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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

    mailto:[email protected]:[email protected]:[email protected]
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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