Progress on Drinking Water and Sanitation SPECIAL FOCUS ON Sanitation WHO Library Cataloguing-in-Publication Data World Health Organization and United Nations Children’s Fund Joint Monitoring Programme for Water Supply and Sanitation (JMP). Progress on Drinking Water and Sanitation: Special Focus on Sanitation. UNICEF, New York and WHO, Geneva, 2008. 1. Water supply - standards. 2. Sanitation. 3. Water treatment – standards. 4. Potable water – standards 5. Water resources development 6. Millennium Development Goals. I. WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation. ISBN 978 92 806 4313 8 ISBN 978 92 4 156367 3 (NLM classification: WA 670) © UNICEF and World Health Organization, 2008 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of UNICEF or the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The figures in the country tables on pages 41-53 of this report have been estimated by the WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (www.wssinfo.org) to ensure compatibility, thus they are not necessarily the official statistics of the concerned country, area or territory, which may use alternative rigorous methods. 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Applications and enquiries should be addressed to UNICEF, Division of Communication, 3 United Nations Plaza, New York 10017, USA (fax: +1 212 303 7985; e-mail: nyhqdoc.permit@unicef.org) or to WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (fax: +41 22 791 4806; e-mail: permissions@who.int). Printed in the United States of America Cover: The provision of hand-washing facilities near toilets is critical for supporting school-based hygiene education efforts. Heshima Primary School, Nairobi, Kenya. Contents 2 3 4 6 8 10 12 14 16 18 20 Foreword The purpose of this report 2008: International Year of Sanitation An new way to look at sanitation practices: the sanitation ladder Progress towards the sanitation target Urban-rural disparities in sanitation coverage Improved sanitation Shared sanitation Unimproved sanitation facilities Open defecation A different perspective on progress 22 24 26 28 29 30 32 33 38 41 54 The drinking water ladder Progress towards the drinking water target Urban-rural disparities in drinking water coverage Piped water on premises Other improved sources of drinking water Unimproved sources of drinking water A different perspective on progress Expanding data collection JMP methodology Country, regional and global estimates on water and sanitation Millennium Development Goals: regional groupings 1 Foreword Sanitation and drinking water – at the heart of human health and development 2008 is the International Year of Sanitation. Accordingly, this report by the WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (JMP) has sanitation as its focus. The importance of sanitation is indisputable. It is a crucial stepping stone to better health: sanitation offers us the opportunity to save the lives of 1.5 million children a year who would otherwise succumb to diarrhoeal diseases, and to protect the health of many more. It is fundamental to gender equity as it protects women’s dignity. And it is key to economic development: investments in sanitation protect investments made in other sectors, such as education and health, and bring measurable economic returns. However, the data in this report show that the world is not on track to meet the MDG sanitation target, and 2.5 billion people still lack access to improved sanitation, including 1.2 billion who have no facilities at all. The message is clear: We need to greatly accelerate progress in sanitation, particularly in sub-Saharan Africa and Southern Asia. The number of people who still do not have access to improved sanitation is staggering, and we know that the disease, loss of earnings and indignity lock huge numbers of people into poverty. But the news is not all bad. Although greater impetus is needed, the data show that people are choosing to move up the ‘sanitation ladder’, abandoning open defecation and revealing a demand for sanitation facilities. In the case of drinking water supply, the news is good. For the first time, the number of people without improved drinking water has dropped below one billion. More than half of the global population now benefits from piped water reaching their homes, and the numbers using unimproved water supplies are going down. But we must maintain our efforts and galvanize the global community to continue to advance, focusing on those countries and regions, such as sub-Saharan Africa, which are struggling to stay on track. The overall message from this report is positive. Progress can be made, and the sanitation and drinking water battle can be won. Our agencies are proud to present this report on status, and to press forward together. Ann M. Veneman Executive Director UNICEF 2 Dr Margaret Chan Director-General World Health Organization The purpose of this report This report details global progress towards the Millennium Development Goal (MDG) target for drinking water and sanitation, and what these trends suggest for the remainder of the Water for Life Decade 2005-2015. connections into a dwelling, plot or yard; other improved water sources; and unimproved sources. In recognition of the large sanitation deficit, and the declaration of 2008 as the International Year of Sanitation, the report has a special focus on sanitation. It opens with a review of the current status of sanitation and an assessment of progress towards the sanitation target included in the MDGs. New data are also presented on the time taken to collect drinking water. The data show the proportion of people that spend more than 30 minutes on a single water-hauling trip and are thus likely to compromise their daily water consumption. In addition, survey data on who usually fetches water are presented to show how this burden is distributed among women, men, girls and boys. The report also introduces a separate assessment of global, regional and country progress using the ‘sanitation ladder’ – a new way of analysing sanitation practices that highlights trends in using improved, shared and unimproved sanitation facilities and the trend in open defecation. Trends in drinking water coverage are presented in a similar format. They are disaggregated in a ‘drinking water ladder’, which shows the percentage of the world population that uses piped Finally, the report provides a new perspective on progress. The country, regional and global estimates, starting on page 41, include a statistic on the proportion of the population that gained access to improved drinking water and sanitation since 1990. The intention is to recognize those countries that have made significant progress despite major obstacles, including low levels of coverage in 1990, rapid population growth or both. 3 2008: International Year of Sanitation INTERNATIONAL YEAR OF SANITATION 2008 Without improved sanitation, people suffer from ill health, lost income, inconvenience and indignity. Yet billions of people around the world lack basic sanitation. In recognition of the urgent need for greater political awareness and action on sanitation, the United Nations General Assembly declared 2008 as the International Year of Sanitation. The goal is to raise awareness and accelerate progress towards the MDG target of halving the proportion of people without sustainable access to basic sanitation by 2015. The five key messages of the International Year of Sanitation are: • Sanitation is vital for human health • Sanitation generates economic benefits • Sanitation contributes to dignity and social development • Sanitation helps the environment • Sanitation is achievable! More information is available at: www.sanitation2008.org 4 SANITATION 5 Figure 2 summarizes trends in the steps of the sanitation ladder for the various MDG regions. It shows that sanitation coverage in the developing world increased from 41 per cent in 1990 to 53 per cent in 2006. This means that an additional 1.1 billion people in developing regions are now using improved sanitation facilities. Steep coverage gains in South-eastern and Eastern Asia, which both saw 17 percentage-point increases, contributed significantly to this improvement. Sub-Saharan Africa recorded the least progress, with use of improved sanitation increasing from 26 per cent in 1990 to 31 per cent in 2006. Unimproved Shared In this report, sanitation coverage is presented as a four-step ladder that includes the proportion of the population: • practising open defecation • using an unimproved sanitation facility • using a shared sanitation facility • using an improved sanitation facility. Open defecation: Defecation in fields, forests, bushes, bodies of water or other open spaces, or disposal of human faeces with solid waste. Unimproved sanitation facilities: Facilities that do not ensure hygienic separation of human excreta from human contact. Unimproved facilities include pit latrines without a slab or platform, hanging latrines and bucket latrines. Shared sanitation facilities: Sanitation facilities of an otherwise acceptable type shared between two or more households. Shared facilities include public toilets. Improved Readers of the BMJ (British Medical Journal) recently identified sanitation as “the most important medical advance since 1840.” Nevertheless, only 62 per cent of the world’s population has access to improved sanitation – that is, uses a sanitation facility that ensures hygienic separation of human excreta from human contact. A further 8 per cent shares an improved facility with one or more households, and another 12 per cent uses an unimproved sanitation facility – one that does not ensure hygienic separation of excreta from human contact. The remaining 18 per cent of the world’s population practises indiscriminate or open defecation. Open defEcation An new way to look at sanitation practices: Improved sanitation facilities: Facilities that ensure hygienic separation of human excreta from human contact. They include: • Flush or pour-flush toilet/latrine to: - piped sewer system - septic tank - pit latrine • Ventilated improved pit (VIP) latrine • Pit latrine with slab • Composting toilet. The sanitation ladder shows that more than half of those without improved sanitation already use some type of sanitation facility. 6 the sanitation ladder Figure 1 Proportion of the world’s population using an improved, shared, or unimproved sanitation facility or practising open defecation, 2006 18 12 77 Figure 2 shows that open defecation is declining in all regions: dropping from 24 per cent worldwide in 1990 to 18 per cent in 2006. Open defecation is still most widely practised in Southern Asia and sub-Saharan Africa – by 48 per cent and 28 per cent of the population, respectively. In contrast, open defecation is common among only 3 per cent of the people in Eastern Asia. In four of the seven developing regions for which data are available, less than 10 per cent of the population practises open defecation. 28 36 8 48 65 7 65 10 48 7 8 10 28 6 17 8 17 5 7 Unimproved 7 3 10 6 10 8 25 4 6 5 4 23 6 31 17 6 15 22 31 25 44 12 17 5 7 18 24 14 44 3 4 16 5 5 24 Open defecation 5 5 17 23 8 7 22 5 9 4 4 9 9 79 18 8 4 7 14 5 23 10 1618 28 6 4 17 24 4 5 7 5 28 Improved Shared Open defecation Unimproved 17 36 62 World SANITATION COVERAGE Shared Open defecation is declining inImproved all regions* 18 Improved sanitation coverage, according to the MDG indicator Coverage (%) 2.5 billion people are without improved sanitation MDG target 8 14 8 50 6 67 10 68 7918 84 76 67 62 14 68 50 6 6 6 84 79 79 76 65 62 62 53 48 54 65 48 41 41 33 26 21 1990 2006 Southern Asia 1990 33 31 26 21 2006 Sub-Saharan Africa 1990 1990 2006 2006 1990 1990 2006 31 2006 1990 1990 2006 2006 1990 1990 2006 2006 1990 1990 2006 Latin America Sub-SaharanWesternSouth-eastern South-easternSouthern NorthernLatin America Eastern Asia & Caribbean Africa Asia Asia Africa & Caribbean Asia Asia 1990 2006 1990 1990 2006 2006 1990 1990 2006 2006 Western Developing Northern Asia regionsAfrica Deve reg WorldEastern Asia Figure 2 Trends in the proportion of the population using an improved, shared or unimproved sanitation facility or practising open defecation, by MDG regions in 1990 and 2006 *Oceania and the Commonwealth of Independent States are not included due to lack of complete data. 7 Progress towards the sanitation target The world is not on track to meet the MDG sanitation target 62 per cent of the world’s population uses improved sanitation facilities % pt. change since 1990 Between 1990 and 2006, the proportion of people without improved sanitation decreased by only 8 percentage points. Without an immediate acceleration in progress, the world will not achieve even half the MDG sanitation target by 2015. Based on current trends, the total population without improved sanitation in 2015 will have decreased only slightly since 1990, to 2.4 billion. 