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FORUM
Access to toilets, a gender problem
By Rasna Warah


Access to adequate sanitation in urban areas remains one of the most under-funded and under-valued development objectives among the international community. Although Millennium Development Goal 7, Target 11 broadly refers to improving the lives of slum dwellers by 2020, and Target 10 talks of improving access to safe drinking water, not one of the other targets specifically talk of improving sanitation.

It was only at the World Summit on Sustainable Development in 2002 that access to sanitation was finally recognized as an internationally agreed target. The Summit agreed to “halve, by 2015, the proportion of people who do not have access to basic sanitation”. UN-HABITAT, in recognition of this important target, has also incorporated it in its slum definition, and will be monitoring this target as part of its global monitoring of slum conditions.

National statistics on access to sanitation also under-rate and understate the problem. Hundreds of millions of urban dwellers, “with sanitation facilities” only have access to a poorly-maintained latrine shared with dozens of other people often outside their homes.

Part of the problem why access to sanitation is not a high priority issue on the development agenda is that few development agencies, including women’s organizations and the feminist movement in general, have taken this on as a priority issue. While women’s organizations have made great strides in promoting other concerns, the sanitation crisis has become lost in the jargon.

There is no issue that touches the lives of women – particularly poor urban women – as intimately as that of access to adequate sanitation.

In the slums of cities such as Mumbai and Nairobi, the only time women dare to relieve themselves is early dawn, between 4 a.m. and 6 a.m. when it is still dark and there is less risk of being accosted. Going to the toilet often means squatting in a private spot or going to the nearest pit latrine before the queues start forming. In some slums of Nairobi, as many as 200 people share one pit latrine; others use what are commonly called “flying toilets” – which means defecating in plastic bags and throwing the bags on roofs of slum dwellings or by the roadside. In Dharavi, Mumbai’s largest slum, there is one public toilet for every 800 people. Many of the men in Dharavi urinate and defecate along the railway tracks or in open spaces. But women – whose anatomy, modesty and susceptibility to attack do not allow them to relieve themselves in public – have no choice but to wait till dark or stand in line with hundreds of others.

As we prepare for a new decade…we need to make politicians and ordinary people aware of what it means when large sections of society are denied safe water and sanitation. We need to consider what price people pay through poor health and lost wages; what a nation pays through enormous medical bills and lost economic opportunities. What price does one put on women’s safety and dignity? — Anna Tibaijuka, Executive

Director, UN-HABITAT

For women in slums, a four-hour wait at the public toilet could mean that children are left unattended, or that a household chore is left undone or delayed. For women who are menstruating, the need for adequate sanitation becomes even more acute. Rural women, no matter how poor, do not have to face the same dilemma because even the most poor dwelling in a village is likely to have its own pit latrine, which means there is one toilet per family. Access to sanitation is, therefore, probably one of the only development indicators where rural communities actually fare better than urban communities.

Often it takes a visionary leader to turn things around. One of the most inspiring and committed advocates for adequate sanitation is Mr. Jockin Arputham, President of the National Slum Dwellers Federation of India. When I asked why his fight was focused so much on toilets, he said it was because in his native Mumbai, public toilets are often the only places where slum communities meet and share information. His efforts to improve access to public toilets for slum dwellers was, therefore, not just to provide a basic service, but also to maintain and strengthen community links and solidarity.

Thanks to Mr. Arputham, the World Bank is now financing the construction of public toilets across the city by various NGOs and the communities themselves. The communities responsible for the maintenance and upkeep of the toilets, celebrate the opening of a new toilet complex with fanfare. Mr. Arputham’s dream is that there will soon be one toilet for every 50 of Mumbai’s over 6 million slum dwellers. For the women of Mumbai’s slums this can only be good news.

Rasna Warah, a journalist based in Nairobi, is a Board Member of the Society for International Development’s Eastern Africa Office.