PART IV (i)  PART IV (ii)
REPORT - STRATEGIES TO ADDRESS UNMET NEEDS FOR DRINKING WATER SUPPLY AND SANITATION
Terms of Reference and Composition

The National Commission on Population vide their order No. 11011/25/2000 - NCP dated 4th October 2000 inter alia constituted a Sub-Group on "Strategies to Address Unmet Needs for Public Health. Drinking Water, Sanitation and Nutrition" under the chairmanship of Dr. B.B. Sundaresan, Ex. Vice Chancellor Madras University as one of the Sub-Groups under the Working Group on "Strategies to Address Unmet Needs". The Terms of Reference and composition of the Sub-Group are as under:

Terms of Reference

a)
To identify gaps
b)

To examine and suggest alternative strategies, inter alia recent developments and innovations with due regard to cost effectiveness and optimization of resources, with the objective of contributing to the fulfillment of the objectives of the National Population Policy.

c)

To consider any other matter related with or incidental to the above terms of reference.

 
Composition 

1.

Dr. B.B. Sundaresan - Chairman
Ex - Vice Chancellor (Madras University),
46, Cowley Brown Road,
R.S. Puram, Coimbatore - 641 002.

2.

Prof. K.J. Nath, Director -Professor of Env. Sanitation &
Head of Sanitary Engg.
All India Institute of Hygiene & Public Health.
110, Chittarajan Avenue, Calcutta, West Bengal.

3.

Dr. Bindeshwar Pathak
Founder,
Sulabh International Social Service Organization.
Sulabh Bhavan, RZ-83 Mahavir Enclave,
Dabri Road, Palam, New Delhi.

4.

Shri L.R. Thanga, D.I.G.F
Ministry of Environment & Forest,
Paryavaran Bhavan, CGO Complex,
New Delhi.

5.

Shri V. B. Rama Prasad, Adviser (PHE), CPHEEO,
Deptt. of Urban Development,
"A" Wing, Nirman Bhavan, New Delhi.

6.

Shri V. Asokan, Director
National Commission on Population,
Yojana Bhavan, New Delhi

7.

Ms. P.V. Valsala G. Kutty, Director (TM)
Deptt. of Drinking Water Supply
Paryravaran Bhavan, CGO Complex,
Lodhi Road, New Delhi.

8.

Shri A.K. Singh, Director (Sanitation)
Ministry of Rural Development,
Krishi Bhavan, New Delhi.

9.

Dr. (Smt.) Prema Ramachandran, Adviser
Health, FW & Nutrition Division
Planning Commision, New Delhi

10.

Shri Gautam Basu, Jt. Secretary
Deptt. of Family Welfare
Nirman Bhavan, New Delhi

11.

Dr. Rekha Bhargava, Jt. Secretary
Deptt. Of Women & Child Development
Shastri Bhavan, New Delhi

12.

Ms. Sujatha Rao, Jt. Secretary
Department of Health,
Nirman Bhavan, New Delhi

13.

Ms. Imrana Qadir, Professor (Population Studies),
Jawaharlal Nehru University
New Delhi

14.

Dr. B.K. Tiwari, Nutrition Adviser
Directorate General of Health Services,
Nirman Bhavan, New Delhi.

15.

Dr. R.C. Kalra, Dy. Director General (RHS)
Directorate General of Health Services
Directorate General of Health Services

16.

Shri K.P. Katailiha, Convenor
Dy. Adviser (WS)
Planning Commission,
New Delhi

Executive Summary

This report is presented in two parts, one discussing the unmet needs on Drinking Water Supply and Sanitation (Rural and Urban) and the second on Public Health and Nutrition. On the whole, the report focuses on main issues, which is useful for policy formulation. Emphasis has been given on convergence of programmes at the grassroots level (habitation/village) to bring about impact on the family to control and stabilize population by 2045.

 
 
Left to Right: Shri V. B. Rama Prasad, Adviser, Deptt. of Urban Development, Shri K.P. Katailiha, Convenor, Dr. B.B. Sundaresan, Ex - Vice Chancellor (Madras University).
 

Introduction

The population growth has yet to stabilize itself which increased from 250 million in the first decade of the 20th Century to 1000 million (four-fold) in the last decade at the century. Though the death rate has gone down drastically from 42/1000 to 10/1000 during this period, along with the birth rate from 50/1000 to 25/1000, there is a large gap between the birth rate and the death rate.

The urban population has been growing at a much faster rate and that of urban slums at still faster rate due to growing industrialization and urbanization. Total urban population and slum population (class-wise) in 1991 is indicated in Table-l. The urban slum population has gone up from about 25 million to 62 million in two decades. Urban squatter settlements have sprung up with poor or no civic amenities. Coverage of civic services is very low. India currently faces the dual nutrition burden of under nutrition (including micro-nutrient deficiencies) and over-nutrition; however the focus was on efforts to reduce under-nutrition and associated high IMR and under-five mortality rates and achieve the goals set in the NPP 2000. The fact that the mild and moderate degrees at under-nutrition in childhood and infant and child mortality have not shown substantial decline in the nineties is a matter of concern. In order to achieve the rapid decline in both under-nutrition and mortality in childhood, the Ninth Plan advocated that there should be universal screening of the children for health and nutritional problems and appropriate intervention. In addition to initiatives in nutrition and health sectors, the focus is to be on improving inter-sectoral coordination and convergence of services between ICDS and health workers.