20 15 10 5 0 -5 -1 +5 +11 +14 +17 +17 +12 +12 +5 0 99 100 89 84 79 80 76 67 65 60 62 53 40 33 31 Sub-Saharan Africa 52 Southern Asia Coverage (%) At the current rate, the world will miss the MDG sanitation target by over 700 million people. To meet the target, at least 173 million people on average per year will need to begin using improved sanitation facilities. +8 0 20 World Developed regions Developing regions Oceania Eastern Asia South-eastern Asia Northern Africa Latin America & Caribbean Western Asia Commonwealth of Independent States 0 Figure 3 Coverage with improved sanitation facilities, by region in 2006 and percentage-point change 1990-2006 Table 1 Regional and global progress towards the MDG sanitation target Region Western Asia Latin America & Caribbean Northern Africa South-eastern Asia Eastern Asia Developed regions Commonwealth of Independent States Oceania Southern Asia Sub-Saharan Africa Developing regions World 8 Sanitation coverage (%) 1990 2006 79 68 62 50 48 99 90 52 21 26 41 54 84 79 76 67 65 99 89 52 33 31 53 62 Coverage needed to be on track in 2006 (%) MDG target coverage (%) Progress 86 78 74 64 65 99 93 69 46 50 60 69 90 84 81 75 74 100 95 76 61 63 71 77 On track On track On track On track On track On track Not on track Not on track Not on track Not on track Not on track Not on track M D G s a n ita tio n ta rg e t 2 0 0 6 Most countries that are not on track to meet the MDG sanitation target are in sub-Saharan Africa and in Southern Asia On track Not on track Progress but insufficient No or insufficient data Coverage in 2006 was less than 5 per cent below the rate it needed to be for the country to reach the MDG target, or coverage was higher than 95% Coverage in 2006 was more than 10 per cent below the rate it needed to be for the country to reach the MDG target, or the 1990-2006 trend shows unchanged or decreasing coverage Coverage in 2006 was 5 per cent to 10 per cent below the rate it needed to be for the country to reach the MDG target Data were unavailable or insufficient to estimate trends Figure 4 Progress towards the MDG sanitation target, 2006 The world is not on track to meet the MDG sanitation target % 100 80 MDG target 77 67 60 54 Improved sanitation 62 40 20 0 1990 2006 Current trend 1990 - 2006 2015 Projected coverage if current trend continues Figure 5 Trends in sanitation coverage 1990-2015 9 Urban-rural disparities in sanitation coverage Sanitation coverage is significantly higher in urban areas % 100 80 100 94 94 90 86 81 64 60 80 78 59 71 59 57 43 40 42 24 23 20 Population (billions) Population (billions) Population (billions) 3.0 2.5 2.0 1.5 1.0 0.5 Shared Unimproved 2006 Open defecation 10 n (billions) Figure 7 Trends in sanitation practices by urban populations, 1990-2006 3.5 3.0 2.5 2.0 Urban World 2006 Shared defecation OneImproved billion people inUnimproved rural areasOpen still practise open defecation 3.5 Urban Developed regions 2.0 1990 Urban sanitation coverage increased by 779 million people Developing regions Sub-Saharan Africa Southern Asia Eastern Asia South-eastern Asia Oceania Latin America & Caribbean Northern Africa Western Asia 0 In 2006, the world’s population was almost equally divided between1.5urban and rural dwellers. Nevertheless, more than 7 out of 10 people without improved sanitation were 1.0 rural inhabitants. That said, rapid population growth in urban areas poses a growing challenge: The number of urban dwellers using improved sanitation0.5 has risen by 779 million since 1990, but has not kept pace with urban population growth 0.0 of 956 million. Improved 45 39 The world’s urban sanitation coverage has risen to 79 per cent, while rural coverage has reached 45 per cent. The Urban Rural largest disparity between urban and rural sanitation coverage Figure 6 Urban and rural sanitation coverage, 2006 3.5 is found in Oceania, Latin America and the Caribbean, and 3.0 Southern Asia. The urban-rural sanitation disparity is smallest in Eastern Asia, but even 2.5 there it shows a 15 percentage-point difference. 0.0 1990 96 79 74 58 52 Commonwealth of Independent States The MDG target for water and sanitation requires that indicators to measure progress be disaggregated by urban and rural populations. Although the target – halving the proportion of people without sustainable access to safe drinking water and basic sanitation – reflects total populations, progress towards the target is based on the sum of progress in both urban and rural areas. This report therefore highlights urban and rural disparities that would otherwise be masked by total numbers. 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 1990 Improved Rural Shared Unimproved 2006 Open defecation Figure 8 Trends in sanitation practices by rural populations, 1990-2006 Urban-rural disparities in the use of improved sanitation facilities are significant in most developing regions Less than 50% 50% - 75% 76% - 90% 91% - 100% No or insufficient data Figure 9 Sanitation coverage in urban areas, 2006 Less than 50% 50% - 75% 76% - 90% 91% - 100% No or insufficient data Figure 10 Sanitation coverage in rural areas, 2006 11 Improved sanitation facilities: Facilities that ensure hygienic separation of human excreta from human contact. They include: • Flush or pour-flush toilet/latrine to: - piped sewer system - septic tank - pit latrine • Ventilated improved pit latrine • Pit latrine with slab • Composting toilet Sixty-two per cent of the world’s population uses improved sanitation, up from 54 per cent in 1990. The lowest coverage is found in sub-Saharan Africa, where only 31 per cent of the population uses improved sanitation, up just 5 percentage points since 1990. Improved sanitation coverage is also low in Southern Asia, but significant efforts since 1990 have moved regional coverage from 21 per cent to 33 per cent in 2006 – more than doubling the number of people who use improved sanitation facilities. The richest are three times more likely to use improved sanitation than the poorest 100 Coverage (%) THE SANITATION LADDER: Improved Improved sanitation 80 85 70 60 53 40 20 0 40 28 Poorest 2nd 3rd 4th Figure 11 Improved sanitation coverage by wealth quintiles in 38 developing countries Source: Based on data drawn from Multiple Indicator Cluster Surveys (MICS) and Demographic and Health Surveys (DHS) in 38 developing countries in 2005 and 2006 The vast majority of those without improved sanitation are in Asia and sub-Saharan Africa Despite increases in coverage, more than 2.5 billion people remain without improved sanitation. Almost 1.8 billion of them – 70 per cent – live in Asia; 22 per cent of them, more than half a billion people, live in sub-Saharan Africa. Sanitation coverage remains low in sub-Saharan Africa and Southern Asia Less than 50% 50% - 75% 76% - 90% 91% - 100% No or insufficient data Figure 12 Improved sanitation coverage, 2006 12 Richest Southern Asia, 1,079 More than 2.5 billion people do not use an improved sanitation facility; almost 1.8 billion of them are in Asia At least two thirds of the population in 34 countries are not using improved sanitation facilities. Only eight of these countries are outside sub-Saharan Africa. Despite low sanitation coverage, it is worth noting that, in these 34 countries, 274 million people gained access to improved sanitation since 1990. Moreover, several of these countries managed to double their 1990 sanitation coverage. The use of improved sanitation facilities is substantially lower among the poor than the rich. An analysis across 38 developing countries shows that the poorest 20 per cent of the population has only one third the access to improved sanitation as the richest quintile. In sub-Saharan Africa, inequality is higher still: The richest 20 per cent of the population is five times more likely to use an improved sanitation facility than the poorest 20 per cent. Eastern Asia, 485 South-eastern Asia, 187 Western Asia, 33 Sub-Saharan Africa, 546 Latin America & Caribbean, 121 Northern Africa, 37 Commonwealth of Independent States, 29 Developed regions, 12 Oceania, 4 Figure 13 Population without improved sanitation, by region in 2006 (millions) Table 2 Countries in which coverage with improved sanitation was 33 per cent or less in 2006 Countries with low improved sanitation coverage Eritrea Niger Chad Ghana Ethiopia Sierra Leone* Madagascar Togo Burkina Faso Guinea Haiti Congo Rwanda Somalia* Côte d'Ivoire Mauritania Sao Tome and Principe* Micronesia (Federal States of ) Nepal Cambodia* India Senegal Afghanistan* Benin Nigeria Central African Republic Democratic Republic of the Congo Mozambique* Liberia Solomon Islands Guinea-Bissau* Kiribati Uganda United Republic of Tanzania Improved sanitation coverage (%) Number of people who gained access to improved sanitation (thousands) 1990 2006 1990-2006 3 3 5 6 4 8 13 5 13 29 29 20 20 - 5 7 9 10 11 11 12 12 13 19 19 20 23 23 24 24 24 143 714 640 1,465 6,858 147 1,353 222 1,365 991 -162 38 605 1,905 340 11 29 25 -1 9 14 26 12 26 11 27 28 28 28 30 30 30 31 5,922 3,026 198,442 1,324 1,894 2,025 18,849 982 15 31 12,660 40 29 22 29 35 31 32 32 33 33 33 33 2,993 282 62 190 15 4,841 4,284 * No 1990 data were available, therefore the estimates are derived from the population that gained access to improved sanitation over the period 1995-2006. 13 THE SANITATION LADDER: SHARED Shared sanitation Shared sanitation facilities: Sanitation facilities of an otherwise acceptable type that are shared between two or more households, including public toilets. Note: Data on shared sanitation facilities presented here exclude shared facilities that are unimproved, such as shared pit latrines without a slab or shared open pits. Sanitation facilities that are shared among households – whether fully public or accessible only to some – are not considered ‘improved’ facilities, according to the definition used for the MDG indicator. While the use of shared sanitation does reflect demand, limited data confirm the widely held perception that many of these facilities, especially public ones, fail to ensure hygienic separation of human excreta from human contact. Serious concern has also been expressed about the actual accessibility of such facilities throughout the day and about the security of users, especially at night. Further research on the nature and acceptability of shared facilities is needed. The proportion of people using shared sanitation facilities is 10 per cent or less in all developing regions except sub-Saharan Africa, where they are used by 18 per cent of the population. Recent household surveys, namely Multiple Indicator Cluster Surveys (MICS) and Demographic and Health Surveys (DHS), provide information about the number of households sharing a sanitation facility. The analysis in Table 3 shows that, for most countries in which at least 10 per cent of the urban population shares a sanitation facility of an acceptable technology, the majority share a facility with five or fewer households. An exception is Ghana, where a considerably larger proportion of households in both urban and rural areas share sanitation facilities with more than five households. Table 3 Percentage of households sharing a sanitation facility of an acceptable type Most households sharing a sanitation facility do so with five or fewer households Urban (%) Country Malawi Gambia Mongolia Sierra Leone Somalia Togo Haiti Iraq Central African Republic Jamaica Burundi Bangladesh Côte d'Ivoire Ghana Rural (%) 2-5 households More than 5 households 2-5 households 37 32 29 26 23 23 19 19 6 11 2 18 5 21 4 1 26 21 21 8 5 4 5 12 1 2 2 5 1 2 1 1 18 6 11 4 14 14 14 12 10 2 5 4 13 58 12 3 9 8 4 1 1 0 3 35 Source: MICS surveys in 37 countries in 2005 and 2006 14 More than 5 households Table 4 Sharing sanitation facilities is three times more likely in urban than in rural areas of the developing world. Sanitation practices in countries with the highest use of shared sanitation facilities Shared sanitation is a common option in many African countries Country Improved (%) Shared (%) Unimproved (%) Open defecation (%) 10 20 36 42 52 50 11 59 50 46 60 12 30 52 12 24 76 51 37 37 37 34 28 26 23 23 23 22 22 21 20 19 18 18 19 34 25 10 10 9 36 8 7 5 7 10 29 6 32 28 4 20 9 2 11 4 13 27 10 20 26 11 56 20 22 37 30 2 31 17 30 22 36 43 16 15 37 16 11 26 79 15 2 4 19 28 15 15 40 33 26 24 Ghana Congo Gabon Kenya Gambia Mongolia Sierra Leone South Africa Swaziland Zimbabwe Malawi Togo Nigeria Zambia Madagascar Côte d'Ivoire Iraq Central African Republic Bangladesh Bolivia Dominican Republic Guinea Senegal Shared sanitation remains largely an urban phenomenon The 2006 coverage estimates confirm that more than two thirds of shared sanitation users are urban dwellers. In Eastern Asia, 92 per cent of the users of shared facilities are found in urban areas. In urban areas of sub-Saharan Africa, every third person uses a shared sanitation facility. This finding reflects the limited sanitation options available in many congested cities and towns, an issue that is likely to become increasingly serious if urban and peri-urban populations continue to grow at current rates. Sharing sanitation facilities is more prevalent in regions with the lowest sanitation coverage Countries in which 15 per cent or more of the total population uses a shared sanitation facility, 2006 % 100 80 60 Urban Rural 40 31 6 4 6 Western Asia Eastern Asia Southern Asia 6 Latin America & Caribbean 1 5 7 Northern Africa 6 0 Sub-Saharan Africa 15 8 4 5 11 5 World 15 Southeastern Asia 11 Developing regions 20 20 Figure 14 Percent of population using shared sanitation in urban and rural areas, by region in 2006 15 THE SANITATION LADDER: UNIMPROVED Unimproved sanitation facilities Unimproved sanitation facilities: Facilities that do not ensure hygienic separation of human excreta from human contact. Included in this category are pit latrines without a slab or platform, hanging latrines and bucket latrines. Also included are improved facilities that lack adequate disposal, such as pour-flush toilets that discharge directly into open drains, ditches or other bodies of water. Use of an unimproved sanitation facility represents the first step up the sanitation ladder. The user is no longer defecating in the open, but has moved to some sort of facility, albeit one that fails to effectively separate human excreta from human contact. Nevertheless, it shows demand for sanitation. Unimproved sanitation facilities can be upgraded to improved sanitation. For this reason, their users constitute a critical audience for health promotion activities. Eight out of ten users of unimproved facilities live in rural areas. Use of unimproved sanitation facilities is four times higher in rural than in urban areas % 100 80 Urban Rural 60 38 21 7 4 6 4 Southeastern Asia Latin America & Caribbean Northern Africa Sub-Saharan Africa 0 Eastern Asia 21 18 13 8 8 7 19 5 0 World 20 Developing regions 25 Southern Asia 26 19 Western Asia 40 Figure 15 Use of unimproved sanitation facilities in urban and rural areas, by region in 2006 16 17 THE SANITATION LADDER: OPEN DEFECATION Open defecation Open defecation: The practice of open defecation is decreasing Defecation in fields, forests, bushes, bodies of water or other open spaces, or disposal of human faeces with solid waste. The proportion of people practising open defecation has decreased in developing regions, dropping from 31 per cent in 1990 to 23 per cent in 2006. Almost two thirds of those who practise open defecation – 778 million people – live in Southern Asia. Despite the drop in percentage terms, population growth means that the number of people who practise open defecation today is little changed from 1990. In sub-Saharan Africa, 221 million people are defecating in the open, the second largest total for any region. Nevertheless, the proportion