PREFACE The essential elements of a neat and clean city are underground drainage, adequate water supply, solid waste management, storm water drains, roads etc., which go a long way in ensuring better built environment and health of human beings. Cities without a proper drainage system face problems of inundation on roads, streets and by-lanes during rainfall, and the resultant traffic snarls, pollution, insanitary conditions, and spread of various water-borne diseases. The Report of the World Health Organisation (WHO) titled “Safe Water, Better Health (2008)” states that about 7.5% of deaths in India are due to water and sanitation related causes. It also highlights that 88% of the cases of diarrohea world-wide are attributed to unsafe water, inadequate sanitation or improper hygiene. The report of the WHO Commission on Social Determinants of Health (2008) has emphasized that access to clean water and sanitation should be considered as part of human rights. According to this Report, about one billion people in the world live in slums without basic services. Considering the importance of sanitation in view of its impact on human health, the provision of sanitation facilities for the increasing population in India’s cities and towns is an issue which demands special and immediate attention. The Jawaharlal Nehru National Urban Renewal Mission and other programmes aim at 100% sanitation coverage in the urban areas. The Eleventh Five Year Plan (2007-12) targets to achieve universal sanitation coverage in the country by 2012. A closed drainage system in a city with proper maintenance will go a long way in making it a “healthy” city. However, drainage, in itself, is not enough. What is more important is that all the households should have connectivity, as it is one of the important determinants of quality of life. What is the scenario in India? How many households in cities and towns have access to closed drainage system and how many have open or no connectivity? The instant document provides data on these aspects. The analysis carried out in the document is based on the data of Census of India, 2001, which, inter alia, provides statistics pertaining to distribution of households by availability of type of drainage connectivity for wastewater outlet. The drainage connectivity has been classified into three types, viz., ‘closed drainage’, ‘open drainage’ and ‘no drainage’. The census data does not include institutional households. This document is the outcome of painstaking work put in by Shri J. Nagarajan, Senior Social Scientist, assisted by S/Shri B.K. Bharti, P.P. Tuteja and T. Tete. I hope that this document will be useful for policy-makers, administrators, planners, researchers and academicians. January 2009 New Delhi (J.B. Kshirsagar) Chief Planner ii