Posts

The Coronavirus brings Water, Sanitation, and Hygiene (WASH) and Economic Challenges to Informal Settlements

informal settlement, slum, WASH, water, sanitation, coronavirus
Informal settlement in Buguruni Ward, Dar es Salaam, Tanzania

With over 1.7 million cases and more than 100,000 deaths to date, the coronavirus (COVID-19) pandemic is a major global challenge. On top of this, It has battered economies and put particular pressure on already precarious household economies. In short, the coronavirus is exacting a physical (health) and economic toll across the globe.

While there is plenty of reporting on the health and economic effects in Asia, Europe, and North America, there needs to be more about the effects of the pandemic throughout Africa, particularly major cities in sub-Saharan Africa. Especially vulnerable geographies in these cities are the informal urban settlements. These are often characterized by high population densities, lack of infrastructure, and low levels of water, sanitation, and hygiene (WASH) access.

Thinking about these issues through a lens of vulnerability and resilience can be useful. Before the pandemic, large swathes of the households in these areas were already economically vulnerable and possessing varying degrees of access to water, sanitation, and hygiene (WASH) services. When the starting point can be roughly described as ‘poor, crowded, and lacking water and sanitation‘, the coronavirus is likely hitting these sorts of communities very hard. The ability to the spread of the virus is hampered by all of these characteristics. There is a great article on these very challenges in Lagos at The Conversation. As has been also noted elsewhere, it is hard to socially distance, wash your hands, or quarantine and forego your entire income.

What can be done? WSUP gives a useful overview on how to reduce the spread of the virus and minimize the impact. Much of it is intuitive– there should be emergency water and handwashing facilities, increased hygiene promotion work, and of course, personal protective equipment for local health facilities. It will take a whole lot more than the nuts and bolts of water, soap, and health facilities/equipment, of course. It will take political will and coordination at all levels of government to improve situations in both the short and long terms.

Lastly, I would argue, governments should consider providing some emergency and temporary basic economic support to these communities in the form of cash aid. While I am well aware of how poor many of these countries are, one can only imagine the health benefits of enabling some of one’s most vulnerable citizens.

The coronavirus will no doubt be a major setback, and, for at least the short term, it effectively turns WASH efforts from development WASH into emergency WASH. Nevertheless, this situation should be used to strengthen and improve WASH access and livelihoods in informal settlements so they will be a bit more ready when the next health challenge arises.

water, cities, political economy, governance, access to water

Apples and Oranges: Acknowledging Intra-Urban Complexity of Access to Water, Sanitation, and Hygiene (WASH)

I recently read an excellent paper on comparisons of infrastructure within cities (as opposed to the more frequent between/among city comparisons that are made in both the academic literature and the policy world.  As someone who appreciates water policy discussions at the intersection of academia and the real world, this was an enjoyable read.

In this paper, Colin McFarlane, Jonathan Silver & Yaffa Truelove discuss some of the factors within Delhi, Cape Town, and Mumbai that drive access to infrastructure services.  Many of these factors come as no surprise to a human geographer- political connections, gender, religion, ethnicity, class, and income.  Inequality of access within a city is certainly what I saw in my doctoral research in Dar es Salaam. In fact, I have seen situations in my hometown of Everett, Massachusetts (Greater Boston) where the ability of local businesses to contest chronically overcharging of water and sewer bills is dependent upon favoritism and access to the right people in the city public works department.

So, what are the implications for the real world?  

I believe that water, sanitation, and hygiene (WASH) professionals should look to this “radical shift”  that was recently highlighted on the World Bank’s Water Blog that calls for the policy world to think about WASH within the context of urban governance and city-level service provision, address issues of accountability and transparency, improve supply chains, train city leaders, and provide clear roles and responsibility.  

This is, of course, not an easy endeavor, not only due to weaknesses in the factors above, but also since city-level leaders in many countries still operate in a very centralized power structure in which ministry/cabinet-level decisions dominate.  What I see, therefore is a disconnect- between the need for local accountability and transparency in service delivery and the decentralized and empowered municipal governments who would be able to do this.

I’d love to hear your thoughts and experiences on this.

WASH Decentralization, water , governance

Is Decentralization the Solution to Accountability and Improved WASH Services?

