207161 Improving access to water and sanitation infrastructure in Indore slums

Wednesday, November 11, 2009: 9:24 AM

Siddharth Agarwal, MBBS , Urban Health Resource Centre, New Delhi, India
Deeksha Sharma , Urban Health Resource Center, New Delhi, India
Praween Agarwal , HIV AIDS Alliance, New Delhi, India
S. Kaushik , USAID, India, New Delhi, India
Prabhat Jha , Urban Health Resource Center- Indore, Indore, India
Karishma Srivastav , Urban Health Resource Center, New Delhi, India
Preeti Nigam , District Program Manager, Ujjain , MP, Indore, India
Mani Gupta , National Institute of Health and Family Wefare, New Delhi, India
Background: Poor water and sanitation infrastructure is responsible for 50% child mortality in urban slums1. Hence it is imperative to address this issue in these vulnerable settlements.

Purpose: To increase access and usage of toilets and piped water through renovation of community toilets and linkage with water and sanitation infrastructure programs in Indore slums.

Methodology: Renovation of two community toilet complexes and construction of household level toilets through linkages with slum sanitation programs was facilitated. Renovation of toilet blocks included fitting of steel doors, overhead water-storage tank, pipelines to flushing system and repair of septic tank. Water supply was ensured through partnership with Indore Municipal Corporation to make toilet complexes optimally functional. Slum-based groups, who received training on significance of use of toilets in disease prevention, took responsibility for maintenance of renovated community toilets.

Slum families were linked to water and sanitation infrastructure programs and encouraged to partially invest in toilets and piped water supply. Use of toilets was also encouraged.

Results: Households access to piped water supply increased from 14.9 to 18.8% between 2003 and 2006. Use of sanitary facility by households for disposal of excreta increased from 59.1% to 63.8%. Disposal of feces of children <3 years into toilets increased from 4.7 to 7.9% and usage of toilets by children < 3 years increased from 14.1 to 27.1%.

Conclusion: Building linkages with municipal bodies and capacity building of community representatives help promote sanitation behaviors in slums and facilitate construction, maintenance and usage of water and sanitation infrastructure.

Learning Objectives:
Describe how the access of urban poor to water and sanitation infrastructure can be improved.

Keywords: Infrastructure, Access and Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: i was associated with the design, implementation and evaluation of the stated program in this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.