Global Water Supply And Sanitation Assessment 2000 Report

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WORLD HEALTHORGANIZATIONGlobal Water Supply andSanitation Assessment2000 ReportThe WHO and UNICEF Joint Monitoring Programme for Water Supply andSanitation (JMP) provides a snapshot of water supply and sanitation worldwide atthe turn of the millennium using information available from different sources.From 2001 the JMP database – for both historic data and future projections –will be periodically updated. All assistance in identifying unused and new data toimprove the estimates presented here is welcome.

WHO Library Cataloguing-in-Publication DataGlobal water supply and sanitation assessment 2000 report.1. Water supply – statistics 2. Water resources development 3. Sanitation – statisticsI. WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation(ISBN 92 4 156202 1)(NLM classification: WA 675) 2000 World Health Organization and United Nations Children's FundPublications of the World Health Organization and the United Nations Children's Fundenjoy copyright protection in accordance with the provisions of Protocol 2 of theUniversal Copyright Convention. All rights reserved.The designations employed in this publication and the presentation of the material donot imply the expression of any opinion whatsoever on the part of the Secretariat of theWorld Health Organization or the United Nations Children's Fund concerning the legalstatus of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.The mention of specific companies, or of certain manufacturers’ products, does notimply that they are endorsed or recommended by the World Health Organization or theUnited Nations Children's Fund in preference to others of a similar nature that are notmentioned. Errors and omissions excepted, the names of proprietary products aredistinguished by initial capital letters.The World Health Organization and the United Nations Children's Fund welcomerequests for permission to reproduce or translate their publications, in part or in full.Applications and enquiries should be addressed to the Office of Publications, WorldHealth Organization, Geneva, Switzerland, or to the Editorial and Publications Section,UNICEF, New York, USA, which will be glad to provide the latest information on anychanges made to the text, plans for new editions, and reprints and translations alreadyavailable.Designed by Iseman CreativePrinted in the United States of AmericaiiGlobal Water Supply and Sanitation Assessment 2000 Report

GLOBAL WATER SUPPLY AND SANITATION ASSESSMENT 2000 REPORTContentsList of boxes, figures, maps and tables .iiiForeword by the Director-General of WHOand the Executive Director of UNICEF .vForeword from the Chairperson of the Water Supplyand Sanitation Collaborative Council .viPreface.vii1. The Global Water Supply and SanitationAssessment 2000 .11.1 Main findings1.2 Background and methods1.3 Limitations of the Assessment 20002. Global status.72.1 Global coverage2.2 Changes during the 1990s2.3 Regional coverage in 20003. Sector performance .153.1 Sector constraints3.2 Investment in Africa, Asia, and Latin Americaand the Caribbean3.3 Costs and tariffs of urban services3.4 Quality of service3.5 General planning and management4. Water supply and sanitation in large cities.234.1 Urbanization4.2 Informal settlements4.3 Types of water supply service4.4 Accounting for water loss4.5 Water quality4.6 Types of sanitation facility5. Challenges, future needs and prospects .295.1 Future prospects5.2 Future needs and services5.3 Ways to face the challenges5.4 Sustaining the solutions5.5 Need for monitoring6. Africa .416.1 Overview6.2 Water supply and sanitation coverage6.3 Changes during the 1990s6.4 Trends and future needs7. Asia .477.1 Overview7.2 Water supply and sanitation coverage7.3 Changes during the 1990s7.4 Trends and future needs8. Latin America and the Caribbean .558.1 Overview8.2 Water supply and sanitation coverage8.3 Changes during the 1990s8.4 Trends and future needs9. Oceania .619.1 Overview9.2 Water supply and sanitation coverage9.3 Trends and future needs10. Europe.6510.1 Overview10.2 Water supply and sanitation coverage10.3 Trends and future needs11. Northern America.7111.1 Overview11.2 Water supply and sanitation coverageReferences .73Acknowledgements .75Annex AMethodology for the Global Water Supplyand Sanitation Assessment 2000 .77List of boxes, figures, maps and TablesBoxesBox 1.1:Box 1.2:Box 1.3:Box 1.4:Box 1.5:Box 3.1:Box 3.2:Box 4.1:Box 5.1:Box 5.2:Box 5.3:International development targets for water supply and sanitation coverageHealth hazards of poor water supply and sanitationCholera epidemicsHealth benefits of improved water supply and sanitationWater supply and sanitation technologies considered to be “improved” and thoseconsidered to be “not improved”Community participation in problem-solving: the Participatory Hygiene AndSanitation Transformation (PHAST) approachSupport provided for the water supply and sanitation sector in developing countriesWater contamination and loss in piped water supplySanitation–barriers to progressImplementation of sanitation programmesPopulation growthBox 5.4:Box 5.5:Box 5.6:Box 5.7:Box 5.8:Box 6.1:Box 6.2:Box 7.1:Box 7.2:Box 7.3:Box 7.4:Box 8.1:Box 9.1:Box A.1:Why people want latrinesSustainable water supply and sanitation systemsSustaining operation and maintenance through good resource managementIssues to address with improved sector monitoringPerformance indicators for African water supply and sanitation utilitiesImproving access to safe drinking-water in the United Republic of TanzaniaBetter management in Zambia leads to increased access to water supplyTajikistan: decreasing water supplyNepal: the need to prioritize sanitationMyanmar: social mobilization to increase latrine constructionViet Nam: increasing access to water supplyHonduras: the impact of natural disasters on water supplyPacific islands: challenges for sanitation promotion – culture and traditionBottled and vended waters(continued)Global Water Supply and Sanitation Assessment 2000 Reportiii