of the population practising open defecation is 20 percentage points higher in Southern Asia. Open defecation is the last recourse for those without any form of sanitation – those at the bottom of the sanitation ladder who must endure the daily indignity of defecating in open, often publicly accessible, spaces. Open defecation is of fundamental importance to development because of the health hazard it poses to anyone living nearby. If some members of a community continue to defecate in the open, then the whole community is at greater risk of diarrhoeal diseases, worm infestations and hepatitis than people living in communities where open defecation is not practised. Nearly one third (31 per cent) of the world’s rural population practises open defecation. In Southern Asia, the figure is a remarkable 63 per cent. The relatively high proportion of the rural population who practise open defecation in Latin America and the Caribbean (23 per cent) and Western Asia (14 per cent) is noteworthy, especially in contrast with the urban areas of these regions. Open defecation is six times more frequent in rural than in urban areas % 100 80 Urban 63 39 35 24 2 0 9 0 4 2 7 Developing regions South-eastern Asia Sub-Saharan Africa Southern Asia 0 14 Eastern Asia 10 Northern Africa 8 Latin America & Caribbean 15 31 23 Western Asia 40 20 Rural 5 World 60 Figure 16 Proportion of urban and rural populations practising open defecation, by region in 2006 18 Open defecation is predominantly a rural practice Eighteen per cent of the world’s population – 1.2 billion people – are practising open defecation. However, only 13 per cent of them live in urban areas. It is mostly a rural phenomenon, practised by over a billion rural inhabitants. In developing regions, more than one out of three rural dwellers defecate in the open. The one exception is Eastern Asia, where the practice is uncommon. Globally 1.2 billion people practise open defecation 1,000 600 Countries with a decline of 15 percentage points or more in the practice of open defecation, 1990-2006 Open defecation is declining Country Nepal Lao People's Democratic Republic* Madagascar Ethiopia Peru Morocco Honduras Mexico Pakistan Botswana Malawi Bolivia Bangladesh Thailand Viet Nam Mozambique* Sao Tome and Principe* El Salvador Myanmar Guatemala India Senegal Tunisia Percentage practising open defecation Percentage-point decline in open defecation 1990 2006 1990-2006 84 50 34 76 46 30 67 91 35 38 39 25 54 36 31 45 29 18 30 65 75 20 22 21 73 39 20 37 64 10 14 16 2 31 14 11 26 11 0 12 48 59 4 6 6 58 24 5 30 27 25 24 23 23 23 22 20 19 18 18 18 17 16 16 16 15 15 15 15 * Countries with a decline in open defecation over the period 1995-2006. 1,042 Population (millions) 800 Table 5 Globally, 1.2 billion people practise open defecation, 83 per cent of whom live in 13 countries (millions) 400 200 158 0 Urban Rural Figure 17 Number of people practising open defecation, by urban and rural areas in 2006 India, 665 Indonesia, 66 Ethiopia, 52 Pakistan, 50 China, 37 Nigeria, 29 Brazil, 18 Bangladesh, 18 Sudan, 14 Nepal, 14 Niger, 11 Viet Nam, 10 Mozambique, 10 Rest of world, 205 Figure 18 Population practising open defecation, by countries with highest prevalence in 2006 (millions) 19 A different perspective on progress Many countries are making rapid progress, despite formidable odds The MDG target requires halving the proportion of people without sustainable access to safe drinking water and basic sanitation by 2015. For countries that had a high proportion of people without access in the baseline year 1990, the task is much greater than for countries that already had high coverage levels. Moreover, many of the countries that started with low coverage had the additional challenge of rapid population growth. Tables 6 and 7 show countries that have made rapid progress between 1990 and 2006,1 despite one or both challenges. Table 7 lists the six countries that have progressed most rapidly among countries not on track to meet the sanitation target. These are all countries with low coverage baselines in 1990. Five of them are in sub-Saharan Africa, illustrating the results of accelerated efforts being made in that region. 1 Relative to the 1998 (mid-point between 1990-2006) population Table 6 Countries with the largest proportion of population that gained access to improved sanitation, 1990-2006 Countries making the most rapid progress Country Myanmar Syrian Arab Republic Viet Nam Guatemala Philippines Angola Honduras Pakistan Mexico Table 7 Proportion of the population that gained access to improved sanitation since 1990 (%) 68 48 47 44 43 42 40 40 39 Countries not on track to meet the MDG sanitation target with the largest proportion of population that gained access to improved sanitation, 1990-2006 Countries not on track but making rapid progress Country Yemen Benin Cameroon Comoros Mali Zambia 20 Proportion of the population that gained access to improved sanitation since 1990 (%) 39 30 29 29 29 27 DRINKING WATER 21 Piped into dwelling, plot or yard In this report, drinking water coverage is presented as a three-step ladder that includes the proportion of the population using: • unimproved drinking water sources • improved drinking water sources other than piped water • water piped into a dwelling, plot or yard. OTHER IMPROVED Drinking water supply can be broken down into three categories, which are illustrated in the form of a ‘drinking water ladder’ similar to that developed for sanitation. The category ‘improved drinking water sources’ includes sources that, by nature of their construction or through active intervention, are protected from outside contamination, particularly faecal matter. These include piped water in a dwelling, plot or yard, and other improved sources. ‘Unimproved sources’ make up the third part of the ladder. UNIMPROVED The drinking water ladder 22 Unimproved drinking water sources: Unprotected dug well, unprotected spring, cart with small tank/drum, tanker truck, and surface water (river, dam, lake, pond, stream, canal, irrigation channels), bottled water. Other improved drinking water sources: Public taps or standpipes, tube wells or boreholes, protected dug wells, protected springs and rainwater collection. Piped water on premises: Piped household water connection located inside the user’s dwelling, plot or yard. Global drinking water coverage, 1990-2006 The population not using improved drinking water sources has fallen below one billion Figure 19 Estimates for 2006 show that the population reliant on unimproved drinking water sources is below one billion, and now stands at 884 million. 33 54 Improved drinking water coverage in sub-Saharan Africa is still considerably lower than in other regions. Nevertheless, it has increased from 49 per cent in 1990 to 58 per cent in 2006, which means that an additional 207 million Africans are now using safe drinking water. DRINKING WATER SUPPLY COVERAGE Piped water on premises Coverage is improving in all regions* 7 6 8 16 22 12 21 8 12 14 14 7 10 6 10 22 32 21 8 30 8 1213 26 12 15 17 17 17 12 16 Other improved Unimproved Piped water on premises 14 14 27 14 10 10 42 17 29 26 27 42 51 54 80 78 69 67 71 35 69 2006 1990 2006 1990 22 33 16 16 16 20 54 48 32 46 36 2006 1990 1990 2006 2006 1990 1990 2006 1990 2006 1990 2006 1990 2006 1990 2006 1990 2006 2006 1990 Northern Africa 42 73 51 32 20 Common- Latin America wealth of & Caribbean Independent States 42 33 91 57 93 58 51 1990 80 35 65 54 78 73 67 58 54 57 80 73 29 17 65 80 29 15 38 73 23 33 17 71 13 14 51 30 54 Unimproved 1 6 2 7 16 13 12 32 Other improved MDG target This translates into 5.7 billion people worldwide who are now using drinking water from an improved source, an increase of 1.6 billion since 1990. About 3.6 billion people use a piped connection that provides running water in or near their homes. 89 Improved drinking water coverage, according to the MDG indicator Today, 87 per cent of the world’s population uses drinking water from improved sources: 54 per cent uses a piped connection in their dwelling, plot or yard, and 33 per cent uses other improved drinking water sources. 13 Coverage (%) Proportion of the world’s population using a piped drinking water connection, another improved drinking water source or an unimproved source, 2006 22 36 16 16 16 19901990 20062006 1990 1990 2006 199020062006 1990 2006 2006 1990 Western SouthernNorthern South-eastern Sub-SaharanEastern Developing Common-Eastern Latin America Western Southern Developed South-eastern World Sub-Saharan Asia wealth of Asia& Caribbean Asia Africa Asia Asia Africa Asia regionsAsia regions Asia Africa Independent States Develop region Figure 20 Trends in the proportion of the population using a piped water connection, other improved drinking water sources or an unimproved source, by MDG region in 1990 and 2006 *Oceania is not included due to lack of complete data. 2 23 Progress towards the drinking water target The world is on track to meet the drinking water target 87 per cent of the world’s population uses an improved drinking water source The world is on track to meet the MDG drinking water target. Current trends suggest that more than 90 per cent of the global population will use improved drinking water sources by 2015. 20 15 10 5 0 -5 All regions report gains, except Oceania +8 +13 +13 +4 +13 +9 92 92 90 88 87 86 99 Figure 22 Drinking water coverage, 2006 24 87 84 80 58 60 50 40 20 World Developed regions Developing regions Oceania Sub-Saharan Africa South-eastern Asia Southern Asia Eastern Asia 0 Figure 21 Improved drinking water coverage, by region in 2006 and percentage-point change 1990-2006 Countries in sub-Saharan Africa face the greatest challenges in drinking water Less than 50% 50% - 75% 76% - 90% 91% - 100% No or insufficient data +10 +1 -1 Latin America & Caribbean Western Asia Population forecasts suggest that an additional 784 million people worldwide will need to gain access to improved drinking water sources to meet the MDG target. Accelerated progress is needed especially in sub-Saharan Africa, home to more than a third of those using unimproved drinking water sources. +4 Commonwealth of Independent States Northern Africa Sub-Saharan Africa is making the slowest progress +1 100 94 Coverage (%) Eighty-seven per cent of the global population now uses improved drinking water sources, compared to 77 per cent in 1990. Gains were made in all regions except Oceania, where drinking water coverage slipped back slightly. Eastern Asia stands out for increasing its drinking water coverage by 20 percentage points, which represents 416 million people who have gained access to improved water sources since 1990. +20 Trends indicate that most countries are on track to meet the MDG drinking water target, except in sub-Saharan Africa On track Coverage in 2006 was less than 5 per cent below the rate it needed to be for the country to reach the MDG target, or coverage was higher than 95% Progress but insufficient Coverage in 2006 was 5 per cent to 10 per cent below the rate it needed to be for the country to reach the MDG target Not on track Coverage in 2006 was more than 10 per cent below the rate it needed to be for the country to reach the MDG target, or the 1990-2006 trend shows unchanged or decreasing coverage No or insufficient data Data were unavailable or insufficient to estimate trends Figure 23 Progress towards the MDG drinking water target, 2006 Table 8 Regional and global progress towards the MDG drinking water target Region Commonwealth of Independent States Northern Africa Latin America & Caribbean Western Asia Eastern Asia Southern Asia South-eastern Asia Developing regions Developed regions World Sub-Saharan Africa Oceania Drinking water coverage (%) Coverage needed to be on track in 2006 (%) 1990 2006 93 88 84 86 68 74 73 71 98 77 49 51 94 92 92 90 88 87 86 84 99 87 58 50 95 92 89 90 78 82 82 80 99 84 65 67 MDG target coverage (%) Progress 97 94 92 93 84 87 87 86 99 89 75 76 On track On track On track On track On track On track On track On track On track On track Not on track Not on track 25 Urban-rural disparities in drinking water coverage The MDG target for water and sanitation requires that indicators to measure progress be disaggregated by urban and rural populations. This report therefore highlights urban and rural disparities, which would otherwise be masked by aggregate figures. Rural access to improved drinking water sources remains low % 100 99 98 86 97 81 80 96 87 95 95 84 80 73 92 100 97 94 91 81 81 96 78 76 60 46 40 37 20 Population (billions) 3.5 Urban World Developed regions Developing regions Sub-Saharan Africa Oceania South-eastern Asia Southern Asia Western Asia Northern Africa Latin America & Caribbean Eastern Asia 0 Commonwealth of Independent States The world’s rural inhabitants represent 84 per cent of the population using unimproved sources of drinking water. An estimated 746 million rural dwellers are without improved drinking water supplies, compared to 137 million urban residents. That said, there is some positive news: 717 million rural inhabitants have gained access to safe drinking water since 1990. Rural Figure 24 Urban and rural 3.0water supply coverage, 2006 2.5 2.0 Urban coverage is struggling to keep pace with population 1.5 growth While the rural challenge remains significant, the urban challenge is growing fast. 1.0 Since 1990, the world’s urban population has risen by 956 million people. During 0.5 that period, 926 million urban dwellers gained access to improved drinking water sources. At the same time, the urban population without improved drinking water 0.0 sources increased from 107 million to 137 million. Most of this increase took 1990 place in urban areas of the developing world. 