Global program for the sustainable realisation of the human rights to water and sanitation through the innovative combination of a rights-based and WASH system approach in India, Nepal and Uganda.

Malteser International, in its capacity of relief and development organization of the Sovereign Order of Malta

#SDGAction50363

Description

The Global WASH program was launched on June 1, 2022, with funding from the Federal Ministry for Economic Cooperation and Development (BMZ) of Germany. The program is implemented with the support of four local partners in India, Nepal, and Uganda, and with the backing of two members from the German WASH network. In India, the program is being implemented by UNNATI in Jodhpur Municipality, Rajasthan; in Nepal, RSDC intervenes in the Sarlahi and Mahottari Districts; and in Uganda, Cafomi and Viva con Agua Uganda work in Ntoroko and Bundibugyo Districts. Many people still don't have access to basic services. This is due to systemic challenges, a lack of action on putting the human rights to water and sanitation into practice, as well as a lack of personal and financial resources, and the fact that the rights holders are not the main focus. To address this, various approaches are being implemented globally, including Making Rights Real (MRR) and WASH Systems Strengthening. MRR aims to motivate leaders in local government to make more meaningful progress, using human rights principles. But broader improvements in the WASH system are also necessary. WASH Systems Strengthening analyzes existing gaps and develops roadmaps for improvement. However, for a better understanding of where improvements are needed, decision-makers need to take action. With years of experience in the WASH sector, Malteser International, WASH United, and GTO have developed a program concept of a new methodology that combines both MRR and WASH Systems Strengthening. An external feasibility study showed the potential, feasibility, and scalability of the programme, which was then developed by all partners through a collaborative and iterative process on virtual multi-stakeholder platforms.

Expected Impact

2.2 billion people worldwide lack access to clean drinking water and 4.2 billion people lack access to safe sanitation, as aimed by SDG 6. Efforts to improve these services have been ongoing, but the challenge is mainly due to persistent inequalities, and lack of sustainability and functionality of services. The conscious use of the human rights to water and sanitation can change this. The international community used to provide infrastructure support to countries, but this has proven unsustainable. The current trend is to help governments improve their capacity to provide sustainable services, but this often requires overcoming financial and capacity gaps, as well as involving rights holders in decision-making. In India, the project supports 26 Urban Local Bodies (ULBs) in Jodhpur, Rajasthan, to improve WASH services for the under-served population in informal settlements. It will also seek to improve the working situation and social security of a very vulnerable and excluded group of rag (waste) pickers and sewerage ‘manhole’ workers in the service delivery chain who many a times face gross human rights violations. India has a long history of policy making on water and sanitation and the ULBs are responsible for the planning, implementation and delivery of services. The project hopes to help bridge the gap between policy and implementation. In Nepal, the project aims to support two rural municipalities namely, Dhankaul of Sarlahi District and Samsi of Mahottari District and two municipalities namely Balara of Sarlahi District and Manara Siswa of Mahottari district to improve WASH systems, mostly by planning and preparation of the Nepal WASH Development plan. The project strengthens the capacity of the Local Government stakeholders on realizing the human rights to WASH services and bridge the gap in planning and implementation of WASH activities. Likewise, the project also assists the local government to develop policies related to participatory accountability and establish a feedback mechanism. In Uganda, District WASH Plans that integrate human rights are developed to understand the WASH services gaps, budgets, and institutional capacities needed for sustainable access to WASH services for all. Communities in the two pilot districts are activated and understand and demand their rights to water and sanitation services. Overall aim of the program in Uganda is supporting strengthened WASH systems to deliver sustainable WASH services for all in the two pilot districts. Best practices, lessons learned, and case studies are documented by local partners, MI, GTO, and WASH United, and co-authored by government representatives at various levels from India, Nepal, and Uganda. GTO, WASH United, and MI will leverage their strong relationships with partners around the world and facilitate the sharing of findings at international WASH forums to inspire and motivate other countries to adopt the approach to improving water and sanitation as a human right for all. The results of this research will form the basis for further promoting and scaling up initiatives aimed at inspiring a broader global network to realize human rights through strengthened WASH systems in other countries.

