Transcript PRSP Process

PRSP Process - Bangladesh
Civil society comments on the
iPRSP (December 2002)
Water, Sanitation and Hygiene
education for all
An overview
Water
• In Bangladesh 74% of the population
have access to safe drinking water
(considering arsenic contamination of
ground water)
• Peoples who are living in informal
settlements of urban areas do not have
the legal right to access water from
public water service providing agencies
Sanitation
• 13.5% of rural households use sanitary
latrines
• Overall access including simple pit
latrine is 43.4% (combined rural urban)
with an increase of about 1% per
annum
• Sanitation coverage in metropolitan
slums only 13.5%
Hygiene
One of the main causes of water borne
diseases are faecal- oral transmission.
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Only 26.3% people wash their hand with
soap and ashes after defecation (only 7%
with soap).
Only 3% people wash their hand with soap
before having a meal, feeding children and
preparation of food
A large number of people use unsafe water
for cooking, bathing and washing utensils
Lack of safe water, poor sanitation and
unhygienic behaviour causes water
borne diseases which includes
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Diarrhoeal
Dysentery
Typhoid
Worm Infestation
Hepatitis
Scabies
Trachoma
The 3 main diseases for child mortality are
Pneumonia, Diarrhoeal and Dysentery
Impact
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Every day 20,000 metric tons of human excreta are
deposited on public lands and waterways. This is one of
the main causes of contamination surface water
125,000 children under five die each year from
diarrhoeal disease, 342 children per day
Diarrhoeal disease causes 5.75 million disability
adjusted life years – 61% of total DALYs.
5 billion taka (us$ 80 million) is spent every year for the
treatment of hygiene related diseases
Every child in Bangladesh suffers an average of three to
five diarrhoeal attacks in each year, which is a major
contributor to malnutrition
Women and girls suffer the most from water, sanitation
and hygiene deficiencies. A lack of privacy in sanitation
increases the risks of urinary tract infection,
reproductive health problems and physical attack.
WaterAid’s participatory impact assessment, Looking Back,
cites the following connections between water projects
and different aspects of poverty:
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Improvements in livelihoods and productive time
Minimising the costs of healthcare due to significant
reduction in diarrhoeal and other water-related diseases
Reduction in infant and maternal mortality and
morbidity
Improved mental health
Increased school attendance, especially for girls
Improvements in the quality of family life
Increased participation in social/community activities
and observance of religious obligations
Enhanced self-esteem of individuals and communities
The stated iPRSP goals
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Remove the ‘ugly faces’ of poverty by
eradicating hunger, chronic food insecurity,
and extreme destitution;
Reduce the number of people living below the
poverty line by 50 percent;
Attain universal primary education for all girls
and boys of primary school age;
Eliminate gender disparity in primary and
secondary education;
Reduce infant and under five mortality rates
by 65 percent, and eliminate gender disparity
in child mortality;
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Reduce the proportion of malnourished
children under five by 50 percent and
eliminate gender disparity in child
malnutrition;
Reduce maternal mortality rate by 75 percent;
Ensure access of reproductive health services
to all;
Reduce substantially, if not eliminate totally,
social violence against the poor and the
disadvantaged groups, especially violence
against women and children;
Ensure comprehensive disaster risk
management, environmental sustainability and
mainstreaming of these concerns into the
national development process.
Major Thrust Areas Regarding Health
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urban primary health
emergency health care
major public health problems such
as dengue and arsenic
broadening the net of curative
health care services for the poor
enabling broad-based access to
reproductive health services
Chapter structure of iPRSP
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"what the broad lessons are from the past
development experience"
"where we stand now in terms of poverty
and social indicators"
"what do the voices of the citizens
suggest"
"where we would like to go by the year
2015"
"how we are going to reach the social
targets"
"what would be the macroeconomic
framework for poverty reduction in the
medium-term"
5 strategic elements
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accelerating pro-poor economic
growth
fostering human development of the
poor
women’s advancement and closing of
gender gaps
social protection
participatory governance and
enhancing non-material dimensions
Accelerating pro-poor economic
growth – infrastructure
development
Improved and safe water supply and sanitation
services will be emphasized for
• Reducing health costs
• Improving malnutrition
• Increasing productivity of labor
• Reducing time spent by women and children in
water collection
• More productive use of time and resources by
poor households
How will this happen?
Following the National Water Supply and
Sanitation Policy 1998, a development
framework will be worked out to address
the issues in a comprehensive manner.
Millennium Development
Goals
Reduce under-five mortality by two-thirds
Improve lives of 100 million slum
dwellers
Half the number of people without access
to water supply and sanitation
Eradicate extreme poverty and hunger
WSSD Plan of Implementation
Key Points
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Halve by 2015 proportion of people unable to
reach or to afford safe drinking water…and the
proportion of people who do not have access
to basic sanitation.
By 2020, achieve significant improvement in
the lives of at least 100 million slum dwellers
Launch programme of actions, with financial
and technical assistance, to achieve the MDG
on safe drinking water, and halve by 2015 the
proportion of people without access to basic
sanitation
WSS and PRSP
What do we, as sector actors, want to incorporate about
water, sanitation and hygiene in the full PRSP?
As sector actors, where do we want to see safe
WSSanHy in the full PRSP, what section, chapter,
approaches?
As sector actors do we want to add a separate goal in
the full PRSP about safe WSSanHyP, and if so, what
would that stated goal be?