1. Outcomes of Information provided by UNDESA, UNDP, UNICEF, UNSGAB, UN-Habitat, UNU, WHO, WSP, WSSCC, WaterAid, ADB, IaDB Presented by Bert Diphoorn, Director Human Settlements and Financing Division, UN-HABITAT World Water Forum 5 Ministerial Roundtable on Sanitation

2. A tribute to the United Nations’ Secretary General’s Advisory Board

3. Annual cost of not dealing with water and sanitation Lives lost  1.6 million annually due to diarrhoea alone Health care costs:  USD7 billion per year to health agencies  USD340 million to individuals Time lost to ill health  320 million productive days in 15 – 59 age range  272 million school days lost  1.5 billion healthy days for under 5s  Can be valued at US$9.9billion per year Time lost to inconvenience  20 billion working days per year  Can be valued at US$64billion per year Source WHO

4. Many countries not on track to meet the MDG sanitation target No or insufficient data On track Not on track Progress but insufficient Source: WHO/UNICEF Joint Monitoring Programme. 2008

5. Steps needed Political support National Policy / Strategy design and adoption Fund raising Infrastructure development and use … sustained Measurable improvement Years National stategy implementation: budget, focal point, coordination Awareness

6. Awareness At global and regional Level  Preparation and distribution of communication kits  Launch of the IYS  Global Handwashing Day  Update of regional study on sanitation in 22 countries of Latin America  G8 communique mentioning sanitation for the first time  International Seminars on Sanitation (ADB,..  Regional Sanitation Conferences

7. Regional Sanitation Meetings : 80+ countries involved No or insufficient data On track Not on track Progress but insufficient LATINOSAN 30 countries 12-16 /11/2007 Cali, Columbia LATINOSAN II ( in preparation) SACOSAN I 9 countries 21-23/10/2003 Dhaka, Bangladesh SACOSAN II 11 countries 20-21/09/ 2006 Islamabad, Pakistan SACOSAN III (In preparation) 16-21 November 2008 - New Delhi, India EASAN 14 Countries 30/11-1/12/2007 Beppu City, Japan AFRICASAN 20 countries 29/07-1/08/2002 Johannesburg, South Africa AFRICASAN+5 32 countries 18 - 20 February 2008 Durban, South Africa Sub-regional meetings AfricaSan-South : 4-7/08/ 2003, Gaborone, Botswana AfricaSan-East : 1 – 3/02/2005, Addis Ababa, Ethiopia AfricaSan-West and Central : 21-23/02/2005, Ouagadougou, Burkina Faso CARIBSAN 12 countries 28-29 /04/2008 Kingston, Jamaica Side-event of Pacific Water Conference ? Countries 9-11/9/2008 Apia, Samoa

8. Did the process help? - immediate outputs  Extensive country participation: Nearly 90 countries involved  Participation of wide spectrum of stakeholders: High level decision makers (Ministers), local governments and municipalities, civil society, technical professionals, researchers, private sector… from different sectors (sanitation, water, health, environment…)  Political commitments (declarations)  Recognition of reality!  Unprecedented coordination among supporting Organizations (WSP, WHO, UNICEF, UNSGAB, UNDP, WaterAid, WSSCC, …) at global level and at national level

9. Awareness: Multi-stakeholder conferences At national Level  National Sanitation Forum or Summit: Cambodia, China, PeruSan, BoliviaSan, NicaraguaSan, Mali, EthioSan, Burkina Faso, Philippines  Gambia: Religious leaders forum on sanitation promotion  Sierra Leone: workshop for local councils representatives  Sri Lanka: workshop on National Sanitation Policy At sub-national Level  Peru: 6 regional conferences as preparation to PeruSan  Philippine: Mindanao and Luzon Regional Sanitation Summits  Province of Huila, Angola: Declaration aiming at Open Defecation Free province by 2012  2 autonomous regions of Costa Caribe, Nicaragua

10. Awareness: National events Designation of National Day or Week for Sanitation, for Clean cities, for Hygiene and Health Designation of National Sanitation Ambassadors Publication of national studies on sanitation

