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The Swachh Bharat Mission-Rural (SBM-R) is a flagship programme aimed at ending open defecation in rural India. In this paper, we study institutions and processes using Amartya Sen's conception of justice. We review the outcomes by assessing agencies, actions and processes involved in the implementation of the SBM-R programme. The findings are analysed using the Sanitation Well-being Framework. Sanitation well-being is achieved when an individual is able to experience the sanitation life cycle stages of acceptance, construction, utilisation and maintenance of safe disposal, which are part of the framework. The capability factors grouped under personal, cultural, structural, environmental and service elements of the framework determine the sanitation environment facilitated by the state. Failure in experiencing one of the life stages leads to slippage in sanitation, where people resume open defecation, despite possessing toilets. The paper presents a review of literature on the political, technological and structural issues in programme implementation, followed by an analysis of 42 interviews and 12 focused group discussions of state and non-state actors conducted in rural Shravasti, Uttar Pradesh, India. We found that slippage is prevalent in the field site and identified 26 capability factors (expansion and constraints) that led to slippage in sanitation. [ABSTRACT FROM AUTHOR]

Access to improved drinking water and sanitation has been declared a fundamental right by the UN General Assembly. However, around 25 and 50% of the global population lacked access to safely managed drinking water and improved sanitation in 2020, respectively. India, the second most populous country in the world, has around 3.7 and 31% of its population without access to improved drinking water and sanitation, respectively. This paper explores the factors determining a household’s access to improved drinking water and sanitation in India, using India Human Development Survey (IHDS) II data. The results indicate that urban households with bigger family sizes, with fewer rooms, married but uneducated household heads, belonging to forward castes, were more likely to have access to improved drinking water. Similarly, households with married female heads, belonging to forward castes, small household sizes, older aged heads with primary education, from Non-EAG (Empowered Action Group) states, located in urban areas, earning higher incomes and having more rooms were more likely to have access to improved sanitation. Findings suggest subsidized improved water and sanitation services and an increase in public investment to make these facilities affordable for poor rural households. [ABSTRACT FROM AUTHOR]

Provisioning of water and sanitation services has become one of the key determinants of SDGs. This review focuses on the trends in water and sanitation services and reforms in India and Ghana over the last two decades. The findings reveal that access to water has improved in India and Ghana at 81.5 and 92.7%, respectively. However, access to sanitation continues to be a challenge in both countries, with the currently reported coverage being 59.5% and 18.5%, respectively. The index of sustainable development goal (SDG) performance of Ghana and India stands at 65.4 and 61.9 with global rankings of 100 and 117, respectively. The adverse impacts of poor access to sanitation increasingly reflect on rising numbers of population suffering from water-borne diseases. From the policy perspective, the paper highlights the need for framing pro-poor water and sanitation policies; focusing on women and girls' education; promoting affordable water and sanitation services; promoting collaboration of stakeholders involved in the rural water and sanitation sectors; and increasing budgetary allocations by local governments. [ABSTRACT FROM AUTHOR]