I have written posts about failed water, sanitation, and hygiene (WASH) governance, but in order to be more constructive one must go beyond what does not work and try to learn about what does.  In this post, I would like to talk about decentralization- both fiscal and administrative, cite a few examples of how this process has helped or hindered improved access to WASH services.

It may be a reasonable premise- in the WASH sector, and in any service delivery regime generally, that the closer the decision makers are (government or private sector) to households, the better the chance of accountable, representative, or transparent decisions are made.  It’s not that simple, however, as a recent OECD paper suggests:

“Theory suggests that local governments’ proximity to citizens gives the latter
more influence over local officials, promotes productive competition among
local governments, and alleviates corruption through improved transparency
and accountability relative to more centralised systems. At the same time,
decentralisation can generate negative effects if local political dynamics
undermine accountability or local governments have inadequate capacity
or face weak incentives to act as the theory predicts. “

In addition to the questions of accountability, the clarity of roles and responsibilities, levels of capacity at all levels, coordination, and the role of politics come in to play when discussing potential effectiveness of any WASH sector decentralization efforts.

Essential roles can include everything from being the institution with statutory authority for service provision (water supply, water quality regulation, etc), having the financial resources to carry out management activities, being the strategic and/or policy body with decision making powers, or a whole host of other relevant tasks.  Capacity development is also highly relevant at all levels of management, from the national/ministerial level, all the way down to the local level.  Coordination- before , during, and after decentralization processes- is also critical.  Specifically, there needs to be horizontal coordination across ministries or national-level agencies, vertically (in up and down directions)  through governmental institutions.  Also, locally, private / public sector and household market and non-market interactions are additional sources of chaos. Lastly, one cannot ignore the role of politics- strategic political choices and political will, generally.

I’ve just discussed much of this conceptually, but, what about examples of where decentralization worked/ did not work?

Porto Alegre is the classic case of participatory budgeting, which is based on the simple concepts of accountability and transparency in decision making processes. At a national level, however, blanket decentralization is not that simple.  For example, recent reports in Indonesia show that uneven local level capacities have hindered decentralizing efforts towards SDG goals.   Additionally, a recent study of decentralized governance efforts in Sri Lanka faced challenges of local government corruption and mistrust.

…And do we know why?

These examples and their contexts are too few to draw any blanket conclusions, because individual situations and context matter.

Understanding the ins and outs of service delivery institutions where WASH projects are undertaken is critical to the success of each and every project in that context.

Compounding this with an inadequate assessment of recent and preceding projects can significantly reduce the chance that the next WASH project succeeds and sustains.

I have experience providing WASH sector assessments.  I would love the opportunity to help you make your next project more successful.  

Contact me if I can be of assistance.  

water, sanitation, hygiene, WASH, USAID

Seeing WASH Trends – Thoughts on the IRC 2016-2025 WASH Trend Report

As a WASH researcher who has read more project and program evaluations than I care to admit, I find it to be a rare pleasure to read a broad sector trends analysis document that can see the forest for the trees.  The IRC Trends Analysis, 2016-2015 report is such a report.  While I do have specific critiques of the report, it does a solid job of outlining major trends that will have major effects on access to water, sanitation, and hygiene services for the under-served world. Briefly noting trends in economic growth and inequality, urbanization, water scarcity, governance, the aid landscape, domestic finance, information and communication technologies (ICT), persisting service and access gaps, and service delivery models, this report both acknowledges progress and future needs.  Some of my criticisms are really not criticism of approach per se, but criticism of detail.  If anything, I believe that each section warrants its own analysis.

In terms of economic growth, I think it’s critical to develop further an emphasis on economic growth and inequality. Anyone who has ever lived in a developing country city has seen the stark differences between how the middle and upper classes live and how the other half (more than half, really) live.  What’s really needed is a discussion that goes beyond country-level statistics and Gini Coefficients and the identification of specific ways in which interventions that build wealth at the lowest rungs of society and reduce inequality can improve access to water, sanitation, and hygiene.  Case studies of successful informal settlement upgrading and tenure reform are clearly relevant here. Research papers from Plan International and the World Bank Water and Sanitation Program (WSP) have noted the importance of tenure to sanitation, for example.

