client
Shankarbhuvan slum, (pop 5,816)
As a William J. Clinton fellow, I was tasked with designing a sanitation system and accompanying behavior change model to enhance personal sanitation and eliminate open defecation in two slum communities of Ahmedabad, India.
Like many cities in India, Ahmedabad’s population has grown faster than its physical infrastructure. The dearth of formal housing options has led to the growth of urban informal settlements (commonly referred to as “slums”), which usually aren’t connected to the public sewerage system. For lack of an alternative, many residents are forced to openly defecate in public spaces. With a population of over 5.5 million, Ahmedabad currently produces more human waste than there are toilets to receive it.
As a fellow, I needed to design a solution that would shift the community away from open defecation and poor sanitation habits.
By designing a community driven sanitation system that included individual family toilet blocks and a large community toilet that had over 3,500 users per day as well as a behavior change model to ensure a behavior shift toward proper sanitation practices, I was able to shift the community towards a healthier more dignified life.
As the sole fellow assigned to the project and having not worked in sanitation or India before, I was able to quickly learn along the way. This is the approach I took.
Never having dealt with issues of urban infrastructure and sanitation before, let alone in India, I began this task with the critical step of familiarizing myself with Nagorivad and Shankarbhuvan. Working with data that my fellowship host organization had previously collected through household surveys, I carried out an analysis that cross-checked the different infrastructures that were needed for a toilet, including an existing sewage system, water, electricity, and light fixtures. Through this analysis, I was able to determine which households in Nagorivad and Shankarbhuvan had the preexisting infrastructure necessary for toilet installation. I simultaneously quickly ramped on sanitation best practices through qualitative research from industry leading organizations such as UNICEF (WASH).
In order to design better toilet blocks that would meet the needs of the community, as well as develop an effective behavior change model, I needed to first understand the interests, attributes, and needs of the various communities. I then created a mobile survey that could be used as a tool in conducting this formative research.
The community is very unique in that it has a drastically diverse culture. There are Muslims, Hindus, and different varieties of castes within the Hindus, each with diverse economic backgrounds. This socioeconomic diversity presented a wide variety of community needs that I hadn’t foreseen, but I needed to consider when designing the final product.
I contracted surveyors, who downloaded the mobile survey on their smartphones. After training the surveyors, I took them to the field.
A few of the notable key findings from the community needs assessment that all ultimately drove my final design:
Through this data collection and analysis, I concluded that there are currently a combined total of twenty community toilet blocks in Nagorivad and Shankarbhuvan. Each having their own defects and community uses. Some were gathering spots for men to drink, while others were close indefinitely for repair. With the toilet blocks that remain open 24-hours, there is long list of issues that render many of them unusable.
From my research, I was able to identify:
With this new information at hand, I began to collaborate with local architects Mrinal Bhatt and Ashish Solanki. Together we devised a plan to rehabilitate the existing community toilet blocks in Nagorivad and Shankarbhuvan. The proposed structural changes would ensure ease of use, proper functioning of drainage systems, and increased aesthetic appeal for both a large community toilet and individual family home toilet blocks.
We drew up plans to create a playground, a community clothes washing station next to toilet block, which is currently used as a site for open defection, and a children's latrine area. At the time, the children did not have a place to play or the facilities to use the restroom. They resorted to dangerous structures and unsanitary areas for playing and using the restroom that can lead to the spread of disease and poor sanitation habits. From research, I learned children will be more reluctant to openly defecate in a space that they value and will feel a sense of collective ownership and responsibility that will compel them to keep it clean.
This sense of collective responsibility and pride is something that we engendered through the creation of a community clothes washing station. The women in the community washed clothes in the streets. The proposed plan incorporates a clothes washing station that will provide a communal area where all the women of the urban slum community can wash clothes together. From our research, we found that women also did not have a proper place to dispose of their sanitary napkins, causing plumbing issues with the latrines and embarrassment when using the latrines. As a result, we built a latrine incinerator.
After completing the design of the community and individual toilets, I built a proposal that I presented to the local Ahmedabad Municipal Corporation (AMC). This was the first of many meetings with AMC officials—a procession of conversations and presentations over the next few months. However, this first meeting was simple enough; the response was overwhelmingly positive, and the AMC quickly acted on my suggestions. Less than a few months later, construction of individual family toilets had begun, with a community toilet construction scheduled for later that year.
I spent many hours waiting in AMC lobbies, rehearsing for a presentation that ultimately would be rescheduled due to a lack of priority. I found myself navigating cultural, language and political barriers to initially have the proposal reviewed.
Gaining the trust of the AMC officials proved to be one of the most difficult aspects of the project. Being perceived as a privileged white man, I was given little time or validation. I was ultimately able to gain approval and close relationships with the city officials by presenting data driven opportunities in the communities and how they tie back to the AMC and national sanitation goals. The city officials often came to the slums with me to view the potential sites for toilets, and they were able to see my empathy and connection with the community and we were able to break down the cultural disconnect that existed.
Next, I set about creating a behavior change model to accompany the plans for structural changes to catalyze a shift away from the practice of open defecation, and towards the use of bathroom facilities.
Time and time again, across the globe, I found that just building toilets doesn’t fix the problem.
Sanitation Marketing was particularly appealing because I found through the surveys that many of the toilet blocks charge anywhere from one to ten rupees per use (approximately two to sixteen cents, USD). While this amount may seem nominal to some, many community members find the price a big deterrent to use of the toilet facilities. Understanding that the decision to use or not use the toilet is made in the context of a litany of competing priorities, I decided to move the use of toilet facilities up the priority ladder by linking it to the obtainment of other high-priority goods.
A points system was implemented to track the usage of the facilities by each member of the community. The points system allocates points to each individual for positive sanitation behavior. Points were awarded for behaviors such as: usage of the public toilet, washing of hands, monthly payments occurring on time. These points could then be used to purchase high-priority items such as cleaning products, educational supplies, sanitary products, all of which would be sold in the small shop next to the toilet block
Almost 150 people turned out for the education workshop and the street skit. There was immense energy from the community and the feedback received revealed a bright future for the sanitation campaign. The educational workshop was also a success; although a bit restless at times, community members actively participated in a call and response-style performance. Residents quickly exhibited the disgust that the workshop aimed to elicit through demonstration of ways that open defecation leads to the contamination of food and water, and the spread of disease.
A few activities designed for the workshop to show the tangible effects of poor sanitation, evoking one of the strongest emotions that drive behavior change, disgust, included:
In spite of my extensive surveying, after the first street skit and sanitation workshop I was confronted with a plethora of new feedback. As such, I ensured to include a more structured forum for discussion at the end of each educational workshop for future workshops.
Upon successful completion of my fellowship project, I knew that this model would help other slum communities achieve the same goal of enhanced sanitation. From my initial infrastructure surveys, I found many communities are facing the same problems and would benefit from a similar approach to what I designed. Before leaving India, I packaged my work for future use by the local government in other communities.