Table - I
Total Population in cities/towns and identified/estimated Slum Population in 1991
(Population in Lakhs)

Size-class category of Cities/Towns No. of Cities/Towns TotalPopulation Slum population Percentage to total population Percentage of total slum population
1 2 3 4 5 6
> 10 lakh population 23 709.966 188.659 26.6 41.3
           
5-10 lakh population 31 214.500 42.555 19.8 9.3
           
3-5 lakh population 39 151.239 28.596 18.9 6.3
           
1-3 lakh population 207 325.139 54.493 16.8 11.9
Total Class - I 300 1400.844 314.303 22.4 68.8
50,000 to 99,999 Pop. 345 236.288 47.151 20.0 10.3
           
<50,000 Pop. 3052 520.581 95.232 18.3 20.9
Total
3697*
2157.713*
456.686* 21.2 100.0
    *Excluding Jammu & Kashmir.
     Source: TCP

PART I - DRINKING WATER SUPPLY & SANITATION (RURAL AND URBAN)

Still a very large population is deprived of safe water facility. The sanitation coverage continues to be extremly low. About 70-80% diseases are water and sanitation related. As per an estimate, 1.5 million children below the age of 5 die and 200 million human days are lost every year due to water related diseases. Most deaths occur due to water related diseases. Most deaths occur due to diarrhoea and jaundice and unless cases of these two diseases are reduced, the IMR and morbidity rate cannot be reduced. One of the basic requirements is therefore to have a large conglomeration approach to address adequately the unmet needs of basic services/goods such as primary health care, nutrition, safe drinking water and proper hygiene and sanitation, so as to achieve population stabilisation to a level, which will provide a decent quality of life to all citizens, rather than a small percentage of urban elite. Greater focus need to be given to the district/areas, where the morbidity and mortality rates are high. Convergence of services at grassroot level will bring forth effective family welfare and hence need to be focussed at policy level.

Drinking Water Supply and Sanitation

The primary responsibility of providing safe drinking water and sanitation facilities rests with the State Governments and the local bodies. The magnitude and urgency of the problem of drinking water in rural areas had, however, prompted the Central Government to support the programme of provision at rural drinking water supply. The Central Government besides giving technical assistance, has been supplementing the efforts of the State Governments by providing financial assistance to the State Governments through the Centrally Sponsored Accelerated Rural Water Supply Programme (ARWSP) since 1977-78. In 1986, the "National Drinking Water Mission" (currently known as "Rajiv Gandhi National Drinking Water Mission") was launched as apart of ARWSP with a view to provide cost-effective technology inputs to rural water supply programme through an integrated and inter-disciplinary approach. In order to pay focussed attention to rural drinking water supply and sanitation programme, a separate Department. viz., Department of Drinking Water Supply has been created in October 1999. Under this Centrally Sponsored Scheme, increasingly larger assistances have been provided from Plan to Plan. The Ninth Plan outlay for the Scheme is as high as Rs. 8150 crore and the BE 2001-02 Rs. 2010 crore.

A new Centrally Sponsored Scheme of Rural Sanitation was initiated in 1986, although with limited financial input. Due to resource constraint and other competing demands, no such efforts could, however, be possible in the case of Urban Water Supply and Sanitation till the end of the Seventh Plan, except a few support programmes like PHE training, R&D, MIS etc. The Eighth Plan under the Central Plan, initiated 2 Centrally Sponsored Schemes viz., Accelerated Urban Water Supply Programme for Small Towns with Population less than 20,000 (as per 1991 census)" and "Low Cost Sanitation Scheme for Liberation of Scavengers" and accommodated small amounts of Rs. 50 crore and Rs.150 crore for them respectively.

In the State Sector, the Basic minimum Services (BMS) was included from the year 1996-97 in place of MNP and Additional Central Assistance (ACA) was provided to the States. Water Supply (Rural and Urban) and Rural Sanitation were included under the BMS. Subsequently, in 2000-01, Prime Minister's Gramodaya Yojana (PMGY) was initiated in place of the BMS. The PMGY includes Rural Water Supply as one of the 5 components viz., Primary Education, Primary Health, Rural Shelter, Rural Drinking Water and Nutrition, for which Rs.2500 crore as ACA has been provided in the year 2000-01.

Annexure-2 indicates the outlays provided for water supply and sanitation sector in the successive Five Year Plans at current prices and their proportions in the corresponding total Public Sector Plans. The Table-2 indicates the outlay provided under the State and Central Plans tor Rural and Urban Sub-Sectors during the Ninth Plan vis-a-vis the Eighth Plan. It shows that the outlay for the Ninth Plan in nominal terms (current price) has been increased from Rs. 16,711 to Rs. 39,538 crores. Average per capita input has risen from Rs. 167/- to Rs. 395/-.

Table-2
                                                             (Rs. Crore)
Eighth Plan (1992-97)
Ninth Plan (1997-02)
Sub-Sector
State/UT
Central
State/UT
Central
Plan
Plan
Plan
Plan
a) Rural Water Supply
4955
5100 }
8150
}
12264
b) Rural Sanitation
294
380 }
500
    Total (a+b):
5249
5480
12264
8650
c) Urban Water Supply
}
338 }
644
5494 }
}
17760
d) Urban Sanitation
}
150 }
220
    Total (c+d):
5494
488*
17760
864**
GRAND TOTAL (a to d)
10743
5968
30024
9514
(16711)        
(39538)        
* Including IEBR of HUDCO
** Excluding IEBR of HUDCO.

The Eleventh Finance Commission has allocated a sum of Rs.500 crore for augmenting traditional water sources. Similarly, it has also allocated Rs.1600 crores as assistance to local bodies (PRIs) annually, part of which can also be used for water supply schemes.

Rural Water Supply

With the massive investment made during the various Five Year Plans by the State and Central Governments, the results achieved have also been apparently quite impressive. Table-3 shows that a large number of 'Villages were identified as "Problem Villages" * in the survey conducted in 1972, 1980 and 1985 and most of them were subsequently covered. The survey, conducted in 1985, identified 1.62 lakh "problem Villages", of which all except 3,000 were covered with at least one safe source of water supply till the beginning of the Eighth Plan.

Table-3 Progressive Coverage of Problem Villages (PVs)
No. of PVs
Identified
Covered
1972 152000
1980 Upto Start of VI Plan 94000
1980 321000@
1980-85 During VI Plan 192000
1985 162000@
Coverage during VII 159000
Plan + 2 Annual Plans
1992-97 3000
@ Including spill over from preceding Plan.
 

* Where there was no dependable source of water within a resonable distance, say 1.6 km walking distance or 100 mtr elevation difference in hilly areas, or the available source of water was endemic to water borne diseases; or the water contained excessive chemical contamination.

