Availability of Toilet at the Household Level in India: Evidence from National Family Health Survey

  • K NirmalKumar Assistant Professor of Economics, SSS College of Arts, Science and Management, Arcot, Affiliated to Thiruvalluvar University, Vellore, India.
  • V Sivasankar Associate Professor, Department of Economics, School of Management, Pondicherry University (A Central University), Pondicherry, India.
Keywords: Toilet, Sanitation, Open Defecation, NFHS, SBM

Abstract

Introduction: Poor sanitation has an impact on all facets of human life, including health development, economy, dignity of a human being, nutrition and empowerment of individuals. Globally, one in ten people use open defecation and India has 564 million people who defecate in the open. The government of India is trying to eradicate open defecation by constructing individual household toilets through different sanitation programmes.
Methodology: This study analyses the sanitation conditions in India from 1992–93 to 2019–21. This study used five different rounds of the National Family Health Survey (NFHS) conducted in following years: NFHS-1 (1992–1993), NFHS-2 (1998–99), NFHS-3 (2005–06), NFHS-4 (2015–16), and NFHS-5 (2019–21).
Results: This study found that 69.3% of households had improved toilets, 8.4% had shared toilets, 2.9% had unimproved toilets and 19.4% did not have any toilet facility in 2019–21. This revealed that the individual household toilet facilities increased as a result of different sanitation programmes implemented by the government of India.
Conclusion: The last two decades highlight significant progress in improving access to adequate sanitation, driven by various government initiatives and policies. The data also reveals a shift towards more modern sanitation systems, such as flush toilets connected to piped sewer systems or septic tanks, indicating urbanisation and infrastructural development. This transition is crucial for public health, as it reduces the risk of waterborne diseases and improves overall well-being.

How to cite this article:
Nirmalkumar K, Sivasankar V. Availability of Toilets at the Household Level in India: Evidence from National Family Health Survey. Chettinad Health City Med J. 2024;13(3):30-35.

DOI: https://doi.org/10.24321/2278.2044.202441

References

United Nations Children’s Fund [Internet]. Sanitation and hygiene advocacy and communication strategy framework 2012-2017. New Delhi; 2012; [2024 Jan 17]. Available from: https://swachhbharatmission.ddws.gov.in/sites/default/files/Technical-Notes/SHACS.pdf

WHO/UNICEF Joint Water Supply, Sanitation Monitoring Programme. Progress on sanitation and drinking water: 2015 update and MDG assessment. World Health Organization; 2015. [Google Scholar]

Saleem M, Burdett T, Heaslip V. Health and social impacts of open defecation on women: a systematic review. BMC Public Health. 2019;19(1):158. [PubMed] [Google Scholar]

Coffey D, Gupta A, Hathi P, Khurana N, Spears D, Srivastav N, Vyas S. Revealed preference for open defecation: evidence from a new survey in rural North India. Econ Polit Wkly. 2014;49(38):43. [Google Scholar]

United Nations Children’s Fund. UNICEF strategy for water, sanitation and hygiene 2016-2030. UNICEF; 2016. [Google Scholar]

UN Water. Sanitation drive to 2015: planners’ guide. United Nations Intersecretariat Group for Water; 2012.

United Nations Sustainable Development Goals [Internet]. Goal 6: ensure access to water and sanitation for all; [cited 2024 Jan 14]. Available from: https://www.un.org/sustainabledevelopment/water-andsanitation/

World Health Organization, United Nations Children’s Fund. Progress on household drinking water, sanitation and hygiene 2000-2020: five years into the SDGs. UNICEF; 2021. [Google Scholar]

SACOSAN-V [Internet]. India Country Paper on Sanitation 2013; 2015 [cited 2024 Jan 18]. Available from: https://archive.ids.ac.uk/clts/sites/communityledtotalsanitation.org/files/Report_SACOSAN_V.pdf

Augsburg B, Rodríguez-Lesmes P. Sanitation dynamics: toilet acquisition and its economic and social implications in rural and urban contexts. J Water Sanit Hyg Dev. 2020;10(4):628-41. [Google Scholar]

United Nations Children’s Fund, World Health Organization [Internet]. Progress on sanitation and drinking water – 2015 update and MDG assessment. UNICEF, WHO; 2015 [cited 2024 Jan 15]. Available from: https://www.unicef.org/reports/progress-sanitationand-drinking-water

Government of India [Internet]. Guidelines for ODF verification. Ministry of Water and Sanitation, New Delhi; 2015 [cited 2024 Jan 16]. Available from: https://jalshakti-ddws.gov.in/sites/default/files/R_274_1441280478318.pdf

NFHS-1. National Family Health Survey Report; 1992-93.

NFHS-2. National Family Health Survey Report; 1998-99.

NFHS-3. National Family Health Survey Report; 2005-06.

NFHS-4. National Family Health Survey Report; 2015-16.

NFHS-5. National Family Health Survey Report; 2019-21.

Banerjee T, Mandal K. Revisiting the Midnapore model after ten years of Total Sanitation Campaign in India. 2011;1-16 https://sswm.info/sites/default/files/reference_attachments/BANERJEE%20and%20MANDAL%202011%20Revisiting%20the%20Midnapore%20Model%20after%20Ten%20Years%20of%20TSC.pdf [Google Scholar]

Shah A, Thathachari J, Agarwal R, Karamchandani A. A market led, evidence based, approach to rural sanitation. Monitor Inclusive Markets, on behalf of The Bill & Melinda Gates Foundation; 2013. [Google Scholar]

Spears D. Increasing average exposure to open defecation in India, 2001–2011. Rice Institute; 2014.

Clasen T, Boisson S, Routray P, Torondel B, Bell M, Cumming O, Ensink J, Freeman M, Jenkins M, Odagiri M, Ray S, Sinha A, Suar M, Schmidt WP. Effectiveness of a rural sanitation programme on diarrhoea, soil transmitted helminth infection, and child malnutrition in Odisha, India: a cluster-randomised trial. Lancet Glob Health. 2014;2(11):e645-53. [PubMed] [Google Scholar]

Purty N, Vishwanathan S. The next frontier of rural sanitation policy in India: health and social equity [Internet]. International Health Policies; 2020 [cited 2024 Jan 16]. Available from: https://www.internationalhealthpolicies.org/blogs/the-nextfrontier-of-rural-sanitation-policy-in-india-healthand-social-equity/

Hutton G, Patil S, Kumar A, Osbert N, Odhiambo F. Comparison of the costs and benefits of the Clean India Mission. World Dev. 2020;134: Spears D. Increasing average exposure to open defecation in India, 2001–2011. Rice Institute; 2014. 105052. [Google Scholar]

Exum NG, Gorin EM, Sadhu G, Khanna A, Schwab KJ. Evaluating the declarations of open defecation free status under the Swachh Bharat (‘Clean India’) Mission: repeated cross-sectional surveys in Rajasthan, India. BMJ Glob Health. 2020;5(3):1-11 [Google Scholar]

Vyas S, Srivastav N, Mary D, Goel N, Srinivasan S, Tannirkulam A, Ban R, Spears D, Coffey D. Measuring open defecation in India using survey questions: evidence from a randomised survey experiment. BMJ Open. 2019;9(9):e030152. [PubMed] [Google Scholar]

Published
2024-09-30