The document discusses sanitation problems in India. It notes that open defecation is still a major problem in rural areas, with an estimated 1 in 10 deaths in villages linked to poor sanitation. While urban areas have higher access to sanitation facilities, around 18% of the urban population still defecates in the open and 7% use unimproved toilets. To address these issues, the document recommends providing education to illiterate and poor communities, encouraging cleanliness initiatives, using media to promote behavior change, ensuring government accountability, and supporting entrepreneurs working in the sanitation sector.