While the 1985 List of "problem villages" was almost to be exhausted, the survey, conducted by the State Governments during 1991-93 and revalidated in 1994 with the help of reputed NGOs and Research Organisations has given a new dimension to the problem of rural water supply. The survey showed that a very large number of "no-source" villages and habitations have emerged due to the depletion of water tables, use of improper technology, socio-cultural factors, malfunctioning of water supply systems etc. Revenue villages as a unit, to indicate full coverage was found to be deceptive, as one source did not provide services to several habitations, within a revenue village. Deep rooted social cleavage prevented use of one source by deprived sections of society. In order to better reflect service satisfaction, habitation as a unit was adopted in 1994-95, in place of revenue village. This would cover several habitations within a village. The present status as updated in 1996-97 and taking into account the subsequent coverage during 1997 -98, 1998-99 and 1999-2000 and further updated in 1999-2000, is indicated in Table-4.

Table-4
(No. of habitations)
As on 1.4.94 As on 1.4.97 As on 1.4.2000 Target
(Revised) 2000-01
Not Covered (NC) 1.41 lakh 0.88 lakh 0.26 lakh 0.14 lakh
Partially Covered (PC) 4.30 lakh 3.91 lakh 2.13 lakh 0.71 lakh
Fully Covered (FC) 7.47 lakh 9.51 lakh 11.83 lakh
Total 13.18 lakh 14.30 lakh 14.22 lakh 0.85 lakh
of which Quality 1.51 lakh 1.40 lakh 2.17 lakh NR
Problem habitations
with excess fluoride,
arsenic, salinity and
iron.

The disaggregated achievements widely differed in the case of some States. For example, as on 1.4.2000, while at the all India level, the number of "NC" villages/habitations was only 1.84%, in the States like Punjab, Jammu & Kashmir and Rajasthan, the same were 15.24%, 21.00% and 8.37% respectively. Similarly, while at the all India level, the number of "PC" villages/habitations was 15.00% in the States like Kerala, Karnataka, Maharashtra, Andhra Pradesh, Rajasthan, West Bengal and Assam, the same were about 71,41, 33,31,30 and 34 per cent respectively.

 

The National Agenda for Governance seeks to provide safe drinking water to all habitations within five years i.e.. by March 2004.

Issues
Three focussed issues emerged for serious consideration:
- Access and coverage
- Sustainability of the installed systems
- Reliability of water source.
a. Access/Coverage
- Large number of partially covered villages/habitations
- Emerging problem villages and habitations -no-source and acute quality problem due to over exploitation of ground water, scanty rain fall and frequent droughts.
- Remaining areas - more difficult and inaccessible.
- Inter-State & Inter-regional imbalances in coverage.
- Increasing cost of new water supply schemes.
b. Sustainability
 
- Heavy emphasis on new construction and little attention to maintenance.
- Poor quality of construction.
- Non-involvement of people in Planning, design as well as operations and maintenance.
- Poor Operation and maintenance is the result of

- Using inappropriate technology, which is not sustainable and cost-effective.

- Insignificant delegation of responsibilities and power to Panchayat/community, lack of communication and social mobilisation efforts, lack of involvement of community/women/ NGOs.

- Lack of sense of ownership.

- Absence of operational WATSAN Committees.

- Lack of awareness, health education, advocacy.

- Lack of skilled human power at grass root level. Inadequate training of various functionaries.

- Inadequate funds.

- Insufficient resource-generation/cost-sharing. No recovery even where rates fixed.

- Inadequate MIS and Evaluation

- Absence of O&M manual in local languages.

 
c. Reliability of Water Sources
 
- Unscientific drawl of ground water results in fast depletion of groundwater level, which also increases incidence of quality problems of Arsenic, Salinity and Fluoride.
- Sources go dry and defunct due to deforestation and lack of protection.
- No recharging efforts undertaken particularly due to lack of inter- departmental coordination.
- Neglect of traditional water management strategies

Critical review of these issues at the end of each Five Year Plan would have helped rectify the situation and mid-course corrections indicated to States. Mere increase in allocation has not resulted in citizens' satisfaction at grass-root level. Holistic approach for people's control of water supply will lead not only to effective management of the system, but identify deficiencies promptly. Rural water supply systems are small which the local community can manage effectively provided they are empowered. Several success stories have emerged in different States, which need be replicated.

- Local community must be involved right from the beginning to
- Identify the source;
- Preparation of cost estimates;
- Location of supply points;
- Cost sharing of the scheme;
- O&M;
- Local technical input;
- System fully owned, operated and maintained by the community, under the Panchayati Raj dispensation;
- Central Government support must go directly to the Village Panchayat for effective utilization of funds;
- Micro water-shed Protection and Promotion for reliability of source;
- Ground Water, Forest and Revenue Departments support to be provided to the community at Habitation level;
- Technology screening;
- Expert groups at Block/District level to screen and monitor habitation level water supply systems.
Rural Sanitation

Status of rural sanitation in India is basically different from that of water due to socio-cultural habits in widely spread out rural India. While in the case of water, a target of 100 per cent coverage of population could be set and achieved within the next five years, it may not be so in the case of sanitation in rural areas. Present coverage of population with sanitary latrines is hardly 20%. Approach strategy and target to be set has to be different for rural sanitation as the population is thinly spread out. However, the problem of sanitation is more acute in densely populated urban squatter settlements. Rural sanitation is neither perceived by the majority as a basic need nor provided as a public good. It was only in 1986, that the Government of India formulated the Central Rural Sanitation Programme (CRSP) and Rural Sanitation Programme came under the State Sector Minimum Needs Programme (MNP) in 1987.

Issues
Socio-cultural
- Verifying perception of people and community at local level regarding personal hygiene and public health. eg: Cleanliness and Hygiene among rural communities, Kerala -Bihar.
- Limited knowledge on sanitation related diseases. Particularly among school going children.
- Literacy levels and community hygiene.
- Low emphasis on IEC.
- High density vs low density population.
Technology Issues
- Latrines and related activities:
- Individual vs community types.
- Types of latrines and acceptability
- Double-pit pour-flush
- Septic tanks
- Dry and wet types
- Technology upgradation
- Vacuum-pumps fitted in carts in high density areas.
- Cost sharing in construction and O&M.
 
Policy Issues
- Sharing of costs
    - State vs Centre
    - Community vs Government.
- O&M costs sharing.
- Linkage with related programmes, such as water supply, sanitation, public health, nutrition to commence from school going children upwards.
- Unit for implementation -Habitatiorn / Village / Panchayat / Block / District.
 

