Health> Vol.5 No.4, April 2013

Financing of sanitation services in the slums of Kampala and Dar es Salaam

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ABSTRACT

This paper presents an assessment of the extent and conditions under which private financing can be a realistic approach for sanitation in slums. It is based on a cross-sectional study comparing two slum communities in East Africa, where 250 households from Bwaise III in Kampala, Uganda and 379 households from Temeke in Dar es Salaam, Tanzania were interviewed in 2010. Also, 10 key-informant interviews and 8 focus group discussions were conducted in addition to field observations. Findings show that majority (85%) of households used unimproved, private-shared pit latrines. These privately owned latrines had many structural shortfalls besides poor operation and maintenance while the public latrines provided by third-party were structurally sound but were under-utilized in residential slum neighorhoods. This is attributed to the presence free or at least cheaper alternatives which the community members preferred instead of paying per-visit user-fees. For the few who were willing to pay, willingness to pay was positively associated with the presence of a facility User committee and having been sensitized. In this context, a combination of these factors made cost recovery as well as operation and maintenance very minimal. The poor status of privately owned shared pit latrines matched the limited income levels of households. Similarly, cost recovery for public facilities was dependent on the number of users who were willing to pay: the more the users, the more the cost recovery. A combination of private and public financing is thus necessary to fund different but complementary aspects of sanitation in slums.

Cite this paper

Isunju, J. , Etajak, S. , Mwalwega, B. , Kimwaga, R. , Atekyereza, P. , Bazeyo, W. and Ssempebwa, J. (2013) Financing of sanitation services in the slums of Kampala and Dar es Salaam. Health, 5, 783-791. doi: 10.4236/health.2013.54104.

