Professional Documents
Culture Documents
Sanitation in India
Sanitation coverage in rural India is as low as 29%1.Nearly, 600 million people resort to open defecation every
single day2. Even in the 40% of households that have a working latrine at least one member defecates in the open
(Coffey, Gupta, & Spears, 2014). 10 million toilets constructed under various programs in the last 20 years are lying
unused3.
Lack of decent sanitation costs India nearly $54 billion (Rs 24,000 crore), or 6.4% of its GDP a year, mainly through
premature deaths, especially of children, treatment for hygiene-related illnesses, and lost productivity (World Bank,
2010).
It is estimated that since the first rural sanitation program in 1986 (Central Rural Sanitation Program) India has spent
over $3 billion on constructing toilets across the country (Ministry of Drinking Water and Sanitation ).Despite such
massive investments, Indias sanitation campaigns over the years have unfortunately yielded limited results.
The Indian government is now gearing up to spend an additional Rs.1.34 lakh crore over the next five years through
the Swachh Bharat Mission (Gramin). However keeping in mind the nature of the current institutional framework,
bureaucratic red tape and redundancy looms large on limiting the successful dissemination of these basic needs
services and their scaling up in rural India.
Indias rural sanitation landscape is marked not by failures in policy formulation, but by the lack of decisive
implementation through demand responsiveness and technology appropriation. Insanitation in India is largely the
consequence of development deficits and institutional failure Many reasons have been attributed to the failure of
rural sanitation in India such as lack of political will, distorted accountability, flawed monitoring and bureaucratic
inertia, all of which are characterized by a top-down approach.
The main aim of this paper is to evaluate such systemic and institutional gaps in the rural sanitation landscape in the
country. Making an assessment of policy (government guidelines for the sector to function) framework and legal
(prescribed statutes and rules for the sector to function) framework, we attempt to understand the bottlenecks in the
sector, and subsequently point out required interventions and to strengthen the present institutional setup and
identify the role of new institutions to achieve the same.
Census 2011
UNICEF & WHO 2012
3
R.I.C.E Institute,2014
2
3.
4.
Policy maker: The policy-making function resides mainly at the central level, and national policies are
normally imposed on lower tiers of the government.
Regulator: The regulatory system is responsible for enforcing rules to guarantee compliance with service
standards and other sector policies to ensure sustainability. This requires providing adequate services at
affordable prices. However, it is important to ensure separation between regulators and service providers to
avoid conflicts of interest. The regulator ensures that citizens receive services up to agreed standards to
mitigate the risk that service providers underperform. Both bodies should not be under the jurisdiction of
the same entity. It is equally important that the policy-making body and regulator be separate institutions.
Service provider: Service providers are responsible for providing sanitation services and at the same time
provide wastewater collection and treatment. Consolidation of these services will help improve the control
of services and overall and promote accountability and more efficient operations.
Civil Society: Civil society should be institutionalized by users through appropriate participation channels.
This helps ensure public participation in development and decision making. Policy makers and regulators
often consult user associations to assess and ensure the adequacy of policies, legislations, regulations, and
service levels.
Policy Makers
Regulators
Utilities
Customers/Citizens
Determines
Organizations
Leads to
and
Structure Type
Satisfaction
Moderate by
individual differences
Performance
Type of Goods
Exclusive
Non-Exclusive
Rival
Non-Rival
Scenarios
Nonexistent,
Inactive,
or
Incompatible Vertical Governance
Institutions
Nonexistent,
Inactive,
or
Incompatible
Horizontal
Governance Institutions
Table 2: Predictions of the Effect of Horizontal and Vertical Governance Institutions on the Provision of Public
Goods and Prevention of Public Bads
Variation in the existence and operation of horizontal governance between localities is driven by differences in the
density and strength of social relationships (Ostrom E. , 1990). If the individuals in a given area have very few social
interactions or shared beliefs, low levels of public goods provision are expected relative to areas that are
characterized by high levels of social capital and social cohesion (Putnam, 1993). If a community has no designated
third party enforcement institution, or the individual(s) assigned these role do not exercise those responsibilities, we
would say that vertical governance does not exist in any meaningful way and would expect high incidence of
behavior that reduce overall social welfare (P.Englebert, 2000).
