i List of Tables Table 2.1:Breakup of sample villages based on ethnic domination ..................................................... 19 Table 3.1: Physical Performance .......................................................................................................... 22 Table 3.2: Block specific sanitation penetrationup to March 2014 ..................................................... 22 Table3.4: Block specific Good Performing GP and Poor performing GP based on target versus achievement ......................................................................................................................................... 26 Table3.5: List of GP-s with over achievement ...................................................................................... 27 Table 4.1:Block specific samples covered ............................................................................................. 28 Table 5.1.: TSC- NBA Toilet Models....................................................................................................... 35 Table 6.1: Correlation between Income & Sanitation usage: ............................................................... 46 Table 6.2.: Correlation between Education and Toilet Usage Always ................................................. 47 Table 7.1: Block specific distribution of Community Sanitary Complexes ............................................ 59 Table 7.2: Block specific suggested actions to control open defecation .............................................. 60 Table 8.1 Toilet availability in Schools and Anganwadis ....................................................................... 61 Table 11.1: Block specific variations in Beneficiary Contribution ......................................................... 80 List of Figures Figure 3.1: Block specific Percentage household Coverage.................................................................. 23 Figure 3.2: Blockwise baseline target versus achievement( cumulative till Sept 2014) ....................... 24 Figure 3.3: Percentage Achievement .................................................................................................... 25 Figure 5.1: Breakup of toilet ownersbased on year of construction .................................................... 30 Figure 5.2: Motivation for Toilet building ............................................................................................. 31 Figure 5.3: Role of Various Stakeholders .............................................................................................. 31 Figure 5.4: Final Decision Makers to Build the First Toilet ................................................................... 32 Figure 5.5: Type of Present Toilet ......................................................................................................... 32 Figure 5.6: Difference of Current Toilet from the Old Toilet ................................................................ 33 Figure 5.7: Preferred Features of the Toilet ......................................................................................... 34 Figure 5.8: Advantages and disadvantages of Owning a Toilet ............................................................ 35 Figure 5.9: Economics of toilet installation........................................................................................... 36 Figure 5.10: Received Assistance from Type of Organization............................................................... 37 Figure 5.11: Reason for Not Functioning .............................................................................................. 37 Figure 5.12: Distance of Toilet .............................................................................................................. 38 Figure 5.13: Source of Water to Use in Toilet and distance ................................................................. 38 Figure 6.1: Toilet usage among different sections................................................................................ 42 Figure 6.2: User friendliness among children and aged ....................................................................... 43 Figure 6.3: Block specific excusively toilets users among toilet owning households ........................... 44 Figure 6.4: Block specific excusively toilets users among all households ............................................. 44 Figure 6.5: Ethnicity specific toilet usages ............................................................................................ 45 Figure 6.6: Block specific break up respondents based on income category ..................................... 46 Figure 6.7: Education-wise distribution for Each Block ....................................................................... 47 Figure 6.8: Frequency of Use ............................................................................................................... 48 Figure 6.9: Satisfaction with Toilet Usage ............................................................................................. 49 ii Figure 6.10: Water Usages to Flush the Household Toilet ................................................................... 50 Figure 6.11: Challenges Faced in Toilet Usage ...................................................................................... 50 Figure 6.12: Materials used to wash hands after self- defecation........................................................ 51 Figure 6.13: Change in hand wash practice .......................................................................................... 51 Figure 6.14: Hand Washing Practice and disease prevention ............................................................... 52 Figure 6.15: Occurrence of Water Borne Diseases ............................................................................... 52 Figure 7.1: Open Defection Scenario ..................................................................................................... 