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Assessment of Water Sanitation Status of a City / Towns in Developing
Countries Case Study from NepalBy Er. Dinesh Pd. Bhatt,[email protected]
Lecturer, Insitute of Engineering ,Thapathali Campus
Key Words: -Healthy City, Water Sanitation, Component, Indicator, Evaluation, Water sanitation
Index
Abstract
In last few decades, population is growing rapidly in urban areas. Population growth in cities
put pressure on all physical infrastructures. Cities wants make their delivery better than others
willing to make their city best place to live. Every individual wants to live in a healthy city.
Healthy City endeavor to support for good health condition of the people by creating improved
physical and social environment. In developing countries that can be achieved trough properattention in water sanitation along with road safety, food safety, social harmony, solid waste
management, air pollution, housing, disaster preparedness, parks, resilience to climate changeand public health. This paper mainly focuses on evaluation of cities on their delivery status on
water sanitation through systematic process. Status of a city on water sanitation can be
evaluated with the help of suitable indicators. Basic indicators as well as water sanitation indexhave been proposed to evaluate, monitor and find out the status of city and comparison between
several cities.
Background
In last few decades, population is growing rapidly in urban areas. Peoples are migratingtowards cities due to lack of economic opportunity and basic services in villages. Populationgrowth in cities put pressure on physical infrastructures, water-sanitation, solid waste
management, natural resources etc ultimately health of people. Every one wants to make
his/her city healthy.
Need of Evaluation
Some components are basic components that are affecting the environment and health in cities.
In the context of cities in Nepal, the one of major component identified is water sanitation
along with road safety, food safety, social harmony, solid waste management, air pollution,housing, disaster preparedness, parks, resilience to climate change and public health. There is
need of evaluation criteria to chanelize the efforts and resources to major challenging areas.Water and sanitation as Major Component
Water is the most important requirement for the human life to exist. Satisfactory (adequate, safeand accessible) drinking water and sanitation are primary concern for healthy cities. Since
water and sanitation are basic rights, all municipalities must be committed to deliver such
services to people. The provision of safe water supply and good sanitation plays a vital role inpromoting health and hygiene status of every individual and increases the productivity and
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wellbeing of city as well as the nation. Water supply and sanitation are essential for economic
development and poverty alleviation.
Context in Nepal:
Satisfactory drinking water and basic sanitation are common problems faced by cities of Nepal.
Water demand of the cities has increased immensely in last few years due to the rapid growth
of population and urbanization. Water has become a serious problem for the people of manycities in terms of both quantity and quality. Safe drinking water means there is reduce in healthrisk. Safe drinking water is suitable for all usual domestic purposes, including personal
hygiene. If the water quality is not safe, it may cause serious health hazards. In Nepal piped
water is also unsafe in most of areas almost throughout the year. Significant households sufferfrom water borne disease if they do not use their own disinfection systems at household level.
Ensuring water quality is major challenge for municipal water suppliers in Nepal.
In Nepal, there is less coverage of toilets even in cities. Open defecation is common practice inmany areas in absence of HH toilets, which is responsible for serious health hazards,
epidemics, several diseases and environmental contamination. In absence of sewerage system
people have leave their wastewater in open places that is responsible for serious health hazards,
epidemics, several diseases and environmental contamination. Most of cities in Nepal do nothave treatment systems before disposal that is responsible for serious health hazards,
epidemics, several diseases and environmental contamination of water bodies.
The conditions requires in Healthy City:
All the citizens must have access in satisfactory (adequate, safe and accessible) water supply.
They should have access in proper sanitation. Human excreta and wastewater should be
properly disposed without producing any adverse impact on environment.
Methodology of Evaluation
Indicators
To evaluate the water sanitation status, there is need of indicators. Indicators are purposed to
evaluate and monitor the performance of city towards delivery level on water sanitation. They
are measures of health and of the factors that influence health in the arena of Water Sanitation.They are based on both qualitative and quantitative data. There is the requirement of indicators
for the followings:
To evaluate the status of the city.
To find the areas to be intervene and prioritize them.
To compare the health status of city with that of another.
For allocation of scarce resources.
For monitoring and evaluation of services, activities and programmes of service providers.
To measure the extent to which the objectives and targets of a programme are beingattained.
Indicators of Water Sanitation
Access to drinking water
Access to water supply means having water within own house premises or near to house. If
there is no access to water, people have to walk long distance fetching water or buy the water in
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tankers and bottles thus by increasing the price of water. In addition, the combination of
opportunity costs such as spending time fetching water rather than pursuing productive
activities and water related health issues further hamper the capacity of households to grab
opportunities for economic development.
The piped water is considered as a source of safe water. In absence of continuous supply ofpiped water, people pick and mix a variety of informal sources such as open public sources,
private boring and local water vendors.
As water is basic requirement for life, every household manages it for their survival, but the
major concern how they are managing it. Municipal pipe lines should provide water in their
own house premises in cities.
