A majority, 70%, of people in sub-Saharan Africa still don’t
have access to toilets, African governments fail to prioritise sanitation,
causing their citizens to defecate in the open or use a bucket or rudimentary
pit latrine which leaks its contents, meaning people have no way to prevent
faeces from contaminating their environment. In Tanzania, for instance, the
current sanitation investment is less than 0.1% of the GDP!
This is a one-way street to illness – one gram of faeces
carries up to 1 million bacteria and 10 million viruses. This means that the
cost of hospital beds held by people suffering from preventable illnesses is
also holding back a country’s workforce and its economic development. The
annual global economic losses due to sanitation deficiencies are estimated to
be $260 billion.
Nigeria for example is a middle-income economy, but has
lagged in financing its sanitation infrastructure. One way to change this would
be to mobilise domestic resources, including through taxes and tariffs, and
effectively targeting those who most need the facilities.
Instead, the number of Nigerian households with access to
sanitation has actually slipped by 9% since 1990 and some 71% of Nigeria’s
people do not have access to basic and safe toilets. This takes a heavy toll:
an estimated 11 children in every 1,000 die of diarrhoea-related illnesses each
year, and 58 out of 100,000 births result in the mother dying of sepsis.
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