53 Figure 7.2: Location of Open Defecation .............................................................................................. 54 Figure 7.3: Places where Babies’ Faeces Usually Disposed ................................................................... 54 Figure 7.4: Location of Defecation in case of Not Usable Toilet ........................................................... 55 Figure 7.5: Percentage response on whether open defecation should be stopped completely.......... 56 Figure 7.6: Percentage response on Approaches to stop open defection ........................................... 57 Figure 7.7: Percentage response on Key Players in Community Initiative ........................................... 58 Figure 7.8: Percentage response on strategy to stop open defecation................................................ 58 Figure 9.1: Sources of Awareness ......................................................................................................... 66 Figure 9.2: Awareness of the Government Program in Support of Total Sanitation ............................ 66 Figure 10.1: Awareness on Sanitary marts ........................................................................................... 73 Figure 10.2 Awareness on functions of Sanitray Mart and Support received from Sanitary Mart ..... 74 Figure 10.3: Awareness on SHGs as Sanitary Mars ............................................................................... 74 Figure 10.4 Awareness on SHGs in Sanitation Activities....................................................................... 75 Figure 10.5 Block specific response on functions of SHGs.................................................................... 75 Figure 11.1 Beneficiary Contribution .................................................................................................... 80 Figure 11.2: Block specific variations in Beneficiary Contribution........................................................ 81 Figure 11.3 Days put in to toilet construction ...................................................................................... 81 Figure 11.4 Wage earned under MGNREGA for toilet construction..................................................... 82 Figure 11.5: Amount of wage earned under MGNREGA for toilet construction .................................. 82 iii Executive Summary The global effort to eliminate open defecation achieved The General Assembly resolution high level visibility in 2013 with the formal launch of the UN “Sanitation for All” (A/RES/67/291, 24 July 2013) calls on Member Deputy Secretary-General’s Call to Action on Sanitation, a States to take action to reduce the UN General Assembly resolution calling all Member States practice, which is “extremely harmful to public health”. A second to take action to end open defecation. 2013 resolution, “The Human Right Government of India in line with global call have accorded to Safe Drinking Water and Sanitation” (A/RES/68/157, 18 high priority to eliminate open defecation nationally and December 2013), outlines the scale announced “Swachha Bharat” that invites all stakeholders of the problem. Open defecation has been mentioned only one other to join hands and make India open defecation free (ODF) by time in GA resolutions. 2019. Government of West Bengal developed ODF policy and have decided to accelerate the implementation of Nirmal Bharat Abhiyan (NBA) in convergence with Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) and achieve ODF) West Bengal by 2017. In this context the Minister, Panchayat and Rural Development (P&RD), Government of West Bengal led a collective pledge with all the District Magistrates on 19th November, 2013, “the World Toilet Day” to accord high priority to sanitation and hygiene promotion in the development agenda and encourage all stakeholders to launch a campaign against open defecation. The priority agenda of the State has been further reinforced through the Swachh Bharat Abhiyan (G), the National Campaign aimed at developing a clean and Open Defecation Free India. While West Bengal state has made significant progress in providing access to improved toilets during the last decade however as per census 2011, nearly 51% population in rural areas continue to defecate in open. The recent NSSO report (2013) informs that only 40% of families exclusively use the toilet out of 60% families having the facility at home in West Bengal. This clearly establishes the need for public awareness towards stopping open defecation, need for promoting improved sanitation and hygiene practice among rural population and providing quality sanitary toilets at home and community level. Nadia district, among all the districts of West Bengal, is a forerunner and has been able to nearly achieve the targets set for installation of sanitary toilets at the household and institutional level. The physical performance of sanitation indicates 70% coverage in Nadia as a whole. However among the blocks Nabadwip has the highest penetration followed by Karimpur II. The MGNREGA – NBA convergence programme coined as “ Sabar Souchagar “ programme in Nadia district was initiated on a pilot scale in July 2013 and at a district scale in a Mission Mode from October 2013. Government of West Bengal decided to look in to the community perceptions on open defecation and assess the behaviour change through a rapid assessment in Nadia district that demonstrated a convergent model of NBA and MGNREGA for acceleration of service delivery and stakeholder’s mobilization on sanitation and hygiene promotion in the district. Along with the Governments intentions to gather learning from the ongoing programme regarding its effectiveness especially on changing the individual and community perception towards use of toilet and related bottlenecks, the stakeholders in other districts are eager to learn and replicate the successful models. Therefore it has been important to document the learning and analyse the factors that enabled achieving