Water quantity
Defining basic human needs for water is difficult. Normally we can estimate an average need of
5 liters/capita/day for drinking, plus 10 for food preparation, 15 for bathing, and 20 for basic
hygiene and sanitation making a total of 50 liters/capita/day. However, domestic water demand
is not simply a multiple of the population size. Per capita demand increases with urbanization
and rising incomes. Per capita water demand is also indicator of human development index.
Water supply is inadequate in many cities of Nepal; this has significant adverse consequences
for public health and economic development of the country.
Although municipal water supply pipeline in house is a matter of concern, but the main concern
is it providing adequate quantity of water required for basic human needs.
Water quality
Improving access to safe drinking water can result tangible benefits to health. Safe drinkingwater means there is reduce in health risk. Safe drinking water is suitable for all usual domestic
purposes, including personal hygiene. Access to drinking water can not guarantee access to safe
water. If the water quality is not proper it may cause serious health hazards. In Nepal piped
water is also unsafe in most of areas almost throughout the year. Significant households suffer
from water borne disease if they do not use their own disinfection systems at household level.
Ensuring water quality is major challenge for municipal water suppliers in Nepal. Water quality
should be such that it doesnt cause adverse effect on health. If the water quality is poor it may
cause serious health hazards, therefore water quality should be assured as per National
Drinking Water Quality Standards 2005 or WHO standards. If the supply is not according to
standard it may cause several water related diseases. Therefore, water related disease are
indicator to water quality.
Water Quality standards
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Government of Nepal has prepared and applied National Drinking Water Quality Standards
2005 and implementation directives to ensure that the water supplied by agencies to general
consumers conform to NDWQS and do not have any harmful effects to human health.
Disinfection
Disinfection is method of killing pathogenic organism present in water. If the quality of citysupply is good, citizens need not to disinfect the water. Water is usually boiled in many cities
for disinfection. Water quality can be analyzed by peoples believe on quality of water of city
supply.
Sanitation
Toilet
A toilet is a plumbing fixture primarily intended for the disposal of human excreta. In Nepal
there is less coverage of toilets even in cities. Open defecation is common practice in many
areas which is responsible for serious health hazards, epidemics, several diseases and
environmental contamination. Toilet coverage is important parameter to test good sanitation
behaviour of people. Ideally each house holds should have toilet in their premises.
Sewerage System
Sewerage is a system of sewers and ancillary works to convey sewage from its point of origin
to a treatment plant and/or to other places of disposal. Sewer is a pipeline to convey sewage or
other wastes and does not normally flow full. In absence of sewerage system people have leave
their wastewater in open places that is responsible for serious health hazords, epidemics,
several diseases and environmental contamination. Central sewerage collection should be incities to remove waste water from houses properly. In Nepal most of municipalities also
assocites some rural areas within their boundaries. In rural area as buildings are not close by we
cannot make such a long sewer lines due to cost consideration and economy of people.
Therefore, it also should be taken in consideration.
Sewage disposal
Sewage disposal is the process of disposing of sewage. After conveying the wastewater through
sewers, the next step is its disposal either after treatment or before treatment. The wastewater
treatment reduces the objectionable properties of water carried waste and makes it suitable for
safe disposal in water bodies and environment.
Sewage treatment
After conveying the wastewater through sewers, municipalities should dispose wastewater after
treatment. Wastewater disposal with out treatment pollutes the water bodies (rivers) near the
cities.
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Water Sanitation Index
Water sanitation index have been purposed here to find out status of the city in water sanitation
and comparison between, a numbers of cities or towns throughout the word. Water sanitationindicators are divided into five classes in comparison to Nepalese context. Category A means
best which we want to achieve in healthy cities and category E is worst condition we have in
city regards to that indicator. To find water sanitation index following formula should be used.
Water sanitation index =4IndicatorsofnoTotal
)0EofNo.1DofNo.2CofNo.3BofNo.4Aof(No.
++++
Number of A=4,B=3,C=2,D=1,E=0 will be fixed from detail criteria prescribed in table
bellow. Water Sanitation index have value range 0-1.
Table 1: Indicators for the assessment of water sanitation status at municipal level
Indicator Definition Calculation
methods
Unit Ranking method
Access to
drinkingwater
Access to drinking water
means having water with inthere own house by pipe or
atleast two minute walking
distance.
(Supply agency
HH connection+ HH having
PSP with in 2
min walk) /
Total HH
Percentag
e
100%-A
>80%-B>60%-C
>50%-D
120 lpcd- A
100-120 lpcd -B60-100 lpcd C
30-60 lpcd -D
< 30 lpcd-E
Water
related
diseases
Quality should be such that
which doesnt cause advere
effect on health and reduce
occurrence of water related
diseases
Records of
health facilities
and sample
survey of
patients after
their
consultation
Percentag
e of
patients
having
water
related
diseases
0-5%-A
5-15%-B
15-30%-C
30-50%-D
50%-E
Disinfected
supply to
people
Water quality should be
according to NDWQS.
Household
water quality
test and
interview
(sample)
Percentan
ge
100%-A
>80%-B
>60%-C
>50%-D
80%-B
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records and
sample survey
>60%-C
>50%-D
80%-B
>60%-C>50%-D