The National Baseline Survey, 2003

 
The government launched a nationwide baseline survey under leadership of Local Government Division of Ministry of Local Government Rural Development & Cooperatives to understand the Current status of Sanitation Coverage and Reasons for Non-coverage for designing interventions to achieve the target of Community-led Total Sanitation by 2010. Accordingly, UNICEF conducted this Survey with support from the DPHE. The Objectives of this survey were two-fold: firstly, to learn about the current sanitation condition at the Ward, Union, Upazila, District and National levels, and secondly, to set the targets for achieving 100 percent sanitation at the different levels in three phases (2005, 2008 and 2010).
 
The Data was collected countrywide to know Whether the Household was using a Latrine. If yes, what type of latrine? (Hygienic or un-hygienic), and, what the pattern of use was? (Used by all, by female members, or occasionally). If no, then why not?  The Data was collected from urban (city corp., Pourasabhas) and rural households with almost identical forms in separate colour-coded forms for households using latrines and those not using latrines. Nationwide, a total of 2,13,94,093 households (1,83,26,332 households in rural areas and 30,67,761 households in urban areas) were surveyed.
 

The Plan Of Action

 
 The Plan of Action is based on findings of Baseline Survey and other Research studies along with the Lessons Learnt in the sector. Let us take them one by one.
 

Plan of Action based on Baseline Survey and other Researches

 

The Sanitation Coverage:

 


Area/Region

No. Of Households

% Of households with hygienic Latrines 

% Of households with unhygienic Latrines

% Of households with Latrines

% Of house-holds with no Latrines

Nation

2,13,94,093

33.22

24.80

57.95

41.99

Rural

1,83,26,332

28.77

24.33

53.10

46.90

Urban

30,67,761

59.77

27.62

87.39

12.61

City Corpns

12,16,424

69.92

27.55

97.47

2.53

Pourasabhas

18,51,337

53.10

27.66

80.76

19.24

   
It is evident from above findings of Baseline Survey that although there are 57.95 % households in the country who have a Latrine, but there are only 33.22 % of households, which have hygienic latrines. The remaining 24.80 % households have unhygienic latrines (which are pre-dominantly hanging latrines). The remaining 41.99 % households do not have any latrine and usually follow open defecation. Clearly, the challenge is more in rural areas where coverage with sanitary latrines is only 28.77 % as compared to 59.77 % coverage in urban areas. Within the urban sector too, the problem is more severe in Pourasabhas with 53.10 % coverage of sanitary latrines, when compared with City Corporations with 69.92 % coverage. While in City Corporations only 2.53  % of households do not have a latrine, in Pourasabhas, the 19.24  % households do not have latrines. It is evident from above findings of Baseline Survey that although there are 57.95 % households in the country who have a Latrine, but there are only 33.22 % of households, which have hygienic latrines. The remaining 24.80 % households have unhygienic latrines (which are pre-dominantly hanging latrines). The remaining 41.99 % households do not have any latrine and usually follow open defecation. Clearly, the challenge is more in rural areas where coverage with sanitary latrines is only 28.77 % as compared to 59.77 % coverage in urban areas. Within the urban sector too, the problem is more severe in Pourasabhas with 53.10 % coverage of sanitary latrines, when compared with City Corporations with 69.92 % coverage. While in City Corporations only 2.53  % of households do not have a latrine, in Pourasabhas, the 19.24  % households do not have latrines.
 
The above scenario is presented in the form of Pie charts below:  
 

Latrine Coverage (Nationwide)

 

Latrine Coverage (Rural) 
 
 

Latrine Coverage (Urban)

On the basis of above analyses we will draft Rural and Urban Plans differently. Both will have different time deadlines and content of programme.

