National Systems to Support Drinking-Water, Sanitation and Hygiene: Global Status Report 2019

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National Systems to Support Drinking-Water, Sanitation and Hygiene: Global Status Report 2019 NATIONAL SYSTEMS TO SUPPORT DRINKING-WATER, SANITATION AND HYGIENE: GLOBAL STATUS REPORT 2019 UN-WATER GLOBAL ANALYSIS AND ASSESSMENT OF SANITATION AND DRINKING-WATER GLAAS 2019 REPORT NATIONAL SYSTEMS TO SUPPORT DRINKING-WATER, SANITATION AND HYGIENE: GLOBAL STATUS REPORT 2019 UN-WATER GLOBAL ANALYSIS AND ASSESSMENT OF SANITATION AND DRINKING-WATER GLAAS 2019 REPORT National systems to support drinking-water, sanitation and hygiene: global status report 2019. UN-Water global analysis and assessment of sanitation and drinking-water (GLAAS) 2019 report ISBN 978-92-4-151629-7 © World Health Organization 2019 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/ licenses/by-nc-sa/3.0/igo). 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National systems to support drinking-water, sanitation and hygiene: global status report 2019. UN-Water global analysis and assessment of sanitation and drinking- water (GLAAS) 2019 report. Geneva: World Health Organization; 2019. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing, see http:// www.who.int/about/licensing. Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user. General disclaimers. 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Design and layout by L’IV Com Sàrl GLAAS visual identifier design by Ledgard Jepson Ltd Edited by Caren Brown Printed in Luxembourg CONTENTS Foreword ................................................................................. vii Acknowledgements ........................................................................ viii Acronyms and abbreviations ..................................................................ix Main findings ............................................................................. xii GLAAS summary tables of key indicators ........................................................ xiv Context of the GLAAS 2019 report .............................................................. 1 Chapter 1 – To what extent do governments support policies and plans for WASH service delivery under the SDGs? ............................................................................ 5 1.1 To what extent do governments address drinking-water and sanitation in national development plans? ......... 5 1.2 To what extent have governments established national policies and implementation plans for WASH? .......... 6 1.3 To what extent are policies supported by plans with sufficient financial and human resources? ................ 7 1.4 How are governments developing or revising national policies and plans for WASH? ....................... 9 Chapter 2 – How are countries addressing safely managed services and other new elements of the SDGs in national WASH targets? ..................................................................... 12 2.1 How are governments setting national WASH targets? ............................................ 12 2.2 What targets have countries set for drinking-water, sanitation and hygiene under the SDGs? ................. 13 2.3 How often are governments monitoring national WASH targets and what progress is needed to achieve them? ... 18 Highlight on WASH in health care facilities ....................................................... 22 Chapter 3 – Are there adequate financial resources and systems for WASH? ............................ 25 3.1 Are there adequate financial resources for WASH? ............................................... 25 3.2 Are there systems in place to track financial flows for WASH? ....................................... 27 3.3 Are governments increasing the availability of funds for WASH? ..................................... 31 3.4 What are the main sources of financing for WASH? ............................................... 35 Chapter 4 – Do countries have systems in place for regulation and surveillance of WASH services? .......... 40 4.1 Are systems in place for drinking-water regulation and surveillance? .................................. 40 4.2 Are systems in place for sanitation regulation and surveillance, including wastewater treatment and FSM? ...... 43 4.3 Are tariff reviews being conducted? ......................................................... 44 Highlight on faecal sludge management ........................................................ 45 Chapter 5 – What actions are governments and development partners taking to leave no one behind? ...... 48 5.1 Have governments recognized the human rights to water and sanitation? ............................. 48 5.2 Do measures exist to reach vulnerable populations and are they being implemented? ..................... 49 5.3 How are governments working to eliminate open defecation? ...................................... 54 5.4 How are governments addressing the affordability of WASH services? ................................. 55 UN-WATER GLOBAL ANALYSIS AND ASSESSMENT OF SANITATION AND DRINKING-WATER • GLAAS 2019 REPORT AND DRINKING-WATER OF SANITATION AND ASSESSMENT ANALYSIS GLOBAL UN-WATER iii Chapter 6 – How are ESAs supporting WASH systems? ............................................. 58 6.1 How have global aid priorities changed to help countries close financial gaps for water and sanitation? ........ 59 6.2 Have the strategies of ESAs been adjusted to align with the ambitions of the SDGs? ....................... 60 6.3 How have aid commitments and disbursements changed to help achieve the aims of universal access and higher levels of service? ................................................................. 63 6.4 Is development assistance being used to strengthen country systems? ................................ 66 6.5 How are ESAs working to better utilize and/or increase financing for WASH? ............................ 67 Annexes .................................................................................. 69 Annex 1. GLAAS glossary ...................................................................... 69 Annex 2. Methodology and validation ............................................................. 73 Annex 3. Benefits of the GLAAS process and country use of GLAAS data ..................................... 76 Annex 4. About the WHO sanitation policy case studies ................................................ 77 Annex 5. TrackFin status update: tracking financing to WASH ............................................. 79 Annex 6. SDG 6 means of implementation: monitoring and progress ....................................... 81 Annex 7. Summary of responses to GLAAS 2018/2019 country survey ...................................... 84 Annex 8. Summary of responses to GLAAS 2018/2019 ESA survey ........................................ 114 Annex 9. Contributors ........................................................................ 116 Figures Figure 1.1: Number of countries reporting formally approved sanitation policies supported by resourced plans .......... 7 Figure 1.2: Number of countries
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