The restructured CRSP (w.e.f. 1.4.1999) proposes to move away from the principle of State-wise allocations, primarily based on poverty criteria to a demand-driven approach and the States would be required to formulate "Total Sanitation Campaign" (TSC) in selected districts in order to claim Central assistance. To allow time for proper grounding of the new approach, it has been decided to also continue with the existing "allocation- based" programme. The latter would however be progressively phased out within a couple of years and TSCs would be supported both by the GOI and the State Governments as per the funding pattern. The physical implementation would have to be oriented towards felt-need using "vertical up- gradations" concept, herein beneficiaries, individual or institutions get to choose from a menu of options, that allow for subsequent up gradation depending upon their requirement and financial position. The main features of the restructured Rural Sanitation programme are as under:

- Shift from high subsidy to low-subsidy regime. from Rs. 2000/- to Rs. 500/- per latrine (inclusive of both Central subsidy as well as State subsidy)

        - Greater household involvement

        - Group toilets/Pay & use toilets in high density" areas.

- Technology options as per choice of beneficiaries.

- Stress on software programme (IEC).

- Emphasis on School Sanitation.

- Tie up with various Rural Development programmes.

- Involvement of NGOs/VOs and local groups.

- Seek institutional finance (NABARD etc).

 
Urban Water Supply and Sanitation

Urban water supply and sanitation have remained an important area of concern and allocation of funds have been made since the First Five Year Plan. The Plan outlay for Urban Water Supply and Sanitation, which was Rs. 43 crore in the beginning, increased to Rs. 550 crore by the Fifth Five Year Plan. However, despite a rapid increase in the urban population there was a gradual shift in priority from Urban to Rural Sector from the Sixth Plan onwards. The percentage share of the sector's outlay out of the total public sector outlay only showed marginal increase from 1.28% to 1.38% between the First Plan and the Eighth Plan. In the Ninth Plan, this however, dramatically improved to 2.17%

There was no Central or Centrally Sponsored Scheme for urban water supply till the end of Seventh Plan. In the year 1993, a new Centrally Sponsored Scheme viz., Accelerated Urban Water Supply Programme for Small Towns with Population less than 20,000 (as per 1991 census) was initiated with 50:50 funding pattern between the Centre and the States. The Ninth Plan includes Rs.370 crore under the Central Plan. So far projects for 575 towns covering a population of 68.38 lakh (as per 1991 census) have been approved at an estimated cost of Rs. 708.57 crore. Assistance of Rs. 265.57 crore has already been released by the Centre to the States by the end of 2000-01. 145 project have already been completed/commissioned.

In the absence of any regular/periodical monitoring arrangement, it has not been possible to ascertain, with accuracy the factual position of population coverage with regard to drinking water supply and sanitation facilities in urban areas. By the end of Seventh Plan, the reported coverage with regard to potable drinking water and sanitation was at the level of 84% and 48% respectively, which has risen to 89% and 60% at the end of March 2000. However, these figures are tentative, as some States are yet to furnish the latest data. The State-wise position of coverage is indicated in Annexure-III. However, the service levels of water supply in most of the cities and towns are far below the desired norm, in some cases particularly the smaller towns, even below the rural norms. The coverage figures are based on average supply level and therefore, does not truly reflect the inter - state and regional disparities within the States. In a city/town, there are pockets of affluence and over-supply of water, depriving the poor, particularly those living in slums and squatter settlements. Many such locations within a city/town do not receive any supply at all during dry seasons. Annexure -IV indicates the water supply population in a few selected cities/towns. Similarly in the case of urban sanitation, though about 60% of the population has provision of sanitary excreta disposal facilities, only 30% had sewerage system and the balance 30% had only low cost sanitation facility. Even where sewered, the same are partial and without adequate or any treatment facilities in most of the cases. There were around 69 lakh houses without any latrine facility. In the case of solid waste, on an average the collection efficiency ranges from 70% to 90% of the generated waste in metro cities and is less than 50% in several smaller towns. Of this, only 50% is disposed sanitarily. Separate arrangements are generally non-existent for safe disposal of industrial, hospital and other toxic and hazardous wastes.

 

General Problems of UWS&S

India's UWSS Sector faces many problems and is currently bound by a vicious circle of circumstances. Notably:

Many UWSS providers are not financially viable and are unable to maintain services without extensive subsidies, eg: percentage of revenue generation to O&M cost in cities of Calcutta, Nagpur, Pune, Ludhiana Lucknow and Kanpur (in March 1998) was 14,48,49,40,50 and 78 respectively.

Several low income areas within a city/town have not been provided basic water supply and sanitation services. Even where provided, often complain of low quality due to insufficient funding of O&M.

Sanitation services in particular, are generally inadequate and access to acceptable services are extremely limited in urban squatter settlements/slums.

Affluent sections within a city/town are not only covered, but better served

Environmental degradation continues due to multiplicity of factors.

UWSS needs competent professionals in water treatment, distribution, sewage treatment, solid waste management and urban sanitation.

UWSS managers lack management skills, autonomy and accountability for their performance. Following elements of strategy on improving urban water supply and sanitation need to be adopted.

-

Support for training of' professionals in special areas of' water treatment, distribution, urban sewerage, solid waste management.

- Updating skills of operating/field level professionals.
- Competent professionals are required in large numbers to improve UWSS services. However, the Government of India shall provide the financial assistance to introduce professional courses and training of large number of professionals in UWSS. Unless a competent cadre of professionals are in place, services will continue to be poor.
- Democratic Decentralization through municipalisation of responsibility for Urban Water Supply & Sanitation services.
Tariff structure should be such that while recovering full O&M cost, it promotes equitable distribution of treated water to all sections of society.
- Transparent subsidization by local authorities, where necessary.
- Rehabilitation and modernization of existing water supply utilities through updated technology, manned by competent professionals.

Specific Issues Relating to Urban Sanitation

The issues are technical, financial and more importantly institutional and behavioural.

a) Technical:
-
Lack of specially trained professionals to manage UWSS.  
-
Out moded and inappropriate technology.  
-
Under utilization of facilities in technological institutions to train professionals at top, middle and field level professionals.  
-
Supply and demand of professionals for UWSS do not match.  
-
Incentives for UWSS professionals for the services to be attractive.  
-
Old densely built urban centres pose technological challenges for which appropriate technology is needed.  
-
Lack of faith in UWSS professionals, who are appointed on ad-hoc basis rather than on expertise.  
b) Financial:
-
High cost of urban sewerage systems.  
-

Low allocation for cities/towns : Allocation to sewerage only around 10% of funds for water supply.