The coexistence of functioning horizontal and vertical institutions in a given locality is not sufficient to ensure
the joint production of public goods and prevention of public bads; if horizontal and vertical institutions exist in
an area, but they are not compatible, public goods problems will persist. If horizontal governance institutions
exist but diverge from vertical institutions substantively or procedurally, local public goods may be provided on a
sporadic and uneven basis, and third-party institutions will exhibit only limited effectiveness with respect to
preventing public bads.
Identifying and mapping the action arena (action situation and actors)
Identification of factors determining the action arena (the rules, the attributes of a physical world, and
the nature of the community)
Patterns of interaction in multiple action arenas
The IAD framework uses several key parameters: (1) participants: the actors who are involved in a situation. (2)
positions: place holders that associate participants with a set of authorized actions (employee, voter, judge, monitor),
(3) actions: nodes in a decision tree, particular positions taken at different stages of a process identify actions that
make an essential difference for the entire process in their consequences,(4) potential outcomes: the results of
individuals interacting with one another in a regularized setting (quantities of output, interpersonal relations,
changes in rules, externalities etc.), (5) a function that links inputs to outputin the case of voting for instance, the
transformation function takes the symbolic actions of individuals and produces a collective decision, (6)
information: the data about an action situation and its implications, and finally (7) payoffs, positive and negative
weights assigned to the outcomes and the actions leading to outcomes. These parameters are used to map out four
key elements: (1) actors preferences regarding certain actions and outcomes, (2) the way actors acquire, process,
and use information, (3) the decision criteria actors use regarding a particular course of action, and (4) the resources
that an actor brings to a situation (Ostrom, Gardner, & Walker, 1994).
This approach of institutional mapping not only satisfies the contextual and temporal parameters but also creates a
link between that and the standard analytical paradigms and economics models. It represents one of the most
developed and sophisticated attempts to use institutional and stakeholder assessment in order to link theory and
practice, analysis and policy. Institutional mapping entails not only very complex field methodologies and
techniques but also has very profound epistemological foundations. Hence, institutional mapping is one of the most
important tools in the tool bag of the policy practitioner (Aligica, 2006).
Ministry Of Rural Development took over rural sanitation in the Department Of Drinking Water Supply.
1986
CRSP (Central Rural Sanitation Programme) launched with a target to achieve 25% rural sanitation by the
end of the decade. Other ministry programs IAY (Indira Awaz Yojana), NREP (National Rural
Employment Programme), RLEGP (Rural-Landless Employment Guarantee Programme) were used as
channels to build toilets.
1992
CRSP revised, beneficiary contribution included, funds allocated for marts, awareness programs etc.
1998
National KAP (Knowledge, Attitudes, and Practices) survey was conducted, and it was revealed that subsidy
was not the key motivational factor among villagers to build toilets.
1999
CRSP revised, TSC (Total Sanitation Campaign) was launched with 7 objectives
2003
NGP (Nirmal Gram Puraskar) was launched - encouraged PRIs (Panchayati Raj Institutions) to attain NGP
status. Tourist areas are also included in TSC
2004
CCDU's (Communication and Capacity Development Unit) were approved by state governments.
2010
Department Of Drinking Water Supply changed to Department Of Water Supply And Sanitation
2011
2012
TSC (Total Sanitation Campaign) changed to Nirmal Bharat Abhiyan with Gram Panchayat as the base unit
2014
TSC
NBA
SBM (Gramin)
Central
Government
Institutions
Ministry of Rural
Development
Ministry of Drinking
Water And Sanitation
Capacity
Development
CCDU
(Communication and
Capacity Development)
WSSO (Water
&Sanitation Support
Organisation)
Awareness And
Social
Mobilization
Communication Cell
GP-blockdistrict(DWSM/DWSC)SWSM-SSSC-Ministry
of drinking water and
sanitation
Planning For
Assets
Finance
Asset Creation
Panchayats/Voluntary
Organizations/Charitable Trusts for
public facilities
Beneficiary and PRI
Maintaining The
Asset
Monitoring
Other Ministries
Public health
MGNREGA
10
State Government
Central Government
MoDW
S
Sanitation Cell,
MoDWS for
construction
standards, targets for
NGP, guidelines for
IEC, Swachchata
doot.
