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Half of India couldn't access a toilet 5 years ago. Modi built 110M latrines -- but will people use them?


Sachin200

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(CNN)It was the ambitious sanitation campaign aimed at giving almost half of India's 1.3 billion population access to a toilet in just five years.

And last week, Indian Prime Minister Narendra Modi finally declared India free of open defecation, when people relieve themselves in fields, bushes, forests, bodies of water, or any other open spaces, rather than use a toilet.

"The world is amazed that toilets have been provided to more than 600 million people in 60 months, building more than 110 million toilets," Modi said on Wednesday, the 150th anniversary of Indian independence icon Mahatma Gandhi's birth. "No one was ready to believe earlier that India will become open defecation-free in such a short period of time. Now, it is a reality."

Modi launched the project -- part of his flagship Swachh Bharat (Clean India) campaign -- in 2014, in an effort to eliminate public defecation by 2019. If government figures are correct, it would mark a huge achievement. But experts say the statistics are "misleading" -- and that open defecation has not been eliminated in the country.

Nazar Khalid, research fellow at the Research Institute for Compassionate Economics (RICE), said the government focused too much on building toilets and failed to make sure people actually used them. The government also didn't ensure the new toilets were properly maintained, he added, with sewage properly disposed of.

 

The problem

 

According to UNICEF, India had the highest number of people in the world -- about 620 million -- who defecated in the open, with the vast majority in rural areas.

Open defecation is a major public health hazard, especially for children who risk catching potentially deadly diseases like diarrhea. According to UNICEF, fecal contamination and poor sanitation is a leading cause of child mortality, disease, under nutrition and stunting. Open defecation also exposes women and girls to the danger of physical attacks and rape, and they often have to wait until dark to relieve themselves.

Women walking on train tracks in an area where people defecate in the open near Nizamuddin railway station in New Delhi on September 27, 2019.Women walking on train tracks in an area where people defecate in the open near Nizabackn railway station in New Delhi on September 27, 2019.

The World Health Organization estimated that Modi's Clean India campaign could help prevent the deaths of 300,000 people from diarrhea and protein-energy malnutrition between 2014 and this October.

An absence of adequate toilets and water facilities, as well as a lack of awareness about proper sanitation and hygiene, were reasons why people defecated in the open. But attitudes towards defecation in India are a significant challenge in eliminating the practice, and many in rural areas consider defecating in an open space to be cleaner than having a toilet inside the home.

 

Is India really open defecation free?

 

Before the Clean India campaign started, only 39% of households had access to a toilet. Yet a World Bank-supported national survey that concluded in February found 10% of people in rural India defecated in the open -- and 96% of people who had access to a toilet used it. The government now says 100% of the country has toilet coverage.

Modi said everyone in the country had contributed to the campaign's success. Getting the public participating in Clean India has been key -- Bollywood megastars and filmmakers brought the issue to Indian screens, and there were well-publicized reports of women refusing to get married unless their prospective husband's house had a toilet.

However experts say the figures are overblown, and that many people are still living without access to a toilet -- or don't use one even if they can.

"We need to appreciate that this government has made sanitation a big priority, which has not happened in the past," said RICE's Khalid. "But this is such a big farce because open defecation by no means has been eliminated."

 RICE study of households in four northern states in 2014 found 70% of rural people surveyed defecated in the open. A second survey, in late 2018, had that figure at 44%.

 

One problem, according to Khalid, was that the government focused on getting the villages to build toilets, but it didn't consider facility maintenance and sewage management.

"You are supposed to not only construct latrines but also educate people on how to use them, how to maintain them and what happens with the sludge that goes inside the pit," Khalid said.

A. Kalimuthu, project director at the WASH (Water, Sanitation & Hygiene) Institute, said: "The construction is the easy part.

"We build hundreds of toilets, but the major focus is teaching people that the toilet is not a hardware, it's a software."

Caste issues also remain a significant barrier to changing those attitudes. Traditionally it is the lowest caste members whose job it is to clean latrines and sewers -- and they are considered "untouchable" by higher castes.

"People don't want to handle human feces which has traditionally been reserved for a certain category of people in our society -- manual scavengers," Khalid said.

Two children from India's lowest caste were allegedly beaten to death late last month after defecating in the open, according to authorities. The siblings, ages 12 and 10 respectively, were attacked while defecating on a public street in Bhakhedi village in central India's Madhya Pradesh state. Defecating in that village is banned, local police deputy superintendent Viren Singh said.

Ultimately, Khalid said, open defecation "is a behavioral issue, not about access" -- and focus should move to finding out whether Modi's campaign has produced real health impacts.

"It seems very unlikely that a lot of health benefits would be achieved by being partially open defecation free," he said.

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30 minutes ago, TOM_BHAYYA said:

Cbn time nundi Ysr time nundi kachara time dhaka konni lakshala illu kattaru?? Own house lenollu inka undarantama

Kalimathubadhey cheptunadu ga 

We build hundreds of toilets, but the major focus is teaching people that the toilet is not a hardware, it's a software."

Ultimately, Khalid said, open defecation "is a behavioral issue, not about access" -- and focus should move to finding out whether Modi's campaign has produced real health impacts.

"It seems very unlikely that a lot of health benefits would be achieved by being partially open defecation free," he said.

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2 minutes ago, Sachin200 said:

Population vallana unna challenge and esp financial situation kooda playing major rule 

China ki kuda same population issue undi but what India lacks is discipline and desperation towards "I" instead "we" so we continue to suffer.

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Just now, tacobell fan said:

China ki kuda same population issue undi but what India lacks is discipline and desperation towards "I" instead "we" so we continue to suffer.

that 'I' issue is very big issue

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Just now, redsox said:

Kattinchina vade vachi kaduguthadu ani waiting aa endi 

at least shah ayina vastadu emo ani waiting brother, endipotundhi ani bayam emo late aithe

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4 minutes ago, tacobell fan said:

China ki kuda same population issue undi but what India lacks is discipline and desperation towards "I" instead "we" so we continue to suffer.

Yeah , China vallaki 1949 map appudu nundi communism dwara discipline vachindhi . Communism undali Ani kadhu 

Manaki ledhu and over the past 50 years Manaki economical ga kooda lower class alage unam ga 

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3 minutes ago, redsox said:

Kattinchina vade vachi kaduguthadu ani waiting aa endi 

Cleaning anedhi issue Mana dantlo 

Bayata ayitey clean cheya karledhu ante bayataki veltaru. Inka health impacts Baga undhi and awareness tevali 

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6 minutes ago, Sachin200 said:

Yeah , China vallaki 1949 map appudu nundi communism dwara discipline vachindhi . Communism undali Ani kadhu 

Manaki ledhu and over the past 50 years Manaki economical ga kooda lower class alage unam ga 

inko 50 years vastada ani doubt bro..

no emphasis on civic sense in primary education is the culprit..we don’t teach at home either(jump signals, throw thrash on roads, no empathy, ok to bribe, drive with out license)..saab kuch chatla kind attitude is ingrained into us..we should start severe punishments..nalugu rojulu traffic fines eyyangane andaru revolt ayindru..including bjp supporters..i wish they continue that rule

china ollu worst anuko..but akkada single party kabatti onga bettindi..

 

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2 minutes ago, hyperbole said:

inko 50 years vastada ani doubt bro..

no emphasis on civic sense in primary education is the culprit..we don’t teach at home either(jump signals, throw thrash on roads, no empathy, ok to bribe, drive with out license)..saab kuch chatla kind attitude is ingrained into us

Don't you think this DB is prime example? You don't need to go anywhere. See how we all respect each other most part.

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