Introduction: The Swachh Bharat Mission – the flagship sanitation programme of the Indian government – aims to make India open defecation free by 2019. However, this has only been achieved in 17 of 686 districts so far. this article outlines the key reasons due to which the government’s efforts are not being reflected in the results, and makes suggestions to increase the effectiveness of the programme.
India is home to over 626 million people who defecate in the open. The country accounts for 90% and 59% of people in South Asia and the world, respectively, that practice open defecation (OD). Around 60% of Indians do not have access to safe and private toilets (WaterAid, 2015). The overwhelming majority of those without access to sanitation facilities in India live in the rural areas.The Swachh Bharat Mission, the government’s flagship sanitation programme, will complete two years in October 2016.However, a 2015 rapid survey conducted by the National Sample Survey Organisation (NSSO) on the programme has put a big question mark on its ability to achieve the goal of an open defecation free (ODF) India by 2019.It finds that over half (55.4%) of the population in rural areas still defecates in the open. The situation is better in the urban areas where only 8.9% of people defecate in the open. New data submitted by the Ministry of Urban Development to the Lok Sabha also shows that against a target of constructing 2.5 million individual household toilets by March 2016, only 1.32 million were actually built.
The importance of a decentralised, community-led approach:
The national-level approach is meaningless if it is not achieving the desired results, and the efforts of the government are not being reflected in the results for several reasons.
Firstly, excessively centralised planning with subsidy-focussed, construction-driven approaches should be done away with. Instead of the annual plans prepared by districts and micro-planning should be undertaken at the gram panchayat level for more effective and efficient functioning of the Swachh Bharat Mission.The government should focus on using the ‘Community-Led Total Sanitation’ (CLTS) approach. This will encourage communities to take the lead and identify their own measures to end OD. There is also a dire need for a dedicated cadre of trained personnel to scale-up the programme and trigger change.This requires people from within the community as facilitators. Trained in participatory approaches as well as facilitation skills, these people will be able to mobilise and inspire the community to expedite change.
Enacting behavioural change
The second area is behavioural change through effective campaigns where the government needs to move up a gear.
The biggest problem in India has never been the building of toilets; it has been promoting their use. The practice has never been an embedded cultural practice especially in the rural areas. The Sanitation Quality, Use, Access and Trends (SQUAT) Survey, 2014 clearly pointed out that many people have a revealed preference for OD such that merely providing latrine access without promoting latrine use is unlikely to significantly reduce the issue.Celebrities and sportspersons can be used as the agents of change. A recent campaign by UNICEF (United Nations Children’s Emergency Fund) in partnership with the International Cricket Council (ICC) and Board of Control for Cricket in India (BCCI) called ‘Cricket for Good and Team Swachh’ showed how the popularity of sportspersons amongst children can be leveraged for better sanitation and hygiene.The campaign advocated the use of toilets and discussed the importance of hygiene and sanitation. However, solely relying on celebrities would not be enough and the government needs to promote local ambassadors as well.
Using technology effectively
Effective campaigns that are being led by zealous local administrations and active intervention by communities especially women who are encouraging and monitoring sanitation in the districts. Novel approaches are being adopted, for example, a mobile application to track the use of toilets, on the basis of which payments are made to the communities. In the first case, payments are made to beneficiaries when they start using toilets, while in the latter payments are made only when the whole village is ODF.The mobile application ‘Outcome Tracker’ developed by World Bank’s Water and Sanitation Programme (WSP) has been effectively utilised by the district-level verification team in Bikaner to survey households, schools, and anganwadi centres (government sponsored child-care and mother-care centre in India, catering to children aged 0-6) in gram panchayats that have claimed ODF status.The application provides reliable information in the form of photographs and GPS coordinates. With real-time analysis of data, it has become possible for the district administration to verify ODF easily and effectively.Innovative ideas with successful results should be replicated in other places. A ‘National Rapid Action and Learning Unit’ has been constituted to institutionalise learning from the field and provide quick feedback.The technology aspect is also being focussed and an expert committee under Dr. R.A. Mashelkar has been constituted to examine new innovations.Exhibitions are organised to help the spread of these technologies across states and to partner with all stakeholders including researchers, academic institutions and NGOs working on sanitation in the region.
Using and maintaining sanitation systems
The government needs to work on the entire sanitation value chain, including water supply; containment, safe disposal and treatment of waste; and maintenance of infrastructure.The construction of toilets and campaigns need the backing of infrastructure for regular monitoring of toilet use, and servicing and performance assessment of sanitation systems.Here, we have to bear in mind that caste practices are a big obstacle in rural India. The government needs to worry about what happens when latrine pits fill up and who empties them. Even as the government is facilitating use of a technology that allows the pits to decompose before they need to be emptied, the rural population still sees it as manual scavenging.The lower castes don’t want to clean the toilets of others, not even of those belonging to their own community, and people from upper and intermediate castes don’t want to associate themselves even with the emptying of decomposed pits.Thus, the government needs to focus on Panchayati Raj Institutions (PRIs) and use them as a platform to encourage villagers to adopt sustainable sanitation practices and facilities through awareness creation, health education, and creating public-supported frameworks of disposal and utilisation.
Following the construction of toilets, there should be regular monitoring of whether people are actually using the toilets. There is also a big issue of ‘ghost’ toilets that only exist on paper, including toilets that fall out of use or become dysfunctional due to lack of behavioural change and/or poor construction quality. We need to learn from the past and not repeat such failures.OD poses a serious threat to health in India. Thus, corrective and collective action is the only way forward to achieve a ‘Swachh Bharat’ for national development.