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Sustainable management of water and sanitation is inextricably linked with women's health and well-being. This paper investigates slippage in sanitation, experienced by women beneficiaries of the Swacch Bharat Mission Rural programme through Amartya Sen's conception of justice. A total of 135 individuals were interviewed from 49 households in Kanjadwa and Madhnagar Manoharpur Gram Panchayats, Shravasti, India, out of which 90 were women. As per findings, 30% of women practice open defaecation despite possessing toilets, resulting in slippage. The Sanitation Well-being framework is deployed to study slippage and its linkage with women's agency. Personal, cultural, and structural factors contributing to this are child marriage, denial of education and employment opportunities, slut shaming, victim blaming, domestic violence, and character assassination. These are made worse by the state adoption of misogynistic IEC messages that reinforce cultural stereotypes and worsen women's condition. In the quest to attain ODF status in Ikauna Block, UP, the current sanitation programme became a tool of suppression. Consequently, we understand that open defaecation among women is an outcome of the basic unfreedoms rather than a volitional choice that prevents them from experiencing sanitation well-being. [ABSTRACT FROM AUTHOR]

When sanitation is first conceived, its scope is restricted to the removal of human waste using methods such as cesspools, open ditches, pit latrines, bucket systems, and the like. Today, it refers to a more comprehensive concept that encompasses the elimination of solid and liquid waste, the hygiene of food, as well as personal, domestic, and environmental cleanliness. Sanitation is one of the fundamental factors that determines both quality of life and the indicator of human growth. Infections can be avoided altogether by adhering to proper sanitation practices, which stop the contamination of water and soil. As a result, the concept of sanitation is broadened to encompass not only personal hygiene but also the cleanliness of the home, the provision of clean water, the removal of waste products (including feces and urine), and the disposal of waste water. The government of India has implemented the Swachchatam Sarvekshan programme and begun developing protocols like as ODF, ODF+, and ODF++ in order to guarantee the long‐term viability of inclusive sanitation infrastructure and the efficient application of these facilities. In light of this, the purpose of the current article is to investigate the state of urban sanitation and the management of septage in a few select small towns in the Indian state of Uttar Pradesh. The information used in the paper has been collected through filed survey. [ABSTRACT FROM AUTHOR]

The fact that many Indian rural dwellings lack toilets and that, therefore, a significant proportion of India's rural population is forced to defecate in the open has, by facilitating the spread of bacterial infections, profound consequences for public health. Compounding this is the fact that open defecation means that people carry limited amounts of water with them and so, by default, post-defecation handwashing is cursory. This paper, using data from the Indian Human Development Survey, examines the demand for toilets in India and the quality of post-defecation personal hygiene. Income, education, and ancillary facilities in the dwelling—like kitchens, and proper roofs and floors—were the strongest influences on demand. However, ceteris paribus households in more developed villages were more likely to have a toilet than those in less developed villages. This suggests that, over and above specific factors, households' toilet demand also depended on their social environment In setting out these results, the paper rejects the idea, put forward in several academic papers, that the problem of open defecation in India exists because considerations caste and ritual pollution lead rural Indians to prefer open defecation to toilet use. [ABSTRACT FROM AUTHOR]

Sanitation change continues to be on the forefront of the global development agenda, even as it is becoming clear that the targets established in the Sustainable Development Goals will not be met. But since improving access to safely managed sanitation facilities remains a cost-effective and impactful measure to improve people's lives, it is still important to assess currently implemented policies to be able to learn from best practices and to understand how different approaches work under different contexts. This paper provides comparative analysis of country-level policies in India and Ethiopia, two countries that achieved notable progress in eliminating open defecation through distinct sanitation strategies, with the aim of confronting the advantages and disadvantages of both approaches. While in India the primary emphasis has been on the supply-side, i.e., provision of subsidized sanitation infrastructure, Ethiopian strategy prioritized the demand-side by addressing change in sanitation behavior through Community Total Led Sanitation. The analysis shows that neither of the strategies can fully achieve the sanitation change and a combination of both seems to be the most impactful approach in combating open defecation. It also argues that policymakers must consider not only local socioeconomic and budgetary constraints but also historical, institutional, sociocultural, and geographical specifics in deciding what type of subsidies would be the most fitting. At the same time, they also need to address the appropriate social norms to achieve the desirable change in sanitation behavior. [ABSTRACT FROM AUTHOR]

