Abstract

Abstract Despite decades of investment in widening access to improved sanitation, much of the world still lacks access to functional sanitation facilities. Through much of the Global South, toilets are inoperable and often abandoned. Failure to understand and account for the whole-life cost of sanitation infrastructure, as well as the interplay between context-specific socio-economic determinants, is one explanation for this reduction in the service life of shared sanitation infrastructure. This issue is especially salient in school-based and communal facilities in middle- to low-income countries. Drawing on a case study of a sanitation facility in a government school in rural south India, we explore the relationship between user value, community-based capacity, and external support in determining the costs of operating and maintaining sanitation facilities over their lifetime. We develop a scenario-based life-cycle cost assessment methodology to examine the relational impact of these determinants on the ‘real’ cost of shared sanitation infrastructure. The analysis concludes that investment and interventions that stimulate demand and enhance the capacity of a community are the most cost-effective options for ensuring the sustainability of sanitation facilities in our case study site. We then reflect on the applicability and limitations of these findings for a wider range of communal sanitation facilities.

Highlights

  • Despite significant efforts and investment towards wider provision of water, sanitation and hygiene (WASH) services in the last 50 years, in 2020 the WHO reported that the world remained ‘alarmingly off track’ for meeting targets of universal access to improved sanitation (UNICEF & WHO 2020)

  • We develop and apply a new methodology to assess the relational significance of socio-economic determinants for the long-term functionality of a school-based sanitation facility and construct possible scenarios to demonstrate how this methodology can determine the ‘real’ costs of delivering sanitation services

  • This section focuses on the results that underpin the life-cycle cost of the sanitation infrastructure at decentralised wastewater treatment (DWWT) project in Berambadi primary school

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Summary

Introduction

Despite significant efforts and investment towards wider provision of water, sanitation and hygiene (WASH) services in the last 50 years, in 2020 the WHO reported that the world remained ‘alarmingly off track’ for meeting targets of universal access to improved sanitation (UNICEF & WHO 2020). The Joint Monitoring Programme of WHO/UNICEF estimates that over half of the world’s population do not have access to sanitation facilities that safely treat wastewater (UNICEF & WHO 2020). This shortfall in both sanitation access and wastewater treatment undermines the public health goals of WASH interventions. There are very few examples of long-term monitoring and

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