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Argues that clean water & effective sanitation are becoming more vital as climate change impacts like flooding & drought affect more people. Attention is called to the growing number of people living in water-stressed river basins; the link between temperature increases & incidences of diarrhea; & the failure of regional water resources to support refugee camps. Addressing the needs of the displaced will require a holistic approach designed around the principles of Integrated Water Resources Management, poverty reduction programs, & national socio-economic development strategies. Adapted from the source document.

Exclusion and inequitable access to water, sanitation and hygiene (WASH) services and opportunities are major concerns to development practitioners. The job of providing water for the household invariably falls on women, often at the expense of their education, income-earning opportunities and social, cultural and political involvement. This book aims to unpack the key elements of the WASH-gender nexus, examine these and recommend ways ahead for improved gender outcomes and WASH impact in India

AbstractDespite rapid economic growth in Asia, serious health, nutrition and development gaps persist, including inadequate services and inequitable access in the water, sanitation and hygiene (WASH) sector. We show that the WASH sector has ample justification for increased focus and investment to increase health and nutrition impact, but appropriate prioritisation and quality implementation of interventions are required to address these gaps. The Sustainable Development Goals present opportunities for an increased focus. We argue that the key components required to accelerate change include strengthened data availability, quality and use, institutional and policy reform for greater cross‐sectoral integration and clear accountabilities at national and local level if countries are to achieve universal access with equity, sustainability and quality.

Community Approaches to Total Sanitation (CATS) programmes, like the Sanitasi Total Berbasis Masyarakat (STBM) programme of the Government of Indonesia, have played a significant role in reducing open defecation though still little is known about the sustainability of the outcomes. We assessed the sustainability of verified Open Defecation Free (ODF) villages and explored the association between slippage occurrence and the strength of social norms through a government conducted cross-sectional data collection in rural Indonesia. The study surveyed 587 households and held focus group discussions (FGDs) in six ODF villages two years after the government's ODF verification. Overall, the slippage rate (i.e., a combination of sub-optimal use of a latrine and open defecation at respondent level) was estimated to be 14.5% (95% CI 11.6–17.3). Results of multivariate logistic regression analyses indicated that (1) weaker social norms, as measured by respondents' perceptions around latrine ownership coverage in their community, (2) a lack of all-year round water access, and (3) wealth levels (i.e., not being in the richest quintile), were found to be significantly associated with slippage occurrence. These findings, together with qualitative analysis, concluded that CATS programmes, including a combination of demand creation, removal of perceived constraints through community support mechanisms, and continued encouragement to pursue higher levels of services with post-ODF follow-up, could stabilize social norms and help to sustain longer-term latrine usage in study communities. Further investigation and at a larger scale, would be important to strengthen these findings.

The availability of water, sanitation and hygiene (WASH) services is a key prerequisite for quality care and infection prevention and control in health care facilities (HCFs). In 2020, the COVID-19 pandemic highlighted the importance and urgency of enhancing WASH coverage to reduce the risk of COVID-19 transmission and other healthcare-associated infections. As a part of COVID-19 preparedness and response interventions, the Government of Zimbabwe, the United Nations Children's Fund (UNICEF), and civil society organizations conducted WASH assessments in 50 HCFs designated as COVID-19 isolation facilities. Assessments were based on the Water and Sanitation for Health Facility Improvement Tool (WASH FIT), a multi-step framework to inform the continuous monitoring and improvement of WASH services. The WASH FIT assessments revealed that one in four HCFs did not have adequate services across the domains of water, sanitation, health care waste, hand hygiene, facility environment, cleanliness and disinfection, and management. The sanitation domain had the largest proportion of health care facilities with poor service coverage (42%). Some of the recommendations from this assessment include the provision of sufficient water for all users, Menstrual Hygiene Management (MHM)- and disability-friendly sanitation facilities, handwashing facilities, waste collection services, energy for incineration or waste treatment facilities, cleaning supplies, and financial resources for HCFs. WASH FIT may be a useful tool to inform WASH interventions during the COVID-19 pandemic and beyond.