137 million people in urban areas do not use an improved source of drinking water Population (billions) Population (billions) 2.5 2.0 1.5 1.0 0.5 0.0 1990 Urban Improved 2006 Unimproved Figure 25 Trends in urban drinking water coverage by population, 1990-2006 26 3.5 Improved 2006 Unimproved 746 million people in rural areas do not use an improved source of drinking water 3.5 3.0 Urban 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 1990 Rural Improved 2006 Unimproved Figure 26 Trends in rural drinking water coverage by population, 1990-2006 Urban-rural disparities in the use of improved drinking water sources are highest in Latin America and sub-Saharan Africa Less than 50% 50% - 75% 76% - 90% 91% - 100% No or insufficient data Figure 27 Coverage of improved drinking water sources in urban areas, 2006 Less than 50% 50% - 75% 76% - 90% 91% - 100% No or insufficient data Figure 28 Coverage of improved drinking water sources in rural areas, 2006 27 Piped water on premises: Piped connections into a dwelling, plot or yard. Solid progress is being made in piped drinking water coverage Good progress has been made in the use of piped drinking water on premises, which represents the highest rung of the drinking water ladder where health gains are maximized. Use of piped drinking water has risen by six percentage points since 1990, reaching 54 per cent in 2006. While this may seem modest, it represents an increase of one billion people. This progress is impressive. However, piped drinking water remains largely an urban privilege: 2.5 billion urban inhabitants use a piped drinking water connection on premises, compared to only 1.1 billion people in rural areas. 1,200 1, 047 Urban dwellers are more than twice as likely as rural dwellers to have piped water connections 98 87 60 57 63 62 48 40 53 42 10 Urban Southern Asia South-eastern Asia Eastern Asia Commonwealth of Independent States Latin America & Caribbean Northern Africa 0 400 200 51 35 14 Western Asia 78 78 70 595 600 31 27 0 5 Rural Figure 29 Piped water coverage, urban and rural, by region, 2006 Other improved sources 80 800 Piped water on premises 90 90 World 91 Developed regions 93 Developing regions % 100 20 28 Population (millions) 1,000 Sub-Saharan Africa THE DRINKING WATER LADDER: Piped WATER ON PREMISES Piped water on premises Figure 30 Population that gained access to a piped connection in their dwelling, plot or yard and to other improved sources, 1990-2006 Other improved sources: Sources of drinking water likely to be protected from outside contamination, particularly faecal matter, but excluding piped connections into dwelling, plot or yard. They include public taps or standpipes, tube wells or boreholes, protected dug wells, protected springs and rainwater collection. Use of other improved drinking water sources remains high globally and has increased since 1990. Populations in Southern Asia rely heavily on these drinking water sources, where use has increased from 54 per cent to 65 per cent since 1990. In sub-Saharan Africa, use has increased from 33 per cent to 42 per cent during the same period. In South-eastern Asia, use of other improved drinking water sources has declined slightly, though more than half the population (54 per cent) depends on them. In all other regions, use of these sources is decreasing – most notably in Northern Africa, where use declined from 30 per cent in 1990 to 14 per cent in 2006. Rural dwellers are more than twice as likely as urban dwellers to rely on other improved sources of drinking water % 100 74 46 49 41 25 7 5 2 Western Asia Sub-Saharan Africa Commonwealth of Independent States South-eastern Asia 0 Southern Asia 23 Northern Asia 9 24 Latin America & Caribbean 25 19 11 47 24 Urban 19 18 2 World 44 39 Developed regions 44 Developing regions 50 67 Eastern Asia 75 THE DRINKING WATER LADDER: OTHER Improved Other improved sources of drinking water Rural Figure 31 Coverage of other improved sources of drinking water, urban and rural, by region in 2006 29 THE DRINKING WATER LADDDER: unimproved Unimproved Unimproved sources sourcesofofdrinking drinkingwater water Unimproved drinking water sources: Unprotected dug wells, unprotected springs, cart with small tank/drum, bottled water, tanker truck, and surface water (river, dam, lake, pond, stream, canal, irrigation channels). The lowest rung of the drinking water ladder is use of unimproved drinking water sources. Thirteen per cent of the world’s population – 884 million people – now consumes drinking water from unimproved sources. This represents a reduction of 10 percentage points since 1990. Sub-Saharan Africa has the largest population using unimproved water sources, but figures have dropped for this region from 51 per cent in 1990 to 42 per cent in 2006. Oceania is the only developing region that has failed to lower use of unimproved drinking water sources since 1990. Half of the 9.2 million people in that region continue to use unimproved sources. 884 million people – about half of whom live in Asia – still use an unimproved drinking water source Sub-Saharan Africa, 328 Southern Asia, 207 Eastern Asia, 162 South-eastern Asia, 78 Western Asia, 21 Latin America & Caribbean, 47 Commonwealth of Independent States, 16 Northern Africa, 12 Developed regions, 8 Oceania, 5 Figure 32 Population using an unimproved drinking water source, by region in 2006 (millions) 30 Use of bottled water is a growing phenomenon Surveys show that bottled water is a significant source of drinking water in some developing countries. The water comes in both bottles and plastic sachets and is usually packaged by private enterprises, both large and small. Tap water is often resold in bottles by public water vendors. The WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (JMP) considers bottled water a source of improved drinking water only when another improved source is also used for cooking and personal hygiene. For countries where information on the use of alternative sources is not yet available, bottled water is considered on a case-by-case basis. The JMP will be analysing the role of bottled water in an upcoming report on the safety and quality of drinking water. Table 9 Countries in which more than 5 per cent of the urban population uses bottled water as their main drinking water source Country Dominican Republic Lao People’s Democratic Republic Thailand Guatemala Guyana Turkey Yemen Haiti* Albania Ghana** Philippines* Serbia Cambodia Indonesia Bottled water users (%) Urban Rural 67 52 45 31 28 26 25 15 12 12 10 7 7 6 34 6 18 10 14 3 1 8 1 1 1 4 1 1 Source: MICS, DHS, Encuesta Nacional de Salud Materno Infantil (ENSMI) and Pan Arab Project for Family Health (PAPFAM) surveys, 2002-2005 * All or part of the water is sold from refilling stations that fill bottles with tap water. ** Data for Ghana only describe use of ‘sachet water’ (300 millilitre plastic bags of water). 31 A different perspective on progress Countries facing exceptional challenges deserve recognition As described on page 20, this report recognizes the efforts of countries that face the greatest challenges in meeting the MDG water and sanitation target, due to either low baseline coverage levels or rapid population growth. Table 10 lists ten countries on track to meet the MDG drinking water target that have made the most rapid progress between 1990 and 2006.2 Seven of these countries are in sub-Saharan Africa. Table 11 lists the five countries that have progressed most rapidly among countries not on track to meet the drinking water target. All of them had low coverage baselines in 1990, and all are in sub-Saharan Africa. 2 Relative to the 1998 (mid-point 1990-2006) population Table 10 Countries with the largest proportion of population that gained access to an improved drinking water source, 1990-2006 Countries making the most rapid progress Country Proportion of the population that gained access to an improved drinking water source since 1990 (%) 66 61 59 59 53 52 51 49 49 47 Burkina Faso Namibia Malawi Viet Nam Jordan Guatemala Ghana Uganda Mali Djibouti Table 11 Countries not on track to meet the MDG drinking water target with the largest proportion of population that gained access to an improved drinking water source, 1990-2006 Countries not on track but making rapid progress Country Benin Angola Comoros Burundi United Republic of Tanzania 32 Proportion of the population that gained access to an improved drinking water source since 1990 (%) 37 33 31 29 28 EXPANDING DATA COLLECTION 33 Expanding data collection Household water treatment The WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation has played an increasingly important role in improving the indicators and methods used for monitoring national and global drinking water supply and sanitation. In 2004, work began on developing a series of questions related to this topic that are recommended for inclusion in all national household surveys. The dual aims of this exercise are to increase coherence among surveys over time and the comparability of estimates among countries. This set of questions has already been adopted by two of the major household survey programmes in the developing world – that is, the UNICEF-supported Multiple Indicator Cluster Surveys and the USAID-supported Demographic and Health Surveys. The work was carried out in collaboration with national and international authorities on household surveys as well as academics and sector specialists. This set of ‘Core Questions’ can be found on the JMP website (www.wssinfo.org). Work in this area will continue as other indicators are developed and adopted at national and international levels. The set of Core Questions includes questions related to household drinking water treatment practices and on the gender aspects of drinking water collection. The latest round of MICS, conducted in 2005 and 2006, and a series of DHS carried out since 2005 have enabled the JMP to include the findings from these questions in this report. The inclusion of a question on household water treatment was particularly timely since it provides national baseline data for over 70 countries, now that household water treatment is being more widely promoted. Table 12 Unhygienic handling of water during transport or within the home can contaminate previously safe water. A high percentage of people could therefore benefit from effective household water treatment and safe storage practices. Such household-level interventions can be very effective in preventing disease if they are used correctly and consistently. Two main household surveys used by the JMP now include questions on household water treatment. Results from recent surveys conducted in 35 countries show that a variety of treatment methods are used. Additional evidence can be obtained and a trend analysis carried out as more surveys become available over time. The JMP is currently undertaking an investigation to explore issues related to household water treatment technologies, with a view to evaluating their potential role in providing measurable access to a safe and sustainable drinking water supply. Percentage of households using different water treatment methods Drinking water treatment practices vary greatly among countries Country Mongolia Viet Nam Guinea-Bissau Lao PDR Cambodia Jamaica Guyana Honduras Thailand Uganda India Haiti Somalia Gambia Malawi Algeria Iraq Nepal No Boil treatment 0 6 26 30 34 46 46 55 56 61 67 67 69 78 80 83 85 87 95 90 1 64 60 36 10 22 11 37 9 2 8 0 11 1 5 7 Add bleach/ chlorine Use water filter 1 6 3 0 0 30 43 23 1 1 2 30 13 3 9 15 4 1 2 14 0 1 2 2 1 6 15 1 6 1 4 0 0 1 1 5 Let it Strain Solar stand and through a Other disinfection settle cloth 0 10 6 7 12 2 6 0 13 1 1 0 9 0 1 0 8 0 Note: Multiple responses were possible, so totals do not add up to 100 per cent. Source: MICS and DHS surveys in 2005 and 2006. 34 2 3 71 2 0 1 1 1 6 2 17 0 4 19 2 0 0 3 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 1 0 0 2 1 0 2 0 0 0 0 2 3 3 1 0 1 1 0 0 Don't know 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Gender dimensions of hauling water Some recent household surveys included the question, “Who usually goes to the source to fetch water for the household?” The findings, presented in Figure 33, confirm the anecdotal evidence that women shoulder the bulk of the watercollecting responsibility when drinking water is not available on premises. Women are more than twice as likely as men to go and fetch drinking water. Interestingly, the findings also suggest that children (boys and girls) play a relatively small role in water collection (only 11 per cent of households report that children are the main water haulers). Moreover, men appear to play a larger role in collecting water than they were previously given credit for: 1 out of 4 households report that men are usually responsible for collecting water. Table 13 Distribution of those usually responsible for collecting water, by percentage of women, men, girls and boys Collecting water is predominantly a woman’s responsibility Guinea-Bissau Bangladesh Djibouti Malawi Côte d'Ivoire Burkina Faso Nepal Gambia Lao People's Democratic Republic Ethiopia India Cameroon Cambodia Guyana Algeria Jamaica Mongolia Syrian Arab Republic Trinidad and Tobago Women (%) Men (%) Girls (%) Boys (%) (highest) 94 90 88 87 86 86 86 84 84 82 82 (lowest) 46 44 39 34 33 32 23 22 1 5 11 6 4 8 8 7 8 6 13 25 48 50 54 59 49 75 75 5 4 1 6 8 5 5 8 6 9 4 15 5 5 5 4 6 1 1 0 1 0 1 2 1 1 1 2 3 1 14 3 6 7 4 13 1 2 Source: MICS and DHS surveys from 35 developing countries in 2005 and 2006 Women shoulder theburden largest burden Women shoulder the largest in collecting water in collecting water 4% Boys % ls 7 Gir Men 25% Women 64% Figure 33 Distribution of those who usually collect water Source: MICS and DHS surveys from 35 developing countries in 2005 and 2006. 