11. Awareness: media relation Creation of journalists network Field visits and roundtable sessions for journalists Sanitation workshops for journalists Television and radio broadcast 22-minute sanitation advocacy documentary (ADB) Two major books published (The Last Taboo, The Big Necessity)

12. High-level political support  IYS national launching by Head of State or his/her representative in several countries  India: Prime Minister opens SACOSAN  Nigeria: Handwashing campaign launching by wife of President  South Africa: Pledge signed by senior politicians – Minister, Premier of Province

13. Policy / strategy design and adoption: national  National Sanitation Strategy under development (Burundi, Cambodia, Cote d’Ivoire, Djibouti, Honduras, Vietnam) or finalized (Afghanistan, Gambia, Guyana, Madagascar, Malawi, Mali, Sri Lanka)  India: New Urban Sanitation Policy (Clean Cities Award)  Indonesia: adoption of Solid Waste Regulation, extension of Policy and Strategy on Domestic Waste Water Management  AfricaSan Followup Action Plan (Burkina Faso, Burundi, Mozambique, Rwanda, Senegal, South Africa Tanzania, Uganda)  Watsan sector strategic plan for all member countries of IaDB  Uruguay: official commitment for 100% coverage in the next years

14. National action plan implementation: national budget  Significant budget increases in some countries  Decision to better track sector budget and to have it on a specific budget line

15. National action plan implementation: focal point Set up of  National Technical Sanitation for Environmental Sanitation in Angola  separate ministry and department for Public Health and Sanitation in Kenya  Sanitation Task Force in Ministry of Water Supply and Drainage in Sri Lanka

16. National action plan implementation: coordination  Coordination among Ministries (Mauritania)  Coordination among all stakeholders (Gambia, India, Nicaragua, Mali, Suriname, Tanzania, Vietnam)

17. National action plan implementation: community involvement  National Strategy on Community Action for Total Sanitation (Indonesia, Myanmar)  Community-led Total Sanitation campaigns (Mauritania, Zambia)  Special programmes to provide support to municipalities (South Africa)  Governmental financial incentive for open defecation free villages (Nepal)  Declaration of First Open-Defecation Free village, pilot project CLTS in 4 villages (Eritrea)

18. Fund-raising  Creation of Global Sanitation Fund  IDB: set up of Aquafund  ADB: release of Sanitation Strategy – commitment to allocate 20% of Water Financing Program to sanitation Indonesia: Sanitation Donor Group  Nepal: joint agreement for basket fund creation with UNICEF/WHO/UN-Habitat  Pakistan: Water and Sanitation Sector Donor Coordination Group  Philippines: creation of Innovative Sanitation Interventions Project Fund; creation with WSP of SuSEa-Philippines to increase access of poor to sanitation  Vietnam: donor-led 3-fold budget increase in 6 provinces

19. Field activities: Infrastructure development  Afghanistan: special project “Clean Villages”; first women toilet elements production center opened  Bostwana: equipment of Dukwe Refugee Camp  Pilot project for sanitation in schools (Sierra Leon, Sri Lanka, Suriname, Timor- Leste)

20. Field activities: training  Refurbishment of Sanitation Park at Fiji School of Medicine  National consultation and training for sanitation engineers (Philippines)  Hands-on training with government representatives, NGOs and communities (Philippines, Suriname, Tanzania)

21. More examples available On www.sanitationyear2008.org www.sanitationyear2008.org

22. And now?  We are behınd on the Sanitation MDG, what do we do about it?  Should countries adopt guidelines or common goals on wastewater collection, treatment and reuse?  How do we most effectively build on the commitments generated during the regional sanitation conferences (budget allocations, national sanitation plans, governmental sanitation focal points)?  Should countries adopt guidelines or common goals on wastewater collection, treatment and reuse?  Can we buıld capacıty through Water Operators’ Partnershıps?  UNSGAB suggests that the thematic focus of WWF 6 be on closing the loop between human settlement discharges and their surrounding environments