List of boxes, figures, maps and tables (cont.)FiguresFigure 2.1:Figure 2.2:Figure 2.3:Figure 2.4:Figure 2.5:Figure 2.6:Figure 2.7:Figure 2.8:Figure 2.9:Figure 2.10:Figure 2.11:Figure 2.12:Figure 2.13:Figure 2.14:Figure 2.15:Figure 2.16:Figure 3.1:Figure3.2:Figure 3.3:Figure 3.4:Figure 3.5:Figure 3.6:Figure 3.7:Figure 3.8:Figure 3.9:Figure 3.10:Figure 3.11:Figure 3.12:Figure 3.13:Figure 3.14:Figure 3.15:Figure 3.16:Figure 3.17:Figure 4.1:Figure 4.2:Figure 4.3:Figure 4.4:Figure 4.5:Figure 4.6:Figure 5.1:Figure 5.2:Figure 5.3:Figure 5.4:Figure 5.5:Figure 5.6:Figure 6.1:Figure 6.2:Figure 6.3:ivDistribution of the global population not served with improved water supply, byregionDistribution of the global population not served with improved sanitation, byregionGlobal water supply coverageGlobal sanitation coverageTotal water supply coverage for Africa, Asia, and Latin America and the CaribbeanSanitation coverage for Africa, Asia, and Latin America and the CaribbeanWater supply coverage, by region, 2000Sanitation coverage by region, 200Urban water supply coverage by region, 2000Rural water supply coverage by region, 2000Urban sanitation coverage by region, 2000Rural sanitation coverage by region, 2000Africa, Asia, and Latin America and the Caribbean: water supply coverage by category of service, 1990Africa, Asia, and Latin America and the Caribbean: water supply coverage by category of service, 2000Africa, Asia, and Latin America and the Caribbean: sanitation coverage by categoryof service, 1990Africa, Asia, and Latin America and the Caribbean: sanitation coverage by categoryof service, 2000Annual investment in urban water supply for Africa, Asia, and Latin America andthe Caribbean, 1990–2000Annual investment in rural water supply for Africa, Asia, and Latin America andthe Caribbean, 1990–2000Annual investment in urban sanitation for Africa, Asia, and Latin America and theCaribbean, 1990–2000Annual investment in rural sanitation for Africa, Asia, and Latin America and theCaribbean, 1990–2000Total annual national and external investment in water supply and sanitation forAfrica, Asia, and Latin America and the Caribbean, 1990–2000Total annual investment in water supply compared to total annual investment insanitation for Africa, Asia, and Latin America and the Caribbean, 1990–2000Median total investment in water supply and sanitation as a proportion of overallgovernment investment, 1990–2000A comparison of the median unit production cost of urban water supply and themedian tariff / production cost ratio by region, 1990–2000Median water supply and sewerage tariffs by region, 1990–2000Average construction cost per person served of water supply facilities for Africa,Asia, and Latin America and the Caribbean, 1990–2000Average construction cost of sanitation facilities in Africa, Asia, and Latin Americaand the Caribbean, 1990–2000Median percentage of rural water supplies which are functioning, 1990–2000Median percentage of wastewater treated by treatment plantsPlan status for water and sanitation coverageTarget status for water and sanitation coverageMedian coverage targets for water supply and sanitation, by regionManagement of rural water supplyPopulation growth rates and proportions living in informal settlements: regionalmeans for the largest citiesWater supply in the largest cities: mean percentage of the population with eachtype of service, by regionMedian unaccounted-for water in large cities in Africa, Asia, Latin America and theCaribbean, and Northern AmericaPercentage of household connections metered, and percentage of meters replacedannually: regional means for the largest citiesPercentage of water supplied which is effectively disinfected (free residual chlorineover 0.1 mg/l), and percentage of drinking water quality test results that violatenational standards (microbiological, chemical, physical, aesthetic)Sanitation in the largest cities: mean percentage with each type of facility, byregionActual and target global water supply coverageActual and target global urban water supply coverageActual and target global rural water supply coverageActual and target global sanitation coverageActual and target global