Abstract

Globally, the numerous efforts exerted toward providing basic sanitation services to people have not been sufficient to achieve universal coverage. In developing countries worldwide, many policies, strategies, initiatives, and projects on basic sanitation have failed, despite important investments. Of the several reasons explaining the failure, it is remarkable to note that such approaches have focused mainly on improving the technology of the sanitation system without considering the human aspects, such as user preferences. Moreover, there is currently no comprehensive approach that ensures the provision of a sanitation service that users want or need to satisfy their needs. In this regard, this study proposed an approach to identify the variables and indicators that represent user preferences in the selection and creation of more holistic sanitation strategies, technologies, systems, and services. The proposed approach was applied in rural communities of Chiapas, the poorest state of Mexico, and was effective in identifying user preferences, which suggests that it could be an intrinsic part of the design, planning, and implementation process toward leading rural communities to achieve sustainable development goals on universal basic sanitation. The evaluation results also demonstrated that among the preferences linked to the technical features, esthetics, costs of the system, and socioeconomic-related aspects were the most important to be considered in the provision of basic sanitation. The study points out the necessity of understanding how culture, preferences, practices, and socioeconomic conditions directly affect the possibilities for users to gain access to basic sustainable sanitation services.

Highlights

  • In 1992, the World Health Organization (WHO) published a book titled “A Guide to the Development of On-Site Sanitation,” highlighting the need for access to basic sanitation, such as the safe disposal of excreta, which is fundamentally important for the health and welfare of the community, including the control of its water supplies, vectors of disease, and housing conditions, among others

  • A comprehensive approach was proposed to identify the variables and indicators that allow the integration of human issues in the selection and creation of more holistic sanitation strategies, technologies, systems, and services

  • The proposed approach was shown to be effective in the identification of user preferences and, is recommended to be an intrinsic part of the design, planning, and implementation process to lead rural communities to achieve sustainability and Sustainable Development Goals (SDGs) on universal basic sanitation

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Summary

Introduction

In 1992, the World Health Organization (WHO) published a book titled “A Guide to the Development of On-Site Sanitation,” highlighting the need for access to basic sanitation, such as the safe disposal of excreta, which is fundamentally important for the health and welfare of the community, including the control of its water supplies, vectors of disease, and housing conditions, among others. Approximately 80% of wastewater is discharged into water bodies without proper treatment [7]. Many of these serious conditions have been encouraged by bad sanitation policies and projects, mainly because of government approaches that are not suited to the preferences of the users [8], which result in the failure of the strategies implemented, or because of the use of conventional, old, and outdated technologies [9,10,11]. High-ranking officials and decision-makers oftentimes do not include the users when selecting the technology or when implementing it in the sanitation system [9,11]

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