline Survey in Indonesia. Water and sanitation program technical paper;WSP. © http://hdl.handle.net/10986/17271 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 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 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 Uganda - Environmental Sanitation : Addressing Institutional and Financial Challenges(World Bank, 2010-02-01)Over the past 10 years the government of Uganda has endeavored to increase latrine coverage and promote hygiene with a view to improving health outcomes. In 1997, in the Kampala declaration for sanitation, leaders from all of Uganda's districts pledged to improve sanitation. Then in 2001, three ministries, the Ministry of Water, Lands, and Environment; the Ministry of Education and Sports; and the Ministry of Health, signed a memorandum of understanding to clarify institutional responsibilities with respect to sanitation and hygiene and to improve implementation at the district and local levels. The three ministries agreed to put in place institutional arrangements to prioritize resources for excreta-related sanitation and hygiene programs. Although the main focus of this report is on excreta-related sanitation and hygiene, the 2006 joint sector review for water and sanitation also requested clarification of existing mandates for two specific aspects of environmental sanitation, namely solid waste management and drainage and asked whether these two issues should be included in the memorandum. Accordingly, this report also explores the institutional issues linked with municipal solid waste management and urban drainage. Because of limitations of time and scope, it examines these particular issues only in Kampala.Publication Water, Sanitation, and Hygiene(Washington, DC, 2003-11)Better hygiene and access to drinking water and sanitation will accelerate progress toward two millennium development goals (MDGs): 'reduce under-five child mortality rate by 2/3 between 1990 and 2015' and "by 2015 halve the proportion of people without sustainable access to safe drinking water and basic sanitation". Meeting the latter goal will require infrastructure investments of about US$23 billion per year, to improve water services for 1.5 billion more people (292,000 people per day) and access to safe sanitation for 2.2 billion additional people (397,000 per day). Water supply, sanitation, and hygiene are about more than health. Saved time, particularly for women and children, is a major benefit. Beneficiaries of water and sanitation projects in India reported these benefits: less tension/conflict in homes and communities; community unity, self-esteem, women's empowerment (less harassment) and improved school attendance (Water Aid 2001). Improved hygiene (hand washing) and sanitation (latrines) have more impact than drinking water quality on health outcomes, specifically reductions in diarrhea, parasitic infections, morbidity and mortality, and increases in child growth (Esrey et al 1991; Hutley et al 1997). Most endemic diarrhea is not water-borne, but transmitted from person to person by poor hygiene practices, so an increase in the quantity of water has a greater health impact than improved water quality because it makes it possible (or at least more feasible) for people to adopt safe hygiene behaviors (Esrey et al 1996).Publication Enabling Environment Assessment for Scaling up Sanitation Programs : East Java, Indonesia(World Bank, Washington, DC, 2008-01)The Water and Sanitation Program (WSP) is in the start-up phase of a new Global Scaling up Sanitation Project. The project is applying Total Sanitation and Sanitation Marketing (TSSM) to stimulate and scale up sanitation demand and supply. One of the central objectives of the project is to improve sanitation at a scale sufficient to meet the 2015 sanitation Millennium Development Goal (MDG) targets in Indonesia, Tanzania and the Indian states of Himachal Pradesh and Madhya Pradesh. The baseline assessment of the enabling environment was carried out during the start-up phase of the overall project in July and August 2007. A follow-up assessment will be carried out at the end of project implementation in mid-2009. The purposes of the baseline assessment are to: (1) assess to extent to which the programmatic conditions for scale up and sustainability are in place at the beginning of the project, and (2) on the basis of the baseline assessment findings, recommend what should be done to address the gaps during project implementation, and determine whether conditions are conducive for scaling up and sustaining results at the end of the implementation period. The purpose of the final assessment (at the end of the implementation period) will be to determine whether suitable programmatic conditions are in place to meet the 2015 MDG targets and sustain these broader achievements over time. This report presents the main findings and recommendations from the baseline assessment of the enabling environment to scale up, sustain and replicate sanitation improvements in East Java, Indonesia. In order to ensure consistency in the assessment findings, WSP developed a conceptual framework for assessing the enabling environment for sanitation. This framework was developed based on a literature review and a series of discussions with key actors.
