1. WHY WASH TO WASH May 2014

2. WASH facts Globally, diarrhoea is the leading cause of illness and death, and 88 per cent of diarrhoeal deaths are due to a lack of access to sanitation facilities, together with inadequate availability of water for hygiene and unsafe drinking water. Every 20 seconds a child dies of diarrohea. 15 lakh in a year – 5000 every day The provision of improved sanitation and safe drinking water could reduce diarrhoeal diseases by nearly 90 per cent. Almost 200 million days of school attendance are lost due to the lack of sanitation each year TO WASH May 2014

3. Unsafe watsan Diarrhoea Amoebiasis Cholera Dysentery Hepatitis A Lead poisoning Polio Flurosis TO WASH May 2014

4. Diarrhoea Amoebiasis Cholera Dysentery Hepatitis A When watsan is unsafe Typhoid Lead poisoning Polio Flurosis Arsenicosis TO WASH May 2014

5. Some WASH facts 63 % of the global population use toilets and other improved sanitation facilities. 2.5 billion people lack improved sanitation. 1.1 billion people (15 % of the global population) practice open defecation. 949 million open defecators live in rural areas. In Southeast Asia alone, 13 million tons of faeces is released into inland water sources each year, along with 122 million m3 of urine and 11 billion cubic metres of greywater. This pollution costs Southeast Asia more than US$2 billion per year. Rates of hand washing around the world are low. Observed rates of hand washing with soap at critical moments – i.e, before handling food and after using the toilet - range from 0% to 34%. Source: WHO 2012

6. Some WASH facts In 2010, 89 % of the world’s population, or 6.1 billion people, used improved drinking water sources, exceeding the MDG target (88 %); 92 % are expected to have access in 2015. By 2015, 67 % will have access to improved sanitation facilities (the MDG target is 75 %). Source: WHO TO WASH May 2014

7. WASH Facts – MDG progress Sanitation TO WASH May 2014

8. WASH - Diarrhoea Risk Reduction TO WASH May 2014 Fewtrell L et al. (2005) Lancet Infect Dis 5(1): 42-52.

9. Lessons from the UK BMJ readers: “sanitary revolution” - greatest medical advance since 1840. 15.4% WASH 15%Antibiotics 14% Anesthesia 12% Vaccines TO WASH May 2014

10. In addition……… Sanitation and hygiene could also prevent most of the 130 million annual cases worldwide of serious worm infestation. This matters since worms can divert up to one-third of the food a child consumes, and malnutrition is at the root of 50% of childhood illness. Improved sanitation in developing countries yields about US$9 worth of benefits for every US$1 spent. The time saved by people using a toilet close to home would have an annual economic value in excess of US$114 billion. School enrolment and retention rates for girls rise when there are appropriate toilets and bathrooms for them to use, particularly after menstruation starts. TO WASH May 2014

11. Situation in Madhya Pradesh – Our immediate concern TO WASH May 2014

12. Infant Mortality rate. *registrar General of India. Under 5 Mortality 20082009201020112012 Madhya Pradesh928982N.AN.A. ALL INDIA696455N.AN.A. IMR20082009201020112012 Madhya Pradesh7067625956 ALL INDIA5350474442 TO WASH May 2014

13. Issues for Water Supply in MP 1. Depletion of groundwater based drinking water sources due to over-extraction by irrigation, industry etc. 2.Contamination of drinking water sources due to untreated sewage, open defecation, untreated industrial effluents, leaching of fertilizers and pesticides etc. 3. Gram Panchayats and communities are often not involved in the planning, implementation, monitoring and O&M of their rural water supply systems 4. Poor Operation & maintenance of schemes often leads to non-functionality or low yield of many schemes especially piped water supply schemes 5. 21.9 % of all hhs in MP use unimproved drinking water sources 5. Many schemes remain incomplete even after 3-4 years. TO WASH May 2014

14. Total No. of habitations with population coverage LPCD Total Habs Total QA Habs > 0 and < 25% >= 25 and < 50% >= 50 and < 75% >=75 and < 100% 100% 4012716921201137519646697116002 551271692120301679169892296183390 Source : www.indiawater.gov.in NRDWP – habitations with population coverage TO WASH May 2014

15. Issues and challenges in sanitation Sector Delivery Mechanism - DWSC, BWSC, Panchayat and Tadarth Samitis are not able to delver the services. Resource Institutions -within the Nodal department - Institution like CCDU, WSSO and support government organizations like WALMI, SIRD etc. lack human resources and capacities for planning and managing the TSC program. Similarly GPs do not have capacity to implement TSC program in Demand Generation mode Demand generation – An insufficient efforts to generate demand and CB initiatives- Results only 13% rural sanitation coverage Sanitation Technology – promoting mostly proto type of pour flush double offset leach pit technology across all the districts. Sanitation Marketing – Majority of Rural Sanitary Mart promoted by government are dysfunctional as a result expected materials and services are not reaching to the community Hygiene is not a priority in programme implementation and critical issues like MHM is not getting due attention Sustainability-Nirmal Gram Puruskar- The NGP awarded villages donot have complete saniation coverage Monitoring and Evaluation of WASH efforts- There is limited monitoring thrust– only physical and financial indicators there is no monitoring system in place to capture processes and outcome indicators TO WASH May 2014

16. State progress to meet the Sanitation MDG India will reach MDG at this rate by 2054 only TO WASH May 2014

17. At current rate, MP will miss its MDG target TO WASH May 2014

18. Thanks TO WASH May 2014