Partners

UNNATI India, RSDC Nepal, Cafomi and Viva con Agua Uganda, German Toilet Organization, WASH United, Institute for Sustainable Futures

Additional information

https://www.malteser-international.org/en/current-issues/our-response/water-and-hygiene.html

SDGS & Targets

Goal 3

Ensure healthy lives and promote well-being for all at all ages

3.1

By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births

3.1.1

Maternal mortality ratio

3.1.2

Proportion of births attended by skilled health personnel

3.2

By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births

3.2.1

Under-five mortality rate

3.2.2

Neonatal mortality rate

3.3

By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

3.3.1

Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations

3.3.2

Tuberculosis incidence per 100,000 population

3.3.3

Malaria incidence per 1,000 population

3.3.4

Hepatitis B incidence per 100,000 population

3.3.5

Number of people requiring interventions against neglected tropical diseases

3.4

By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being

3.4.1

Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease

3.4.2

Suicide mortality rate

3.5

Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

3.5.1

Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders

3.5.2

Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol

3.6

By 2020, halve the number of global deaths and injuries from road traffic accidents

3.6.1

Death rate due to road traffic injuries

3.7

By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes

3.7.1

Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods

3.7.2

Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group

3.8

Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

3.8.1

Coverage of essential health services

3.8.2

Proportion of population with large household expenditures on health as a share of total household expenditure or income

3.9

By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination

3.9.1

Mortality rate attributed to household and ambient air pollution

3.9.2

Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)

3.9.3

Mortality rate attributed to unintentional poisoning

3.a

Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate

3.a.1

Age-standardized prevalence of current tobacco use among persons aged 15 years and older

3.b

Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all

3.b.1

Proportion of the target population covered by all vaccines included in their national programme

3.b.2

Total net official development assistance to medical research and basic health sectors

3.b.3

Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis

3.c

Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States

3.c.1

Health worker density and distribution

3.d

Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

3.d.1

International Health Regulations (IHR) capacity and health emergency preparedness

3.d.2

Percentage of bloodstream infections due to selected antimicrobial-resistant organisms

Goal 5

Achieve gender equality and empower all women and girls

5.1

End all forms of discrimination against all women and girls everywhere

5.1.1

Whether or not legal frameworks are in place to promote, enforce and monitor equality and non‑discrimination on the basis of sex

5.2

Eliminate all forms of violence against all women and girls in the public and private spheres, including trafficking and sexual and other types of exploitation

5.2.1

Proportion of ever-partnered women and girls aged 15 years and older subjected to physical, sexual or psychological violence by a current or former intimate partner in the previous 12 months, by form of violence and by age

5.2.2

Proportion of women and girls aged 15 years and older subjected to sexual violence by persons other than an intimate partner in the previous 12 months, by age and place of occurrence

5.3

Eliminate all harmful practices, such as child, early and forced marriage and female genital mutilation

5.3.1

Proportion of women aged 20-24 years who were married or in a union before age 15 and before age 18

5.3.2

Proportion of girls and women aged 15-49 years who have undergone female genital mutilation/cutting, by age

5.4

Recognize and value unpaid care and domestic work through the provision of public services, infrastructure and social protection policies and the promotion of shared responsibility within the household and the family as nationally appropriate

5.4.1

Proportion of time spent on unpaid domestic and care work, by sex, age and location

5.5

Ensure women’s full and effective participation and equal opportunities for leadership at all levels of decision-making in political, economic and public life

5.5.1

Proportion of seats held by women in (a) national parliaments and (b) local governments

5.5.2

Proportion of women in managerial positions

5.6

Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Programme of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences

5.6.1

Proportion of women aged 15-49 years who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care

5.6.2

Number of countries with laws and regulations that guarantee full and equal access to women and men aged 15 years and older to sexual and reproductive health care, information and education

5.a

Undertake reforms to give women equal rights to economic resources, as well as access to ownership and control over land and other forms of property, financial services, inheritance and natural resources, in accordance with national laws

5.a.1

(a) Proportion of total agricultural population with ownership or secure rights over agricultural land, by sex; and (b) share of women among owners or rights-bearers of agricultural land, by type of tenure

5.a.2

Proportion of countries where the legal framework (including customary law) guarantees women’s equal rights to land ownership and/or control

5.b

Enhance the use of enabling technology, in particular information and communications technology, to promote the empowerment of women

5.b.1

Proportion of individuals who own a mobile telephone, by sex

5.c

Adopt and strengthen sound policies and enforceable legislation for the promotion of gender equality and the empowerment of all women and girls at all levels

5.c.1

Proportion of countries with systems to track and make public allocations for gender equality and women’s empowerment

Goal 6

Ensure availability and sustainable management of water and sanitation for all

6.1

By 2030, achieve universal and equitable access to safe and affordable drinking water for all