35 Expanding data collection Safe disposal of children’s faeces In many developing countries, young children defecate either in or close to home, or in diapers and potties. Infant and child excreta often ends up contaminating soil, drains and water bodies, either through direct disposal or defecation, or through the washing of diapers, potties and children in areas without safe wastewater disposal. As with open defecation, unsafe disposal of child excreta poses a health risk to anyone living or playing nearby. When left in the open in the yard or direct vicinity of the household, child faeces, which may carry a higher pathogen load than adult faeces, pose a particular risk for young children, whose play areas frequently overlap with disposal areas. Safe disposal of children’s faeces is therefore at least as important as stopping open defecation. Table 14 Practices of disposing the faeces of young children (less than 36 months of age), by selected developing countries Practices for disposing of children’s faeces are often unsafe Adequate Country Sao Tome and Principe Bangladesh Guinea-Bissau Burkina Faso Somalia Mongolia Togo Viet Nam Cameroon Côte d'Ivoire Iraq Thailand Burundi Central African Republic Guyana Ghana Malawi Gambia Jamaica Sierra Leone Suriname Inadequate Used toilet or rinsed in toilet (%) Buried (%) Thrown into garbage/with solid waste (%) Put/rinsed in drain or ditch (%) Left in the open (%) Other (%) 20 23 37 18 36 61 27 52 65 44 41 65 70 53 76 45 79 83 37 42 34 2 1 1 2 10 3 9 4 1 0 1 9 9 1 1 7 4 0 2 0 7 4 11 19 38 29 12 35 2 14 30 37 16 3 28 11 24 4 11 57 25 45 2 22 7 15 4 2 5 15 5 3 14 1 6 9 6 15 8 5 1 19 3 49 37 29 26 20 18 14 14 9 8 7 7 5 4 3 2 2 0 0 0 0 23 6 7 1 1 4 10 13 6 15 0 2 7 5 3 7 3 1 3 14 11 Source: MICS surveys in 21 countries in 2005 and 2006 36 Adequacy depends on solid waste collection Table 15 Percentage of urban and rural populations using improved drinking water sources over 30 minutes away (round-trip) Collecting water is a time-consuming task in many African countries Country Uganda Burundi Burkina Faso Malawi Mauritania Rwanda Mauritius Lesotho Central African Republic Gambia Namibia Zimbabwe Nigeria Cameroon United Republic of Tanzania Chad Ethiopia Ghana Congo Kenya Swaziland Sao Tome and Principe Côte d'Ivoire Guinea Togo Guinea-Bissau South Africa Senegal Madagascar Niger Zambia Mali Sierra Leone Somalia Comoros People who use an improved drinking water source more than 30 minutes away* (%) Urban Rural Total 28 43 41 13 38 36 35 36 35 55 35 33 36 26 30 23 29 28 0 45 26 12 25 23 22 22 22 15 23 21 5 27 20 0 28 19 22 13 19 15 18 18 14 20 18 4 22 18 12 15 18 8 19 15 16 13 15 2 17 14 4 15 13 11 12 11 2 17 11 14 9 11 8 12 11 8 12 11 7 15 10 4 16 10 13 8 10 7 10 10 4 12 9 3 8 7 16 3 7 9 6 7 5 5 5 Time spent to go to the source, collect water and come back When drinking water is not available in the home or close to it, the time taken to collect water (that is, to go to the source, stand in line, fill water containers and return home) is critical in determining whether a household can obtain enough water for drinking, food preparation and personal hygiene. Studies have found that if the time spent collecting drinking water is between 3 and 30 minutes, the amount collected is fairly constant and suitable to meet basic needs – defined as between 15 and 25 litres per person per day. However, if the total time taken per round trip exceeds 30 minutes, people tend to collect less water, thus compromising their basic drinking water needs. The MDG indicator does not include a measure for time taken to collect water. However, some argue that, because it is a factor in drinking water use, the time needed to collect water should be considered when determining whether a source is ‘improved’ or not. Data from 35 recent household surveys show that 18 per cent of the population in sub-Saharan Africa relies on an improved drinking water source that is more than 30 minutes away. *According to data from the latest household survey on file. 37 JMP methodology The JMP The WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation is the official United Nations mechanism tasked with monitoring progress towards the MDG drinking water and sanitation target. In fulfilling this mandate, the JMP publishes updated estimates every two years on the various types of drinking water sources and sanitation facilities being used worldwide. This JMP report presents global, regional and national estimates of the use of improved drinking water sources and improved sanitation facilities in 2006. These coverage estimates show what proportion of the population remained without improved drinking water sources and improved sanitation in 2006 and what the increase in use has been since the MDG baseline in 1990. In addition, the changes in coverage between 1990 and 2006 are used to assess progress towards the 2015 MDG targets for drinking water and sanitation. In line with the MDG indicator definition, which stipulates ‘use of improved facilities’ as a proxy for ‘access to improved facilities’, the JMP measures and reports on the actual use of facilities. It is worth noting that the household surveys on which the JMP relies also measure ‘use’ and not ‘access’ – since access involves many additional criteria other than use. Measurability of many of these other criteria at the national scale, which is the scale required by the JMP, poses a huge challenge. Data sources and the JMP database For each country, survey and census data are plotted on a time scale from 1980 to the present. A linear trend line, based on the least-squares method, is drawn through these data points to estimate coverage for 1990 and 2006. The total coverage estimates are based on the aggregate of the population-weighted urban and rural coverage numbers, divided by the total population. Trend analysis at the country level has been carried out for the following categories: Drinking water: - Piped water into dwelling, plot or yard - Improved drinking water sources Sanitation: - Improved sanitation facilities - Open defecation The coverage estimates for improved sanitation facilities presented in this report are discounted by the proportion of the population that shared an improved type of sanitation facility. The ratio (the proportion of the population that shares a sanitation facility of an otherwise adequate type among two or more households) derived from the latest household survey/census is subtracted from the trend estimates of improved sanitation facilities. This results in the estimates for shared sanitation facilities. The water supply and sanitation coverage estimates presented in this report originate from data collected by national statistics offices and other relevant institutions through nationally representative household surveys and national censuses. The survey data used were mainly drawn from Demographic and Health Surveys, Multiple Indicator Cluster Surveys, World Health Surveys, Living Standards Measurement Surveys, Core Welfare Indicator Questionnaires, Health and Nutrition Surveys, Household Budget Surveys, Pan Arab Project for Family Health surveys and Reproductive Health Surveys. Regional averages The JMP assembles, reviews and assesses these household survey and census data. The JMP database currently comprises data from over 600 surveys and censuses. Differences in national coverage estimates Population estimates The population estimates in this report, including the proportion of people living in urban and rural areas, are those published by the United Nations Population Division (2006 revision). These estimates may differ from national estimates. 38 Methodology to derive MDG progress estimates Regional coverage estimates are calculated when the available data cover at least 50 per cent of the population in a region. For this report, insufficient data were available to disaggregate each of the rungs of the sanitation ladder for the developed regions, the Commonwealth of Independent States and Oceania. The MDG regional groupings (see map on the inside back cover) have been used in all regional analyses and tabulations. Indicator definitions and population estimates used by the JMP sometimes differ from those used by national governments. Coverage estimates in this report may therefore differ from national estimates. Data comparability between JMP reports For each report published by JMP, the country, regional and global estimates on water and sanitation are revised. For this reason, the data published in successive JMP reports are not comparable. Definitions and indicators Millennium Development Goal 7 calls on countries to “halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation.” This report assesses the proportion of people with access to safe drinking water and basic sanitation using the following MDG indicators: - The proportion of the population that uses an improved drinking water source, urban and rural. - The proportion of the population that uses an improved sanitation facility, urban and rural. An improved drinking water source is defined as a drinking water source or delivery point that, by nature of its construction and design, is likely to protect the water source from outside contamination, in particular from faecal matter. The JMP uses the following classifications to differentiate improved from unimproved drinking water sources. An improved sanitation facility is defined as one that hygienically separates human excreta from human contact. The JMP uses the following classifications to differentiate improved from unimproved sanitation facilities. However, sanitation facilities are not considered improved when shared with other households, or open for public use. Improved drinking water sources Improved sanitation facilities Piped water into dwelling, plot or yard Public tap/stand pipe Tube well/borehole Protected dug well Protected spring Rainwater collection Flush or pour-flush to: - piped sewer system - septic tank - pit latrine Ventilated improved pit latrine Pit latrine with slab Composting toilet Unimproved drinking water sources Unprotected dug well Unprotected spring Cart with small tank/drum Tanker truck Surface water (river, dam, lake, pond, stream, canal, irrigation channel) Bottled water3 Unimproved sanitation facilities4 Flush or pour-flush to elsewhere 5 Pit latrine without slab or open pit Bucket Hanging toilet or hanging latrine No facilities or bush or field (open defecation) Since the last report, the JMP database has been updated with data from over 120 new surveys and censuses covering 84 countries: Albania, Algeria, Angola, Argentina, Armenia, Bangladesh, Belarus, Bhutan, Bosnia and Herzegovina, Bulgaria, Burkina Faso, Burundi, Cambodia, Cameroon, Central African Republic, Chad, China, Colombia, Congo, Costa Rica, Côte d´Ivoire, Djibouti, Dominican Republic, Egypt, El Salvador, Ethiopia, Gambia, Georgia, Ghana, Greece, Guinea, Guinea-Bissau, Guyana, Haiti, Honduras, India, Indonesia, Iraq, Israel, Jamaica, Kazakhstan, Kyrgyzstan, Lao People’s Democratic Republic, Lesotho, Malawi, Mexico, Moldova (Republic of ), Mongolia, Montenegro, Morocco, Namibia, Nepal, Niger, Pakistan, Panama, Peru, Portugal, Romania, Rwanda, Sao Tome and Principe, Senegal, Serbia, Sierra Leone, Somalia, South Africa, Spain, Suriname, Swaziland, Syrian Arab Republic, Tajikistan, Thailand, The former Yugoslav Republic of Macedonia, Togo, Trinidad and Tobago, Uganda, Ukraine, United Republic of Tanzania, Uzbekistan, Venezuela, Viet Nam, Zambia, Zimbabwe 3 4 5 Bottled water is considered to be improved only when the household uses water from an improved source for cooking and personal hygiene; where this information is not available, bottled water is classified on a case-by- case basis. Shared or public facilities are not considered improved. Excreta are flushed into the street, yard or plot, open sewer, a ditch, a drainage way or other location. 39 40 Country, regional and global estimates on water and sanitation 41 42 Belgium Belarus Barbados Bangladesh1 Bahrain Bahamas Azerbaijan Austria Australia Aruba Armenia Argentina Antigua and Barbuda Anguilla 493 739 113,048 155,991 271 293 10,260 9,742 9,933 10,430 1990 2006 1990 2006 1990 2006 1990 2006 8,406 2006 2006 7,212 1990 1990 8,327 2006 255 7,729 1990 327 20,530 2006 1990 16,873 1990 2006 64 104 3,010 2006 2006 3,545 1990 1990 39,134 12 2006 32,581 9 1990 2006 16,557 2006 1990 10,534 1990 62 74 2006 84 53 1990 1990 33,351 2006 2006 25,283 1990 97 96 73 66 53 45 25 20 97 88 91 84 52 54 66 66 88 85 47 50 64 67 90 87 39 35 100 100 54 37 91 94 64 52 76 95 94 100 100 100 100 100 100 100 98 100 100 20 66 82 30 100 100 85 100 100 88 - 100 100 - 100 100 100 100 100 100 100 100 97 99 - 97 99 - 83 98 98 76 97 98 - 95 - 95 - 100 100 - 100 100 3 81 87 27 87 99 62 92 37 98 Improved 97 Piped into dwelling, yard or plot 100 Other improved 46 0 0 6 - 0 2 65 58 0 0 - - 19 16 0 0 - - 0 0 2 2 15 21 - - - - 35 34 0 0 6 12 5 2 Unimproved 36 0 0 0 0 0 0 15 12 0 0 2 2 5 18 0 0 0 0 0 0 1 1 2 3 5 5 - - 38 63 0 0 13 1 3 0 Improved Angola 3,172 2006 - - - 99 100 100 100 78 76 - - - - 59 51 100 100 100 100 100 100 96 - 80 72 - - - - 39 40 100 100 81 88 97 Piped into dwelling, yard or plot Andorra 3,289 1990 - - 90 68 - - - 0 0 - - - - 19 16 100 100 - - 100 100 74 64 45 22 - - - - 1 0 - - 55 48 72 Other improved - - - 31 - - - 78 76 - - - - 40 35 0 0 - - 0 0 22 - 35 50 - - - - 38 40 - - 26 40 25 - - 1 0 0 0 22 24 - - - - 41 49 0 0 0 0 0 0 4 - 20 28 - - - - 61 60 0 0 19 12 3 - 83 - Unimproved - - - 100 100 100 100 80 78 - - - - 78 68 100 100 100 100 100 100 98 - 96 94 - - - - 51 39 100 100 85 94 97 - 22 - Improved 17 - 100 87 - - - 5 6 - - - - 48 43 100 100 - - 100 100 89 86 79 69 - - - - 15 1 - - 72 68 81 - 3 - Piped into dwelling, yard or plot - - - 13 - - - 75 72 - - - - 30 25 0 0 - - 0 0 9 - 17 25 - - - - 36 38 - - 13 26 16 - 19 - Other improved 0 - - 0 0 0 0 20 22 - - - - 22 32 0 0 0 0 0 0 2 - 4 6 - - - - 49 61 0 0 15 6 3 - 78 - Unimproved - - 2 8 27 - - 20 7 20 46 - 20 - - 33 32 16 - - % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 17 - - 91 - 99 99 48 56 100 100 100 100 90 - 100 100 100 100 - - 96 94 92 86 98 98 99 99 79 55 100 100 98 99 98 97 45 - Improved - - - 8 - - - 20 23 - - - - - - - - - - - - 2 2 - - - - - - - - - - - - 2 2 - - Shared 63 - - 1 - 1 1 28 15 0 0 0 0 10 - 0 0 0 0 - - 2 4 8 14 2 2 1 1 14 7 0 0 1 1 0 1 42 - Unimproved - - - 0 - - - 4 6 0 0 0 0 0 - 0 0 0 0 - - 0 0 - - - - - - 7 38 0 0 1 0 - - 13 - Open defecation 26 - - 97 - 100 100 32 18 - - 100 100 70 - 100 100 100 100 - - 81 - 83 45 - - - - 16 9 100 100 87 77 97 - 25 - Improved - - - 2 - - - 14 8 - - - - - - - - - - - - 2 - - - - - - - - - - - - - 1 - - - Shared 11 - - 1 - 0 0 40 39 - - 0 0 30 - 0 0 0 0 - - 17 - 17 55 - - - - 28 14 0 0 2 5 2 - 34 - Unimproved - Rural - - 0 - 0 0 14 35 - - 0 0 0 - 0 0 0 0 - - 0 - - - - - - - 56 77 0 0 11 18 - - 41 - Open defecation 37 Urban - - 93 - 99 100 36 26 - - 100 100 80 - 100 100 100 100 - - 91 - 91 81 - - - - 50 26 100 100 94 88 97 - 30 - Improved 23 Total Total - - 6 - - - 16 11 - - - - - - - - - - - - 2 - - - - - - - - - - - - - 1 - - - Shared Algeria 26,088 2006 Urban (%) 18 Rural - - 1 - 1 0 37 34 - - 0 0 20 - 0 0 0 0 - - 7 - 9 19 - - - - 20 11 0 0 1 3 2 - 36 - Unimproved Albania Total (thousands) 12,659 Year 1990 Urban Sanitation coverage (%) - - 0 - - - 11 29 - - 0 0 0 - 0 0 0 0 - - 0 - - - - - - - 30 63 0 0 5 9 - - 34 - Open defecation Afghanistan Country, area or territory Population Drinking water coverage (%) Drinking water and sanitation coverage: country estimates by type of drinking water and sanitation facilities (1990 and 2006) - - 7 21 - 25 - 7 20 - - 26 - - 42 32 30 - - % of population that gained coverage (1990-2006) with respect to median population (Year 1998) Chad Central African Republic Cape Verde Canada Cameroon Cambodia Burundi Burkina Faso Bulgaria Brunei Darussalam British Virgin Islands Brazil Botswana Bosnia and Herzegovina 382 2006 18,175 27,701 32,577 355 519 3,008 4,265 6,113 2006 1990 2006 1990 2006 1990 2006 1990 10,468 12,239 1990 2006 9,698 2006 14,197 8,173 1990 1990 5,692 2006 2006 8,871 14,359 1990 8,819 257 1990 7,693 22 2006 1990 17 1990 2006 189,323 3,926 2006 149,522 4,308 1990 2006 9,354 2006 1990 6,669 1990 1,367 649 2006 1,858 547 1990 1990 64 2006 2006 60 1990 26 21 38 37 58 44 80 77 56 41 20 13 10 6 19 14 70 66 74 66 66 50 85 75 58 42 46 39 65 56 11 7 100 100 26 100 100 6 6 8 88 100 100 78 90 - 16 26 76 71 - 46 84 43 32 97 - 27 80 26 97 - - 62 - 96 97 98 96 97 98 100 88 97 100 85 93 94 100 40 96 99 62 91 96 100 78 91 100 - - 54 - - 25 98 18 Improved 78 Piped into dwelling, yard or plot 73 Other improved 40 55 - 84 72 - - 0 0 62 50 37 - 38 65 70 36 4 4 - - 1 1 9 8 38 60 6 3 5 13 44 - - - 53 55 Unimproved 34 29 - 10 22 - - 0 0 12 24 20 - 16 3 3 38 0 0 - - 2 2 3 7 0 0 0 1 4 9 2 - - - 22 27 Improved Bolivia 8,760 2006 40 16 51 47 - - 99 99 47 31 61 - 70 68 66 29 97 97 - - 98 98 58 54 90 88 98 96 69 49 79 - - - 57 57 Piped into dwelling, yard or plot Bhutan 5,179 1990 1 0 0 0 - - 38 38 2 2 5 - 1 1 0 1 - 72 - - 97 97 17 8 28 13 72 - 45 22 9 - - - 2 1 Other improved 39 16 51 47 - - 61 61 45 29 56 - 69 67 66 28 - 25 - - 1 1 41 46 62 75 26 - 24 27 70 - - - 55 56 60 84 49 53 - - 1 1 53 69 39 - 30 32 34 71 3 3 - - 2 2 42 46 10 12 2 4 31 51 21 - - - 43 43 - - Unimproved - 48 - 66 58 - - 100 100 70 49 65 - 71 70 72 34 99 99 - - 98 98 91 83 5 2 2 2 - - 88 85 15 12 13 - 6 3 5 4 - 88 - - 97 97 77 66 48 24 93 96 82 - 75 53 14 - - - 11 7 - - 99 97 86 72 81 - - - 65 63 - - Improved - Piped into dwelling, yard or plot - 43 - 64 56 - - 12 15 55 37 52 - 65 67 67 30 - 11 - - 1 1 14 17 48 69 17 - 11 19 67 - - - 54 56 - - Other improved - 52 - 34 42 - - 0 0 30 51 35 - 29 30 28 66 1 1 - - 2 2 9 17 4 7 1 3 14 28 19 - - - 35 37 - - Unimproved - - 28 - 16 44 - 29 66 2 - 26 28 30 2 41 - - 37 - % of population that gained coverage (1990-2006) with respect to median population (Year 1998) - 23 19 40 21 - - 100 100 58 47 62 - 44 41 41 23 100 100 - - 100 100 84 82 60 60 99 99 54 47 71 - - - 59 32 - - Improved 0 19 15 23 12 - - - - 9 7 6 - 20 18 13 7 - - - - - - - - 4 4 1 0 22 19 16 - - - - - - - Shared 0 44 39 33 57 - - 0 0 32 46 1 - 34 40 38 58 0 0 - - 0 0 12 15 36 24 0 0 14 10 9 - - - 6 17 - - Unimproved 0 14 27 4 10 - - 0 0 1 0 31 - 2 1 8 12 0 0 - - 0 0 4 3 0 12 0 1 10 24 4 - - - 35 51 - - Open defecation 8 4 1 25 5 - - 99 99 42 34 19 - 41 44 6 2 96 96 - - 100 100 37 37 30 22 92 - 22 15 50 - - - 11 2 - - Improved 92 4 2 13 2 - - - - 5 4 4 - 3 4 3 1 - - - - - - - - 5 4 1 - 3 2 4 - - - - - - - Shared 100 8 3 29 44 - - 1 1 39 56 0 - 55 49 8 9 4 4 - - 0 0 23 28 31 21 7 - 21 12 33 - - - 4 4 - - Unimproved 100 Rural 84 94 33 49 - - - - 14 6 77 - 1 3 83 88 - - - - 0 0 40 35 34 53 0 - 54 71 13 - - - 85 94 - - Open defecation 100 Urban 9 5 31 11 - - 100 100 51 39 28 - 41 44 13 5 99 99 - - 100 100 77 71 47 38 95 - 43 33 52 - - - 30 12 - - Improved 48 Total Total 8 5 17 6 - - - - 7 5 4 - 5 5 5 2 - - - - - - - - 4 4 1 - 15 11 5 - - - - - - - Shared Bermuda 282 2006 Urban (%) 47 Rural 17 10 30 48 - - 0 0 35 52 0 - 53 48 13 15 1 1 - - 0 0 14 18 35 22 4 - 16 11 31 - - - 5 9 - - Unimproved Benin Total (thousands) 186 Year 1990 Urban Sanitation coverage (%) 66 80 22 35 - - - - 7 4 68 - 1 3 69 78 - - - - 0 0 9 11 14 36 0 - 26 45 12 - - - 65 79 - - Open defecation Belize Country, area or territory Population Drinking water coverage (%) 8 27 - 16 29 - 14 12 2 - 26 24 22 2 23 - - 30 - % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 43 44 Ecuador Dominican Republic Dominica Djibouti Denmark Democratic Republic of the Congo Democratic People's Rep. of Korea Czech Republic Cyprus Cuba Croatia Côte d'Ivoire Costa Rica 3,689 2006 37,942 60,644 5,140 5,430 561 819 69 68 7,295 9,615 10,272 13,202 1990 1990 2006 1990 2006 1990 2006 1990 2006 1990 2006 23,708 2006 20,143 2006 681 1990 1990 11,267 2006 10,189 10,605 1990 2006 4,556 2006 846 4,517 1990 10,303 18,914 2006 1990 12,780 1990 2006 3,076 4,399 1990 2006 18 2,422 1990 14 818 2006 1990 527 1990 63 55 68 55 73 68 87 76 86 85 33 28 62 58 73 75 69 67 75 73 57 54 45 40 62 51 75 58 61 54 38 28 73 69 98 98 85 92 72 91 100 100 98 97 82 98 100 81 81 100 69 97 100 98 97 100 79 100 100 100 100 100 100 82 95 100 77 95 100 95 100 79 95 100 27 62 98 90 49 71 82 99 99 - 99 98 - 30 91 43 50 98 - 96 99 95 94 98 Other improved 7 10 5 13 2 2 17 10 0 0 55 11 19 - 3 3 0 0 13 18 5 5 36 22 0 - - - 52 - 61 48 3 4 11 Unimproved 16 2 18 3 2 0 0 2 21 0 0 18 10 0 0 0 0 0 0 5 5 0 0 2 29 1 - 2 1 5 - 9 2 1 2 2 3 Improved 2006 45,558 2006 87 98 91 61 91 66 - - 54 68 100 100 29 25 100 - 100 100 100 100 78 - 98 98 66 65 96 88 88 87 35 - 81 91 77 68 81 55 Piped into dwelling, yard or plot Cook Islands 34,875 1990 81 97 65 27 62 35 - - 8 21 100 100 1 0 71 - 91 - 100 100 49 31 71 - 13 5 95 74 - - 3 - 3 23 63 36 62 37 Other improved 41 26 34 29 31 - - 46 47 0 0 28 25 29 - 9 - 0 0 29 - 27 - 53 60 1 14 - - 32 - 78 68 14 32 19 18 Unimproved 9 39 9 34 - - 46 32 0 0 71 75 0 - 0 0 0 0 22 - 2 2 34 35 4 12 12 13 65 - 19 9 23 32 19 45 28 51 95 73 95 84 - - 92 76 100 100 46 43 100 - 100 100 100 100 91 - 99 99 81 67 98 - 95 94 71 - 85 93 93 89 88 67 95 91 Improved 26 81 52 82 63 - - 71 57 100 100 9 22 77 - 95 - 100 100 74 65 85 - 35 22 97 - - - 27 - 13 31 87 76 72 49 92 84 Piped into dwelling, yard or plot 27 14 21 13 21 - - 21 19 0 0 37 21 23 - 5 - 0 0 17 - 14 - 46 45 1 - - - 44 - 72 62 6 13 16 18 3 7 Other improved 46 5 27 5 16 - - 8 24 0 0 54 57 0 - 0 0 0 0 9 - 1 1 19 33 2 - 5 6 29 - 15 7 7 11 12 33 5 9 Unimproved 22 43 36 - 47 6 24 - 2 22 - 1 41 - 2 - 31 28 32 25 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 72 91 88 81 77 - - 76 - 100 100 42 53 - - 100 100 100 100 99 99 99 99 38 39 3 3 15 15 - - 6 - - - - - - - 0 0 - - - - 1 1 25 25 2 2 96 96 - - 45 - 3 2 13 12 15 12 - - 100 100 19 - 49 34 85 81 74 61 97 91 Improved 49 Shared 2 4 4 2 5 - - 15 - 0 0 55 41 - - 0 0 0 0 1 1 0 0 33 30 1 1 0 0 33 - 48 62 1 3 7 24 2 6 Unimproved 1 2 5 2 3 - - 3 - 0 0 3 6 - - 0 0 0 0 - - 0 0 4 6 1 1 0 0 3 - 0 2 1 4 4 3 1 3 Open defecation 0 72 50 74 57 - - 11 - 100 100 25 1 - - 98 98 100 100 95 95 98 98 12 8 95 92 100 91 21 - 26 12 58 39 59 43 74 48 Improved 2 4 3 15 12 - - 1 - - - - - - - 2 2 - - - - 1 1 13 8 3 3 - - 24 - 2 1 7 5 1 1 - - Shared 27 98 12 15 3 12 - - 12 - 0 0 62 74 - - 0 0 0 0 5 5 1 1 24 20 2 1 0 9 37 - 72 81 15 13 38 51 25 45 Unimproved Congo 1,320,864 2006 97 Improved 98 12 32 8 19 - - 76 - 0 0 13 25 - - 0 0 0 0 - - 0 0 51 64 0 4 0 - 18 - 0 6 20 43 2 5 1 7 Open defecation Comoros 1,149,069 1990 Piped into dwelling, yard or plot 99 Rural Sanitation coverage (%) 84 71 79 68 - - 67 - 100 100 31 15 - - 99 100 100 100 98 98 99 99 24 20 96 94 100 96 20 - 35 18 78 68 65 48 94 84 Improved 88 Urban Total 3 3 15 14 - - 5 - - - - - - - 1 0 - - - - 1 1 18 15 2 2 - - 37 - 2 1 11 10 7 4 - - Shared Colombia 16,465 2006 Urban (%) 83 Total 7 9 2 8 - - 15 - 0 0 59 65 - - 0 0 0 0 2 2 0 0 28 24 1 2 0 4 34 - 63 76 5 6 25 44 5 12 Unimproved China Total (thousands) 13,179 Year 1990 Rural Drinking water coverage (%) 6 17 4 10 - - 13 - 0 0 10 20 - - 0 0 0 0 - - 0 0 30 41 1 2 0 - 9 - 0 5 6 16 3 4 1 4 Open defecation Chile Country, area or territory Population Urban 32 31 - - 6 26 - 2 22 6 1 12 35 2 - 29 29 25 30 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) Guadeloupe Grenada Greece Gibraltar Ghana Germany Georgia Gambia Gabon French Polynesia France Finland Fiji Ethiopia 61,330 195 259 2006 1990 2006 11,123 2006 2006 442 391 10,161 1990 1990 29 2006 96 27 1990 106 23,008 2006 2006 15,579 1990 1990 79,433 2006 82,641 4,433 1990 1990 5,460 2006 2006 962 1,663 1990 918 56,735 1990 1,311 5,261 2006 2006 4,986 1990 1990 724 833 81,021 2006 1990 51,148 1990 2006 1,566 4,692 2006 1,340 3,158 1990 100 98 31 32 59 59 100 100 49 36 75 73 52 55 55 38 84 69 52 56 77 74 61 61 51 42 16 13 69 71 20 16 39 35 99 100 100 98 98 98 - 97 98 - 97 - 99 - - 100 37 90 99 40 86 100 100 100 87 100 100 81 91 100 51 91 - 99 100 52 100 100 95 100 100 95 96 100 100 32 32 43 96 43 1 50 74 92 42 74 97 40 62 100 16 45 100 12 45 Other improved 0 0 - - 0 0 - - 53 46 0 0 13 10 40 - 43 - 1 1 0 0 0 4 11 11 46 73 3 8 32 22 29 33 16 Unimproved 16 2 2 3 3 0 1 - - 10 14 0 0 0 9 9 - 5 5 0 0 0 0 0 0 57 57 4 26 0 0 26 38 55 55 6 10 Improved 1990 496 2006 78 94 - - - - 99 91 - - 71 39 100 100 97 58 81 - 47 - 100 100 100 - 100 100 51 51 31 4 99 99 57 39 42 42 68 48 Piped into dwelling, yard or plot 2006 340 1990 74 90 - - - - 99 82 - - 4 2 97 97 38 22 5 2 8 - 96 96 100 95 - 85 7 7 1 0 75 51 0 0 0 0 38 16 Other improved 60 - - - - 0 9 - - 67 37 3 3 59 36 76 - 39 - 4 4 0 - - 15 44 44 30 4 24 48 57 39 42 42 30 32 Unimproved - - - - 1 9 - - 29 61 0 0 3 42 19 - 53 - 0 0 0 - 0 0 49 49 69 96 1 1 43 61 58 58 32 52 2 8 - - - - 100 96 - - 80 56 100 100 99 76 86 - 87 - 100 100 100 - 100 100 47 48 42 13 100 100 60 43 43 43 84 69 98 94 Improved 16 - - - - 100 92 - - 20 16 99 99 64 55 30 - 45 - 98 98 100 99 - 92 20 17 9 0 90 80 8 6 6 4 62 45 89 61 Piped into dwelling, yard or plot 53 - - - - 0 4 - - 60 40 1 1 35 21 56 - 42 - 2 2 0 - - 8 27 31 33 13 10 20 52 37 37 39 22 24 9 33 Other improved 82 - - - - 0 4 - - 20 44 0 0 1 24 14 - 13 - 0 0 0 - 0 0 53 52 58 87 0 0 40 57 57 57 16 31 2 6 Unimproved 39 - - 12 - 51 4 2 - - 28 - 5 6 41 2 43 17 36 33 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 98 - - 96 96 99 100 - - 15 11 - - - - - - - - 69 47 - - 100 100 3 3 43 - 40 - - - - - - - - - 35 25 4 4 18 24 - - 9 8 2 2 94 96 50 - 37 - 99 99 - - 100 100 87 87 27 19 96 96 14 20 60 60 90 88 85 68 Improved 92 Shared 1 - - 4 4 1 0 - - 8 31 0 0 3 1 6 - 21 - 1 1 - - 0 0 13 13 27 0 0 0 25 26 40 40 0 0 13 29 Unimproved 3 - - - - 0 0 - - 8 11 0 0 0 0 1 - 2 - - - - - 0 0 - - 11 56 0 0 43 30 - - 1 4 0 1 Open defecation 0 - - 97 97 97 93 - - 6 3 100 100 92 91 55 - 30 - 97 97 - - 100 100 55 55 8 2 94 94 3 0 46 46 80 59 52 37 Improved 8 - - - - - - - - 34 19 - - 1 1 23 - 24 - - - - - - - - - 2 0 6 6 0 0 - - 8 6 7 5 Shared 49 99 - - 3 3 2 0 - - 28 47 0 0 6 7 15 - 41 - 3 3 - - 0 0 45 45 16 2 0 0 2 0 54 54 3 0 41 40 Unimproved Estonia 6,762 2006 89 Improved 99 Rural - - - - 1 7 - - 32 31 0 0 1 1 7 - 5 - - - - - 0 0 - - 74 96 0 0 95 100 - - 9 35 0 18 Open defecation Eritrea 5,110 1990 Piped into dwelling, yard or plot 97 Urban - - 97 97 98 97 - - 10 6 100 100 93 94 52 - 36 - 98 98 - - 100 100 71 68 11 4 95 95 5 3 51 51 86 73 66 50 Improved 43 Total Total - - - - - - - - 51 29 - - 2 2 34 - 37 - - - - - - - - - 7 3 5 5 4 4 - - 9 7 5 4 Shared Equatorial Guinea 74,167 2006 Urban (%) 43 Rural - - 3 3 2 0 - - 19 41 0 0 5 4 10 - 25 - 2 2 - - 0 0 29 32 18 2 0 0 6 4 49 49 1 0 29 35 Unimproved El Salvador Total (thousands) 55,137 Year 1990 Urban Sanitation coverage (%) - - - - 0 3 - - 20 24 0 0 0 0 4 - 2 - - - - - 0 0 - - 64 91 0 0 85 89 - - 4 20 0 11 Open defecation Egypt Country, area or territory Population Drinking water coverage (%) - 10 10 - 8 4 2 - - 28 - 5 12 10 2 4 20 35 33 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 45 46 Jordan Japan Jamaica Italy Israel Ireland Iraq Iran (Islamic Republic of ) Indonesia India Iceland Hungary Honduras Haiti Guyana Guinea-Bissau 731 739 7,110 9,446 1990 2006 1990 2006 4,514 6,810 56,719 58,779 2,369 2,699 123,537 127,953 3,254 5,729 1990 2006 1990 2006 1990 2006 1990 2006 28,506 2006 2006 18,515 1990 1990 70,270 2006 3,515 56,674 1990 4,221 228,864 2006 1990 182,847 1990 2006 860,195 1,151,751 298 2006 2006 255 1990 1990 10,365 10,058 1990 2006 4,891 1,646 2006 6,969 1,017 1990 1990 9,181 2006 6,033 2006 83 72 66 63 53 49 68 67 92 90 61 57 67 70 67 56 49 31 29 26 93 91 67 66 47 40 39 29 28 30 30 28 33 28 49 26 34 96 96 96 92 89 99 99 99 99 100 100 100 100 89 90 97 99 97 96 100 100 100 100 100 100 98 97 100 100 99 99 - 52 90 86 100 100 88 100 100 99 94 95 98 100 82 93 21 70 91 27 62 95 - 30 82 81 - - 26 91 98 34 72 Other improved 3 2 1 3 7 9 0 0 0 0 1 1 2 - 3 3 55 66 47 38 0 0 5 4 2 9 49 35 17 - 52 - 65 38 8 19 Unimproved 1990 91 99 1 1 0 0 3 2 0 0 0 0 0 0 12 1 1 1 11 8 4 10 0 0 0 2 5 9 30 38 2 - 18 - 9 28 1 11 Improved Guinea 70 89 91 91 100 100 88 86 - - 100 100 - - 56 46 - 84 71 63 86 65 100 100 100 91 74 60 51 48 91 - 47 - 59 35 94 72 Piped into dwelling, yard or plot 48 81 87 94 86 47 33 96 96 98 98 96 96 48 - - 69 7 2 10 7 100 100 93 72 67 42 4 2 61 - 1 0 1 1 67 34 Other improved 41 10 4 6 14 41 53 - - 2 2 - - 8 - - 15 64 61 76 58 0 0 7 19 7 18 47 46 30 - 46 - 58 34 27 38 Unimproved 9 9 0 0 12 14 - - 0 0 - - 44 54 - 16 29 37 14 35 0 0 0 9 26 40 49 52 9 - 53 - 41 65 6 28 0 0 98 97 100 100 93 92 - - 100 100 - - 77 83 - 92 80 72 89 71 100 100 100 96 84 72 58 52 93 - 57 - 70 45 96 79 100 100 Improved - 93 94 97 93 70 61 99 99 100 100 98 98 73 - - 84 20 9 21 18 100 100 94 86 79 58 11 9 67 - 10 - 9 10 78 49 - - Piped into dwelling, yard or plot - 5 3 3 7 23 31 - - 0 0 - - 4 - - 8 60 63 68 53 0 0 6 10 5 14 47 43 26 - 47 - 61 35 18 30 - - Other improved - 2 3 0 0 7 8 - - 0 0 - - 23 17 - 8 20 28 11 29 0 0 0 4 16 28 42 48 7 - 43 - 30 55 4 21 0 0 Unimproved - 53 4 13 - 39 - 28 - 25 41 16 1 39 22 - - 46 52 24 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 100 88 - 100 100 82 82 - - 100 100 - - 80 75 - 86 67 73 52 44 100 100 100 100 78 68 29 49 85 - 48 - 33 19 90 87 99 99 Improved 100 1 - - - 16 16 - - - - - - 20 19 - - 8 9 22 18 - - - - 11 9 24 40 11 - 8 - 39 22 7 6 - - Shared 0 11 - 0 0 2 1 - - 0 0 - - 0 6 - 14 7 0 8 10 0 0 0 0 9 12 38 0 4 - 41 - 27 53 1 3 1 1 Unimproved 0 0 - 0 0 0 1 - - 0 0 - - 0 0 - - 18 18 18 28 0 0 0 0 2 11 9 11 0 - 3 - 1 6 2 4 - - Open defecation - 71 - 100 100 84 83 - - - - - - 69 - - 78 37 42 18 4 100 100 100 100 55 29 12 20 80 - 26 - 12 10 79 58 98 98 Improved - 2 - - - 12 12 - - - - - - 13 - - - 5 6 5 1 - - - - 5 2 6 11 8 - 1 - 3 2 6 5 - - Shared 8,908 - 27 - 0 0 3 5 - - - - - - 11 - - 22 19 8 3 6 0 0 0 0 12 11 31 6 11 - 26 - 47 36 6 4 2 2 Unimproved 13,029 - Improved 100 0 - 0 0 1 0 - - - - - - 7 - - - 39 44 74 89 0 0 0 0 28 58 51 63 1 - 47 - 38 52 9 33 - - Open defecation 2006 Piped into dwelling, yard or plot 100 Rural