Globally, there are 2 billion 'informal' workers, who lack access to social protection while facing profound health risks and socioeconomic exclusions. The informal economy has generated most jobs in Low and Middle-Income Countries (LMICs), but few studies have explored informal workers' complex health vulnerabilities, including in the face of climate change. This paper will discuss recent action-research in Indore (India), Harare, and Masvingo (Zimbabwe) with informal workers like vendors, waste-pickers, and urban farmers. We conducted qualitative interviews (N = 110 in India), focus group discussions (N = 207 in Zimbabwe), and a quantitative survey (N = 418 in Zimbabwe). Many informal workers live in informal settlements ('slums'), and we highlight the interrelated health risks at their homes and workplaces. We explore how climate-related threats—including heatwaves, drought, and floods—negatively affect informal workers' health and livelihoods. These challenges often have gender-inequitable impacts. We also analyse workers' individual and collective responses. We propose a comprehensive framework to reveal the drivers of health in the informal economy, and we complement this holistic approach with a new research agenda. Our framework highlights the socioeconomic, environmental, and political determinants of informal workers' health. We argue that informal workers may face difficult trade-offs, due to competing priorities in the face of climate change and other risks. Future interventions will need to recognise informal workers' array of risks and co-develop multifaceted solutions, thereby helping to avoid such impossible choices. We recommend holistic initiatives to foster health and climate resilience, as well as participatory action-research partnerships and qualitative, intersectional data-collection with informal workers. • Climate change is exacerbating many risks to informal workers' health and livelihoods. • WASH access may foster gender equality and decent work, while tackling heat stress. • Policymakers can partner with informal workers to create inclusive, multi-pronged interventions. [ABSTRACT FROM AUTHOR]

In recent decades, the world has witnessed a sudden rise in population and rapid urbanization. This has led to an increase in the water demand and consequently an upsurge in wastewater. Water scarcity, coupled with untreated wastewater, has become a major concern throughout the world. Municipalities are challenged with the task of treating wastewater and meeting domestic, agricultural, and industrial demands. Mismanagement of wastewater results in economic, social and environmental loss. The high concentration of population, lack of sanitation and water security, reduced awareness, and evident pollution have made India a home full of opportunity and innovation in the wastewater management (WWM) business. The paper gives a comprehensive review to understand the wastewater management and business approach. The research uses Total Interpretive Structural Modelling (TISM) to identify, acknowledge, and interpret the major factors for the stakeholders and for future companies who wish to venture into the wastewater management business. The study provides insight into developing a circular economy solution and gives a vivid framework highlighting the relevant factors for a successful WWM business. The study also provides direction to the practitioners who are involved in the WWM industry and helps evaluate their options, prioritizing resource-efficient solutions. [Display omitted] • Develop a strategy for an efficient wastewater management business framework. • Identifying the factors crucial for the success of a wastewater management business. • An integrated multi-attribute interpretive structural decision approach is proposed. • Provides a pragmatic business framework with dependent and driving factors. • Managerial implication & policy insights for implementing the model are discussed. [ABSTRACT FROM AUTHOR]

This paper quantitatively analyzes the spatial heterogeneity of district‐level correlates of open defecation in rural India. We employ standard non‐spatial regression, spatially explicit regressions and multi‐scale geographically weighted regression to compare the stability of measurable correlates of open defecation across these different methods as well as across analyzed spatial units. Attributes like ownership of household assets, drinking water inaccessibility and prevalent literacy rates were identified as the most stable district‐level correlates of open defecation. Our results also demonstrated the relevance of our hypotheses about (a) possible negative sanitation externalities stemming from the co‐concentration of Scheduled Caste communities and other communities in densely populated rural districts, and (b) possible positive sanitation externalities stemming from the co‐concentration of Muslim and non‐Muslim communities in densely populated districts. Overall, however, our analyses demonstrate notable spatial clustering and significant spatial non‐stationarity of examined variables. Therefore, in our opinion, research findings that ignore spatial heterogeneity of sanitation drivers provide incomplete information for policy development and implementation. [ABSTRACT FROM AUTHOR]

