Sanitation is fundamental to human development. Many international organizations use hygienic sanitation facilities as a measure for progress in the fight against poverty, disease, and death. Access to proper sanitation is also considered to be a human right, not a privilege, for every man, woman, and child.
Sanitation generally refers to the provision of facilities and services for the safe disposal of human urine and faeces. Inadequate sanitation is a major cause of disease world-wide and improving sanitation is known to have a significant beneficial impact on people's health. Improvements in sanitation can reduce diarrheal disease, and can significantly lessen the adverse health impacts of other disorders responsible for death and disease among millions of children. Diarrhoea and worm infections weaken children and make them more susceptible to malnutrition and opportunistic infections like pneumonia, measles and malaria.
Hygiene has long-established links with public health, and the explicit reference to hygiene in the text of SDG target 6.2 represents increasing recognition of the importance of hygiene and its close links with sanitation. Hygiene is multi-faceted and can comprise many behaviours, including handwashing, menstrual hygiene and food hygiene. International consultations among WASH sector professionals identified handwashing with soap and water as a top priority in all settings, and also as a suitable indicator for national and global monitoring.
Definition:
The percentage of population using at least basic sanitation services, that is, improved sanitation facilities that are not shared with other households. This indicator encompasses both people using basic sanitation services as well as those using safely managed sanitation services. Improved sanitation facilities include flush/pour flush toilets connected to piped sewer systems, septic tanks or pit latrines; pit latrines with slabs (including ventilated pit latrines), and composting toilets.
The percentage of population living in households that have a handwashing facility with soap and water at home. Handwashing facilities can consist of a sink with tap water, but can also include other devices that contain, transport or regulate the flow of water. Buckets with taps, tippy-taps and portable basins are all examples of handwashing facilities. Bar soap, liquid soap, powder detergent and soapy water all count as soap for monitoring purposes.
Disaggregation:
Location (urban/rural), Socioeconomic status (wealth quintiles)
Method of measurement
Data on improved sanitation facilities are routinely collected in household surveys and censuses. These data sources may also collect information on sharing of sanitation facilities are shared among two or more households, and on emptying of on-site sanitation facilities. Household-level responses, weighted by household size, are used to compute population coverage.
Household surveys routinely collect information on the availability of handwashing facilities in the home. In most cases, the enumerator asks to see the place where members of the household most often wash their hands. The enumerator then observes if water and soap are available at that place. Household-level responses, weighted by household size, are used to compute population coverage.
M&E Framework:
Outcome
Method of estimation:
The JMP assembles, reviews and assesses national data collected by statistics offices and other relevant institutions including sectoral authorities. Linear regression is used to provide estimates of the population using improved sanitation facilities, as well as the proportion practising open defecation. Regressions are also made to estimate the population using improved sanitation facilities connected to sewers and septic tanks; these are constrained to not exceed the estimates for total improved facilities.
The proportion of the population sharing sewered and non-sewered sanitation facilities is estimated by taking an average of all available data on sharing from household surveys and censuses.
Basic sanitation services are calculated by multiplying the proportion of the population using improved sanitation facilities by the proportion of improved sanitation facilities which are not shared among two or more households.
Separate estimates are made for urban and rural areas, and national estimates are generated as weighted averages of the two, using population data from the most recent report of the United Nations Population Division.
The most recent household survey or census available for most countries was typically conducted two to six years ago. The JMP extrapolates regressions for two years beyond the last available data point. Beyond this point the estimates remain unchanged for up to four years unless coverage is below 0.5 per cent or above 99.5 per cent, in which case the line is extended indefinitely.
. For more information see https://washdata.org/monitoring/methods/estimation-methods
Predominant type of statistics: adjusted and predicted
Method of estimation of global and regional aggregates:
Regional and global estimates are weighted averages of the country data, using the population for the reference year as the weight. No estimates are reported if less than 50 per cent of the population in the region or world are covered.
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