6.1.1

Proportion of population using safely managed drinking water services

6.2

By 2030, achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations

6.2.1

Proportion of population using (a) safely managed sanitation services and (b) a hand-washing facility with soap and water

6.3

By 2030, improve water quality by reducing pollution, eliminating dumping and minimizing release of hazardous chemicals and materials, halving the proportion of untreated wastewater and substantially increasing recycling and safe reuse globally

6.3.1

Proportion of domestic and industrial wastewater flows safely treated

6.3.2

Proportion of bodies of water with good ambient water quality

6.4

By 2030, substantially increase water-use efficiency across all sectors and ensure sustainable withdrawals and supply of freshwater to address water scarcity and substantially reduce the number of people suffering from water scarcity

6.4.1

Change in water-use efficiency over time

6.4.2

Level of water stress: freshwater withdrawal as a proportion of available freshwater resources

6.5

By 2030, implement integrated water resources management at all levels, including through transboundary cooperation as appropriate

6.5.1

Degree of integrated water resources management

6.5.2

Proportion of transboundary basin area with an operational arrangement for water cooperation

6.6

By 2020, protect and restore water-related ecosystems, including mountains, forests, wetlands, rivers, aquifers and lakes

6.6.1

Change in the extent of water-related ecosystems over time

6.a

By 2030, expand international cooperation and capacity-building support to developing countries in water- and sanitation-related activities and programmes, including water harvesting, desalination, water efficiency, wastewater treatment, recycling and reuse technologies

6.a.1

Amount of water- and sanitation-related official development assistance that is part of a government-coordinated spending plan

6.b

Support and strengthen the participation of local communities in improving water and sanitation management

6.b.1

Proportion of local administrative units with established and operational policies and procedures for participation of local communities in water and sanitation management

Goal 10

Reduce inequality within and among countries

10.1

By 2030, progressively achieve and sustain income growth of the bottom 40 per cent of the population at a rate higher than the national average

10.1.1

Growth rates of household expenditure or income per capita among the bottom 40 per cent of the population and the total population

10.2

By 2030, empower and promote the social, economic and political inclusion of all, irrespective of age, sex, disability, race, ethnicity, origin, religion or economic or other status

10.2.1

Proportion of people living below 50 per cent of median income, by sex, age and persons with disabilities

10.3

Ensure equal opportunity and reduce inequalities of outcome, including by eliminating discriminatory laws, policies and practices and promoting appropriate legislation, policies and action in this regard

10.3.1

Proportion of population reporting having personally felt discriminated against or harassed within the previous 12 months on the basis of a ground of discrimination prohibited under international human rights law

10.4

Adopt policies, especially fiscal, wage and social protection policies, and progressively achieve greater equality

10.4.1

Labour share of GDP

10.4.2

Redistributive impact of fiscal policy

10.5

Improve the regulation and monitoring of global financial markets and institutions and strengthen the implementation of such regulations

10.5.1

Financial Soundness Indicators

10.6

Ensure enhanced representation and voice for developing countries in decision-making in global international economic and financial institutions in order to deliver more effective, credible, accountable and legitimate institutions

10.6.1

Proportion of members and voting rights of developing countries in international organizations

10.7

Facilitate orderly, safe, regular and responsible migration and mobility of people, including through the implementation of planned and well-managed migration policies

10.7.1

Recruitment cost borne by employee as a proportion of montlhy income earned in country of destination

10.7.2

Number of countries with migration policies that facilitate orderly, safe, regular and responsible migration and mobility of people

10.7.3

Number of people who died or disappeared in the process of migration towards an international destination

10.7.4

Proportion of the population who are refugees, by country of origin

10.a

Implement the principle of special and differential treatment for developing countries, in particular least developed countries, in accordance with World Trade Organization agreements

10.a.1

Proportion of tariff lines applied to imports from least developed countries and developing countries with zero-tariff

10.b

Encourage official development assistance and financial flows, including foreign direct investment, to States where the need is greatest, in particular least developed countries, African countries, small island developing States and landlocked developing countries, in accordance with their national plans and programmes

10.b.1

Total resource flows for development, by recipient and donor countries and type of flow (e.g. official development assistance, foreign direct investment and other flows)

10.c

By 2030, reduce to less than 3 per cent the transaction costs of migrant remittances and eliminate remittance corridors with costs higher than 5 per cent