Supervise the
standards in
implementation,
coordinate the
departments, setting
up of institutional
arrangements
National
communication
strategy
framework
Conduct the
training to the
functionaries at
all levels by
engaging
NGO's/ CBO's
of repute
WSSO to deal
with IEC, HRD
monitoring and
evaluation
11
Central
Government
(MoDWS)
finalizes AIPs
(Annual
Implementati
on Plan) and
PIPs (Project
Implementati
on Plan)
Based
on AIP,
funds
shall be
released
to the
states
SWSM makes
AIP and PIP
of the state by
compiling
DWSM
reports
State
share is
added
accordin
g to the
PIP and
is
released
to
DWSM
within
15 days
Monitoring
Maintaining
Asset
Asset
Creation
Finance
Planning
IEC And
Social
Mobilization
Capacity
Building
Setting
Standards
Institutional
Function
Policy
Online
monitoring
Beneficiary
with PRI's
help
and
MNREGS
as per the
standards set
by
the
authorities.
Funds to be
made
available for
IEC that
facilitates
maintenance
training
field
inspection by
state level
officers, fill
the online
data
Gram Panchayat
District
DWSM is to ensure
that standards are
communicated to the
GPs through
appropriate IEC
strategy
Conduct the
training to the
functionaries at
all levels by
engaging
NGO's/ CBO's
of repute
Prepare annual
IEC plan and
ensure its
implementation
Implement the
IEC and generate
demand for
sanitation
facilities
12
DWSM
makes PIP of
that district
Gram
Panchayat
conducts a
survey to
establish
number and
the survey
result go to
the block
panchayat and
village is
identified for
NBA.
DWSM
transfers
it to
GPs and
DWS
should
plan and
implem
ent the
NBA
works
of the
GP
GPs
open a
bank
account
for
NBA
funds
and
utilize
them for
the
projects
Beneficiary
with PRI's
help and
MNREGS
as per the
standards set
by the
authorities.
Fund
allocation for
the
maintenance
of public
toilets
DWSM to
ensure
meeting of
standards
and
conducting
of social
audits as per
MNREGS,
review of
GP's
progress in
work.
Generate
mechanisms
to maintain
the public
facilities by
user fee and
others. The
gap is to be
filled by the
funds made
available.
Take part in
monitoring
activities,
conduct
social audits
through gram
sabhas.
Table 4 (Institutions involved in rural sanitation) and Table 5 (Responsibilities of stakeholders) examine the role
of rural sanitation institutions and stakeholders in India. In rural areas this sanitation implementation means
improving the levels of cleanliness in through Solid and Liquid Waste Management activities and making GPs
Open Defecation Free (ODF).
There are 3 main phases of sanitation implementation, the planning phase, the implementation phase and the
sustainability phase.
In the planning phase the actors chalk out the various stages of implementation and identify resources for each of
them. In SBM the planning stage involves creation of the Annual Implementation Plan, OD elimination plans
and identifying human and financial resources to execute these plans.
The implementation phase involves undertaking the main activities of the sanitation program i.e IEC, Financing
and Toilet construction. SBM identifies implementing institutions/agencies as National Swachh Bharat Mission
(G), State Swachh Bharat Mission (G), District Swachh Bharat Mission, Block Programme Management Unit,
Gram Panchayat/ Village Water and Sanitation Committee and Swachhata Doot/Sena. Each institution has an
important role to play in executing various aspects of sanitation program such as mass awareness raising,
community mobilization, IEC activities, fund release and construction of toilets. Capacity building of
stakeholders and sanitation workers, the Swachhata Doots/Sena, members of PRIs, VWSCs, functionaries of
BPMU, DWSM, ASHA, Anganwadi workers, SHG members, masons, CSOs/NGOs etc is identified as an
important part of SBM implementation. The training needs to be on various approaches of IEC, promoting
Behavioural change including Triggering (CLTS) house to house communication etc., masonry work, plumbing,
as well as for construction and maintenance of toilets and for Solid and Liquid Waste Management works.
The sustainability phase of sanitation implementiaon is very important as this ensures the end users do not slip
backwards in the sanitation value chain. Following up through community hand holding; Monitoring and
Evaluation by spot checks/audits and third party evaluation are two important ways to ensure sanitation
sustainability.
When mapping the institutions in the rural sanitation landscape in India it is important first to identify the actors.
Four main actors: top-level officers in the DDWS, mid-level government officers, GP leaders and rural
communities. These actor groups and their roles are summarized in these tables.
