Linking Service Delivery Processes and Outcomes in Rural Sanitation : Findings from 56 Districts in India
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Washington, DC
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The year 2012 marked the close of the
Government of India's (GoI's) Total Sanitation
Campaign (TSC). The program was started in 1999 to achieve
universal rural sanitation coverage. Although rural
sanitation coverage has increased during TSC, progress still
falls short of the program goal of universal coverage. The
objectives of this assessment are to: provide GoI with an
overview of the range of service delivery processes adopted
by different districts across states and their relative
performance in terms of outcomes; identify which service
delivery processes are linked to better (or worse)
performance; and identify where the key bottlenecks are to
achieving or sustaining outcomes. In the first round of this
assessment undertaken in 2010, six service delivery
processes were identified as being critical for achieving
sustainable rural sanitation outcomes at scale. In this
second round, the number of processes assessed was increased
to nine and grouped into three thematic components
corresponding to the three stages in which the districts
implement the program: catalyzing, implementing, and
sustaining. Once this is in place, program implementation
needs to focus on aligning operations to facilitate
achievement of outcomes. Finally, the outcomes achieved must
be sustained to achieve downstream impacts such as
improvements in health and quality of life.
Palabras clave
ACCESS TO WATER, BEHAVIOR CHANGE, CONSTRUCTION OF LATRINES, CONTROL OVER RESOURCES, DIARRHEA, DISEASES, DISPOSAL OF GARBAGE, DISSEMINATION, DRAINAGE SYSTEMS, DRINKING WATER, ENVIRONMENTAL SANITATION, ETHNIC GROUPS, FAMILY HEALTH, FECES DISPOSAL, FLUSH TOILETS, GARBAGE DISPOSAL, GROSS DOMESTIC PRODUCT, HEALTH PROMOTION, HOUSEHOLD SANITATION, HYGIENE, HYGIENE BEHAVIORS, HYGIENE EDUCATION, HYGIENE PRACTICES, ILLNESS, IMPACT ON HEALTH, INADEQUATE SANITATION, INFORMATION SYSTEM, INFORMED CHOICE, LARGE-SCALE SANITATION PROGRAMS, LATRINE, LEGAL STATUS, LOCAL GOVERNMENTS, LOW BIRTH WEIGHT, MALARIA, MASS COMMUNICATION, MASS MEDIA, NATIONAL CAMPAIGN, NATIONAL LEVEL, NUMBER OF CHILDREN, NUMBER OF PEOPLE, NUMBER OF PERSONS, NUTRITION, PARADIGM SHIFT, PERSONAL HYGIENE, POLICY MAKERS, POLITICAL LEADERSHIP, POOR SANITATION, POPULATION SIZE, PRACTITIONERS, PREVENTABLE DISEASE, PROGRESS, PUBLIC HEALTH, PUBLIC HEALTH ENGINEERING, PURCHASING POWER, PURCHASING POWER PARITY, QUALITY OF LIFE, RESPECT, RURAL AREAS, RURAL DEVELOPMENT, RURAL HOUSEHOLDS, RURAL SANITATION, RURAL SANITATION COVERAGE, SAFE DISPOSAL, SAFE SANITATION, SANITARY FACILITIES, SANITATION, SANITATION COMMITTEES, SANITATION INITIATIVES, SANITATION PROGRAM, SANITATION PROGRAMS, SANITATION SECTOR, SANITATION SERVICES, SANITATION SITUATION, SCHOOL SANITATION, SEPTIC TANKS, SERVICE DELIVERY, SOAP, STATE GOVERNMENTS, STATUS OF WOMEN, SUPPLY CHAINS, SUSTAINABLE ACCESS, TOILET, TOILETS, TOTAL SANITATION, USERS, WASHING, WASTE MANAGEMENT, WATER SUPPLY