Water, Sanitation and Hygiene (WASH) Facilities in Sikkim: Findings from National Family Health Survey (NFHS) 5

Abstract

ABSTRACT The UN General Assembly has recognized access to improved drinking water and sanitation as a fundamental right. Despite this, a significant portion of the global population lacked access to safely managed drinking water (around 25%) and improved sanitation (around 50%) in 2020. India, the second most populous country, has approximately 3.7% of its population without access to improved drinking water and 31% without access to improved sanitation. This article examines factors influencing household access to improved drinking water and sanitation in Sikkim, India, using National Family Health Survey (NFHS) 5 data. The findings reveal that urban households, older, unmarried, female-headed households, with smaller families, earning higher incomes, located in the North, West and South districts, were more likely to have access to improved drinking water. Similarly, households with unmarried heads, located in higher wealth quintiles, located in the East district, were more likely to have access to improved sanitation facilities. The study suggests subsidizing the cost of improved water and sanitation services for poor rural households and increasing public investment to make these facilities more affordable for them.