 
-

No Central/Centrally Sponsored Scheme to assist State Government/Local Bodies except low cost sanitation scheme, that too with grossly inadequate funds. NRCP confined to only a few cities/towns on the banks of selected rivers.

 
-
Insufficient revenue generation for running the system.  
c) Socio-Cultural:
-
Inadequate motivation/generation of felt-need for having sanitary latrines.  
-
Inconvenient location of public toilets due to social cleavage.  
-
Lack of public health and hygiene education among poor sections of society.  
-
Deep divisions among urban poor and the affluent.  
-
Elitist groups enjoy more benefits at the cost of urban poor.  
d) Management:
-
Lack of MIS  
-

Lack of integrated Environmental Sanitation approach and linkage with water supply and health efforts in particular.

 
-
Technical professionals lack management skills.  
-
Insufficient efforts for sensitizing Decision Makers / Administrators /Planners.  

Recommendations: Rural Water Supply and Sanitation

District should be treated as a Unit for collection, collation and monitoring of programmes - both water supply and sanitation. ln the case of bigger districts, where population is several lakhs, blocks should be treated as a unit.

In view of achieving targets, focussing on convergence of services and coverage of habitation shall be treated as the unit, within a revenue village and reported district-wise. Per capita cost of hand pumps, piped water supply will vary considerably due to agro-climatic conditions from district to district and State to State. District-wise costing will be more appropriate and to be adopted.

Coordination at the Block level shall be encouraged for effective convergence of various programmes at habitation level.

Vertical and sectoral approach by participating departments should be discouraged at Block level.

Emphasis must be laid on stake-holders participation at all levels, from planning, design, location implementation and management.

Data collection shall be 100% at Village Block and District levels for effective monitoring. Once collected and put on computerised data base, shall be updated periodically.

In view of increasing water quality problem and health hazards there from, it is necessary to institutionalise water quality monitoring and surveillance systems. Central assistance under the Centrally Sponsored Accelerated Rural Water Supply Programme (ARWSP) shall be utilized for setting up stationary as well as mobile water testing laboratories in all the district headquarters.

All districts having no water testing facility shall utilize Rajiv Gandhi National Drinking Water Mission funds for establishing such facility.

The community has to be made quality conscious through health education and awareness campaign and water testing kits shall be made available to them.

The habitations, which are covered with water supply facility, but the water available is unsafe for consumption due to excess of arsenic fluoride, TDS iron and other toxic matters, should not be treated as covered.

All possible measures for rain water harvesting and ground water recharging must be taken. There should be continuous monitoring of the sources, so that the habitations once covered do not fall back in the category of uncovered for which interdepartmental coordination at Block level need be activated.

Technology choice, in case of water quality related schemes (Fluoride, Iron, Arsenic, TDS), shall be District/Block specific.

Highest priority shall be given to operation & maintenance and evolve suitable institutions and funding arrangements through community participation. If required, Plan and non-Plan funding may be enhanced.

Major repairs and replacement / rehabilitation may be allowed as Plan schemes.

Decentralize the operation and maintenance by making the beneficiaries and Panchayats stake-holders in the system and responsibility to rest with the Panchayats.

Government of' India has introduced reforms in the rural water supply sector w.e.f. 1.4.1999, with a view to institutionalize community participation in Rural Water Supply Programme, which must be pursued.

Traditional sources shall be identified, strengthened and developed with community involvement.

--

Recycling of waste water should be developed as a part of habit. Waste water should be recycled/ used for recharging ground water sources through soakage-pits.

--

Total Sanitation Campaign (TSC) approach of the Restructured Centrally Sponsored Sanitation programme (w.e.f. 1.4.1999), which is based on the successful model of' Midnapur (West Bengal), may be considered for adoption in other districts of the country with appropriate changes to suit the local conditions and perception.

--

School Sanitation (toilet facility) should be given highest priority to inculcate safe hygienic habits among school children.

Urban Water Supply & Sanitation

MIS Cell shall be created with adequate Staff at the Central and State level. They may be accountable for data collection, compilation and dissemination.

 

Adequate financial support shall be provided under plan schemes.

 

MIS Cell at the State level should collect, compile the data and disseminate to the Centre through NIC network.

 

Per capita water supply cost norm as per the Manual on "Water Supply and Treatment" published by the Ministry of' UD&PA may be followed.

 

Repayment of both O&M and Capital cost shall be through participatory approach.

 

Municipal solid waste management systems need be strengthened through adequately trained professionals and restructuring existing systems.

 

Engineering colleges, Institutions should be supported to start solid waste management courses for municipal services. Financial assistance need be provided for conducting such courses.

 

As the availability of Plan funds are too inadequate as compared to the requirement of the sector, it is necessary that the principle of full cost recovery should be adopted.

 

As the safe drinking water supply has a direct bearing on the health of the people and can reduce the morbidity and mortality rate to a great extent, the Government may consider enlarging the scope of the ongoing Accelerated Urban Water Supply Programme to cover bigger towns also by providing larger outlay

 

The slums have high rate of morbidity, IMR and fertility and therefore, need greater attention in provision of the basic services. A reasonable level of services has to be ensured.

 

Proper legislation followed by effective implementation is urgently needed to control and regulate ground water extraction, particularly in all such urban areas which are facing acute shortage of drinking water throughout the year.

 

Reuse of sewage after the desired degree of treatment for horticulture flushing of sewers and toilets, air conditioning, cooling and several other industrial uses must be introduced extensively to conserve fresh water and reduce pollution in the receiving water bodies.

 

Industries and commercial establishments must be persuaded to adopt reuse of treated sewage and recycle their treated trade effluents to the maximum extent possible to cut down their fresh water demand. Incentives in the term of rebate on water cess and other taxes should be considered for the quantum of fresh water conserved by adopting reuse and recycling process.

 

Toxic and hazardous industrial and hospital wastes should be collected separately and disposed of in a hygienic manner, the cost of which shall be paid by solid waste generators.