References

[1] Kulabako, N.R., Nalubega, M. and Thunvik, R. (2007) Study of the impact of land use and hydrogeological
settings on the shallow groundwater quality in a peri-urban area of Kampala, Uganda. Science of the
Total Environment, 381, 180-199. doi:10.1016/j.scitotenv.2007.03.035
[2] Mbuligwe, S.E. and Kaseva, M.E. (2005) Pollution and self-cleansing of an urban river in a developing
country: A case study in Dar es Salaam, Tanzania. Environment Manage, 36, 328-342.
[3] United Nations (2005) The Millennium Development Goals Report. United Nations, New York
[4] Van Minh, H. and Nguyen-Viet, H. (2011) Economic aspects of sanitation in developing countries.
Environmental Health Insights, 5, 63-70.
[5] WHO/UNICEF (2006) Core questions on drinking-water and sanitation for household surveys. WHO, New
York.
[6] Toubkiss, J. (2010) Meeting the sanitation challenge in sub-Saharan cities: Lessons learnt from a financial
perspective. In: van Vliet, B., Spaargaren, G. and Oosterveer, P., Eds., Social Perspectives on the Sanita
tion Challenge, Springer.
Netherlands, 163-176. doi:10.1007/978-90-481-3721-3_10
[7] Isunju, J.B., Schwartz, K., Schouten, M.A., Johnson, W.P., and van Dijk, M.P. (2011) Socio-economic
aspects of improved sanitation in slums: A review. Public Health, 125, 368-376. doi:10.1016/j.puhe.2011.
03.008
[8] Mehta, M. and Knapp, A. (2004) The challenge of financing sanitation for meeting the millennium
development goals. In: Low, M., Ed., WSP-Africa, World Bank, Nairobi.
[9] Cairncross, S. (2004) The case for marketing sanitation. In Field Note, Sanitation and Hygiene
Series, Water and Sanitation Program-Africa, The World Bank, Nairobi.
[10] Water Aid (2011) Sanitation and water for poor urban communities: A manifesto. Water Aid. http://www.
wateraid.org/publications
[11] Castro, J. (2010) Private-sector participation in water and sanitation services: The answer to public
sector failures? In: Ringler, C., Biswas, A.K. and Cline, S., Eds., Global Change: Impacts on Water
and food Security, Springer, Berlin, 169-193. doi:10.1007/978-3-642-04615-5_9
[12] Mara, D., Lane, J., Scott, B. and Trouba, D. (2010) Sanitation and health. PLoS Medicine, 7, 1-7. doi:10.13
71/journal.pmed.1000363
[13] Mason, N., Tucker, J., Kingombe, C. and Kooy, M. (2011) Progress-linked finance: A study of the feasibility
and practicality of a proposed WASH financing approach. Water & Sanitation for the Urban Poor
(WSUP) and the Overseas Development Institute (ODI), London, 55.
[14] Trémolet, S., Kolsky, P. and Perez, E. (2010) Financing on-site sanitation for the poor. In: A Six Country
Comparative Review and Analysis, Water and Sanitation Program, World Bank, Nairobi.
[15] Thye, Y.P., Templeton, M.R. and Ali, M. (2011) A critical review of technologies for pit latrine emptying
in developing countries. Critical Reviews in Environmental Science and
Technology, 41, 1793-1819. doi:10.1080/10643389.2010.481593
[16] Wambui, E., Kimani-Murage and Ngindu, A.M. (2007) Quality of water the slum dwellers use: The case of
a Kenyan Slum. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 84.
[17] Sijbesma, C. (2011) Sanitation financing models for the urban poor (thematic overview paper 25). IRC
International Water and Sanitation Centre, The Hague.
[18] Fonseca, C., Franceys, R., Batchelor, C., McIntyre, P., Klutse, A., Komives, K., Moriarty, P., Naafs, A., Nyarko,
K., Pezon, C., Potter, A., Reddy, R. and Snehalatha, M. (2010) Lifecycle costs approach: Glossary and cost components briefing note 1. IRC International Water and Sanitation Centre, The Hague.
[19] McGranahan, G. (2002) Demand-side water strategies and the urban poor. IIED, London.
[20] Solo, T.M. (1999) Small-scale entrepreneurs in the urban water and sanitation market. Environment and
Urbanization, 11, 117-131. doi:10.1177/095624789901100120
[21] Foster, V. and Briceño-Garmendia, C. (2010) Africa’s infrastructure: A time for transformation. World Bank,
Washington DC.
[22] Parkinson, J., Tayler, K., Colin, J. and Nema, A. (2008) A guide to decisionmaking: Technology options for
urban sanitation in India. Water and Sanitation Program-South Asia, World Bank, New Delhi.
[23] Morella, E., Foster, V. and Banerjee, S.G. (2008) Climbing the ladder: The state of sanitation in sub-
Saharan Africa. The World Bank, Washington DC.
[24] Sijbesma, C., Diaz, C., Fonseca, C. and Pezon, C. (2008) Financing sanitation in poor urban areas. IRC
Symposium: Sanitation for the Urban Poor Partnerships and Governance, IRC, Delft.
[25] Günther, I., Horst, A., Lüthi, C., Mosler, H.J., Niwagaba, B.C. and Tumwebaze, K.I. (2011) Where do
Kampala’s poor “go”? An overview of urban sanitation conditions in Kampala’s informal settlement areas. In: Policy Brief NCCR-
SPLASH, Zürich/Dübendorf, ETH, Zürich.
[26] Pickford, J. and Shaw, R. (1997) Technical brief no. 54: Emptying latrine pits. Waterlines, 16,
15-18. doi:10.3362/0262-8104.1997.044
[27] Schouten, M.A.C. and Mathenge, R.W. (2010) Communal sanitation alternatives for slums: A case study
of Kibera, Kenya. Physics and Chemistry of the Earth, Parts A/ B/C, 35, 815-822. doi:10.1016/j.pce.2010.07.002
[28] Kulabako, N.R., Nalubega, M., Wozei, E. and Thunvik, R. (2010) Environmental health practices,
constraints and possible interventions in Peri-urban Settlements: A review of Kampala, Uganda. International Journal of
Environmental Health Research, 20, 231-257. doi:10.1080/09603120903545745
[29] Eales, K. and Schaub-Jones, D. (2005) Sanitation partnerships: Landlord or tenant? In: Schaub-Jones,
D., Ed., The Importance of Rental Relationships to Poor Community Sanitation in 3 African Countries, BPD Sanitation Series, London.
[30] Wageindicator (2010) Minimum wages in Tanzania. WageIndicator Foundation. University of Amsterdam
-AIAS. http://www.wageindicator.org/main/minimum-wages/tanzania
[31] Foxon, K., Buckley, C., Brouckaert, C. and Bakare, B. (2011) How fast do pits and septic tanks fill up?
Implications for design and maintenance. Pollution Research Group, UKZN, Durban. http://www.afrisan.
org/Pages/Preview.aspx?ItemID=98&FromURL=%2fPages%2fDisplayItem.aspx%3fItemID%3d98%26FromURL%3d%252fPages%
252fDocuments.aspx%253f
[32] Harvey, P.A. (2007) Excreta disposal in emergencies: A field manual. Loughborough University Water
Engineering and Development Centre, Loughborough.
[33] Hanchett, S., Akhter, S., Khan, M.H., Mezulianik, S. and Blagborough, V. (2003) Water, sanitation and
hygiene in Bangladeshi slums: An evaluation of the WaterAid-Bangladesh urban programme. Environment and
Urbanization, 15, 43-55. doi:10.1177/095624780301500219
[34] Mara, D. (1996) Low-cost urban sanitation. Wiley, Chichester.
[35] Eales, K. (2005) Sanitation partnership series: Bringing pit emptying out of the darkness: A comparison
of approaches in Durban, South Africa, and Kibera, Kenya. BPD Sanitation Series, London. http://www.bpdws.org/web/d/doc_131.
pdf?statsHandlerDone=
[36] Jewitt, S. (2011) Geographies of shit: Spatial and temporal variations in attitudes towards human waste
. Progress in Human Geography, 35, 608. doi:10.1177/0309132510394704
[37] MWE (2011) Water and sanitation sector district implementation manual. Ministry of Water
and Environment, Kampala.
[38] Mudege, N. and Zulu, E. (2011) In their own words: Assessment of satisfaction with residential location
among migrants in Nairobi slums. Journal of Urban Health, 88, 219-234. doi:10.1007/s11524-010-9467-z
[39] Zulu, E., Beguy, D., Ezeh, A., Bocquier, P., Madise, N., Cleland, J. and Falkingham, J. (2011) Overview of
migration, poverty and health dynamics in Nairobi City’s slum settlements. Journal of Urban Health, 88, 185-199. doi:10.1007/s11
524-011-9595-0
[40] Nyametso, J. (2011) Resettlement of slum dwellers, land tenure security and improved housing, living and
environmental conditions at Madina Estate, Accra, Ghana. Urban Forum, 23, 343-365.
[41] Braun, B. and A?heuer, T. (2011) Floods in megacity environments: Vulnerability and coping strategies of slum dwellers in Dhaka/Bangladesh. Natural Hazards, 58, 771- 787. doi:10.1007/s11069-011-9752-5
[42] Osumanu, I. (2007) Environmental concerns of poor households in low-income cities: The case of theß Tamale Metropolis, Ghana. GeoJournal, 68, 343-355. doi:10.1007/s10708-007-9088-6

  
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