13
Activities
Village
Study
Status
Yes
GP
Yes
GP
DWSM
SWSM
WSSO, DWSM
Capacity Building
WSSO, DWSM
Institutional toilets
GP
GP, SSCC
PRI, state government funds
Staff Category
Functional responsibilities
14
DWSM
State Level
Attend National trainings
Develop state polices based on policy guidelines
Co-ordinate implementation with districts
Distribute funds to districts
Report Sanitation coverage to national level
District Level
Attend state meetings
Prepare and implement district projects
Distribute funds to blocks
Report sanitation coverage to state
Block Level
Attend district trainings
Support implementation
Provide training to GP leaders
Organize IEC or motivational activities in villages
Distribute funds to GPs
Report sanitation coverage to districts
GP Leaders
Rural Communities
15
Cognition
Power
Misdirected accountability
Lack of training
Technocratic governing
machinery
Paternalistic inertia
Corruption
16
Flawed monitoring system: As proven by the 2011 census, the monitoring systems in sanitation programs were
highly inaccurate. Examples abound at the local level, too. The flawed monitoring system reflects and reinforces
the infrastructure-centered and target-driven implementation of the sanitation programs. Inaccurate poverty
classification: Because of an unreliable poverty classification system, hardware subsidies provided to households
with BPL cards failed to promote inclusion of the poorest.
Power:
Power refers to an actors capacity to implement a policy. It includes the regulatory or formal dispositions, along
with relevant informal rules or hierarchies. The three determining aspects include a decentralized system,
technocratic governing machinery and paternalistic inertia.
Decentralized system: The Indian governing system is widely decentralized, involving many actors across
different levels. Coherently for sanitation, the central government issued guidelines and the states developed
policies and delegated campaign implementation to districts, which in turn facilitated blocks and villages to take
responsibilities over the campaign. Decentralized systems are considered to be positive for encouraging
innovation and customizing programs to the local situations. However in the case of sanitation programs it made
it difficult to achieve skilled facilitation or to make policy changes happen locally.
Technocratic governing machinery: India has a hierarchical and technocratic bureaucracy that is well suited to
send down technical designs and subsidies for physical infrastructure projects. As a consequence, sanitation
programs focused on subsidized hardware, instead of facilitating behavior change and sustainable latrine usage.
As a result, sanitation was implemented in a supply-led mode despite guidelines that described a demand-driven,
participatory program.
Paternalistic inertia: For many decades the Indian government has been attempting to meet the basic needs of its
most vulnerable citizens through various welfare schemes. This paternalistic inertia resulted in raising the
expectations from the state and rural program beneficiaries.
Recent planning frameworks for sustainable sanitation systems suggest the utilization of a number of steps: (i)
recognizing the existence of different domains, (ii) analysis of the interests driving desire for the sanitation
system and services for the stakeholders across the domains, (iii) analysis of external drivers and context that
impact behavior in each domain (iv) analysis of technical options, in relation to findings on context and criteria,
(v) analysis of management requirements for proposed technical options, (vi) critical assessment whether the
proposed system is fit for the purpose (Huesoa & Bellb, 2013).
17
Conclusion
Having attempted the theoretical framing of the rural sanitation sector in the earlier section, an assessment of the
actors motivations, and the way they function (acquire, process and use information) are analyzed.
Sanitation Preference Analysis
The end users of sanitation services in rural areas are the most important stakeholders and its very important
to understand their perspective about the services provided and what their preferences are in this regard.
Sanitation Programs have traditionally been perceptive to the end users preferences only to the minimal extent of
addressing access to toilets, (even though leaving a lot to be wanted in this regard). However the additional
requirements of convenience and user preferences, for sanitation services are a largely less understood domain,
even in a country as worried about its sanitation as India.
Most of the operation and maintenance considerations for sanitation services are designed by service providers
(government or private service providers) based on few general assumptions without reflecting on user
preferences. For example the assumption that the end user may value a particular kind of service may not always
be valid. It needs to be evaluated based on their socio-economic profile, the nature of the regions physiography
and most importantly how people value different attributes (feature, function, benefits) that make up an
individual product or service.
The disbursement of sanitation services need to utilize the benefits of perception studies. A bottoms-up approach
can only help in this regard to understand the perceived gap in the services being provided to the end users and
their preferences and willingness to pay, the service packages could be designed based on the outputs received
from this study. This would help understand how different aspects of O&M services are perceived as valuable,
purely from an un-informed approach for different end-user groups.
Weak local Institutions
An observation stands out while conducting the mapping of these institutions and their relative roles and
responsibilities. The general case with sanitation programmes is that, they are all driven from ministerial
platforms, with sophisticated planning and implementation criteria but weakly anchored within the seats of local
government. From the hierarchy of the local government onwards (in this case the Gram Panchayat), the
government functionaries are largely limited in terms of staffing as well as capacity building.
