The Report-
A report—True cost of sanitation—was published jointly by the LIXIL Group Corporation, Water Aid and Oxford Economics recently. Oxford Economics mainly works on economic forecasting and modelling.
The World-
It says that in 2015 lack of access to sanitation cost the global economy around US $ 222.9 billion

Asia-Pacific-
The economic burden of poor sanitation is the heaviest in Asia-Pacific, which is almost 77 per cent of the total amount. Latin America and the Caribbean and Africa each account for approximately 10 per cent of the global cost.
India-
On a national level, in terms of total cost, India suffers the most, with US $ 106.7 billion wiped off the GDP in 2015. It is almost half of the total global losses and 5.2 per cent of the nation’s GDP.
According to the 2015 report of the Joint Monitoring Programme of the United Nations International Children’s Emergency Fund and the World Health Organization, around 44 per cent of Indians defecate in the open.
A 2011 report published by Water Aid says that sanitation access lowered the odds of children suffering from diarrhoea by 7-17 per cent and reduced the mortality rate of children under the age of five by 5-20 per cent. Water Aid is an international organisation dealing with water, health and sanitation.
Water, Sanitation and Hygiene (WASH) Performance Index-
- developed by the Water Institute at the University of North Carolina
- It assesses performance in the following four categories: water access, water equity, sanitation access and sanitation equity.
- Pakistan performed exceptionally well by occupying the fifth place on the index whereas India’s rank stands at 93.
Solutions-
The report talks about how to move towards sustainable solutions. Three solutions suggested are as follows:-
- Innovative solutions: sanitation systems in the developed world require vast amount of land, energy, and water. They are expensive to build, maintain and operate. Innovation is a key to solving the sanitation crisis. It is not limited to designing new sanitation hardware. The report says that there should be planning in place so that sanitation products reach consumers. LIXIL is developing sanitation solutions for regions where water intensive systems are not appropriate. It delivers human-centric innovation that enhances people’s living spaces.
- Political prioritisation: the social and economic impacts of improving sanitation are irrefutable. Politicians at the international, national and local levels must put sanitation at the top of their agenda and reflect this in national planning and budgeting. This point has proved true for India in many cases. Such prioritisation has helped states like Sikkim and Kerala to move towards cleanliness
- Collaboration and coordination: The sanitation crisis can be solved if there is collaboration among different stakeholders. The government, communities, NGOs, researchers, academia, corporate and the private sector should come together to solve the complex sanitation issues. This approach enables each stakeholder to efficiently leverage their core skills, thereby ensuring that effective programmes can be taken to scale up with the necessary speed. Sanitation success in India and Bangladesh came only when communities were involved in the programme
- India is talking about attaining a clean state by October 2019. Sanitation crisis in the country needs to be solved at a war footing to reduce the economic burden caused due to health problems connected to poor sanitation.
- This needs not only construction of toilets, but usage. Managing liquid and solid wastes is also important that needs special care. Innovative technologies with low-water usage can be of great help in this regard.
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Steve Ovett, the famous British middle-distance athlete, won the 800-metres gold medal at the Moscow Olympics of 1980. Just a few days later, he was about to win a 5,000-metres race at London’s Crystal Palace. Known for his burst of acceleration on the home stretch, he had supreme confidence in his ability to out-sprint rivals. With the final 100 metres remaining,
[wptelegram-join-channel link=”https://t.me/s/upsctree” text=”Join @upsctree on Telegram”]Ovett waved to the crowd and raised a hand in triumph. But he had celebrated a bit too early. At the finishing line, Ireland’s John Treacy edged past Ovett. For those few moments, Ovett had lost his sense of reality and ignored the possibility of a negative event.
This analogy works well for the India story and our policy failures , including during the ongoing covid pandemic. While we have never been as well prepared or had significant successes in terms of growth stability as Ovett did in his illustrious running career, we tend to celebrate too early. Indeed, we have done so many times before.
It is as if we’re convinced that India is destined for greater heights, come what may, and so we never run through the finish line. Do we and our policymakers suffer from a collective optimism bias, which, as the Nobel Prize winner Daniel Kahneman once wrote, “may well be the most significant of the cognitive biases”? The optimism bias arises from mistaken beliefs which form expectations that are better than the reality. It makes us underestimate chances of a negative outcome and ignore warnings repeatedly.
The Indian economy had a dream run for five years from 2003-04 to 2007-08, with an average annual growth rate of around 9%. Many believed that India was on its way to clocking consistent double-digit growth and comparisons with China were rife. It was conveniently overlooked that this output expansion had come mainly came from a few sectors: automobiles, telecom and business services.
Indians were made to believe that we could sprint without high-quality education, healthcare, infrastructure or banking sectors, which form the backbone of any stable economy. The plan was to build them as we went along, but then in the euphoria of short-term success, it got lost.
India’s exports of goods grew from $20 billion in 1990-91 to over $310 billion in 2019-20. Looking at these absolute figures it would seem as if India has arrived on the world stage. However, India’s share of global trade has moved up only marginally. Even now, the country accounts for less than 2% of the world’s goods exports.
More importantly, hidden behind this performance was the role played by one sector that should have never made it to India’s list of exports—refined petroleum. The share of refined petroleum exports in India’s goods exports increased from 1.4% in 1996-97 to over 18% in 2011-12.
An import-intensive sector with low labour intensity, exports of refined petroleum zoomed because of the then policy regime of a retail price ceiling on petroleum products in the domestic market. While we have done well in the export of services, our share is still less than 4% of world exports.
India seemed to emerge from the 2008 global financial crisis relatively unscathed. But, a temporary demand push had played a role in the revival—the incomes of many households, both rural and urban, had shot up. Fiscal stimulus to the rural economy and implementation of the Sixth Pay Commission scales had led to the salaries of around 20% of organized-sector employees jumping up. We celebrated, but once again, neither did we resolve the crisis brewing elsewhere in India’s banking sector, nor did we improve our capacity for healthcare or quality education.
Employment saw little economy-wide growth in our boom years. Manufacturing jobs, if anything, shrank. But we continued to celebrate. Youth flocked to low-productivity service-sector jobs, such as those in hotels and restaurants, security and other services. The dependence on such jobs on one hand and high-skilled services on the other was bound to make Indian society more unequal.
And then, there is agriculture, an elephant in the room. If and when farm-sector reforms get implemented, celebrations would once again be premature. The vast majority of India’s farmers have small plots of land, and though these farms are at least as productive as larger ones, net absolute incomes from small plots can only be meagre.
A further rise in farm productivity and consequent increase in supply, if not matched by a demand rise, especially with access to export markets, would result in downward pressure on market prices for farm produce and a further decline in the net incomes of small farmers.
We should learn from what John Treacy did right. He didn’t give up, and pushed for the finish line like it was his only chance at winning. Treacy had years of long-distance practice. The same goes for our economy. A long grind is required to build up its base before we can win and celebrate. And Ovett did not blame anyone for his loss. We play the blame game. Everyone else, right from China and the US to ‘greedy corporates’, seems to be responsible for our failures.
We have lowered absolute poverty levels and had technology-based successes like Aadhaar and digital access to public services. But there are no short cuts to good quality and adequate healthcare and education services. We must remain optimistic but stay firmly away from the optimism bias.
In the end, it is not about how we start, but how we finish. The disastrous second wave of covid and our inability to manage it is a ghastly reminder of this fact.