 

 

The Geographical Spread of Sanitation Coverage:

While we find that there is a wide differences in coverage between Rural and Urban regions, and within urban regions, large differences lie between City Corporations and Pourasabhas, we also find the range of difference in different levels of administrative units is also strikingly large. The district wise Sanitation Coverage is as follows:

 


Bangadesh Baseline Survey, 2003

District wise Sanitation Coverage

Name of District

Total no. of Families

No. of families having Sanitary Latrine

% of Sanitation coverage

(1)

(2)

(4)

(5)

Dhaka Division

 

 

 

1. Dhaka

274689

130987

47.69

2. Jamalpur

348110

62315

17.90

3. Tangail

537270

159845

29.75

4. Maymanshing

743482

137148

18.45

5. Sherpur

226471

41262

18.22

6. Netrokona

319182

43955

13.77

7. Kishoregang

417094

77591

18.60

8. Narshindi

276540

94239

34.08

9. Gazipur

242194

108439

44.77

10. Narayanganj

197914

56532

28.56

11. Munshiganj

167708

70963

42.31

12. Manikganj

239112

78863

32.98

13. Faridpur

301858

111052

36.79

14. Gopalganj

187026

69296

37.05

15. Motheripur

188314

60132

31.93

16. Rajbari

146718

47149

32.14

17. Shariatpur

199662

48799

24.44

Total (Dhaka):

5013344

1398567

27.90

 

 

 

 

Chittagong Division

 

 

 

1. Chittagong

645431

202651

31.40

2. Cumilla

700174

315849

45.11

3. Noakhali

431880

106204

24.59

4. Feni

173967

66876

38.44

5. Laxmipur

234147

84881

36.25

6. Cox's Bazar

263833

40434

15.33

7. B-Baria

335169

103676

30.93

8. Chandpur

338078

110894

32.80

9. Bandarban

51167

3306

6.46

10. Khagrachari

82635

17472

21.14

11. Rangamati

83797

21042

25.11

Total (Chittagong):

3340278

1073285

32.13

 

 

 

 

Sylhet Division

 

 

 

1. Moulovibazar

234621

70496

30.05

2. Sylhet

360051

114371

31.77

3. Habiganj

280007

49486

17.67

4. Sunamganj

284623

47570

16.71

Total (Sylhet):

1159302

281923

24.32

Rajshahi Division

 

 

 

1. Rajshahi

330944

100539

30.38

2. Natore

258580

89206

34.50

3. Chapainwabganj

218206

37455

17.16

4. Naoga

419333

78572

18.74

5. Pabna

330326

96055

29.08

6. Sirajganj

464144

107496

23.16

7. Rangpur

468676

82822

17.67

8. Dinazpur

430746

78737

18.28

9. Dhakurgaon

221303

36848

16.65

10. Panchagar

162515

44742

27.53

11. Gaibandha

405141

90841

22.42

12. Nilphamari

258330

38315

14.83

13. Lalmanirhut

199108

47807

24.01

14. Kurigram

320974

99745

31.08

15. Joypurhat

148003

32903

22.23

16. Bagura

515930

161005

31.21

Total (Rajshahi):

5152259

1223088

23.74

Khulna Division

 

 

 

1. Khulna

281256

135957

48.34

2. Bagerhat

273646

105369

38.51

3. Shatkhira

322227

112085

34.78

4. Jassore

399812

118761

29.70

5. Norail

114362

51043

44.63

6. Magura

143182

48095

33.59

7. Jhinaidaha

257142

77973

30.32

8. Kushtia

277608

81966

29.53

9. Chuadanga

172384

65449

37.97

10. Meherpur

102983

17765

17.25

Total (Khulna):

2344602

814463

34.74

Barishal Division

 

 

 

1. Jhalakathi

100196

52705

52.60

2. Pirozpur

188031

92159

49.01

3. Barishal

337243

158059

46.87

4. Barguna

147016

44351

30.17

5. Patuakhali

241674

67766

28.04

6. Bhola

299589

66427

22.17

Total (Barishal):

1313749

481467

36.65

 

 

 

 

Total

18323534

5272793

28.78

 

 

 

 

 