the targets set for toilet construction and understand the utilization 1 and maintenance of toilets in the context of behaviour change and practice cutting across all sections of the population and also to understand the community will in stopping open defecation. UNICEF in consultation with Government of West Bengal commissioned a study with its development partner Hijli Inspiration, with the following sub objectives: To review the status of toilet coverage in the district and identify the enabling factors To understand the perceptions, practices, motivations and constraints of households with respect to toilet use vis a vis open defecation in selected villages To understand the community will and social norm in the context of stopping open defecation To understand the convergence approaches for NBA- MGNREGA- NRLM (National Rural Livelihood mission) and the involvement of Self Help Group (SHG) Clusters To suggest strategies for replicability in other districts of the State Methodology and approach The study has used techniques and procedures, which have been tested in various projects, collecting data directly from the people in the communities. Two main methods have been administered for data collection and analysis – the quantitative and qualitative methods. Sample Design and Characteristics The sample size was decided though a systematic process of coverage and representation. All 17 Blocks have been covered while within each block 3 GP-s and subsequently 2/3 villages have been selected to arrive at a number of 51 GPs and 120 villages respectively. Finally within a village 20 households have been selected making the sample size 2400. While GP selection followed random sampling approach, village selection was based on stratified sampling based on population cardinality and ethnic compositionfollowed by purposive sampling based on existence or initiation of toilets. 20 households have been identified in each village based on village specific household listing and proportionate division of sample between old (constructed under TSC or NBA programme) and new toilet (Convergent model under NBA and MGNREGA or Sabar Souchagar) owners. Selection of households has been done randomly from amongst the old and new toilet owners. The survey was conducted to allow adequate representation to both male and female respondents with a break up of 54% female and 46% male. More than two-fifth of the respondents was the Chief Wage Earners themselves and another 42 % were the spouses of the CWE. Around 8% of the sample constituted female headed households. The SCand minority category each comprised around one third of the sample. 21% belonged to the Generalcategory. A little over one-third of the Chief Wage Earners (CWE) wasilliterate whilea similar proportion had studied upto the primary level. Close to one-fifth was literate but lacked formal education. Majority of household heads worked as daily labourer (58%) followed by engagement as cultivator (25%). Only a little over one-tenth were entrepreneurs or self employed in non-agriculture activities. Very few were engaged in the service 2 sector.27% of the respondent households had an annual income of below Rs. 24000 in the last one year of which 18 %reported an annual income between Rs.18,000 – Rs.24,000 and 9% mentioned of less than Rs.18,000 annual income. 44% of households possess BPL card. Around 86% possess MGNREGA job card. Around 16% of households have taken SHG / microfinance loan. Key Findings Coverage and Drivers The NBA implementation in the district particularly after the convergence with MGNREGA has significantly increased the pace of implementation and service delivery of toilets through network of sanitary marts. The data informs that over 100,000 toilets were built in nearly six months period while around 500,000 toilets were built over a period of 15 years since the inception of the TSC programme in 1999. This indicates an acceleration rate of around 6% which is commendable. However this was not uniform across the blocks. Only around 5 of the 17blocks have surpassed the 50% achievement mark while 2 blocks just touched 50%.Krishnanagar II has been extremely efficient in achieving targets and has surpassed the target by 103.05%. Beyond Krishnanagar II, the top 3 wellperforming blocks are – Karimpur – II (69.7% achievement), Chakdaha (59.0%) and Krishnaganj (57.7%). The bottom 3 blocks performing poorly in terms of achievement vis a vis target are – Nakashipara (17.9% achievement), Santipur (24.9%) and Krishnanagar-I (24.9%). Thus, these blocks need greater attention to address disparity. As mentioned, on an average 70% of households in Nadia district own a toilet. Among the respondent households with toilets installed, 43 % mentioned to have constructed the same before July 2013, but more than half of the households have constructed after October 2013 indicating the success of the ‘Sabar Souchagar’ program. However purposive sampling with focus on Sabar Souchagar programme in selection of villages has been responsible for such a break up. Subsidy acted as the most prominent motivator forthe households to build the toilet with more than 50% of the households mentioning of this factor. This was followed by influence and motivation by peer and institutional influence with 27% such responses. Out of peer and institutional influence, Panchayat members have played the most important role behind motivation to construction followed byfriends &relatives. The final decision to install a toilet emerges from motivation where more than one-third of households have mentioned that it was a combined decision of the family members to build the first toilet. Moreover, some women have been the major driver behind the decision to own a toilet.58 % mentioned of having twin pit toilet, 36 %have single pit toilet and 6% have septic tank. The construction of around10% Single –pit and septic tank Toilets indicate a divergence from the specified guidelines for such toilet constructions under NBA. A little more than one-third of households mentioned that the cost of installing the toilet is Rs10,000 where the share of cost borne by households is 900. In general, respondents feel that the new toilets are better than the earlier one in terms of improved model, more facilities although there is scope for improving it further. On the flip side, beneficiaries feel that the 3” wall of the superstructure is not durable and they feel that at least a 5” wall structure will make it sustainable. Some have mentioned that the toilet is also not very user friendly for children while a section has opined that inadequate ventilation makes the toilet stuffy. 