Resources

SDG 6.2 calls for sustainable sanitation for all before 2030. Yet over 2 billion people still lack access to basic sanitation facilities. Ensuring good sanitation and hygiene practices for everybody means ending open defecation, tackling existing challenges with access and use, and ensuring all sanitation facilities are safely managed.

Climate change is an added complexity in an already challenging landscape – it exacerbates these challenges and has cascading effects on health and livelihoods. Climate change impacts disproportionately affect already disadvantaged and marginalised groups, jeopardising efforts to Leave No One Behind in the drive for sanitation and hygiene for all. There is a real risk that progress made in improving rural sanitation access and coverage will slow, or even reverse.

The global sanitation sector has taken initial steps to incorporate responses to climate change into rural sanitation programming and services. However, much of the discussion has focused on technological improvements.

There is limited actionable guidance on how the rural sanitation and hygiene sector can make systemic changes through planning and implementing project delivery, enabling demand, changing behaviour, addressing social norms, monitoring and evaluation, and more at the local level. Furthermore, the voices of vulnerable people, households, and communities who are at the forefront of experiencing climate change impacts on sanitation are largely absent in existing discussions.

This publication aims to address these gaps in rural sanitation and hygiene thinking through:

• unpacking the reasons behind the limited progress towards addressing climate change in the sanitation and hygiene sector;
• exploring climate impacts on rural sanitation and hygiene practices;
• placing people, households, and communities at the centre of programming using participatory methods for learning; and
• providing actionable ideas to integrate climate thinking and learning into rural sanitation and hygiene programming at the household and community level.

Rural sanitation practitioners already consider many types of risk in the design and implementation of programmes. This publication supports rural practitioners in civil society and government to add a climate lens to existing programmes. It provides the sector with a menu of options and ideas from a climate change perspective. It is not a prescriptive list or a ‘one size fits all’ approach.

Practitioners can draw on various ideas and parts of this guidance and modify them to suit specific programmatic and regional contexts. The quotes included are from interviews with sanitation and hygiene practitioners. They describe their experience with programming in contexts increasingly challenged by climate related concerns.

The Sanitation Learning Hub's Frontiers of Sanitation series provides practical, evidence-based guidance and recommendations on essential emerging issues and approaches to programming and learning.

Please note, there is a French translation available of this publication. 

Following widespread decentralisation reforms, including across Africa, responsibility for sanitation and hygiene (S&H) often sits with sub-national governments.

For some time, local government leadership has been recognised as key to ensuring sustainability and scale and it is an important component of the emerging use of systems strengthening approaches in the S&H sector.

From late 2020 to early 2021, the Sanitation Learning Hub collaborated with local government actors and development partners from three sub-national areas to explore ways of increasing local government leadership and prioritisation of sanitation and hygiene (S&H) to drive progress towards area-wide S&H. It is hoped that this work will provide practical experiences to contribute to this thinking.

Case studies were developed to capture local government and development partners’ experiences supporting sub-national governments increase their leadership and prioritisation of S&H in Siaya County (Kenya, with UNICEF), Nyamagabe District (Rwanda, with WaterAid) and Moyo District (Uganda, with WSSCC), all of which have seen progress in recent years.

The cases were then explored through three online workshops with staff from the local governments, central government ministries and development partners involved to review experiences and identify levers and blockages to change. This document presents key findings from this process.

This is part of the Sanitation Learning Hub's Learning Brief series.

A French translation is also available on the Sanitation Learning Hub website. 

This paper focuses on an Immersive Research Approach designed by Praxis, the Sanitation Learning Hub at IDS and WaterAid whereby researchers lived in villages in recently declared open defecation free districts, to gain an in-depth understanding of ground realities and community perspectives of the Swachh Bharat Mission-Gramin.

The study shed light on key aspects and dynamics influencing local ownership, behaviour change and construction quality, and also revealed multifaceted exclusion processes. The immersive approach helped build trust with villagers and allowed a unique insight into the SBM in its ‘real life’ context, necessary to explore hidden dynamics and diverse perspectives, and understand the complexities involved.

Despite some practical challenges, undertaking immersive studies and experiences would be beneficial for improving the Swachh Bharat Mission and other sanitation programmes. The approach could be adopted pragmatically, but always respecting some basic principles and ethical behaviour.

Accountability is a complex issue in South Africa. The country has high levels of inequality, and marginalised groups – as in many countries – struggle to make themselves heard by those in power. Yet the issue is further complicated by an interacting set of factors, including the legacy of apartheid, gender and religious issues, and the lack of access to those in power.
 

Through a six-year research project, the Sustainable Livelihoods Foundation (SLF) used a range of technology-enabled participatory processes to unpack this lack of government accountability. This report focuses on four case studies, which examined the lived realities of marginalised groups and the activists that campaign on their behalf: activists against gender-based violence and for community safety; community care workers and health committee members working for public health; informal traders and the informal economy; and traditional medicine, Rastafarian bossie doktors and indigenous rights.
 

Using a multi-method research process, SLF supported these groups to work together and identify the accountability issues that they felt were important, and then consider how they could raise their voice collectively to those in power and those who shape and implement policy. As well as providing valuable findings, which SLF fed into the policy dialogue, this process also strengthened the capacity of these groups to speak out – not least through the use of different participatory technologies including digital storytelling, filmmaking, PhotoVoice, geospatial mapping and infographics.
 

This report reflects on the different tools used, considering not just the effectiveness of the outputs generated but also how these tools can empower citizens and bring marginalised groups together. Lastly, the report reflects on SLF’s role as an intermediary organisation, and how this role can influence the path that marginalised groups take in their efforts to make government more responsive to their needs.

The Disabling Menstrual Barriers research aims to investigate and address the barriers to menstrual health and hygiene that adolescents and young people with disabilities face in the Kavre district in Nepal.

It is a collaboration between WaterAid and the London School of Hygiene and Tropical Medicine (LSHTM), with funding from the Bill & Melinda Gates Foundation. During September 2017, qualitative data was collected using participatory methods, including PhotoVoice.

This Learning Note presents the research questions, timeline, data collection methods and ethics. It also captures the preliminary findings from PhotoVoice and highlights the emerging research themes from this.