Every year, diarrhoea kills more children in developing countries than AIDS, malaria and measles combined. Sanitation subsidies are a common tool used to motivate households to construct toilets. This seems an obvious response: many who lack access to sanitation are extremely poor and the potential public health benefits of universal access to safe sanitation are immense. But what is a subsidy? All programmes have some form of subsidy – so the question is HOW to use them effectively.
On the 11th of September, IRC debated the pros and cons of sanitation subsidies. The debate started with these short presentations for and against sanitation subsidies. After that, discussions shifted towards a common definition of a subsidy and improvements to ensure subsidies contribute to sustainable services.
For a summary of the discussions go to: http://www.source.irc.nl/page/74287
2. Subsidies for sanitation?
Chair – Catarina Fonseca
Rational and Pro position – Marielle Snel
Against position – Kristof Boestoen
2 IRC debate – – sustainability clause – Aug 2012
IRC debate Subsidies for sanitation?- Sep 2012
3. Subsidies for sanitation?
YES!
3 IRC debate – – sustainability clause – Aug 2012
IRC debate Subsidies for sanitation?- Sep 2012
4. What is subsidy?
1) Monetary assistance by a government to a
person or group for an enterprise or good in
the public interest.
2) Financial assistance given by one person or
government to another
Subsidy can be direct or indirect
4 IRC debate - Subsidies for sanitation? - Sep 2012
5. Why subsidy for sanitation?
5 IRC debate - Subsidies for sanitation? - Sep 2012
6. WHY?
First : to give access to excluded:
• Ultra-poor: no money
• Elderly without caring relative : no
labour, no money to hire it
• Chronically sick, people living with
HIV/AIDS: Medical expenditures!
• Disabled people: if adjusted toilet
beyond their means
6 IRC debate - Subsidies for sanitation? - Sep 2012
7. OTHER REASONS:
• Pro-poor markets: Strengthen local business/banks to
serve poor
• Compensate costs of national standard: sanitation
service levels set by national sanitation policies are not
affordable to the poor
• Increase basic services
• High benefits: health, economics, social
7 IRC debate - Subsidies for sanitation? - Sep 2012
8. Why Subsidy for Sanitation?
Sanitation is a human right!
Human right to sanitation
Obligations Principles Criteria:
• Respect • Non- • Safe
• Protect discrimination •
• Full-fill and equality Physically
• Meaningful accessible
participation •
• Accountability Affordable
& • Culturally
transparency sensitive
8 IRC debate - Subsidies for sanitation? - Sep 2012
9. Subsidy for sanitation: YES !
If:
• Subsidy serves public interest
• Subsidy is only for lowest acceptable
level of service
• Subsidy is ‘smart’
• Subsidy is strategic
9 IRC debate - Subsidies for sanitation? - Sep 2012
11. Total Sanitation Campaign
People targeted are below the povrty line
Budget allocation US$ 3,888 million
Budget allocation hardware subsidy : 88%
Budget allocation software : 12 %
Source: A decade of TSC. A rapid
assessment. WSP 2010
11 IRC debate - Subsidies for sanitation? - Sep 2012
13. India (Bihar) Bangladesh
Subsidy approximately INR Subsidy approximately
3,900 (Euro 55) Thaka 1,500 (Euro 15)
13 IRC debate - Subsidies for sanitation? - Sep 2012
14. Conclusions
• Health requires general coverage;
• Any subsidy distorts the market;
resulting in inappropriate design and cost
• Lack of financial suitability
progress last as long as the subsidy
• Current mechanism fail often to target the poor
• Often create expectation which can not be fulfilled
• suppress demand
• Subsidies for construction distort the market
• Subsidies to the poor link some technologies with the poor stigmatizing
technology
14 IRC debate - Subsidies for sanitation? - Sep 2012
15. This was:
“an Obituary for
sanitation subsidies”
15 IRC debate - Subsidies for sanitation? - Sep 2012
Editor's Notes
(e.g. as money or materials for a toilet) or indirect, e.g. as a voucher for free materials from a defined or free to choiseenterpreneur,(type 2): to a program after it has supported the target groups to complete the latrine (ODA or ooutput based aid
Benefits: beter health, lower health costs to gvt and people, fewer workdays lost, higher economic returns, social benefits for women and girls, gender and social equity
: they help to maximize public health benefits, protect the environment, and/or increase access by groups who are persistently excluded- especially for the very poor- but also avoiding distortions to the market thereby leaving room for households to make incremental improvements over timeSmart: if direct, given to the needed only, with public transparency and accountability, e.g. : selected on the basis of clear criteria, with local participation and public ‘display’ with possibility of error evidence ( ‘should not be in’/’is missing)Strategic: not for HHs, but used to show enterprises that the poor are a market and train them on low-cost toilet models and suitable financing strategies for poor HHs