3 Behaviour change towards toilet use Survey analysis reveals that people in general have started adopting and using toilet and a trend of collective behaviour change towards ODF environment is visible. A huge 92% of respondents are unanimous that open defecation should be completely stopped. A significantly large 99% of female and 97 % male use toilets. There has also been a significant change in the toilet usage behaviour among women since women prefer toilets for privacy and safety. Women at the household level act as change agents in bringing an overall behavioural transformation. However, the practice of toilet usage is still low among children particularlyin the age category of below 5 years. Blocks like Nakashipara, Karimpur II and Tehatta I lag behind in terms of toilet usage. In some ST dominated segments toilet usage is relatively low at 85%, possibly due to traditional habits and age-old practices, indicating the need of necessary steps to enhance awareness. Analysis of ‘exclusive” use of toilets indicate that out of the toilet owners, 94% use it always which maps to 66% of total households as coverage is 70% in the district. Study on the impacting factor of toilet usage indicates that level of education impacts toilet usage to some extent whereas no conclusive influence of income was noticeable. Satisfaction with toilets is significantly high and respondents in general are not negatively disposed towards toilet installation and usage. Most of the respondents were aware of some benefits of toilet use however only about a quarter of them were aware of the health and environmental aspects of toilet utilization. On a positive note ahigh correlation between hand washing and installation of toilets was inferred as majority of households admits that there has been a change in hand-washing behaviour post toilet installation. Perception on open defecation and Social Norm In general people are unanimous in agreeing to the principle that open defecation should be stopped completely. This is also reflected in beneficiary responses where 92% were of the same opinion – a definite indication of move towards asustainable behavioral change and adoption of hygienic enviornment. However in some blocks like Haringhata, Kaliganj, Santipur, Tehatta-I, Nakashipara and Ranaghat-I a substantial section of (10-20%) of people feel that open defecation cannot be stopped completely and such a practice can happen at times particularly during rush hours at home, non functional toilet or when they do not have an access to toilets during work outside home. Community toilets are very sparse in the district – only around 5 blocks; Karimpur-I, Krishnanagar-II, Chapra, Nabadwip, Hanskhali and Haringhata have on an average 3 Community Sanitary Complexes. The public opined (64% people) that community initiative is the main approach to combat open defecation and the Panchayat is considered the key player in driving the collective initiative. However, the community was positively inclined towards the role of other players like – SHG (13%), young generation (11%) and AWW/Asha (7%). Community mobilization was felt to be the main takeoff strategy. Other supportive approaches, as suggested by the community members are intense motivational drive, joint initiative by Gram Panchayat and Sanitary Mart, involvement of health workers and students. In community meetings some respondents have also come up harsh approaches like introducing fine or punishment. 4 Institutional coverage On the whole - achievement of toilet construction in schools is commendable in the district and almost all blocks have achieved toilet construction target. Some have over achieved which could be justified by installation of more than one toilet block in a school. However – in terms of toilets inAnganwadicentres – overall achievement against target is at 63%. Nawadwip block, Krishnanagar 2 and Tehatta-2 blocks have achieved above 90% in toilet construction in ICDS centres. Ranaghat-2, Chakdah, Haringhata and Krishnanagar-1 have showed low performance with <50% achievement. Lack of toilets in Anganwadi centres (AWC) restricts toilet usage among children in that particular age category. AWCs in rented accommodation face problem of a different nature. While many of the AWCs have toilets within the premises, owners/landlords often do not allow children to use toilet; forcing them to resort to open defecation. In Nadia district Anganwari Workers (AWWs)are playing an important role in generating awareness on the ill effects of open defecation and jointly campaigning with ANM, ASHA and School teachers to reach out to women, children and villagers .They are also educating children on toilet usage and proper hand-washing process / hygiene practices. Programme Management and Community Mobilisation The success of the initiative in making Nadia district a forerunner in the State has been largely possible due to the leadership provided by the District Magistrate and the Sabhadhipati in unison and in recognising Sanitation as a priority sector. The District Administration of Nadia handled the programme on a Mission Mode with strict but practical targets and on the 2nd of October 2013 a district wide oath taking ceremony was observed under the banner of “Sabar Souchagar” by different administrative hierarchies. Implementation is supported by an efficient