Urbanization is a clear trend that this report rightly identifies, as it is a pronounced trend in the poorest countries of the world.  While one can debate whether limited funds in a given country should be focused on the areas of lowest access (rural areas, generally) or towards the areas of most rapidly increasing need (urban areas), I think that the linkages between rural and urban areas can provide some insight.  For example, one perspective on household income and ability to improve rural household sanitation infrastructure (an idea I heard while doing sanitation sector research at the WSP last year) is the idea of harnessing urban-rural remittances– in the cases where children of existing rural households have moved to the city and can help their parents fund latrines or other sanitary improvements at their rural home.

I found the section of water scarcity to be a bit too simplistic for its usefulness.  Water at the scale of agriculture is quite different conceptually from drinking water.  The narrative of water scarcity is all too often mischaracterized at the level of most advocacy messaging.  The Malthusian notion of not enough water for too many people is misleading when the realities are more driven by inefficiencies, mismanagement, and misallocation.  Reliable access to water has more to do with effective utilities, accountable governmental provision, and affordability in public and private supply regimes.  Poorly managed water resource management at the national or basin level is another ball of wax.

The section on governance is one that I feel had some thoughts in the correct direction, but would need a whole lot more detail.  [I admit to being biased, as I did a PhD on water governance.]  I believe that one must start with the notion embedded in most basic conceptualizations of water service delivery models for the poor (the 2004 World Bank World Development Report, for example) that affordability and accountability are central to any discussion of water governance.  Simply citing a country-wide Democracy Index or even the more useful Corruptions Perception Index is way too simplistic.  I would make the argument that government decentralization and the effective regulation of the private sector are the most effective starting points when discussing what sort of water governance regime exists in a given country.  One great recent example of such a discussion is by Johanna Koehler at Oxford.

Additionally, I feel that the topic of information and communication technologies (ICT) can be linked to discussions of both management and governance, as the collection of data on infrastructure is step one.  Governments and other actors responding to these identified needs is the second step of any monitoring plan.

I believe that this report did hit the topics of aid effectiveness and utility finances pretty well.  The authors rightly pointed to an overall them of short-term goals and programming that often resulted in a lack of long term effectiveness.  Poor tariff collection and the difficulty to finance rural WASH initiatives are perennial challenges as well.

In summary, I find these sorts of trend analysis exercise to be useful.  I would love to see broad lessons in both individual program evaluations and sector analyses acted upon, but these are challenges of a much greater scale.

water, sanitation, hygiene, WASH, USAID

Sanitation and Hygiene Institutional Policies in Africa: Review of SEI Report on Rwanda, Uganda, and Tanzania

Rather than stay up at the 10,000 foot level of analysis of some of my previous posts, today I’d like to focus down on a recent report from the Stockholm Environment Institute that highlights some major concerns that exist in terms of the enabling environment in Rwanda, Uganda, and Tanzania for investments in sanitation and hygiene.

The report assesses enabling environments in each of these three countries in terms of institutional roles and responsibilities, legal frameworks, effective targeting of populations in need, service levels, environmental and health issues, and in terms of finances.

Institutional commonalities of all countries surveyed in this report include a general tendency towards centralized/ministerial policy development with limited local capacity.  Horizontal coordination across ministries was noted as a concern in all three countries, as there sometimes were confused roles and responsibilities.  Vertical coordination down to the local/community level was also identified as an issue.  There were some bright spots in the report, as institutional strengthening, decentralization, and a general movement towards community level ownership and operation.  Furthermore, each of the three countries have made recent moves to clarify policy through Sector Wide Approaches, or SWAps.

Perhaps the most salient point in the whole report was the recognition that in all three countries there was no clear separation between service delivery and the regulation, monitoring, & evaluation.  This is of critical concern, as the presence of separate regulatory bodies can, at least in theory, hold feet to the fire, so to speak.

On a related note, there was a noted disconnect in all three countries between stated targeting at the policy level and actual budget allocation.   The identified a lack of legal framework specifically focused on sanitation and hygiene in all surveyed countries muddies the waters further.

Lastly, the report correctly notes that technical specifications were often identified, without a particular focus on functionality or effectiveness.

While I have not worked in all three of these countries, much of this is quite consistent with what I learned while reviewing sanitation and hygiene policy in Tanzania last year with the World Bank Water and Sanitation Program (WSP)’s Scaling up Rural Sanitation initiative.   There, I saw a country that is making strides in terms of clarifying roles horizontally and moving towards decentralized responsibilities.