Users also downloaded
Showing related downloaded files
Publication Conflict Prevention and Reconstruction(Washington, DC, 2003-12)Those of us helping countries to build capacity to manage reconstruction after a conflict has ended need to be fully aware of the context in which we operate. Apart from the obvious destruction of infrastructure, presence of armed groups and difficult working conditions, there are several other characteristics of post-conflict conditions that we need to appreciate. First, civil conflicts seldom end in clear cut victories for one side. Post-conflict conditions are inherently unstable. There are winners and losers. The winners may have settled for less than they sought to achieve. Even if one side appears to have won, how the winner treats the defeated party will be critical to whether national reconciliation takes place and the sustainability of peace. A new government may be an unstable alliance of competing parties or consist of an uneasy collection of former fighters and technocrats who sat out the war in relative comfort abroad.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 Towards a National Jobs Strategy in Kuwait(World Bank, Washington, DC, 2022)This report is one of the main deliverables outlined in the legal arrangement of September 10, 2019, between the General Secretariat of the Supreme Council for Planning and Development (GS-SCPD) in Kuwait and the World Bank. A separate overview report is also available. The social contract in Kuwait is at risk. Kuwaiti citizens are used to the state providing public sector jobs, free education, free healthcare, and subsidized fuel to all citizens. These benefits have been bought and paid for using Kuwait’s oil revenues, however, the sustainability of the social contract has been questioned by three mutually reinforcing challenges. First, oil demand is projected to steadily decline the next few decades. This decline is partly the result of changing consumer preferences away from carbon-based fuel sources, and partly the result of increasingly cost-effective alternative energy sources becoming available. Second, with mounting fiscal deficits, the size of the wage bill for the government is a growing concern. Third, the needs in the labor market will continue to grow as Kuwait’s population is young and growing. Central to these structural challenges are challenges to Kuwait’s labor market. A growing number of young Kuwaitis are entering the labor market with high expectations of well-paid, secure, public sector jobs. In the private sector, employers are dependent on low-cost and largely unskilled foreign workers. The 2019 COVID-19 global pandemic, which has led to an oil price crisis and a global economic slowdown, has intensified the debate surrounding jobs challenges in Kuwait. These jobs challenges need to be addressed to ensure the sustainability of the economic growth model and avoid major social disruption. The government has asked The World Bank for assistance to formulate a National Jobs Strategy to help confront these challenges, based on evidence and best practices. Reforms are recommended in four areas, or pillars: (i) make the public sector more sustainable, (ii) improve human capital, (iii) support private sector growth, and (iv) build a social protection system. In addition, the jobs strategy covers two cross-cutting themes: behavioral economics, and monitoring and evaluation, also embedded in the four pillars. This introduction briefly explains the critical challenges facing Kuwait that require substantial changes in policy. The subsequent sections analyze the major issues of these four topics, with recommendations for policy change to improve sustainability and enhance incomes.Publication Regional Poverty and Inequality Update: Latin America and the Caribbean, October 2025(Washington, DC: World Bank, 2025-10-23)This brief summarizes recent facts related to poverty and inequality in Latin America and the Caribbean (LAC) using the latest wave of harmonized household surveys from the Socio-Economic Database for LAC (SEDLAC). This brief was produced by the Poverty Global Practice in the LAC Region of the World Bank.Publication Saving for Dowry(Elsevier, 2022-01)The ancient custom of dowry, i.e., bride-to-groom marriage payments, remains ubiquitous in many contemporary societies. Using data from 1986–2007, this paper examines whether dowry impacts intertemporal resource allocation and other household decisions in rural India. Utilizing variation in firstborn gender and dowry amounts across marriage markets, we find that the prospect of higher dowry payments at the time of a daughter’s marriage leads parents to save more in advance. The higher savings are primarily financed through increased paternal labor supply. This implies that people are farsighted; they work and save more today with payoff in the distant future.