Now let us examine the geographical spread of the Sanitation Coverage. The GIS-based software was used for plotting the geographical spread of sanitation coverage in the country. The result is as follows:
 

 
From the GIS, it is clear that maximum number of districts, with low (10-20 %) Sanitation coverage, are situated in the northern part of Bangladesh. This region is also infested with maximum poverty. This region is also infested with waterlogged areas, which result in low agricultural production and water-borne diseases. The government has recognized the location disadvantage of the region and the challenge it poses. The government would now focus all its energy in this region. Whether it is Social Mobilization, establishment of Rural Sanitary Marts and Production Centres, or directing government grants for the hard-core poor, this area deserves and would be prioritized. It is evident that most of its better performing districts, with greater than 30 % sanitation coverage, are in Central and Southern regions. While the reasons are understood, they will be further strengthened to reap benefits of their location advantage.
 

 

The Best & Worst areas of Coverage: 

 

The best and worst areas of coverage are as follows:


Level of Analyses
Best Case
Worst Case

Area

% Of HHs latrines

Area

% Of HHs latrines

Rural

Division

Barisal

37.03

Rajshahi

23.74

District

Jhalokathi

52.60

Bandarban

7.08

Upazila

Rajarhat
(Kurigram)

98.58

Thanchi
(Bandarban)

2.0

Urban

 

 

 

 

City Corporation

Dhaka

81.55

Sylhet

47.09

Pourasabha

Savar
(Dhaka)

87.79

Jaldhaka
(Nilphamari)

11.07

 

 


 
 

 
From above table, it is clear that the range of coverage across the country is very large for every level of analyses. The range being maximum in Upazilas, ranging from 98.58 % in Rajarhat Upazila in Kurigram district to only 2.0 % in Thanchi Upazila in Bandarban district. Amongst districts, the range is between 52.60 % coverage in Jhalokathi district to 7.08 % in Bandarban district. The persons responsible in implementation of this programme are being made accountable. The Deputy Commissioners, Upazila Nirwahi Officers, Union Parishad Chairman and the DPHE Engineers of best performing regions would be given national recognition and rewards and the officials and LGIs representatives of low performing regions would be motivated to do better.
 

Reasons for Not Having Latrine: Determination of result-oriented strategies:

“Reasons for not having a latrine” are as presented below:
 
 

 
 
From above figure, important Conclusions emerged, based on which we have drafted our strategies.
 
 
 

Lack of money:

 
It is evident that 73.23 % of households do not have a hygienic latrine because of lack of money. Surprisingly, it is more in urban areas (80.47 %) than rural areas (72.9 %) that people find lack of money as the major reason for not having a latrine. 
 
The fact that the Lack of Money has emerged as a major reason for not having a latrine, it establishes the need for partial subsidization of hardcore poor and also necessitates the need for establishing a good network of micro-credit system for the non-poor. The Government of Bangladesh has accordingly taken a decision to earmark 20 % of its Annual Development Programme (ADP) Grant for Sanitation. Of this, 90 % is for hardware subsidy for the hardcore poor, and, 10 % for the software activities. The funds flow is directly to Upazila Parishads, which have been given the responsibility of implementation. The Union Parishads have the responsibility for identification of hardcore poor. 
 
There is also a lack of knowledge regarding actual cost of latrine, and, more often than not, it is lower than the perceived cost. Hence the need for increasing awareness about low cost affordable technological options, suited to their environment.
   

Lack of Awareness:

 
As high as 25.13 % households do not have a hygienic latrine, due to lack of awareness about relationship between Diarrhea and Excreta disposal. Not so surprisingly, lack of awareness is more (25.32 %) in rural areas than urban areas (20.85%). The high Lack of Awareness requires aggressive multi-media campaign highlighting the linkage between sanitation and health. The government has recognized this and started its multi-media campaign in 2003. It also got the Evaluation done by professionals. The summary of the findings are presented below. 

 

 

 

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