The Economic Impacts of Poor Sanitation in East Asia Economics of Sanitation Initiative Phase 1 Guy Hutton

2 Impact per person is greatest in the lowest coverage countries Source: Economic impacts of sanitation in Southeast Asia. WSP/World Bank CambodiaLao PDRIndonesiaAveragePhilippinesVietnam International Dollar (ID) United States Dollar (USD) Dollar per capita per annum

3 Poor sanitation has major and diverse impacts Source: Economic impacts of sanitation in Southeast Asia. WSP/World Bank

4 Sanitation is a good buy! Including value of health (diarrhea) and access time gains only – the return on investment is at least 6 times Source: Global cost-benefit analysis of countries off-track to meet WSS MDGs. WHO

5 Sanitation is a good buy! Economic Rates of Return – the most consistently available economic indicator in the preparation of WB, AfDB, AsDB grants & loans - were from 10% to 40% in 15 African and Asian countries most off-track to meet the WSS MDG target Source: preparation of economic briefings for High Level Meeting on Sanitation and Water for All: a Global Framework for Action, UNICEF & WaterAid.