Sanitation coverage (%) 85 - 100 100 83 83 - - - - - - 76 - - 83 52 51 28 14 100 100 100 100 66 45 19 29 81 - 33 - 19 13 84 70 99 99 Improved 94 Urban Total 1 - - - 14 14 - - - - - - 18 - - - 6 7 10 5 - - - - 8 5 13 20 9 - 3 - 15 8 6 5 - - Shared 1990 171 2006 Urban (%) 91 Total 14 - 0 0 3 3 - - - - - - 4 - - 17 13 6 4 8 0 0 0 0 10 11 34 3 9 - 30 - 40 40 4 4 1 1 Unimproved Guatemala Total (thousands) 134 Year 1990 Rural Drinking water coverage (%) 0 - 0 0 0 0 - - - - - - 2 - - - 29 36 58 73 0 0 0 0 16 39 34 48 1 - 34 - 26 39 6 21 - - Open defecation Guam Country, area or territory Population Urban - 4 11 - - - - - 12 20 16 2 40 -3 - - 13 44 24 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) Malta Mali Maldives Malaysia Malawi Madagascar Luxembourg Lithuania Libyan Arab Jamahiriya Liberia Lesotho Lebanon Latvia Lao People's Democratic Republic 4,395 5,259 1990 2006 461 12,033 19,159 2006 1990 2006 1990 405 360 2006 2006 7,669 11,968 1990 300 382 1990 216 3,408 2006 2006 3,698 1990 1990 6,039 2006 26,114 4,364 1990 18,103 3,579 2006 2006 2,137 1990 1990 1,995 2006 9,446 1,601 1990 13,571 4,055 2006 2006 2,974 1990 1990 2,663 2,289 1990 2006 5,759 2,779 2006 4,076 2,143 1990 2006 94 2006 1990 72 1990 96 90 31 23 30 26 68 50 18 12 27 24 83 81 66 68 85 79 59 45 19 17 87 83 68 69 21 15 36 38 98 98 52 35 75 87 97 99 1 54 89 93 100 100 28 14 43 28 98 98 77 76 72 72 100 100 80 76 92 96 100 100 100 98 100 100 100 21 85 100 59 8 19 93 22 100 100 86 100 100 50 93 100 100 - 49 77 69 46 76 - 47 86 58 Improved 85 Piped into dwelling, yard or plot 90 Other improved 21 0 0 64 42 22 23 2 2 68 49 62 52 0 0 - - - 18 71 64 34 - 0 0 7 - 17 - 12 22 - - 28 30 38 32 Unimproved 18 0 0 14 50 2 0 0 0 4 8 24 20 0 0 - - - 28 28 15 7 - 0 0 0 0 14 - 1 3 - - 23 24 15 10 Improved Kyrgyzstan 36,553 2006 100 100 48 28 76 95 96 96 72 34 36 27 100 100 - - - 68 52 34 74 - 100 100 96 96 53 - 83 - - - 53 33 49 30 Piped into dwelling, yard or plot Kuwait 23,447 1990 96 96 2 0 0 0 87 - 2 2 2 1 98 98 57 49 - 55 0 3 5 2 - - 59 - 8 - 33 25 - - 22 13 12 11 Other improved 4 4 46 28 76 95 9 - 70 32 34 26 2 2 - - - 13 52 31 69 - - - 37 - 45 - 50 - - - 31 20 37 19 0 0 52 72 24 5 4 4 28 66 64 73 0 0 - - - 32 48 66 26 - 0 0 4 4 47 - 17 - - - 47 67 51 70 9 9 Unimproved 60 100 100 60 33 83 96 99 98 76 41 47 39 100 100 - - - 71 64 57 78 - 100 100 99 99 60 - 89 - - - 65 48 57 41 96 96 Improved 67 100 100 8 2 23 20 95 - 7 7 5 7 100 100 81 76 - 54 1 11 15 5 - - 82 - 21 - 52 44 - - 36 24 19 20 58 66 Piped into dwelling, yard or plot 31 0 0 52 31 60 76 4 - 69 34 42 32 0 0 - - - 17 63 46 63 - - - 17 - 39 - 37 - - - 29 24 38 21 38 30 Other improved 24 0 0 40 67 17 4 1 2 24 59 53 61 0 0 - - - 29 36 43 22 - 0 0 1 1 40 - 11 - - - 35 52 43 59 4 4 Unimproved 91 12 49 15 36 59 28 19 - - 39 - 29 2 - - - 32 37 2 100 100 59 53 100 100 95 95 51 50 18 15 100 100 - - 97 97 49 59 43 - 100 100 82 - 87 - 94 - - - 46 26 19 18 - - 5 4 - - 4 4 40 39 28 25 - - - - - - - - 37 - - - 13 - 5 - 5 - - - 13 7 77 71 3 3 97 97 Improved 91 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 1 Shared 1 0 0 32 40 0 0 1 1 7 7 37 27 0 0 - - 3 3 51 41 11 - 0 0 5 - 2 - 1 - - - 0 26 2 8 0 0 Unimproved 6 0 0 4 3 0 0 - - 2 4 17 33 0 0 - - - - - - 9 - 0 0 0 - 6 - 0 - - - 41 41 2 3 0 0 Open defecation 16 - - 39 30 42 - 93 - 62 46 10 6 100 100 - - 96 96 7 24 34 30 - - 71 - 38 - 93 - - - 20 20 48 44 98 96 Improved 93 - - 4 3 - - 4 - 18 13 16 10 - - - - - - - - 5 4 - - 3 - 1 - 2 - - - 2 2 26 24 1 1 Shared 83 - - 29 32 37 - 3 - 7 6 29 7 0 0 - - 4 4 93 76 10 15 - - 26 - 5 - 5 - - - 25 13 12 8 1 1 Unimproved 99 Rural - - 28 35 21 - - - 13 35 45 77 0 0 - - - - - - 51 51 - - 0 - 56 - 0 - - - 53 65 14 24 0 2 Open defecation 99 Urban - - 45 35 59 - 94 - 60 46 12 8 100 100 - - 97 97 32 40 36 - - - 78 - 48 - 93 - - - 33 22 42 39 97 97 Improved 58 Total Total - - 4 3 - - 4 - 22 16 19 14 - - - - - - - - 11 - - - 10 - 2 - 3 - - - 8 4 37 33 2 2 Shared Kiribati 15,314 2006 Urban (%) 56 Rural - - 30 34 26 - 2 - 7 7 32 11 0 0 - - 3 3 68 60 10 - - - 12 - 4 - 4 - - - 12 17 10 8 1 1 Unimproved Kenya Total (thousands) 16,530 Year 1990 Urban Sanitation coverage (%) - - 21 28 15 - - - 11 31 37 67 0 0 - - - - - - 43 - - - 0 - 46 - 0 - - - 47 57 11 20 0 0 Open defecation Kazakhstan Country, area or territory Population Drinking water coverage (%) - 29 - - 34 9 19 - 32 11 - - - - - - 19 21 2 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 47 48 Nicaragua New Zealand Netherlands Nepal Nauru Namibia Myanmar Mozambique Morocco Montserrat Montenegro Mongolia Monaco Moldova 601 11 6 24,808 30,853 13,544 20,971 40,147 48,379 2006 1990 2006 1990 2006 1990 2006 1990 2006 9 10 19,114 27,641 14,952 16,379 3,411 4,140 4,141 5,532 1990 2006 1990 2006 1990 2006 1990 2006 1990 2006 1,417 587 1990 2,047 2,605 2006 1990 2,216 1990 2006 30 33 3,833 2006 1990 4,389 1990 2006 96 105,342 2006 111 84,002 1990 59 53 86 85 81 69 16 9 100 100 36 28 31 25 35 21 59 48 14 12 53 51 57 57 100 100 47 47 22 26 76 72 42 44 84 69 44 49 100 100 100 100 85 84 98 97 94 100 100 100 100 91 90 16 80 99 18 86 87 - 75 94 100 17 98 100 - 98 100 71 98 35 90 - 51 97 100 100 100 100 96 100 79 98 - 96 98 - 87 94 95 100 100 93 100 100 Other improved 6 6 0 0 0 0 45 53 - - 30 14 64 68 54 - 13 19 2 2 2 - 55 46 0 0 17 - - - 2 7 0 0 35 Unimproved 11 10 9 0 0 0 0 6 3 - - 1 2 20 14 29 - 0 6 0 0 0 - 10 3 0 0 4 2 5 7 2 6 0 0 30 70 Improved 2006 1,252 2006 35 70 63 46 - 82 100 100 88 70 - - 90 42 80 47 26 - 58 58 100 100 96 - 48 21 - - 85 - 94 86 85 72 100 100 54 41 Piped into dwelling, yard or plot 1990 1,057 1990 19 30 5 27 16 - - 100 95 11 3 - - 28 13 2 1 2 - 15 9 - - 66 - 6 0 - - 12 - - - 73 47 100 100 14 Other improved 41 36 30 - - 0 5 77 67 - - 62 29 78 46 24 - 43 49 - - 30 - 42 21 - - 73 - - - 12 25 0 0 40 36 Unimproved 37 54 - 18 0 0 12 30 - - 10 58 20 53 74 - 42 42 0 0 4 - 52 79 - - 15 - 6 14 15 28 0 0 46 59 - 3 79 70 - 97 100 100 89 72 - - 93 57 80 57 42 - 83 75 100 100 98 - 72 64 - - 90 - 94 88 95 88 100 100 60 37 - 96 Improved - 61 53 - - 100 98 17 7 - - 43 33 6 5 7 - 58 41 - - 83 - 22 29 - - 43 - - - 91 76 100 100 23 11 - - Piped into dwelling, yard or plot - 18 17 - - 0 2 72 65 - - 50 24 74 52 35 - 25 34 - - 15 - 50 35 - - 47 - - - 4 12 0 0 37 26 - - Other improved - 21 30 - 3 0 0 11 28 - - 7 43 20 43 58 - 17 25 0 0 2 - 28 36 - - 10 - 6 12 5 12 0 0 40 63 - 4 Unimproved - 30 - 9 46 - 61 36 - 24 2 - 18 - - 20 27 17 47 - % of population that gained coverage (1990-2006) with respect to median population (Year 1998) - 57 59 - - 100 100 45 36 - - 66 73 85 47 53 - 85 80 96 96 96 - 64 - 100 100 85 - 61 54 91 74 95 95 44 33 - 88 Improved 97 10 10 - - - - 37 29 - - 11 12 10 6 - - 15 14 - - 3 - 31 - - - 7 - - - 1 1 5 5 12 9 - - Shared - 28 28 - - 0 0 4 3 - - 4 5 4 44 26 - 0 1 4 4 1 - 3 - 0 0 8 - 39 46 8 13 0 0 26 31 - 12 Unimproved 5 5 3 - - 0 0 14 32 - - 19 10 1 3 21 - 0 5 - - 0 - 2 - 0 0 0 - - - 0 12 0 0 18 27 - - Open defecation - 34 23 - 88 100 100 24 6 - - 18 8 81 15 19 - 54 25 96 96 86 - 31 - - - 73 - 14 20 48 8 94 94 10 11 - 51 Improved - 7 4 - - - - 9 3 - - 4 2 11 2 - - 6 3 - - 3 - 23 - - - 5 - - - 0 0 6 6 7 8 - - Shared 40 - 32 28 - 12 0 0 10 2 - - 9 4 0 55 18 - 6 4 4 4 10 - 19 - - - 22 - 86 80 45 33 0 0 8 45 - 49 Unimproved Micronesia (Federated States of ) 3,044 2006 - Improved - 27 45 - - 0 0 57 89 - - 69 86 8 28 63 - 34 68 - - 1 - 27 - - - 0 - - - 7 59 0 0 75 36 - - Open defecation Mexico 1,945 1990 Piped into dwelling, yard or plot 95 Rural Sanitation coverage (%) 48 42 - - 100 100 27 9 - - 35 26 82 23 31 - 72 52 96 96 91 - 50 - - - 79 - 25 29 81 56 94 94 24 20 - 75 Improved 67 Urban Total 9 7 - - - - 14 5 - - 6 5 11 3 - - 11 8 - - 3 - 28 - - - 6 - - - 1 1 6 6 9 8 - - Shared Mauritius 58 2006 Urban (%) 65 Total 29 28 - - 0 0 9 2 - - 8 4 1 52 21 - 3 2 4 4 6 - 9 - - - 15 - 75 71 16 18 0 0 15 40 - 25 Unimproved Mauritania Total (thousands) 47 Year 1990 Rural Drinking water coverage (%) 14 23 - - 0 0 50 84 - - 51 65 6 22 48 - 14 38 - - 0 - 13 - - - 0 - - - 2 25 0 0 52 32 - - Open defecation Marshall Islands Country, area or territory Population Urban 18 - 9 25 - 20 68 - 34 2 - - - - -1 39 16 14 - % of population that gained coverage (1990-2006) with respect to median population (Year 1998) Romania Republic of Korea Qatar Puerto Rico Portugal Poland Philippines Peru Paraguay Papua New Guinea Panama Palau Pakistan Oman Norway Northern Mariana Islands 23,207 1990 21,532 48,050 2006 2006 42,869 1990 38,140 2006 821 38,111 1990 467 86,264 2006 2006 61,226 1990 1990 27,589 2006 3,969 21,762 1990 3,528 6,016 2006 2006 4,248 1990 1990 6,202 2006 9,983 4,131 1990 10,579 3,288 2006 2006 2,411 1990 1990 20 2,546 2006 15 1,843 1990 2006 4,669 2006 1990 4,241 1990 112,991 82 2006 160,943 44 1990 1990 2 2006 2 2006 54 54 81 74 96 92 98 72 58 48 62 61 63 49 73 69 59 49 13 13 72 54 34 31 35 31 71 65 77 72 95 89 37 31 93 61 61 60 84 74 90 37 69 97 99 95 99 100 100 96 96 85 96 88 88 78 94 88 92 92 96 100 100 98 99 100 100 97 97 93 86 97 100 99 - - - - 35 85 79 100 100 73 100 100 52 - 98 48 93 98 96 100 100 95 100 100 Other improved 13 8 1 1 0 0 - - 0 3 1 3 27 55 2 14 10 18 27 27 3 3 - - 47 44 - 50 0 0 - 5 0 0 58 47 Unimproved 1990 7 65 1 7 3 3 0 0 - - 1 2 0 0 4 8 8 12 6 22 12 12 4 0 21 27 5 4 - 15 0 0 2 2 0 0 35 20 Improved Niue 33 80 76 55 - - 100 100 - - 100 94 - - 88 75 63 46 52 28 32 32 81 - 94 98 87 81 - 73 100 100 97 100 100 100 30 34 Piped into dwelling, yard or plot 49 8 7 - - - - - - 99 80 96 73 24 8 44 16 29 0 4 4 79 - - - 19 8 - 8 100 100 - - - - 2 4 Other improved 35 68 48 - - - - - - 1 14 - - 64 67 19 30 23 28 28 28 2 - - - 68 73 - 65 0 0 - - - - 28 30 Unimproved 24 45 - - 0 0 - - 0 6 - - 12 25 37 54 48 72 68 68 19 - 6 2 13 19 - 27 0 0 3 0 0 0 70 66 68 62 88 76 - - 100 100 - - 99 96 - - 93 83 84 75 77 52 40 39 92 - 89 90 90 86 - 81 100 100 98 98 100 100 47 50 42 41 Improved - 50 49 - - - - - - 99 87 98 88 53 22 77 56 62 29 12 11 89 - - - 29 21 - 26 100 100 - - - - 4 14 - 4 Piped into dwelling, yard or plot 37 38 27 - - - - - - 0 9 - - 40 61 7 19 15 23 28 28 3 - - - 61 65 - 55 0 0 - - - - 43 36 - 37 Other improved - 12 24 - - 0 0 - - 1 4 - - 7 17 16 25 23 48 60 61 8 - 11 10 10 14 - 19 0 0 2 2 0 0 53 50 58 59 Unimproved 1 7 - 62 - 9 - 40 28 47 16 - 22 35 - 10 58 0 18 25 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 32 88 88 - - 100 100 - - 99 97 - - 81 71 85 73 89 88 67 67 78 - 96 76 90 76 97 97 - - 94 85 100 100 35 33 27 16 Improved 38 3 3 - - - - - - - - - - 13 12 6 5 4 4 10 10 12 - - - 4 4 - - - - - - - - 28 27 29 17 Shared 9 9 9 - - 0 0 - - 1 1 - - 1 9 9 5 7 6 19 19 10 - 4 24 0 12 1 1 - - 6 15 0 0 27 31 25 41 Unimproved 41 - - - - 0 0 - - 0 2 - - 5 8 0 17 0 2 4 4 0 - - - 6 8 2 2 - - - - 0 0 10 9 19 26 Open defecation 54 54 52 - - 100 100 - - 98 88 - - 72 46 36 15 42 34 41 41 63 - 52 54 40 14 - 61 - - 96 78 100 100 25 22 3 1 Improved 38 1 1 - - - - - - - - - - 10 6 1 0 1 0 1 1 6 - - - 5 2 - - - - - - - - 14 12 1 1 Shared 94,454 37 45 47 - - 0 0 - - 0 0 - - 4 24 28 10 57 57 38 38 31 - 48 46 10 10 - 7 - - 4 22 0 0 32 30 4 3 Unimproved 144,720 21 Improved 91 Rural - - - - 0 0 - - 2 12 - - 14 24 35 75 0 9 20 20 0 - - - 45 74 - 32 - - - - 0 0 29 36 92 95 Open defecation 2006 Piped into dwelling, yard or plot 59 Urban 72 72 - - 100 100 - - 99 92 - - 78 58 72 55 70 60 45 44 74 - 67 61 58 33 - 85 - - 94 84 100 100 30 26 7 3 Improved 17 Total Total 2 2 - - - - - - - - - - 12 9 5 3 3 2 2 2 10 - - - 5 3 - - - - - - - - 21 17 6 3 Shared 1990 13,737 2006 Urban (%) 15 Rural 26 26 - - 0 0 - - 0 1 - - 2 17 13 7 27 32 35 36 16 - 33 39 6 10 - 3 - - 6 16 0 0 29 30 7 10 Unimproved Nigeria Total (thousands) 7,822 Year 1990 Urban Sanitation coverage (%) - - - - 0 0 - - 1 7 - - 8 16 10 35 0 6 18 18 0 - - - 31 54 - 12 - - - - 0 0 20 27 80 84 Open defecation Niger Country, area or territory Population Drinking water coverage (%) 2 - 62 - 12 - 43 31 32 18 - 28 40 - - 63 0 16 7 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 49 50 South Africa Somalia Solomon Islands Slovenia Slovakia Singapore Sierra Leone Seychelles Serbia Senegal Saudi Arabia Sao Tome and Principe San Marino Samoa Saint Vincent and the Grenadines Saint Lucia Saint Kitts and Nevis 24,175 5,388 1,927 2,001 314 484 6,717 8,445 36,577 48,282 1990 2006 1990 2006 1990 2006 1990 2006 2006 5,256 5,743 1990 2006 4,087 2006 1990 86 1990 3,016 72 2006 4,382 9,851 1990 1990 9,569 2006 2006 7,896 12,072 1990 60 52 36 30 17 14 51 50 56 56 100 100 41 30 50 50 53 51 42 39 81 77 16,256 2006 1990 2006 1990 59 23 185 44 21 161 155 46 120 116 41 109 2006 1990 28 163 90 29 138 89 32 50 24 35 41 31 2006 1990 2006 1990 2006 1990 2006 1990 - 98 98 99 90 84 100 76 94 89 76 94 98 - - 3 - - 45 94 100 - 100 100 63 100 100 100 100 20 83 100 - - 100 78 93 97 50 91 100 97 97 99 97 97 100 32 88 - - 99 - - 99 - 22 82 - 32 94 Improved 5 Piped into dwelling, yard or plot 20 Other improved 9,464 16 9 18 - 18 18 - - 6 0 0 0 63 - 0 0 2 - 15 41 0 0 56 - - - - - - - - - - - 60 62 Unimproved 7,294 6 0 2 37 - 6 6 - - 0 0 0 0 17 - 0 0 1 - 7 9 3 3 12 - - - 10 1 - - 2 2 1 1 18 Improved 2006 82 62 10 - 65 65 - - 100 100 - - 32 - - - 98 - 65 51 - 63 83 - - - 87 89 - - 98 98 99 99 61 63 Piped into dwelling, yard or plot 1990 42 18 0 0 1 1 - - 94 89 - - 1 1 - - 63 - 18 4 - 60 17 - - - - - - - - - - - 1 0 Other improved 40 44 10 - 64 64 - - 6 11 - - 31 - - - 35 - 47 47 - 3 66 - - - - - - - - - - - 60 63 18 38 90 - 35 35 - - 0 0 - - 68 - - - 2 - 35 49 - 37 17 - - - 13 11 - - 2 2 1 1 39 37 12 14 Unimproved 37 93 81 29 - 70 69 - - 100 100 - - 53 - - - 99 - 77 67 - 89 86 - - - 88 91 - - 98 98 99 99 65 65 97 94 Improved 36 67 55 16 1 14 11 - - 94 95 - - 9 - - - 81 - 43 22 - 88 26 - - - - - - - - - - - 5 2 82 76 Piped into dwelling, yard or plot 49 26 26 13 - 56 58 - - 6 5 - - 44 - - - 18 - 34 45 - 1 60 - - - - - - - - - - - 60 63 15 18 Other improved 52 7 19 71 - 30 31 - - 0 0 - - 47 - - - 1 - 23 33 - 11 14 - - - 12 9 - - 2 2 1 1 35 35 3 6 Unimproved 86 35 - 31 - 3 - - - - 41 - - - 9 - 17 21 21 2 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 88 66 64 51 - 98 98 - - 100 100 100 100 20 - - - 96 - 54 52 100 100 29 - - - 100 100 - - - - 96 96 34 31 93 93 Improved 3 26 25 29 - - - - - - - - - 44 - - - 3 - 23 22 - - 4 - - - - - - - - - - - 21 19 - - Shared 0 5 10 16 - 2 2 - - 0 0 0 0 30 - - - 1 - 19 17 0 0 14 - - - 0 0 - - - - 4 4 42 47 7 7 Unimproved 7 3 1 4 - - - - - 0 0 0 0 6 - - - 0 - 4 9 0 0 53 - - - 0 0 - - - - - - 3 3 - - Open defecation 11 49 45 7 - 18 18 - - 99 99 - - 5 - 100 100 88 - 9 9 - - 18 - - - 100 98 96 