Reports like this that focus on the enabling environment in water, sanitation, and hygiene (WASH) are critical to the effectiveness any and all sector programming.  Global efforts that help countries improve sector coordination and implementation, such as the Sanitation and Water for All program, the Global Analysis and Assessment of Sanitation and Drinking-water (GLAAS)  program, and the Tracking Financing to Drinking-water, Sanitation and Hygiene (TrackFin) initiative, are critical pieces of WASH sector policy effectiveness.

What are your thoughts on this?

water, sanitation, hygiene, WASH, USAID

What is ‘Water Governance’ …and Why Does it Matter?

I tend to think about the concept of water governance quite often… in fact, I did a whole PhD on the topic. To me, it makes a lot of sense and, at least at the 10,000-foot level of analysis, can explain why some have access to water, others don’t, and why this matters to the challenge of increasing access to water, sanitation… or any other good or service, really.

In general, I like to think of water governance as being the political and institutional framework that essentially defines access. At the most basic level, ask yourself, “how do I access water?” For most of us, we access it as a service in our houses and buy it as a product in discrete units (gallons)… and even, tangentially, embedded in the food that we buy. For residents of countries with non-existent, barely or non-functional infrastructure, access to water is a high stakes game. It is arguably a function of affordability and accountability—either they can purchase whatever they need and/or they can nudge their governments to provide it as a service.

What governance looks like can vary greatly, and changes over time. One can find examples of water governance everywhere in history, from the dirgiste or top-down ‘hydraulic states’ that Wittfogel spoke of, where the ministers and presidents decide all (peasants be damned!), to the intermixed central government, local government, and private interests and conflicts in the American west (Cadillac Desert has great stories about this), or even the local-level dysfunction that I documented during my graduate work.

Does any of these mean anything beyond academic posturing? I’d like to think so. I often point to the 2004 World Bank World Development Report ‘Making Services Work for the Poor’ and the work of the Water Integrity Network. These sources provide numerous examples of how the water governance and the overall enabling environment can have a major effect on project effectiveness.
IIED has one excellent example from way back in 2002 that shows how entrenched interests sunk a project.

Actually, here’s an easier suggestion– just think about all the lack of accountability that has happened with the Flint water crisis…or watch the movie “Chinatown” if you want to think about water governance.

Water governance is too big of a concept to cover in one blog post, and I’d appreciate your thoughts on any of this.

water, sanitation, hygiene, WASH, USAID

“They come with their pens, but they don’t bring us water”

“They come with their pens, but they don’t bring us water”

Wazungu wote wanakuja na kalamu zao, lakini hawana kutuletea maji.”

Nearly a decade ago I was walking out of an informal settlement in Dar es Salaam, Tanzania with a research assistant and overheard someone behind us say this.

Everyone is still trying to figure out water, sanitation, and hygiene (WASH) project sustainability

Since then, I’ve spent a lot of time thinking about aid effectiveness in the water sector.  Failure rates are often quite high, and, although the numbers are wide-ranging, the statistics are shocking. For example, RWSN data shows handpump failure at 10-67%.  Improve International has even more depressing statistics.

When I try to wrap my head around a problem, I try to conceptualize what the factors are.  Surely, one has to consider ecology, hydrology, engineering, economics, institutions, etc.  As a lowly WASH consultant, I’m well-aware that I am certainly not the only one trying to think about this. Water First.org and Improve International have developed a really useful set of criteria for project sustainability.  USAID and Rotary International have their own sustainability assessment tool as well.  Also, IRC is constantly featuring these concerns in its WASH blogs. I’m particularly fond of the Water Services That Last blog.

On top of this, every year, for example, the World Bank pulls in experts from all over the world for conferences in WASH Sustainability for the purpose of sharing and advancing best practices.

We’re constantly going back to the drawing board.

Trends, frameworks, and themes in international development change more often than fashion and hemlines.Development professionals much, much more established than I have been struggling with this for decades.  More importantly, those who live this reality day in/day out truly struggle with this.

There’s an urgency to get this right.  It’s in this spirit that I hope to bring a more effective pen to this issue.

What are your thoughts?