 

The unaccounted for water (UFW) in some metro cities is quite substantial and therefore needs urgent attention. Action plans in this regard should be drawn up by the concerned agencies for implementation on a priority basis.

 

Human Resource Development (HRD) in the sector needs due attention. Specialized programmes in solid waste management shall be supported for the in-service engineers, the local bodies and water supply agencies at technological institutions.

 

Development of a strong data base for the sector is very essential. Computerized MIS will serve as a useful tool in decision making , planning, evaluation and O&M.

 

Privatization of water supply and sanitation sector is a felt need and as such it may be introduced in phases.

 

Environmental Impact Assessment (EIA) studies should be carried out before implementing major projects to control environmental degradation.

 

Vacuum pumps mounted on small trucks/carts are being used in some places which are densely populated and have septic tanks in the houses. Use of this will be an alternative system to eliminating manual scavenging system.

 

The local bodies may entrust maintenance of community toilets to voluntary organisations. Maintenance of community toilets in slums could be cross subsidized from income from those located in important public places.

 

Information, Education and Communication (IEC) constitute an important element in the implementation of the sanitation programmes particularly that for conversion of dry latrines into low cost sanitary latrines.

 

Voluntary organizations should be engaged right from the beginning till the end, i.e. motivation, implementation and follow up, as it would be desirable to give them at least 15% as implementation charges.

 

IEC, implementation and follow up may be entrusted to a single agency.

 

The government should be facilitator rather than executor in all water supply and sanitation programmes (both rural and urban). The role of Government should be limited to resource mobilisation, monitoring and evaluation of the programme.

 

Some important suggestions are given in Annexure I

Annexure I
IMPORTANT SUGGESTIONS

As per Article 243G of the Constitution, the Legislature of a State may, by law, endow the Panchayats with such powers and authority as may be necessary to enable them to function as institutions of self - government and such law may contain provisions for the devolution of powers and responsibilities upon Panchayats at the appropriate level. subject to such conditions as may be specified therein with respect to

 
(a)

The preparation of plans for economic development and social justice.

 
(b)

The implementation of schemes for economic development and social justice as may be entrusted to them including those in relation to the matters listed in the Eleventh Schedule, which inter alia, includes Drinking Water and Maintenance of community assets. As such PRIs should be the key institutions for convergence of drinking water supply programme at the ground level.

 
 

The critical need for an effective interface and high degree of functional coordination between the development policy making and planning and implementation institutions is ever increasing.

 

Inter-sectoral coordination should identify mutually functional understanding and reciprocity amongst different development sectors. However, at the operational level, such ideal conditions do not seem to exist in any significant manner.

 

The supervisors and heads of development departments who have hitherto either been indifferent or were not trained to appreciate the nuances and mechanism of the intra-sectional as well as inter-sectoral coordination should begin to play the roles of "team-managers" so as to promote well directed and sustained team work for effective inter- sectoral coordination.

 

NGOs are found to be particularly good at out reach. NGOs have the advantage of being able to sharply focus on, concentrate on and penetrate deeply into communities with whom they have bonds of trust.

 

To reduce the evaporation losses which is at times 30% of the total storages, open storage should be avoided and closed contour trenches should be developed as a water harvesting structures.

 

The cropping pattern in drought prone areas should be sensitive to local availability. Affluent farmers shall be discouraged from water intensive cash crops. Agriculture bore-wells should not be allowed to be deeper than drinking water bore-wells. Blocking of nallahs for agriculture needs only be discouraged.

 

Joint planning by different agencies of the Government and convergent delivery of the services has to be desired. There should be inter-sectoral facilitating team comprising of frontline functionaries of different line departments, which may expect to bring about the convergence at the village level /Panchayat level/Block level.

 

Institutions of local self-governance should be strengthened and entrusted with all activities in water supply, sanitation, hygiene and nutrition. Various development functions may be handled by the single Institution of the Gram Panchayat thus increasing the possibility of convergent planning and delivery of services. The financial and administrative authority has not been devolved to them to the extent needed.

 

Different development programmes of any sector in the rural areas are reached through the village level functionaries like Panchayat secretary, Anganwadi workers, midwifes etc. These village level functionaries are important tools to elicit useful information related to health, hygiene, sanitation etc. in a suitable understandable language in the village. Hence habitation/village level groups should cut across sectoral agencies and encouraged to play coordinating role for effective convergence at grass-roots level.

 

Resources for IEC/HRD now given for different sectors should be pooled together at District/State level.

 

Funds for implementation of work should flow from Centre to the District Committees to Panchayats/beneficiaries.

 

There are more than 3.5 million hand pumps and over one lakh piped water supply schemes installed in the country under the Rural Water Supply Programme. The total estimated cost for operation and maintenance of the above at the present value would be around Rs. 2000 crore per year (10-15% of capital cost). A large portion of installed schemes remain non-functional and many of them go permanently defunct due to lack of proper maintenance and repairs for want of funds. It is, therefore, necessary to give highest priority to operation and maintenance and evolve suitable institutions and funding arrangements through community participation to bring them back to functional levels.

 

Rehabilitating the existing village tanks, creating detention basins by storing rain water in local depressions, abandoned mines/ quarries etc. for water harvesting for the development of water resources need be encouraged. Small dams should be encourage because micro water - shed area is more efficient for water conservation. To avoid the evaporation losses from such small storages, the underground syphon should be used which would conserve the water and recharge the aquifer.

 

Water is to be managed as an economic asset rather than a free commodity. It should be treated as a resource in its totality and regeneration of sources shall be the responsibility of every user agency, whether drinking, irrigation or other uses. The comprehensive development of the water resources should be opted as a strategy and the village should be considered the focal point for water development. Top to bottom arrangement is necessary to stop wastage.

 

The technology which is being adopted for the construction of the check dams is sometimes faulty as there is no recharging because recharging takes place according to aquifer condition.

 

Micro water-shed and catchment development shall be the primary focus at Block/District level rather than State level.

 

Awareness programmes on water conservation, water quality, personal hygiene, collection, storing and disposal of solid waste may be designed and implemented with the help of Non-Governmental Organizations (NGOs), Voluntary Organizations and Neighbourhood Committees.