Most government programs focus towards disbursing funds for asset creation. However, endogenous factors like
the sanitation markets have to be understood well by the functionaries administering any sanitation program, in
order to scale up efforts or even provide sustainable sanitation solutions. And in this regard, the gram panchayat
institutions need to be strengthened (especially in terms of their exposure to sanitation technologies). Apart from
asset creation, the local governing framework needs to address the other aspects of regulation and monitor
service delivery.
Excessive Functional Fragmentation
Another point of observation is the excessive fragmentation of the institutional functions which reduces the
efficacy and autonomy of individual institutions. Each of the institutional functions of asset creation, regulation,
monitoring and service delivery are all distributed across various organizations which creates further hurdles in
service delivery. This problem is only worsened by the limited linkages between the government institutional
interface with the non-governmental institutional interface like CBOs/NGOs/SHGs.
Though reduced functional fragmentation may not be realistic, the function of rural sanitation policy makers
should be to atleast reduce the gap between the non-governmental and governmental institutions, by allowing
more participatory policy making.
18
19
20
Apart from the concerns at the user interface, the later stages of the sanitation value chain have long been
completely unaddressed by the sanitation programs in rural India till the recent SBM (G) guidelines.
The concerns of handling the fecal sludge that is collected in the pits and septic tank chambers of the toilets
which constitute the subject matter of an upcoming domain of septage management had long been unaddressed
in rural areas in particular. Post the user interface6, there are the several stages of sanitation planning that need to
be addressed by the institutions. The SBM (G) guidelines talks about solid and liquid waste management for
rural India and prescribes technologies identifies actors and institution as well as funding sources to undertake
the same. However it is important that for each of the above stages, the institutional positions (with their set of
authorized statutory roles) and their actions must be aligned.
Asset creation in the NBM has been done in convergence with the MNREGS (Mahatma Gandhi National Rural
Employment Guarantee Scheme) administered by the local Panchayati Raj Institutions. Several issues have been
faced in aligning two separate state departments for executing the convergence. Though the convergence was
meant encourage users to construct toilets it has so far been major impediment in several states.
The User Interface describes the type of toilet, pedestal, pan, or urinal with which the user comes in contact;
it is the way by which the user accesses the sanitation system. In many cases, the choice of User Interface will
depend on the availability of water
21
Way Forward
It is recommended that the following steps be taken to ensure the goals of SBM are met:
Reviving the Gram Sabhas role in both generating awareness regarding improved toilet options among
stakeholder groups and thereby creating demand
After collecting user preferences, helping stakeholder groups identify latrines according to their needs
and ability. As this remains the major backlog of the Indias sanitation story wherein user preferences
are taken into account only in terms of creating access but not in terms of monitoring the nature of
access. A user preference evaluation would also help understand how resource intensive (i.e.,
economic, material and human) sanitation provisions and technologies are compared to the other
technologies, and thereby make informed choices for the population.
Facilitating the progress of the population, the
sanitation ladder from no access to a shared
toilet and finally an individual toilet must also
take into account the aspect of behaviour change
(as illustrated in the image here), through raising
awareness across all rural stakeholders.
Building capacities of actors and institutions will
be very vital to ensure implementation and
sustainability. Capacity building of stakeholders
and sanitation workers, the Swachhata
Doots/Sena, members of PRIs, VWSCs,
Figure 5: Behavioural change ladder
functionaries of BPMU, DWSM, ASHA,
Anganwadi workers, SHG members, masons,
CSOs/NGOs etc. through indentified institutions on various approaches of IEC, promoting behavioural
change, masonry work, plumbing, as well as for construction and maintenance of toilets will ensure the
community moves up the sanitation value chain. Awareness generation among communities will trigger
demand among the village community on various aspects of sanitation. It will also help the GPs in
achieving ODF status, sustaining and building on it with effective motivation and low cost management
of solid and liquid wastes.
Strengthening horizontal governance institutions in rural India: The social interactions among the
villagers and the respective Gram Panchayat institution as stated by Putnam shows a strong bearing on
the low level of public good provision (in this case being sanitation). As earlier stated, if horizontal
governance institutions exist but diverge from vertical institutions substantively or procedurally, local
public goods may be provided on a sporadic and uneven basis, and third-party institutions will exhibit
only limited effectiveness with respect to preventing public bads.
22
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