Health

This manual has been developed by the Central Public Health and Environmental Engineering Organisation (CPHEEO), a department under the Ministry of Urban Development (MoUD) and  serves as a standard guide in public health engineering by providing a code of day to day practice for public health engineers to follow.

A few weeks back I had the opportunity to visit a couple of partners in Tamil Nadu. These two partners are facing a difficult task—sanitation and hygiene implementation through community participation. One project is in the urban slums of Trichy while the other one is a rural project a few hours outside of Trichy. These communities have open defecation rates of 90%. The problem mostly lies on the women. Women feel embarrassed and ashamed to go out in the open, so as a result they only go in the early mornings or late at night—basically during pitch black. Menstrual Health is a topic that is only now being addressed with organizations developing their own branch of sanitary napkin production, sold cheaply to women in rural areas. In addition to the burden on women, open defecation pollutes water sources, thereby leading to diarrhea, one of the biggest killers of children in the developing world.

This booklet by Exnora Green Pammal (EGP) begins by highlighting the grave situation in relation to solid waste management in the country and the steps undertaken by the government to tackle this issue. The document presents a review of the efforts undertaken by EGP, an NGO based in Chennai, which has been implementing solid waste management projects with a variety of local bodies in accordance with the government’s rules.

India’s solid waste crisis is undermining the nation’s efforts to improve public health, protect the environment and stop climate change. India produces a staggering amount of municipal solid waste every day and the rate of production is expected to climb steadily as the nation becomes more populated, urbanised and economically developed.

Although the Indian government has enacted rules for management and handling of municipal solid waste, the results as per the year 2010 indicate that most localities have not fully complied with the rules and the situation has found to be getting worse day by day. Widespread, prolonged noncompliance with the rules and the rapid, highly-visible environmental degradation has led to calls for a changes in the nation’s waste management policy.

This document is an educational booklet on sanitation and hygiene published by Utthan, which works towards empowering women's groups to seek clean and adequate quality of water for all.

The booklet includes the details of seven steps that can be undertaken to attain sanitation and hygiene. The details have been explained in a manner that is simple and understandable and includes illustrations that are self explanatory and easy to follow.

The seven steps include:

1. Use and protection of water sources
2. Managing drinking water

The recent UN General Assembly Resolution on declaring water and sanitation as human right is or can be a powerful impetus to securing universal access to water and sanitation for people everywhere. This is the most recent in a string of initiatives to advance the provision of these essential services. Beginning with the UN Decade of Water in the eighties, then the declaration of the Millennium Development Goals, and later the adoption of General Statement 15 by the Economic and Social Council of the United Nations in 2002 the recognition of the fundamental importance of water (and more recently sanitation) to life, health and well being has been accepted at the international level. In India, while there is no specific mention of the right to water in the Constitution, the Supreme Court in its judgement(s)has upheld this as part of the right to life. Some organizations are working to make this a fundamental right, to remove any ambiguity.

Boy drinking water from handpump in Guna, Madhya Pradesh - Handpumps and wells are still one of the major source of drinking water in India.

Photo credits: Anil Gulati