10.c.1

Remittance costs as a proportion of the amount remitted

Goal 11

Make cities and human settlements inclusive, safe, resilient and sustainable

11.1

By 2030, ensure access for all to adequate, safe and affordable housing and basic services and upgrade slums

11.1.1

Proportion of urban population living in slums, informal settlements or inadequate housing

11.2

By 2030, provide access to safe, affordable, accessible and sustainable transport systems for all, improving road safety, notably by expanding public transport, with special attention to the needs of those in vulnerable situations, women, children, persons with disabilities and older persons

11.2.1

Proportion of population that has convenient access to public transport, by sex, age and persons with disabilities

11.3

By 2030, enhance inclusive and sustainable urbanization and capacity for participatory, integrated and sustainable human settlement planning and management in all countries

11.3.1

Ratio of land consumption rate to population growth rate

11.3.2

Proportion of cities with a direct participation structure of civil society in urban planning and management that operate regularly and democratically

11.4

Strengthen efforts to protect and safeguard the world’s cultural and natural heritage

11.4.1

Total per capita expenditure on the preservation, protection and conservation of all cultural and natural heritage, by source of funding (public, private), type of heritage (cultural, natural) and level of government (national, regional, and local/municipal)

11.5

By 2030, significantly reduce the number of deaths and the number of people affected and substantially decrease the direct economic losses relative to global gross domestic product caused by disasters, including water-related disasters, with a focus on protecting the poor and people in vulnerable situations

11.5.1

Number of deaths, missing persons and directly affected persons attributed to disasters per 100,000 population

11.5.2

Direct economic loss attributed to disasters in relation to global domestic product (GDP)

11.5.3

(a) Damage to critical infrastructure and (b) number of disruptions to basic services, attributed to disasters

11.6

By 2030, reduce the adverse per capita environmental impact of cities, including by paying special attention to air quality and municipal and other waste management

11.6.1

Proportion of municipal solid waste collected and managed in controlled facilities out of total municipal waste generated, by cities

11.6.2

Annual mean levels of fine particulate matter (e.g. PM2.5 and PM10) in cities (population weighted)

11.7

By 2030, provide universal access to safe, inclusive and accessible, green and public spaces, in particular for women and children, older persons and persons with disabilities

11.7.1

Average share of the built-up area of cities that is open space for public use for all, by sex, age and persons with disabilities

11.7.2

Proportion of persons victim of non-sexual or sexual harassment, by sex, age, disability status and place of occurrence, in the previous 12 months

11.a

Support positive economic, social and environmental links between urban, peri-urban and rural areas by strengthening national and regional development planning

11.a.1

Number of countries that have national urban policies or regional development plans that (a) respond to population dynamics; (b) ensure balanced territorial development; and (c) increase local fiscal space

11.b

By 2020, substantially increase the number of cities and human settlements adopting and implementing integrated policies and plans towards inclusion, resource efficiency, mitigation and adaptation to climate change, resilience to disasters, and develop and implement, in line with the Sendai Framework for Disaster Risk Reduction 2015-2030, holistic disaster risk management at all levels

11.b.1

Number of countries that adopt and implement national disaster risk reduction strategies in line with the Sendai Framework for Disaster Risk Reduction 2015–2030

11.b.2

Proportion of local governments that adopt and implement local disaster risk reduction strategies in line with national disaster risk reduction strategies

11.c

Support least developed countries, including through financial and technical assistance, in building sustainable and resilient buildings utilizing local materials

SDG 14 targets covered

Name	Description

Deliverables & Timeline

31 May, 2025

Strengthening Governments: This will be done by building their capacity to integrate human rights and systems strengthening into their work, promoting better WASH delivery methods and sharing knowledge.

31 May, 2025

Strengthening Civil Society Organizations (CSOs): This will be achieved through building advocacy capacity and raising awareness, capacity building, learning, coordination and exchanging information.

31 May, 2025

Empowering Communities: This will be accomplished by raising awareness, sharing information, networking and developing their capacity.

31 May, 2025

Enhancing Knowledge and Collaboration: This will be done by sharing information at the national and international level, advocating and raising awareness, and building capacity.

Resources mobilized

Staff / Technical expertise

Staff of WASH United, German Toilet Organization and Malteser International is providing guidance and technical expertise for the implementation of the program, supported by Institute for Sustainable Futures

Financing (in USD)

2.4 Million USD funding from Federal Ministry for Economic Cooperation and Development (BMZ) of Germany

Partnership Progress

No progress reports have been submitted. Please sign in and click here to submit one.

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