96 - - 96 96 20 29 70 70 Improved 86 19 18 6 - - - - - - - - - 13 - - - 3 - 9 9 - - 5 - - - - - - - - - - - 8 12 - - Shared 93 11 14 6 - 82 82 - - 1 1 - - 40 - 0 0 9 - 43 24 - - 9 - - - 0 2 4 4 - - 4 4 68 53 30 30 Unimproved 97 21 23 81 - - - - - 0 0 - - 42 - 0 0 0 - 39 58 - - 68 - - - 0 - - - - - - - 4 6 - - Open defecation 100 Rural Sanitation coverage (%) 59 55 23 - 32 29 - - 100 100 - - 11 - - - 92 - 28 26 - - 24 - - - 100 98 - - - - 96 96 23 29 87 87 Improved Rwanda 73 143,221 Urban Total 23 22 14 - - - - - - - - - 26 - - - 3 - 15 14 - - 4 - - - - - - - - - - - 11 12 - - Shared 2006 Urban (%) 73 Total (thousands) 148,615 Total 8 11 9 - 68 71 - - 0 0 - - 36 - - - 5 - 33 21 - - 13 - - - 0 2 - - - - 4 4 62 53 13 13 Unimproved 1990 Year Rural Drinking water coverage (%) 10 12 54 - - - - - 0 0 - - 27 - - - 0 - 24 39 - - 59 - - - 0 - - - - - - - 4 6 - - Open defecation Russian Federation Country, area or territory Population Urban 19 - 16 - 2 - - - - 14 - - - 16 - - 21 1 2 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) Turkmenistan Turkey Tunisia Trinidad and Tobago Tonga Tokelau Togo Timor-Leste The former Yugoslav Republic of Macedonia Thailand Tajikistan Syrian Arab Republic Switzerland Sweden 6,640 54,291 63,444 2006 1990 2006 3,668 1990 4,899 73,922 2006 2006 57,345 1990 1,328 2006 8,219 1,224 1990 10,215 100 2006 2006 95 1990 1990 2 2006 1 6,410 1990 1990 3,961 2006 2006 740 1,114 1990 2,036 5,303 1990 1,909 19,408 2006 2006 12,721 1990 1990 6,834 7,455 9,078 2006 1990 8,559 1990 2006 865 455 2006 1,134 402 1990 47 45 68 59 66 60 13 9 24 23 0 0 41 30 27 21 70 58 33 29 25 32 51 49 76 68 84 83 24 23 74 68 42 27 81 86 87 94 70 97 - 100 92 97 95 99 92 98 - - - 100 - - 12 86 - 14 79 - 28 77 96 84 99 - 78 98 100 81 93 95 - 93 96 93 100 100 100 100 100 100 100 100 57 87 80 97 46 78 99 75 85 Other improved - - 1 22 5 8 11 11 - - - - 74 65 49 - 4 - 15 20 12 - 2 3 0 0 0 0 30 - 17 - 32 10 66 Unimproved 55 - - 2 8 1 5 3 8 0 0 - - 14 21 23 - 0 - 1 2 7 - 5 4 0 0 0 0 13 - 3 1 22 15 2 9 Improved 2006 37,707 2006 32 98 - - 95 74 84 62 93 88 100 100 88 94 40 36 56 - 99 - 97 94 58 - 83 70 100 100 100 100 51 - 79 - 64 57 79 62 Piped into dwelling, yard or plot 1990 25,933 1990 36 91 - - 86 46 39 26 72 68 - - - - 0 0 11 - 84 - 35 13 23 - 68 51 99 99 100 100 15 - 46 - 13 19 3 4 Other improved 15 - - 9 28 45 36 21 20 - - - - 40 36 45 - 15 - 62 81 35 - 15 19 1 1 0 0 36 - 33 - 51 38 76 58 Unimproved - - 5 26 16 38 7 12 0 0 12 6 60 64 44 - 1 - 3 6 42 - 17 30 0 0 0 0 49 - 21 - 36 43 21 38 0 0 - - 97 85 94 82 94 88 100 100 - - 59 49 62 - 100 - 98 95 67 - 89 83 100 100 100 100 60 - 92 - 70 64 82 67 100 100 Improved 0 - - 93 60 75 62 74 69 - - - - 5 4 16 - 92 - 51 32 37 - 81 72 100 100 100 100 25 - 71 - 27 34 7 10 99 99 Piped into dwelling, yard or plot 0 - - 4 25 19 20 20 19 - - - - 54 45 46 - 8 - 47 63 30 - 8 11 0 0 0 0 35 - 21 - 43 30 75 57 1 1 Other improved 100 - - 3 15 6 18 6 12 0 0 - - 41 51 38 - 0 - 2 5 33 - 11 17 0 0 0 0 40 - 8 - 30 36 18 33 0 0 Unimproved 100 - 35 31 12 5 - 36 - - 17 - 43 9 6 - - 30 23 13 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 100 - - 96 96 96 95 92 93 98 98 - - 24 25 64 - 92 - 95 92 95 - 96 94 100 100 100 100 64 - 89 90 50 53 89 85 100 100 Improved 100 - - 2 2 2 2 7 7 - - - - 44 46 4 - 5 - 5 5 4 - 4 4 - - - - 28 - 9 9 - - 7 7 - - Shared 0 - - 2 2 2 0 1 0 2 2 - - 9 5 12 - 3 - 0 1 1 - 0 2 0 0 0 0 5 - 2 1 36 37 3 0 0 0 Unimproved 0 - - 0 0 0 3 0 0 - - - - 23 24 20 - 0 - 0 2 0 - 0 0 0 0 0 0 3 - 0 0 14 10 1 8 0 0 Open defecation 1 - - 72 69 64 44 92 93 96 96 78 39 3 8 32 - 81 - 96 72 91 - 88 69 100 100 100 100 46 - 60 - 24 26 86 68 100 100 Improved 1 - - 1 1 8 6 7 7 - - - - 6 16 2 - 7 - 4 3 3 - 5 4 - - - - 21 - 10 - - - 3 2 - - Shared 17 99 - - 25 26 14 4 1 0 4 4 22 61 13 2 18 - 11 - 0 1 6 - 7 8 0 0 0 0 8 - 9 - 23 26 9 14 0 0 Unimproved Swaziland 19,207 2006 99 Improved 100 Rural - - 2 4 14 46 0 0 - - - - 78 74 48 - 1 - 0 24 0 - 0 19 0 0 0 0 25 - 21 - 53 48 2 16 0 0 Open defecation Suriname 17,114 1990 Piped into dwelling, yard or plot 100 Urban - - 88 85 85 74 92 93 96 96 - - 12 13 41 - 89 - 96 78 92 - 92 81 100 100 100 100 50 - 82 - 35 33 86 71 100 100 Improved 77 Total Total - - 2 2 4 4 7 7 - - - - 22 25 3 - 6 - 4 4 3 - 4 4 - - - - 23 - 9 - - - 4 3 - - Shared Sudan 43,887 2006 Urban (%) 75 Rural - - 9 11 6 2 1 0 4 4 - - 10 3 16 - 5 - 0 0 5 - 4 5 0 0 0 0 7 - 4 - 28 29 8 11 0 0 Unimproved Sri Lanka Total (thousands) 38,851 Year 1990 Urban Sanitation coverage (%) - - 1 2 5 20 0 0 - - - - 56 59 40 - 0 - 0 18 0 - 0 10 0 0 0 0 20 - 5 - 37 38 2 15 0 0 Open defecation Spain Country, area or territory Population Drinking water coverage (%) - 25 28 6 5 - 4 - - 31 - 48 9 6 - - 14 24 13 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 51 52 Zimbabwe Zambia Yemen West Bank and Gaza Strip Wallis and Futuna Islands Viet Nam Venezuela (Bolivarian Republic of ) Vanuatu Uzbekistan Uruguay United States of America United Republic of Tanzania 221 2006 10,487 13,228 1990 2006 21,732 2006 8,122 12,314 1990 11,696 3,889 2006 2006 2,154 1990 1990 14 15 1990 2006 86,206 149 1990 66,173 26,981 2006 2006 20,515 1990 1990 3,331 2006 27,191 3,106 1990 19,731 302,841 2006 2006 256,098 1990 1990 25,494 39,459 1990 60,512 2006 2006 57,238 4,248 2006 1990 1,867 1990 United Arab Emirates United Kingdom of Great Britain and Northern Ireland 51,536 46,557 1990 2006 29,899 Ukraine 17,841 2006 36 29 35 39 28 21 72 68 0 0 27 20 94 84 24 19 37 40 92 89 81 75 25 19 90 89 77 79 68 67 13 11 57 53 41 95 87 68 86 90 99 98 84 - - 90 - - - - 59 80 93 38 85 98 98 86 97 87 97 100 - 97 100 87 97 100 - 97 100 93 31 45 90 81 100 100 100 100 80 100 100 87 97 11 90 100 18 78 Other improved 1990 - 94 11 4 49 33 11 - 6 - - - 39 49 - 6 - 13 13 11 3 3 3 3 36 59 0 0 20 - 10 - 79 60 - - Unimproved Uganda - 92 2 1 10 14 32 - 10 - - - 2 13 - 7 - 7 2 3 0 0 0 0 19 10 0 0 0 0 3 0 10 22 6 8 Improved 58 72 70 41 27 65 - 88 - 100 100 90 43 - 70 - 53 82 85 100 100 94 94 46 39 100 100 100 100 97 - 60 39 92 89 Piped into dwelling, yard or plot 41 6 7 2 3 6 - 64 - 99 99 8 1 - 48 - 28 28 37 84 - 46 46 4 3 98 98 70 - 51 - 1 0 - - Other improved 9 66 63 39 24 59 - 24 - 1 1 82 42 - 22 - 25 54 48 16 - 48 48 42 36 2 2 30 - 46 - 59 39 - - Unimproved 28 30 59 73 35 - 12 - 0 0 10 57 - 30 - 47 18 15 0 0 6 6 54 61 0 0 0 0 3 - 40 61 8 11 0 0 81 78 58 50 66 - 89 - - - 92 52 - 89 - 61 88 90 100 100 99 99 55 49 100 100 100 100 97 - 64 43 93 90 100 100 Improved - 35 33 16 23 20 - 78 - - - 22 8 - 81 - 38 49 57 96 - 87 84 14 8 100 100 78 - 75 - 2 2 - - - - Piped into dwelling, yard or plot - 46 45 42 27 46 - 11 - - - 70 44 - 8 - 23 39 33 4 - 12 15 41 41 0 0 22 - 22 - 62 41 - - - - Other improved - 19 22 42 50 34 - 11 - - - 8 48 - 11 - 39 12 10 0 0 1 1 45 51 0 0 0 0 3 - 36 57 7 10 0 0 Unimproved - 21 27 - - - 59 - - 22 7 17 28 6 82 - 49 20 77 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 100 63 65 55 49 88 79 84 - - - 88 62 - 90 - - 97 97 100 100 100 100 31 29 - - 98 98 97 98 29 27 93 83 98 98 Improved 100 33 34 39 34 - - - - - - 5 3 - - - - 2 2 0 0 - - 24 22 - - 2 2 1 1 30 27 - - - - Shared 0 1 1 3 14 5 17 15 - - - 6 17 - 10 - - 1 1 0 0 0 0 44 46 - - 0 0 2 1 39 43 7 17 2 2 Unimproved 0 3 0 3 3 7 4 1 - - - 1 18 - - - - 0 0 0 0 0 0 1 3 - - 0 0 0 0 2 3 - - - - Open defecation - 37 35 51 38 30 14 69 - - - 56 21 - 47 - - 95 91 99 99 99 99 34 36 - - 95 95 83 93 34 29 84 74 - - Improved - 18 17 9 7 - - - - - - 3 1 - - - - 2 2 1 1 - - 9 9 - - 5 5 5 6 11 10 - - - - Shared 10 - 6 0 7 10 24 36 28 - - - 25 45 - 53 - - 3 7 0 0 1 1 43 44 - - 0 0 12 1 40 39 16 26 - - Unimproved 2006 - Improved 100 Rural Sanitation coverage (%) 39 48 33 45 46 50 3 - - - 16 33 - - - - 0 0 0 0 - - 14 11 - - 0 0 0 0 15 22 - - - - Open defecation 1990 Piped into dwelling, yard or plot 100 Urban 46 44 52 42 46 28 80 - - - 65 29 - 83 - - 96 93 100 100 100 100 33 35 - - 97 97 93 96 33 29 89 78 - - Improved 48 Total Total 23 22 20 18 - - - - - - 4 1 - - - - 2 2 0 0 - - 13 11 - - 3 3 2 3 13 12 - - - - Shared Tuvalu 25 2006 Urban (%) 43 Rural Drinking water coverage (%) 5 0 6 12 19 32 18 - - - 19 40 - 17 - - 2 5 0 0 0 0 43 45 - - 0 0 5 1 41 39 11 22 - - Unimproved 1990 Total (thousands) 12 Year Urban 26 34 22 28 35 40 2 - - - 12 30 - - - - 0 0 0 0 - - 11 9 - - 0 0 0 0 13 20 - - - - Open defecation Turks and Caicos Islands Country, area or territory Population 13 27 39 - - 47 - - 28 7 17 13 - 80 2 21 20 - % of population that gained coverage (1990-2006) with respect to median population (Year 1998) World 1 2 3 934,265 1,016,093 4,079,192 5,298,512 5,294,885 6,592,900 2006 1990 2006 1990 2006 278,295 2006 1990 281,428 565,049 2006 1990 444,277 1990 200,205 2006 49 43 43 35 75 71 64 65 78 71 24 23 66 62 45 32 30 26 86 90 98 98 69 70 79 78 97 99 100 100 93 94 95 96 90 93 95 84 82 95 97 53 92 94 41 92 - 51 95 - 55 91 92 87 98 91 82 97 18 16 24 24 2 2 9 11 7 10 - - 2 13 39 51 44 36 11 15 4 5 6 7 0 0 1 3 3 6 9 8 5 5 8 8 5 9 2 3 4 5 78 63 76 59 97 95 86 84 73 61 37 39 80 70 81 64 84 68 81 55 87 82 31 24 27 19 78 73 42 42 48 25 6 7 57 50 14 4 10 8 62 37 63 34 47 39 49 40 19 22 44 42 25 36 31 32 23 20 67 60 74 60 19 18 24 48 22 37 24 41 3 5 14 16 27 39 63 61 20 30 19 36 16 32 19 45 13 18 54 87 77 84 71 99 98 94 93 92 84 50 51 90 86 86 73 87 74 88 68 92 88 58 49 54 48 46 36 93 91 73 71 80 67 - - 80 69 32 16 22 20 73 51 78 58 16 16 33 29 38 35 6 7 21 22 12 17 - - 10 17 54 57 65 54 15 17 14 30 42 33 13 23 16 29 1 2 6 7 8 16 50 49 10 14 14 27 13 26 12 32 8 12 42 51 31 35 15 12 26 15 54 36 39 33 35 37 79 78 71 66 100 100 94 95 86 81 80 80 94 93 78 74 57 53 74 61 90 82 42 40 11 8 15 12 - - - - 6 6 - - 6 6 8 8 20 17 15 12 6 6 31 27 5 8 7 12 0 0 6 5 6 7 20 20 0 1 4 6 8 6 7 24 4 10 19 22 5 6 7 10 0 0 - - 2 6 - - 0 0 10 12 15 24 4 3 0 2 8 11 45 36 39 28 96 96 81 81 52 35 43 44 64 56 58 40 23 10 59 43 59 44 24 20 9 5 3 5 3 - - 3 - 4 3 1 1 4 2 5 4 6 2 1 1 7 5 11 The figures for Bangladesh have been adjusted for arsenic contamination levels based on the national surveys conducted and approved by the Government. Countries with a negative growth rate, reflected in the columns titled ‘% of population that gained coverage (1990-2006) with respect to median population (Year 1998)’. Figures have been estimated by JMP to ensure compatibility, thus they are not necessarily the official statistics of the concerned country, area or territory, which may use alternative rigorous methods. Developing regions Developed regions Commonwealth of Independent States Latin America & Caribbean 137,541 1990 6,449 565,105 2006 9,175 440,574 1990 1990 1,612,840 2006 2006 1,192,558 1990 43 30 Other improved 5 Unimproved 12 Improved Oceania 1,402,837 2006 91 96 Piped into dwelling, yard or plot Western Asia 1,220,373 1990 83 95 Other improved 54 Unimproved 65 Improved 41 Piped into dwelling, yard or plot 31 Other improved 5 Unimproved 4 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 46 Improved 35 Shared 19 Unimproved 18 Open defecation 46 Improved 36 Shared 49 35 19 24 21 27 4 4 16 19 21 19 36 34 18 24 13 21 8 7 38 51 25 21 26 25 Unimproved South-eastern Asia 155,087 2006 46 Improved 81 Rural 31 37 35 42 - - - - 23 43 20 21 14 18 24 35 63 81 2 5 9 30 39 46 Open defecation Southern Asia 118,032 1990 Piped into dwelling, yard or plot 82 Urban 62 54 53 41 99 99 89 90 79 68 52 52 84 79 67 50 33 21 65 48 76 62 31 26 Improved 36 Total Total 8 5 9 6 - - - - 6 5 - - 6 4 7 5 10 6 7 4 6 5 18 14 Shared Eastern Asia 788,214 2006 Urban (%) 28 Rural 12 17 15 22 1 1 11 10 8 10 48 48 5 10 8 17 9 8 25 44 14 17 23 24 Unimproved Northern Africa Total (thousands) 519,388 Year 1990 Urban Sanitation coverage (%) 18 24 23 31 - - - - 7 17 - - 5 7 18 28 48 65 3 4 4 16 28 36 Open defecation Sub-Saharan Africa MDG regions and the world Population Drinking water coverage (%) Drinking water and sanitation coverage: regional estimates by type of drinking water and sanitation facilities (1990 and 2006) 22 25 12 10 25 17 63 36 19 25 32 19 % of population that gained coverage (1990-2006) with respect to median population (Year 1998) 53 Millennium Development Goals: regional groupings In charting progress towards the MDGs, the United Nations has classified the world’s countries into three regions: developed regions, developing regions and the Commonwealth of Independent States. The developing regions are further divided into subregions shown on this map. A complete list of countries included in these subregions can be found at http://unstats.un.org/unsd/default.htm 54 Commonwealth of Independent States Developed regions Eastern Asia Latin America & Caribbean Northern Africa Oceania Southern Asia South-eastern Asia Sub-Saharan Africa Western Asia Photo credits: Cover ©Watercan/George Yap; Page 1 ©UNICEF/HQ06-1843/Josh Estey; Page 3 ©UNICEF/HQ95-1110/Giacomo Pirozzi; Pages 4-5 ©UNICEF/HQ95-0078/Jonathan Shadid; Page 9 ©UNICEF/HQ98-0939/Giacomo Pirozzi; Page 14 ©2006/Ann Thomas; Pages 16-17 ©UNICEF/HQ04-0941/Shehzad Noorani; Page 21 ©UNICEF/HQ00-0578/Shehzad Noorani; Page 22 ©UNICEF/ HQ95-0455/David Barbour; Pages 28-29 ©UNICEF/HQ07-1137/Shehzad Noorani; Pages 30-31 ©UNICEF/HQ04-0081/Christine Nesbitt; Page 33 ©UNICEF/HQ98-0502/Giacomo Pirozzi; Page 35 © UNICEF/HQ05-1712/Asad Zaidi; Page 37 ©UNICEF/HQ04-0938/ Shehzad Noorani; Pages 40-41 ©UNICEF/HQ07-1350/Giacomo Pirozzi; Back cover ©UNICEF/HQ00-0509/Radhika Chalasani INTERNATIONAL YEAR OF SANITATION 2008 July 2008 The world is not on track to meet the MDG sanitation target The world is on track to meet the MDG drinking water target Two and a half billion people, 38 per cent of the world’s population, remain without improved sanitation facilities, mostly in sub-Saharan Africa and Southern Asia. The number of people without an improved drinking water source is now below one billion. While 1.2 billion people still practise open defecation, the riskiest sanitation practice of all, it is decreasing. At current rates, the MDG sanitation target will be missed by over 700 million people. Seven out of ten people without improved sanitation live in rural areas. More than half of the world’s households now have piped water connections in or near their homes. Progress is slowest in sub-Saharan Africa, home to a third of the global population using unimproved drinking water sources. Eight out of ten people without improved sources of drinking water live in rural areas. United Nations Children’s Fund 3 UN Plaza New York, NY 10017 USA World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland