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Inequalities in sanitation and drinking water in Latin America and the Caribbean 1 Inequalities in sanitation and drinking water in Latin America and the Caribbean A regional perspective based on data from the WHO/UNICEF Joint Monitoring Programme (JMP) for Water Supply and Sanitation and an inequality analysis using recent national household surveys and censuses WHO / UNICEF Joint Monitoring Programme for Water Supply and Sanitation © UNICEF/UNI131915/Dormino

Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

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Page 1: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

Inequalities in sanitation and drinking water in Latin America and the Caribbean 1

Inequalities in sanitation and drinking water

in Latin America and the Caribbean

A regional perspective based on data from the WHO/UNICEF Joint Monitoring Programme (JMP) for

Water Supply and Sanitation and an inequality analysis using recent national household surveys and censuses

WHO / UNICEF Joint Monitoring Programme for Water Supply and Sanitation

© U

NIC

EF/U

NI1

3191

5/Do

rmin

o

Page 2: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

2 Inequalities in sanitation and drinking water in Latin America and the Caribbean

In Latin America and the Caribbean

83% of the population used an improved sanitation facility in 2015

Yet 18 million still practised open defecation

In Latin America and the Caribbean

95% of the population used an improved drinking water source in 2015

Yet 34 million still used unimproved drinking water sources

Improved sanitation coverage (%)

0-5960-6970-7980-8990-100Missing value

Improved drinking water coverage (%)

0-5960-6970-7980-8990-100Missing value

The

boun

darie

s an

d de

sign

atio

ns u

sed

on th

ese

map

s do

not

im

ply

offic

ial e

ndor

sem

ent o

r acc

epta

nce

by th

e Un

ited

Natio

ns

Page 3: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

Inequalities in sanitation and drinking water in Latin America and the Caribbean 3

Sanitation and water ladders provide a way to show inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation this ranges from the practice of open defecation and unimproved sanitation to the use of an improved

sanitation facility. For drinking water, there are also four levels with the highest level of service being piped water on premises. Definitions and data sources are provided at the end of this snapshot.

36 34 35

50

Open defecation

Unimprovedsanitation

Shared

sanitation

Improvedsanitation

Latin America and the

Caribbean

South America

Central America and

Mexico

Caribbean

Rural sanitation ladders Urban sanitation ladders

8088

6

78

46 1

8189

459561

7887

9

104

390

81 79

1116

5 33 2

1990 2015 1990 2015 1990 2015 1990 2015Latin America

and the Caribbean

South America

Central America and

Mexico

Caribbean1990 2015 1990 2015 1990 2015 1990 2015

Trends in rural and urban sanitation in Latin America and the Caribbean, 1990-2015

64

7

18

1743

12

621

3

21

2044

15

695

10

15

1545

6

62

9

1113

13

28

14

Sanitation and drinking water ladders

In rural Latin America and the Caribbean large increases in improved drinking water coverage have been made since 1990, driven by an expansion of piped water on premises. Whereas coverage of piped water on premises is high in South America (89%), it is considerably lower in rural

Central America and Mexico (27%) and rural Caribbean (38%). The use of unimproved drinking water sources is uncommon in South America but approximately one in five still rely on these sources in Central America and Mexico and the Caribbean.

Coverage of piped water is much

higher in urban areas of LAC, with piped water on premises serving over 9 out of 10 urban dwellers in South America and the Caribbean. The use of unimproved drinking water sources in urban areas is uncommon in all three sub-regions but highest in Central America and Mexico (5%).

Overall in Latin America and the Caribbean, rural improved sanitation coverage increased from 36% to 64% between 1990 and 2015. The biggest increases were in South America and Central America and Mexico. Comparatively few households share sanitation facilities in South America but sharing of an improved facility is

more widespread in the Caribbean and Central America and Mexico, where it is practised by at least 10% of the population.

Urban improved sanitation coverage is higher than in rural areas in all three sub-regions and was close to 90% in South America (89%) and Central America and Mexico (87%). Urban

sanitation was somewhat lower in the Caribbean and declined slightly between 1990 and 2015.

Whereas one in four in rural areas practised open defecation in 1990, this had dropped to just over one in ten by 2015. Open defecation is most common in rural areas of South America and rural Caribbean.

Surfacewater

Unimproved

Other improved

Piped pnpremises

Rural drinking water ladders Urban drinking water ladders

Trends in rural and urban drinking water in Latin America and the Caribbean, 1990-2015

37

68

26

1617

1020

6

7989

149

7 10 1

11

27

48

55

29

1412

4

2938

5043

11 10

10 9

8894

63

5 31 0

97 98

21 200 0

68 72

25 23

6 51 0

8391

127

4 11 1

Latin America and the

Caribbean

South America

Central America and

Mexico

Caribbean1990 2015 1990 2015 1990 2015 1990 2015

Latin America and the

Caribbean

South America

Central America and

Mexico

Caribbean1990 2015 1990 2015 1990 2015 1990 2015

Page 4: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

4 Inequalities in sanitation and drinking water in Latin America and the Caribbean

Number of people practising open defecation in Latin America and the Caribbean in 2015 (thousands)

Proportion of rural population practising open defecation (%), 2015

Use of surface water in Latin America and the Caribbean in 2015

Other countries, 3762

Mexico, 1050

Peru, 1616

Venezuela, 1686(BolivarianRepublic of)

Bolivia, 1888(PlurinationalState of)

Haiti, 2011

Colombia, 2192

Brazil, 4277

Colombia, 2341

Peru, 1165

Ecuador, 930Brazil, 929

Bolivia, 699(PlurinationalState of)

Guatemala, 601

Other countries, 1612

0 10 20 30 40 50

Honduras

Ecuador

Brazil

Colombia

Nicaragua

Suriname

Peru

Venezuela

Haiti

Bolivia

Proportion of rural population using surface water (%), 20150 10 20 30 40 50

Panama

Haiti

Nicaragua

Guatemala

Venezuela

Suriname

El Salvador

Peru

Ecuador

Colombia

Bolivia 20

19

15

15

12

11

9

7

6

6

5

46

35

29

20

18

14

14

13

11

11

Population with no water and sanitation serviceIn Latin America and the Caribbean, many people still do not have any water and sanitation services, relying on the practice of open defecation or using surface waters for drinking. The charts below show how the lack of services is distributed amongst countries in Latin America and the Caribbean.

Open defecation is practised by at least one in ten living in rural areas in ten countries in 2015

In 2015, 8.5 million people used surface water for drinking in Latin America and the Caribbean

At least 5% of the rural population used surface water in 11 countries in 2015

Key facts • In Latin America and the Caribbean in 2015, 18 million people still practised open defecation and 8.5 million

people relied on surface water for drinking.• In seven countries over 1 million people practiced open defecation in 2015, with the largest numbers in Brazil,

Colombia and Haiti.• In six countries over half a million people used surface waters for drinking in 2015, with the largest numbers in

Colombia, Peru and Ecuador.• Open defecation was practised by almost half of the rural population in Bolivia in 2015 and one in five used

surface waters for drinking.

In 2015, 18 million people practised open defecation in Latin America and the Caribbean

Page 5: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

Inequalities in sanitation and drinking water in Latin America and the Caribbean 5

100

80

60

40

20

0

Popu

latio

n us

ing

impr

oved

drin

king

wat

er (%

)

Plurinational State of Bolivia Paraguay Colombia Mexico

84

38

95

80

21

89 88 87

41

47

85

95

76

54

74

56

1995 2012 1995 2012 1995 2012 1995 2012

RICHEST POOREST

Trends in use of improved drinking water in the richest and poorest rural wealth quintiles, 1995–2012

0

10

20

30

40

50

60

70

80

90

100

Impr

oved

sani

tatio

n (%

)

Central and Mexico, 82

South America, 84

Caribbean, 74 Peru, 76Suriname, 79Colombia, 81Guyana, 84Ecuador, 85

Paraguay, 89Venezuela, 94

Argentina, 96Uruguay, 96

Chile, 99

Urban, 85

Rural, 68

Richest urban, 96

Poorest urban, 54

Richest rural, 82

Poorest rural, 37

LAC, 83

Bolivia, 50

Use of improved sanitation by urban wealth quintile (%)

1000 20 40 60 80

POOREST SECOND MIDDLE FOURTH RICHEST POOREST SECOND MIDDLE FOURTH RICHEST

Mexico

Paraguay

Jamaica

Guatemala

Dominican Rep.

Belize

Colombia

Honduras

Peru

Nicaragua

Haiti

Belize

Mexico

Dominican Rep.

Guatemala

Paraguay

Bolivia(Plurinational State of) Jamaica

Peru

Colombia

Honduras

Nicaragua

Haiti

Use of improved drinking water by rural wealth quintile (%)

1000 20 40 60 80

Inequalities by wealthLarge gaps in access to improved sanitation and drinking water exist between rich and poor.

The chart below, called an “equity tree” shows just how much difference

there is between the poorest in rural areas and the richest in urban areas of Colombia.

Below, sanitation and drinking water coverage is shown by wealth quintile

for urban sanitation and rural drinking water. These show that there are large difference in almost all countries with available data.

Improved sanitation coverage was only 37% amongst the poorest in rural areas of Colombia in 2012.

Sanitation and drinking water coverage is considerably lower for the poorest in many countries in Latin America and the Caribbean

The gap between the poorest and richest in rural areas appears to be closing in several countries in LAC

Key facts• There are large gaps in access to improved sanitation and drinking water between rich and poor households

in Latin America and the Caribbean. • Use of improved drinking water amongst the poorest in rural areas is catching up with the richest• Weath quintile trends are available for only 12 countries in the region. Information on access among the

poorest is essential for monitoring progressive realisation of the human rights to water and sanitation and achieving equitable access.

Improved sanitation by country, location and wealth quintile (%)

Page 6: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

6 Inequalities in sanitation and drinking water in Latin America and the Caribbean

0 10 20 30 40 50

Rural and urban

Education

Region

Ethnicity

Literacy

Religion

Language

Disability Census Survey

There is a wealth of nationally representative information on water and sanitation services collected by national statistical agencies in Latin America and the Caribbean. In this snapshot we illustrate the potential to use this information to gain a better understanding of sub-national inequalities in access to these services. Data are drawn from publicly available censuses and household surveys conducted since 2010.

A total of 31 data sources were found, 11 censuses and 20 household surveys. Where possible information on the following stratifiers was extracted:

• Region• Literacy• Education• Ethnicity• Language• Disability• Religion

All national censuses and national household surveys that collect information on water and sanitation can be used to investigate disparities in access. Disaggregation is, however, only possible when censuses and surveys have collected relevant information about the household and its members. In all cases sub-national administrative regions were available and in the majority it was possible to determine the educational level (>95%) and ethnicity (71%) of at least one household member. Information on religion and language were less common and disability was exclusively included in censuses. For religion, this may reflect a lower political priority relative to other stratifiers in some countries. Language was included in comparatively few cases but may be a particularly useful measure of to assess coverage amongst indigenous population.

In this snapshot each equity stratifier is treated independently. More detailed analysis for individual countries is possible and could examine the extent to which inequalities are overlapping or mutually reinforcing. Equally importantly we have focused on equity stratifiers that are considered important at a regional level but participatory approaches could be used to identify country-specific disadvantaged groups for more in-depth analysis of inequalities.

Whilst most censuses and surveys collect information on education and ethnicity fewer ask about literacy, religion, language and disability

Number of national census and household surveys

Other inequalitiesInsights from national censuses and national household surveys

Page 7: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

Inequalities in sanitation and drinking water in Latin America and the Caribbean 7

0

10

20

30

40

50

60

70

80

90

100

89

93

82

93

9799

6467

72

88

92

99

UruguayArgentinaMexicoEcuadorPanamaBrazil

Popu

latio

n us

ing

impr

oved

drin

king

wat

er (%

)

0

10

20

30

40

50

60

70

80

90

100

33

5054

91

84

92

74

90

UruguayEcuadorAgentinaPanama0

5

10

15

20

25

22

3

1

CastellanoGuaraní y CastellanoGuaraní

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

Popu

latio

n us

ing

unim

prov

ed s

anita

tion

in P

arag

uay

(%)

0

10

20

30

40

50

60

70

80

90

100

70

92

79

84

90

33

5054

72

91

UruguayMexicoEcuadorArgentinaPanama

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

NationalIndigenous National

Indigenous

Indigenous

Unimproved sanitationAfrodescendent

0

10

20

30

40

50

60

70

80

90

100

89

93

82

93

9799

6467

72

88

92

99

UruguayArgentinaMexicoEcuadorPanamaBrazil

Popu

latio

n us

ing

impr

oved

drin

king

wat

er (%

)

0

10

20

30

40

50

60

70

80

90

100

33

5054

91

84

92

74

90

UruguayEcuadorAgentinaPanama0

5

10

15

20

25

22

3

1

CastellanoGuaraní y CastellanoGuaraní

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

Popu

latio

n us

ing

unim

prov

ed s

anita

tion

in P

arag

uay

(%)

0

10

20

30

40

50

60

70

80

90

100

70

92

79

84

90

33

5054

72

91

UruguayMexicoEcuadorArgentinaPanama

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

NationalIndigenous National

Indigenous

Indigenous

Unimproved sanitationAfrodescendent

Most censuses and several household surveys ask household members about their ethnic group and in some cases the main languages spoken by household members. These are important characteristics in identifying the most disadvantaged populations. Below we focus primarily on

data from the 2010 round of censuses, comparing coverage between indigenous groups and the national average as well as between indigenous and afrodescendents. An example from Paraguay EHP 2014 also shows that language can be strongly associated with sanitation coverage.

Source: EHP 2014

Ethnicity and language

0

10

20

30

40

50

60

70

80

90

100

89

93

82

93

9799

6467

72

88

92

99

UruguayArgentinaMexicoEcuadorPanamaBrazil

Popu

latio

n us

ing

impr

oved

drin

king

wat

er (%

)

0

10

20

30

40

50

60

70

80

90

100

33

5054

91

84

92

74

90

UruguayEcuadorAgentinaPanama0

5

10

15

20

25

22

3

1

CastellanoGuaraní y CastellanoGuaraní

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

Popu

latio

n us

ing

unim

prov

ed s

anita

tion

in P

arag

uay

(%)

0

10

20

30

40

50

60

70

80

90

100

70

92

79

84

90

33

5054

72

91

UruguayMexicoEcuadorArgentinaPanama

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

NationalIndigenous National

Indigenous

Indigenous

Unimproved sanitationAfrodescendent

0

10

20

30

40

50

60

70

80

90

100

89

93

82

93

9799

6467

72

88

92

99

UruguayArgentinaMexicoEcuadorPanamaBrazil

Popu

latio

n us

ing

impr

oved

drin

king

wat

er (%

)

0

10

20

30

40

50

60

70

80

90

100

33

5054

91

84

92

74

90

UruguayEcuadorAgentinaPanama0

5

10

15

20

25

22

3

1

CastellanoGuaraní y CastellanoGuaraní

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

Popu

latio

n us

ing

unim

prov

ed s

anita

tion

in P

arag

uay

(%)

0

10

20

30

40

50

60

70

80

90

100

70

92

79

84

90

33

5054

72

91

UruguayMexicoEcuadorArgentinaPanama

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

NationalIndigenous National

Indigenous

Indigenous

Unimproved sanitationAfrodescendent

Afrodescendents often have higher improved sanitation coverage than indigenous populations

In Paraguay, speaking only Guarani is strongly associated with use of unimproved sanitation

Improved sanitation and improved drinking water coverage is lower among indigenous people in several countries with data

Page 8: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

8 Inequalities in sanitation and drinking water in Latin America and the Caribbean

Prop

ortio

n of

the

popu

latio

n us

ing

impr

oved

drin

king

wat

er s

ourc

es (%

)

0

20

40

60

80

100

Brazil

Argentin

a

Barbad

osBeli

ze

Bolivia

Chile

Colombia

Costa

RicaCu

ba

Dominican

Republic

Ecuad

or

Guatemala Hait

i

Honduras

Jamaic

a

Mexico

Nicarag

ua

Panam

a

Paragu

ayPeru

Surin

ame

Uruguay

Venez

uela

Regions – drinking waterFor all countries it is possible to investigate coverage by region. In the map and chart below, differences in coverage are shown for regions of Brazil. Whilst piped water on premises was over 80% nationally according to the census

in 2010, coverage was much lower in several regions – especially Rondonia where just over one in three used piped water on premises.

Piped water on premises varies by region in Brazil, with lowest levels in Acre, Amapa, Rondonia and Para

Amazonas, 62

Acre, 45

Rondonia, 37

Roraima, 79 Amapa,

56

Para, 46

Piaui, 71

Maranhao, 64

Tocantins, 78 Bahia,

79

Goias, 79

Minas Gerais, 86

Espirito Santo, 83

Parana, 88

Santa Catarina, 81

Rio De Janeiro, 84Sao Paulo,

95

Rio Grande Do Sul,

85

Ceara, 76

Alagoas, 67

Pernambuco, 75

Sergipe, 82

0-5960-6970-7980-8990-100Missing value

Paraiba, 75

Rio GrandeDo Norte, 85

Mato Grosso, 74

Mato GrossoDo Sul,

83

Brazilia,95

Piped water on premises coverage (%)

Substantial gaps exist in improved drinking water coverage between regions within many countries in LAC

Source: 2010 round of censuses and household surveys

In the chart above each dot represents a region within the country. Regions with similar levels of coverage are shown side by side. We can see from the chart that the number of regions varies between countries making international comparisons challenging – whereas there are 7 regions

in Panama there are 19 in Honduras and 32 in Mexico. Nevertheless, we find dramatic differences in coverage between the regions with the highest coverage and the lowest coverage in almost all countries in Latin America and the Caribbean.

0

10

20

30

40

50

60

70

80

90

100

Surface waterUnimproved

Other ImprovedPiped onto premises

NationalAmapaParáRondoniaAcrePo

pula

tion

by d

rinki

ng w

ater

sou

rce

(%)

The boundaries and designations used on these maps do not imply official endorsement or acceptance by the United Nations

Page 9: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

Inequalities in sanitation and drinking water in Latin America and the Caribbean 9

Regions – sanitationSimilarly, coverage of improved sanitation varies considerably by region. In the map below, differences in coverage are shown for regions in Honduras from the recent national census (2013).

Improved sanitation ranges from 88% in Atlantida and Choluteca to only 30 % in Gracias A Dios, Honduras.

In seven countries there is at least one region where less than half of the population uses an improved sanitation facility

Use of improved sanitation also varies greatly between regions in most countries in Latin America and the Caribbean. In the chart above we find that improved

sanitation coverage is below 50% in at least one region in seven countries. In Haiti and Bolivia coverage of improved sanitation is below 50% in all regions of the country.

Yoro, 80

Olancho, 70

Paraíso, 72

Choluteca, 88

Valle, 62

La Paz, 72

Intibucá, 58Lempira, 59

Ocotepeque, 77

Copán, 75

SantaBarbara, 75

Comayagua, 85

FranciscoMorazán, 77

Atlántida, 88

Islas de Bahía, 83

Cortes, 74Colón, 63

Gracias a Dios, 30

0-2425-4950-7475-100Missing value

Improved sanitation coverage (%)

020

4060

8010

0

Prop

ortio

n of

the

popu

latio

n us

ing

impr

oved

san

itatio

n fa

cilit

ies

(%)

Argentin

a

Barbad

osBeli

ze

Bolivia

Chile

Colombia

Costa

RicaCu

ba

Dominican

Republic

Ecuad

or

Guatemala Hait

i

Honduras

Jamaic

a

Mexico

Nicarag

ua

Panam

a

Paragu

ayPeru

Surin

ame

Uruguay

Venez

uela

Source: 2010 round of censuses and household surveys

The boundaries and designations used on these maps do not imply official endorsement or acceptance by the United Nations

Page 10: Inequalities in sanitation and drinking water€¦ · inequalities in the level of service used by households and trends in coverage across these service levels over time. For sanitation

10 Inequalities in sanitation and drinking water in Latin America and the Caribbean

Literacy and educationLiterate and more educated households often have greater access to services and may also be more aware of the benefits of higher levels of water and sanitation services. They can be more empowered and have greater political voice to demand access to services as one of their basic

rights. The charts below show differences in the practice of open defecation by literacy and the gap in coverage between the national level and households where the household head has no formal education.

Where a household head has no formal education improved drinking water and sanitation coverage can be much lower than the national average

Difference in improved sanitation coverage among educated household heads (% pt.)

Difference in improved drinking water coverage among educated household heads (% pt.)

Illiteracy is associated with lower coverage of improved sanitation and piped water on premises in several countries in Latin America and the Caribbean

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

LiterateIlliterate

0

10

20

30

40

50

60

70

80

90

100

35

74 75

8185

9390

97

23

40

60

66

72

91 93 94

CostaRica

UruguayArgentinaMexicoEcuadorDominicanRepublic

PanamaBolivia

Popu

latio

n us

ing

pipe

d w

ater

on

prem

ises

(%)

LiterateIlliterate

0

10

20

30

40

50

60

70

80

90

100

69

81

71

83

95 94

6165 65 66

87 88

Costa RicaArgentinaBrazilBoliviaEcuadorDominicanRepublic

Popu

latio

n us

ing

impr

oved

san

itatio

n (%

)

LiterateIlliterate

0

10

20

30

40

50

60

70

80

90

100

35

74 75

8185

9390

97

23

40

60

66

72

91 93 94

CostaRica

UruguayArgentinaMexicoEcuadorDominicanRepublic

PanamaBolivia

Popu

latio

n us

ing

pipe

d w

ater

on

prem

ises

(%)

LiterateIlliterate

0

10

20

30

40

50

60

70

80

90

100

69

81

71

83

95 94

6165 65 66

87 88

Costa RicaArgentinaBrazilBoliviaEcuadorDominicanRepublic

0 10 20 30 40 50

0

3

8

9

11

13

14

15

19

33

34Panama MICS 2013

Suriname MICS 2010

Peru DHS 2012

Dominican RepublicDHS 2011-2012

Nicaragua ENDESA 2011

Colombia DHS 2010

Honduras DHS 2011-2012

Argentina MICS 2011-2012

Belize MICS 2011

Costa Rica MICS 2011

Chile CASEN 2013

0 10 20 30 40 50

0

0

1

0

9

11

12

2

7

15

23Panama MICS 2013

Suriname MICS 2010

Peru DHS 2012

Dominican RepublicDHS 2011-2012

Nicaragua ENDESA 2011

Colombia DHS 2010

Honduras DHS 2011-2012

Argentina MICS 2011-2012

Belize MICS 2011

Costa Rica MICS 2011

Chile CASEN 2013

0 10 20 30 40 50

0

3

8

9

11

13

14

15

19

33

34Panama MICS 2013

Suriname MICS 2010

Peru DHS 2012

Dominican RepublicDHS 2011-2012

Nicaragua ENDESA 2011

Colombia DHS 2010

Honduras DHS 2011-2012

Argentina MICS 2011-2012

Belize MICS 2011

Costa Rica MICS 2011

Chile CASEN 2013

0 10 20 30 40 50

0

0

1

0

9

11

12

2

7

15

23Panama MICS 2013

Suriname MICS 2010

Peru DHS 2012

Dominican RepublicDHS 2011-2012

Nicaragua ENDESA 2011

Colombia DHS 2010

Honduras DHS 2011-2012

Argentina MICS 2011-2012

Belize MICS 2011

Costa Rica MICS 2011

Chile CASEN 2013

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Inequalities in sanitation and drinking water in Latin America and the Caribbean 11

ReligionReligion of a household head may be a barrier to accessing services in some countries. It is also possible that particular religions are associated with where households live (rural vs urban), their education level and ethnicity. The MICS

survey in Suriname illustrates how big differences can be. Sanitation coverage is much lower for households that practise a “traditional religion”.

Source: MICS 2013

In households with a disabled person, water and sanitation coverage appears to be similar to the national average as shown in the table below. The surveys and censuses, however, do not collect information on specific challenges faced by disabled people and the definitions of disability vary considerably between countries.

Definitions

Improved drinking water. An improved drinking water source is one that, by the nature of its construction, adequately protects the source from outside contamination, particularly faecal matter. Improved sources include: Piped household water connection located inside the user’s dwelling, plot or yard, public taps or standpipes, tube wells or boreholes, protected dug wells, protected springs, rainwater collection. Bottled water is considered ‘improved’ when the household uses an improved source for cooking and personal hygiene. The definition of Improved drinking water does not capture accessibility, availability and quality of the service; the Sustainable Development Goal indicator “safely managed drinking water” will consider all of these elements.

Improved sanitation. An improved sanitation facility is one that hygienically separates human excreta from human contact. Improved sanitation facilities include: Flush/pour flush to piped sewer system, septic tank or pit latrine, ventilated improved pit (VIP) latrine, pit latrine with slab or composting toilet. Only facilities that are not shared or not public are considered improved. The definition of Improved sanitation does not address the management of the sanitation chain which is a priority for the Sustainable Development Goal indicator “safely managed sanitation”.

DataThis snapshot is drawn from the WHO/UNICEF Joint Monitoring Program for Water Supply and Sanitation (JMP) 2015 Update and further analysis of household survey and census data (2010-2015) in Latin America and the Caribbean. The JMP exclusively based the estimates for Latin America and the Caribbean on nationally representative data from National Statistics Offices, such as household surveys and national censuses.

For more data and information on the JMP and monitoring of water and sanitation and hygiene (WASH) during the Sustainable Development Goal period visit: www.wssinfo.org

Practising a traditional religion is associated with lower sanitation coverage in Suriname

Country Indicator Disabled NationalCosta Rica(any disability)

Improved waterImproved sanitation

9597

9597

Ecuador(“permanent” disability)

Improved waterImproved sanitation

8177

8379

Mexico(physical or mental)

Improved waterImproved sanitation

9382

9384

Panama(any disability in list)

Improved waterImproved sanitation

9269

9370

Disability

Open defecation

Unimproved sanitation

Shared sanitation

Improved sanitation

Prop

ortio

n of

the

popu

latio

n by

sani

tatio

n fa

cilit

y (%

)

0

10

20

30

40

50

60

70

80

90

100

Traditional religionNo religionOther religionChristianityIslamHinduism

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12 Inequalities in sanitation and drinking water in Latin America and the Caribbean

A woman from the indigenous Rama community carries buckets filled with water that she just fetched from an underground well, on the island of Rama Cay, in the eastern coastal Bluefields Lagoon, in South Atlantic Autonomous Region, Nicaragua. The well’s water, which is not safe for drinking, is only used for household purposes such as washing clothes or cleaning. © UNICEF/UNI131919/Dormino

JMP website: www.wssinfo.org