Summary
This project will provide sanitation facilities, household latrines and hand washing devices, and hygiene behavior change (HBC) using an Output-Based Aid (OBA) approach to 2 targeted districts in one of three provinces.
Background
Rural sanitation coverage in Cambodia is among the lowest worldwide, with coverage less than 16% leaving over 11 million Cambodians without access to improved sanitation. Poor sanitation in Cambodia is responsible for roughly 9.4 million cases of diarrheal diseases, which result in an estimated 12,000 deaths per year. In fact, diarrheal diseases are the number one cause of sickness and death among Cambodian children. Beyond health, economic impacts due to poor sanitation and hygiene are calculated at $450 million USD, or 7.2 percent of the country’s GDP (WSP, 2008).
The typical approach used in Cambodia to improve sanitation often focuses on providing subsidized latrine hardware to households in exchange for a contribution of cash or construction labor. Consequently, only the better-off households who can afford to contribute benefit from the subsidy, which does not necessarily result in a change to their defecation habits, as years later hardware has been found unused and latrines abandoned (Robinson, 2007; Sok & Catalla, 2009), which is especially common when the end-user’s preferences or desires are not taken into account (Jenkins & Sugden, 2006). Accordingly, simply making latrines cheaper does not increase sustainable demand, and in terms of supply, nor does it promote an effective supply chain accessible by the end-user.
EMW and its partners recognize that the communities in Takeo, Kandal, and Svay Rieng are not among the poorest of the poor; however, their sanitation coverage rates are still below the low national average (see chart in full proposal).
Location
Villages TBD, Kandal, Svay Rieng, or Takeo Province, CambodiaAttachments
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