The Economic Impacts of Poor Sanitation in East Asia Economics of Sanitation Initiative Phase 1 Guy Hutton Dollar per capita per annum Impact per person is greatest in the lowest coverage countries 200 180 160 140 120 International Dollar (ID) 100 United States Dollar (USD) 80 60 40 20 0 Cambodia Lao PDR Indonesia Average Philippines Source: Economic impacts of sanitation in Southeast Asia. WSP/World Bank. 2008. Vietnam 2 Poor sanitation has major and diverse impacts 8 7 6 Tourism User preferences Environment Water Health 5 4 3 2 1 0 Cambodia Lao PDR Indonesia Philippines Source: Economic impacts of sanitation in Southeast Asia. WSP/World Bank. 2008. Vietnam 3 Sanitation is a good buy! 14 12 10 8 Including value of health (diarrhea) and access time gains only – the return on investment is at least 6 times Sanitation WSS 6 4 2 0 Sub-Saharan Africa East Asia & Pacific South Asia Non-OECD Source: Global cost-benefit analysis of countries off-track to meet WSS MDGs. WHO. 2004. 4 Sanitation is a good buy! Economic Rates of Return – the most consistently available economic indicator in the preparation of WB, AfDB, AsDB grants & loans - were from 10% to 40% in 15 African and Asian countries most off-track to meet the WSS MDG target Economic rate of return (%) 60% 50% 40% 30% 20% 10% 0% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Source: preparation of economic briefings for High Level Meeting on Sanitation and Water for All: a Global Framework for Action, UNICEF & WaterAid. 5