 

Measures like prioritisation and adopting the norms of water- uses efficiency should be taken at habitation level. Water rationing is also a useful instrument to control the water use but this requires the community participation. The rationing of water for different uses on per capita basis should be followed. Social equity and minimum provision to all sections of society need be ensured.

 

Rural sanitation is neither perceived by the majority as a basic need nor provided as a public good. In view of its direct relationship with the health of the people behaviuoral change is essential by changing the mind set of the people through strong IEC campaign. Each water supply programme should also have a soft-ware component of hygiene sanitation and education.

 

In the case of rural sanitation, demand-driven approach should be adopted rather than supply-driven approach in a decentralized manner with community participation at grassroots level and monitored at block level.

 

Hygiene promotion needs to be more demand-responsive. Local initiatives should be encouraged, models promoted (eg. Midnapur) for replication.

 

Designing and implementing effective, multi-level, multi- disciplinary, experiential and field-based training strategies for hygiene promotion capacity at delivering level, so as to strengthen the capacity.

 

School Sanitation has been neglected badly in all earlier plans for which corrective action is urgently needed. Children of today are citizens of tomorrow. `Catch them young' shall be the philosophy in Water Supply, Sanitation and Nutrition Sectors. In this process the key person is the teacher. The primary and upper-primary school-teachers should be trained and their capacity should be enhanced to enable them to transform their mind set and aptitude in such a way so that this message could be reached to the rural household. He may also work as a motivator in his vicinity. He may be involved in the communication strategy for behaviuor change. Total Sanitation and Hygiene Education strategy to achieve health and nutrition goods.

 

As a follow up of 74th Constitution Amendment, most of the State Governments are likely to entrust the responsibility of operation and maintenance of urban water supply and sanitation systems to local bodies and therefore, it would be necessary for the State Finance Commission to explicitly indicate the norms and other financial implications and make a realistic assessment of requirement of funds and also to make suitable recommendations for provision of finances by different categories of towns.

 

Most of the cities/towns are not able to borrow institutional funding due to commercial rate of interest. Government may also consider providing interest differential subsidy to make available the funds at the concessional rate of interest.

 

Water supply and sanitation agencies including the local bodies should be given full autonomy in determining the tariffs with the provision for automatic annual increase to cover the increase in costs.

 

Separate account should be maintained by urban water supply and sanitation agencies where such separation does not exist. To ensure debt servicing at affordable limits, lending agencies should prescribe repayment on annuity basis over long repayment period and with financial moratorium. The State Governments should confer greater autonomy to the water sector agencies with relation to financial management and operational issues.

 

Mobilization of adequate finds for the sector through Central and State Governments' Budget allocations, open market borrowings, institutional financing and assistance from External Support Agencies.

 

For small and medium towns where resource base is very weak, adequate grant-in-aid from the Central and State Governments on priority.

 

Prioritization of different demands, such as commercial, industrial and domestic shall be block/district specific.

 

City level water management plans need to be prepared keeping in view the various development activities for the next 20 years or so. In order to operationalise and implement the national Water Policy in an effective manner at the State level, intern-sectoral Committees comprising of Members from various water using sectors may be constituted to decide on allocation of water for different purposes.

 

City level consumer fora and voluntary agencies should be encouraged to keep a vigil on water sources to prevent their possible contamination and make periodical reporting to the concerned water supply agencies for appropriate action well in advance.

 

Improved arrangements for monitoring of water quality at treatment plants and distribution systems.

 

Timely rehabilitation of systems to enhance their useful life and postpone replacement costs.

 

At public places, high rise buildings, housing colonies, it will be useful to have biogas digesters along with the toilets. Public- toilets along with biogas digesters should also be constructed at important places like railway stations, bus stands, cinema halls, markets, dispensaries and other public places where people gather in large number.

 

Adequate focus on resource-recovery from sewage.

 

The required door to door contacts with the house owners persuading them to agree to the conversion of dry latrines into water-seal pour-flush latrines as well construction of new toilets can best be done by NGOs rather than Govt. agencies.

 

In respect of persons who are not in a position to mobilise their own resources, the Government may arrange institutional loans to them at reasonable rate of interest. The Government may also grant subsidy to poor persons, particularly those from the economically weaker sections of society.

 
CPHEXO, Ministry of Urban Development & Poverty Alleviation Status of Urban Water Supply and Sanitation - India Statewise Status of Urban Population havnig Access to WaterSupply. Sewerage & Sanitation Facilities as of 31.03.2000.
(Population in '000')
(Tentative)
S. No.
Name of State/UT
Estimated Population as of
Population Provided with Water Supply through
Population Provided with Severage & Sanitation Facilities
31.3.2000
H.S.C
P.S.P.
Total
%
Sewer
L.C.S
Total
%
1
2
3
4
5
6
7
8
9
10
11
1
ANDHRA PR-PHED 15738 6767 4006 10775 66 826 7702 8527 54
ANDHRA PR-HMWSSBd. 3600 2640 500 3140 90 2275 210 2485 71
ANDHRA PR-TOTAL 19238 9407 4506 13915 72 3100 7912 11012 67
2
ARUNANCHAL PRADESH 231 117 25 142 61 0 134 134 56
3
ASSAM@ 3100 800 200 800 28 15 268 273 9
4
BIHAR** 11862 4187 5327 9514 80 560 6364 5914 58
5
DELHI 13300 9560 3740 13300 100 6585 730 7315 55
6
GOA 557 438 118 557 100 80 348 408 73
7
GUJARAT** 16810 13227 3307 16534 98 10671 348 11219 67
8
HARYANA 3705 2106 402 2510 68 1972 348 2320 63
9
HIMACHAL PRADESH** 546 328 216 548 100 126 110 236 43
10
J&K(KASHMIR) 1378 1240 50 1290 94 579 56 545 47
11
KARNATAKA UWS&DBd 11000 5720 2420 8140 74 2530 5170 7700 76
KARNATAKA SWSSBd 5750 3625 1175 4700 82 3290 940 4230 74
KARNATAKA - TOTAL 16750 9245 3685 12840 77 5620 6110 11930 71
12
KERALA 7890 3250 2764 8024 78 290 5470 5780 75
13
MADHYA PRADESH 25000 16200 5800 25000 100 2500 17500 20000 80
MAHARASHTRA
MAHARASHTRA-MJP
MAHARASHTRA - MMC
                 
14
MAHARASHTRA-TOTAL** 34309 23744 10175 33920 99 17020 4983 22003 64
15
MANIPUR 969 481 178 657 68 196 0 196 20
16
MEGHALAYA @ 457 221 201 422 92 20 108 128 28
17
MIZORAM 256 83 30 93 28 0 181 181 70
18
NAGALAND 296 232 0 232 78 0 178 178 60
19
ORISSA 4877 859 2221 3080 83 422 0 422 9
20
PUNJAB 8496 5212 317 5629 66 3745 1407 5152 81
21
RAJASTHAN 12897 10318 2579 12897 100 995 9194 10189 79
22
SIKKIM 195 95 25 120 82 35 62 103 53
23
TAMIL NADU-TWAD Bd 19515 9107 8734 10841 86 1772 10040 11812 61
TAMIL NADU-TWAD Bd 6010 5729 117 5848 97 5708 301 8010 100
TAMIL NADU-CMWSSBd 25525 13836 3651 22067 80 7481 10341 17822 70
24
TRIPURA @ 553 136 327 483 84 0 200 200 38
25
UTTAR PRADESH$ 33000 15100 10500 32800 90 12200 0 12200 37
26
WEST BENGAL-CMDA WEST BENGAL-PHEDWEST BENGAL-TO TAL** 18495 6261 3605 16786 86 3332 5050 9282 50
TOTAL STATES 290414 147478 83052 231438 96 77914 78388 156222 80
UNION TERETORIES                  
1
A & N ISLANDS 109 95 9 107 0 108 108 90
2
CHANDIGARH 762 620 152 782 100 762 0 782 100
3
D&N HAVELI 15 5 5 14 83 0 0 0 0
4
DAMAN & DIU 47 5 1 7 15 0 0 0 0
5
LAKSHADWEEP 30 0 20 20 87 0 25 25 83
6
PONDICHERRY 678 596 678 100 94 584 678 100
TOTAL UT'S 1641 1321 267 1588 97 356 717 1573 96
GRAND TOTAL 262155 143797 84299 233026 89 78778 79025 157795 60

REMARKS

 

   
H.S.C. House Service Connection P.S.P. - Public Stand Post L.C.S. - Low Cost Sanitation
- Septic Tank etc.
*

Indicates accessibility only adiequacy and equitable distribution of water supply is not as per the prescribed norms of Govt. of India.

**

The figures indicates as of 31-3-1997 since the respective states have not furnished the information as of 31-3-2000.

@

The figure indicatee the sanitation coverage as of 31-3-1997 since the respective state have not furnished the information as of 31-3-2000.

$ In case of U.P. the data on L.C.S. id yet to be received.
Annexure - II
Water Supply & Sanitation Sector
Plan-Wise Plan Investment at Current Prices
S. No.
Plan Period
Total Public Sector Plan Outlay/Expdr.
          (Rs. Crores)
Total Plan Outlay/Expdr. Under Water Supply & Sanitation Sector
        
Plan Outlay/Expdr. for Urban Water Supply and Sanitation
        
Plan Outlay/Expdr. for Rural Water Supply and Sanitation
 
Amount % to Public Sector Outlay
 
Amount % to Public Sector Only
 
Amount % to Public Sector Only
1
    2
    3
    4
 
    5
    6
 
    7
        8
Col. 3
 x 100
Col. 5
 x 100
Col. 7
  x 100
Col. 2
Col. 2
Col. 2
1. I Plan Outlay 3360.00 49.00 1.46   43.00 1.28   6.00 0.18  
(1951-56) Expdr. 1960.00 11.00 0.56   8.00 0.41   3.00 0.15  
     
2. II Plan Outlay 6750.00 72.00 1.07   44.00 0.65   28.00 0.41  
(1956-61) Expdr. 4672.00 74.00 1.58   44.00 0.94   30.00 0.65  
     
3. III Plan Outlay 8573.00 105.70 1.23   89.37 1.04   16.33 0.19  
(1961-66) Expdr. 8576.00 110.17 1.28   91.34 1.07   18.83 0.22  
     
4. 3 Annual Plans Outlay 6664.97 106.42 1.60   N.A. N.A.   N.A. N.A.  
(1966-69) Expdr. 6625.00 102.70 1.55   73.53 1011   29.17 0.45  
     
5. IV Plan Outlay 15902.00 437.00 2.75   282.00 1.77   155.00 0.97  
(1969-74) Expdr. 15778.00 458.90 2.91   250.90 1.59   208.00 1.33  
     
6. V Plan Outlay 39303.49 1030.68 2.62   549.51 1.40   481.24 1.22  
(1974-79) Expdr. 39420.00 1091.60 2.77   539.51 1.37   552.09 1.40  
     
7. Annual Plan Outlay 12549.63 430.22 3.43   197.93 1.58   232.29 1.85  
(1979-80) Expdr. 12176.50 395.28 3.25   148.89 1.22   240.39 1.99  
     
8. VI Plan Outlay 97500.00 4047.00 4.15   1766.68 1.81   2280.32 2.34  
(1980-85) Expdr. 109291.70 3997.78 3.66   2334.53 2.14   1663.45 1.52  
     
9. VII Plan Outlay 180000.00 6522.47 3.62   2965.75 1.65   3556.72 1.98  
(1985-90) Expdr. 219029.00 7093.13 3.24   2557.81 1.17   4535.32 2.07  
     
10. 2 Plans Outlay 137033.15 4427.29 3.23   1721.37 1.26   2705.92 1.97  
(1990-92) Expdr. 123120.55 4086.12 3.32   1725.17 1.40   2360.95 1.92  
     
11. VIII Plan Outlay 434100.00 16711.03 3.85   5982.28 1.38   10728.79 2.47  
(1992-97) Expdr. 391000.00 16932.00 4.33   7316.00 1.87   9666.00 2.47  
     
12. IX Plan Outlay
(1997-2002)
859200.00 39538.00 4.46   18624.00 2.16   20914.00 2.43  
C.P.H.E.E.O
File: Citywsp WK1
Annexure III
Drinking Water Supply and Sanitation City Profile
(Cities with popularion > 5 Lakhs per 1991 census)
Statement: WSP
(Status as of 31/03)