This paper studies the differences and determinants of handwashing practices in India and identifies sections of the population with poor handwashing practices who are relatively more vulnerable during the COVID-19 pandemic. We have used the data from the recent National Sample Survey (NSS, 76th round) for India (2018). Bivariate and logistic regression analyses have been performed to predict the determinants of handwashing practices across states and socio-economic groups. Levels of education of the household head, Usual Monthly Per Capita Expenditure (UMPCE) of the household, access to water (other than drinking water) resources and sanitation facilities, and the availability of water with soap in and around latrines are major socio-economic and demographic factors that impact handwashing practices. Higher access to principal sources of water for drinking and other purposes, access to bathrooms and latrines with soap, and the availability of water in or around latrines increase the likelihood of handwashing among the people. Universal handwashing across different sections of the population will be effective to prevent further infection. The available data help us to identify the vulnerable sections of the population which are towards the lower end of the handwashing compliance spectrum. The policymakers can outline specific planning and strategy implementation for them. [ABSTRACT FROM AUTHOR]

While the disparities between women and men in respect of healthcare, education, nutrition, livelihood opportunities, and political participation are global phenomena, development of human and social capitals is crucial in this regard. In particular, emphasis on improvement in female education is imperative for bridging such gaps towards a gender indifferent society. Accordingly, policy initiatives and institutional arrangements have been made to promote female education, especially in the developing and underdeveloped countries. Nonetheless, it is uncertain whether such initiatives can necessarily improve female education. For example, the initiatives in India have mostly focused on improving physical infrastructure and other amenities in schools, raising awareness, improving nutrition, and providing financial and other supports. While such interventions are crucial, lack of basic amenities at home can also potentially hinder female education in various ways, particularly in rural areas. This paper examines how household basic amenities influence female education in rural India. Based on secondary data and applying panel data estimation techniques for Indian states, it is found that sanitation facilities at home, access to electricity, use of cleaner cooking fuels, time taken to collect water, and girl sex ratio have significant impact on school attendance of girl child and female literacy rate. While time take to collect water affects female education adversely, the rests have positive impact on the same. Furthermore, public spending on education also impacts female literacy and female literacy relative to the male literacy rate positively, though they do not have any significant influence on school attendance of girls. Further, poverty does not have any significant impact on female education. The findings, therefore, suggest that success of development policies requires inclusive and comprehensive approach to explore the complementarity across the interventions. In addition to development of school infrastructure and provision of other services, emphasis should also be given on improving household basic amenities for better outcome on female education. [ABSTRACT FROM AUTHOR]

Pollution of water resources and a lack of potable water are two important issues that city dwellers in India encounter. The passage of untreated sewage down municipal drains is one of the most significant sources of water resource pollution. In densely populated areas, effective sanitation and wastewater management is becoming increasingly difficult. In many developing nations, centralized sewage and wastewater treatment facilities serve only a section of big cities, and on-site sanitation is frequently insufficient in heavily populated areas. There is a demand for complementary and intermediate solutions. DEWATS (community-managed anaerobic decentralized wastewater treatment systems) is a good option for the possibility of relatively fast sanitation improvements in high-priority neighbourhoods where the local authority is not providing a full sanitation service. The following technical treatment modules are typically seen in DEWATS. The primary treatment consists of sedimentation ponds, settlers, septic tanks or bio digester, secondary treatment consists of anaerobic baffled reactors, anaerobic filters or anaerobic and facultative pond systems, secondary aerobic/facultative treatment consists of horizontal gravel filters and post-treatment consists of aerobic polishing ponds. The experience of India in establishing community-managed DEWATS on a large scale is examined in this review. [Display omitted] • DEWATS have been implemented in different places with suitable treatment methods matching with the community needs. • DEWATS which are connected to communal sanitation centres have the ability to bridge the gap between on-site and centralized wastewater treatment systems. • Very little data is available about the practice of DEWATS other than the handbooks available by different DEWATS implementation agencies. • This paper gives a review on the different DEWATS methods adopted in India which will impart a knowledge on the selection and implementation of different unitary process to be adopted for DEWATS process. [ABSTRACT FROM AUTHOR]