urban sanitation coverageActual and target global rural sanitation coverageAfrica: water supply coverage, 1990 and 2000Africa: sanitation coverage, 1990 and 2000Actual and target total water supply coverage for AfricaGlobal Water Supply and Sanitation Assessment 2000 ReportFigure 6.4:Figure 6.5:Figure 6.6:Figure 6.7:Figure 6.8:Figure 7.1:Figure 7.2:Figure 7.3:Figure 7.4:Figure 7.5:Figure 7.6:Figure 7.7:Figure 7.8:Figure 8.1:Figure 8.2:Figure 8.3:Figure 8.4:Figure 8.5:Figure 8.6:Figure 8.7:Figure 8.8:Figure 9.1:Figure 9.2:Figure 9.3:Figure 9.4:Figure 9.5:Figure 9.6:Figure 10.1:Figure 10.2:Figure 10.3:Figure 10.4:Figure 10.5:Figure 10.6:Actual and target urban water supply coverage for AfricaActual and target rural water supply coverage for AfricaActual and target total sanitation coverage for AfricaActual and target urban sanitation coverage for AfricaActual and target rural sanitation coverage for AfricaAsia: water supply coverage, 1990 and 2000Asia: sanitation coverage, 1990 and 2000Actual and target total water supply coverage for AsiaActual and target urban water supply coverage for AsiaActual and target rural water supply coverage for AsiaActual and target total sanitation coverage for AsiaActual and target urban sanitation coverage for AsiaActual and target rural sanitation coverage for AsiaLatin America and the Caribbean: water supply coverage, 1990 and 2000Latin America and the Caribbean: sanitation coverage, 1990 and 2000Actual and target total water supply coverage for Latin America and the CaribbeanActual and target urban water supply coverage for Latin America and theCaribbeanActual and target rural water supply coverage for Latin America and the CaribbeanActual and target total sanitation coverage for Latin America and the CaribbeanActual and target urban sanitation coverage for Latin America and the CaribbeanActual and target rural sanitation coverage for Latin America and the CaribbeanActual and target total water supply coverage for OceaniaActual and target urban water supply coverage for OceaniaActual and target rural water supply coverage for OceaniaActual and target total sanitation coverage for OceaniaActual and target urban sanitation coverage for OceaniaActual and target rural sanitation coverage for OceaniaActual and target total water supply coverage for EuropeActual and target urban water supply coverage for EuropeActual and target rural water supply coverage for EuropeActual and target total sanitation coverage for EuropeActual and target urban sanitation coverage for EuropeActual and target rural sanitation coverage for EuropeMapsMap 2.1:Map 2.2:Map 6.1:Map 6.2:Map 7.1:Map 7.2:Map 8.1:Map 8.2:Map 10.1:Map 10.2:Water supply, global coverage, 2000Sanitation, global coverage, 2000Africa: water supply coverage, 2000Africa: sanitation coverage, 2000Asia: water supply coverage, 2000Asia: sanitation coverage, 2000Latin America and the Caribbean: water supply coverage, 2000Latin America and the Caribbean: sanitation coverage, 2000Europe: water supply coverage, 2000Europe: sanitation coverage, 2000TablesTable 2.1:Table 2.2:Table 3.1:Table 4.1:Table 5.1:Table 5.2:Table 6.1:Table 7.1:Table 8.1:Table 9.1:Table 10.1:Table 10.2:Table 11.1:World population by regionWater supply and sanitation coverage by region, 1990 and 2000Public provision of urban water supplyCities providing information for analysis of water supply and sanitationPopulation coverage required by the 2015 international development targetDistribution of additional populations to be served to meet the 2015 internationaldevelopment targetAfrica: water supply and sanitation coverage by country, area or territory, 1990 and2000Asia: water supply and sanitation coverage by country, area or territory, 1990 and2000Latin America and the Caribbean: water supply and sanitation coverage bycountry, area or territory, 1990 and 2000Oceania: water supply and sanitation coverage by country, area or territory, 1990and 2000Europe: water supply and sanitation coverage by country, area or territory, 1990and 2000European countries not reporting full coverageNorthern America: water supply and sanitation coverage by country, area orterritory, 1990 and 2000

Foreword by the Director-General of WHO and the Executive Director of UNICEFHalf a century of efforts by WHO, UNICEF and other international organizations to improve water and sanitation conditions around the world havecontributed to global awareness, the establishment of international programmes and the strengthening of national institutions. In the 1990s thisafforded improved water supply for more than 800 million people andsanitation for around 750 million people. However, despite the intensiveefforts of many institutions at the national and international levels, nearly1.1 billion people still remain without access to improved sources of water,and about 2.4 billion have no access to any form of improved sanitationservices. As a consequence, 2.2 million people in developing countries,most of them children, die every year from diseases associated with lack ofsafe drinking-water, inadequate sanitation and poor hygiene.Access to safe water and to sanitary means of excreta disposal areuniversal needs and, indeed, basic human rights. They are essentialelements of human development and poverty alleviation and constitutean indispensable component of primary health care. There is evidencethat provision of adequate sanitation services, safe water supply, andhygiene education represents an effective health intervention that reducesthe mortality caused by diarrhoeal disease by an average of 65% and therelated morbidity by 26%. Inadequate sanitation, hygiene and water resultnot only in more sickness and death, but also in higher health costs,lower worker productivity, lower school enrollment and retention rates ofgirls and, perhaps most importantly, the denial of the rights ofall people to live in dignity.The International Drinking Water Supply and Sanitation Decade(1981–1990) was a period of accelerated and concerted effort to expandwater supply and sanitation services to the unserved and underserved poorpopulations. At the World Summit for Children in 1990, the goal ofuniversal access to safe water and sanitation by the year 2000 was adoptedto promote the survival, protection and development of children. Theimportance of universal access to drinking-water supply and sanitationwas further reiterated at the 1992 United Nations Conference onEnvironment and Development (UNCED). Thereafter, many other crucialinternational conferences recognized water and sanitation as the bedrockof public health and social progress and the key to improving children’ssurvival, health and development.Since 1990, WHO and UNICEF have been collaborating in the JointMonitoring Programme, which has as its main purposes the building ofnational capacity for the water and sanitation sector, monitoring andinforming policy-makers globally on the status of the sector. Thisprogramme reaffirms the commitments made by UNICEF and WHO towork together towards universal access to safe drinking-water andsanitation. More specifically, the global assessment of the water supplyand sanitation sector described in this report represents an important jointcontribution of the two organizations towards this goal.Diseases related to contaminated drinking-water, unsanitary foodpreparation, inadequate excreta disposal and unclean householdenvironments constitute a major burden on the health of peoples in thedeveloping world and are among the leading causes of ill-health.Sustainable health, especially for children, is not possible without effectiveand adequate water supply and environmental sanitation.We hope that the findings of this important assessment report willserve its major purpose of attracting the attention of policy-makers anddecision-makers in governments, bilateral and multilateral agencies,nongovernmental organizations and civil society in general, to the crucialneed to intensify efforts to attain the target of Vision 21: universalcoverage with safe water supply and adequate sanitation by the year 2025.That this vision will bear fruit for the health of people in need is the aimand commitment of both our organizations.Gro Harlem BrundtlandCarol BellamyDirector-General, World Health Organization (WHO)Executive Director, United Nations Children’s Fund (UNICEF)Global Water Supply and Sanitation Assessment 2000 Reportv

Foreword by the Chairperson of the Water Supply and Sanitation Collaborative CouncilThis document is an important benchmark for international efforts tobring dignity and health to the world’s most deprived people. Through thecomme

Box 1.5: Water supply and sanitation technologies considered to be “improved” and those considered to be “not improved” Box 3.1: Community participation in problem-solving: the Participatory Hygiene And Sanitation Transformation (PHAST) approach Box 3.2: Support provided for the water supply and sanitation sector in developing countries

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