monitoring system under the direct supervision of the District Magistrate to review the quantitative indicators. However the mechanism for keeping a check on qualitative aspects was not adequate which has had a reflection in divergence from guidelines in terms of non-compliance with specification related to pit depth, spacing between pits and fixing of vent pipes. Rigorous community awareness and mobilisation was done through IEC strategies at all tiers of administration: District, Blocks, and GPs involving field functionaries. Most Blocks have taken up similar IEC approaches that includes door to door campaign, patha sabha (Rally), drama, wall writing and posters, community & mother’s meeting, health awareness camp and cleanliness awareness camp for children (wash hand before & after use) at school. However the key approach had been Interpersonal Communication and the major actors in awareness generation have been the Panchayat representatives, relatives, friends, villagers, toilet owners, service providers (NGO, Sanitary Marts), ICDS, health functionaries, schools teachers. Unfortunately awareness is somewhat limited in ST and Minority dominated areas and among caregivers regarding handling of child excreta and in realising the alarming environmental health consequences of open defecation. 5 Role and performance of Sanitary Marts Sanitary Marts act as promoters, as production centres and as actors in sustaining the sanitation drive. The performance of Sanitary Marts both in quantitative and qualitative terms indicate that performance of some sanitary marts in terms of achievement against targets is commendable for which construction activities had attained a momentum. However on the qualitative front several instances of deviation from the design specifications have been observed and it is visible in some blocks questioning the credibility of such marts and the monitoring procedure. Nevertheless all Marts have reported problems – e.g.: problem of beneficiary identification due to multiple surveys and disjoint eligibility lists, delayed payments from GPs against the MGNREGAallocation, delayed payments from beneficiaries against unskilled labour-all affecting the pace of installation often resulting in incomplete installation. Respondent feedback shows that awareness about sanitary marts “by name” is rather low – (31%) although they are aware of the activity that is going on in their locality. A significant section of respondents (46%) perceive the primary function of sanitary marts as installation of toilets followed by awareness generation and motivation. On the other hand, awareness on SHG-s being involved in sanitation activityis rather low (only 29%) and that too a significant section (43%) recognize the role of SHGs primarily in awareness generation rather than in construction and installation. However involvement of more players in the supply activity has strengthened the supply chain. Particularly involvement of SHG-s has reinforced the link between the supplier and beneficiary through peer influence and construction support. Financing and Incentives - MGNREGS convergence Nadia district has been ahead of others in adopting and implementing the convergence model coined as Sabar Souchagar. The convergence has been designed to have multiple advantages like increased funding for toilet construction in the sector strengthening the supply push factor, greater subsidy for poor families inducing demand push , improved monitoring of the outcomes from different tiers of administration – e.g. District, Zilla Parishad and Block levels ensuring achievements against targets. Integrating other players into the system such as SHGs being encouraged to contribute as service providers like Sanitary Marts. There are a few areas of concern related to convergence which can be termed as teething problems. Those without job-cards get debarred as an eligibility clause for MGNREGS support is job card ownership creating an overall confusion. Further sanitationsstill not a priority for most of the GPs as MGNREGA funds on priority are allotted to customary infrastructure and asset creating activities leaving inadequate fund for toilet construction. This subsequently has led to delayed or part payments to Sanitary Marts resulting in dampened pace and often stalled construction. 6 Key Learning Nadia district has made a significant effort towards developingan ODF situation, by improving toilet coverage and also the utilisation of home toilets. There is a growing perception among adults on open defecation with special focus on women. Nearly 92% respondents have mentioned that open defecation should be stopped, 100% (barring 2 respondents) are aware on some benefits of toilet usage and the utilisation of home toilets is found between 85-90% that includes both old and new models which is very encouraging and informs the revealed preference for toilet use and behaviour change at family and community level. Stakeholders’ collective initiatives observed in some places for influencing social norm around open defecation and making Nadia district ODF is encouraging. The analysis further tried to identify three aspects in the context of the programme Strategises that worked in favour – the strengths Limitating factors that hindered progress – the challenges Suggestive recommendations - way forward Strategies that worked infavour A six-point strategy was adopted in Nadia which give sanitation a big push. Leadership and Political Will : The District Magistrate and Sabhadhipati in unison spearheaded the programme and mobilised sub-district level administrative and panchayat functionaries – a convergence of administrative and political will Adequate Priority to Sanitation Sector : Sanitation considered as a priority sector in the District and programme conceived in a mission mode with a pledge to deliver – inculcation of the right spirit Demand Pull Approach : Programme approach to creating demand and scaling up by focussed awareness on “ Rs 9100 subsidy for a Rs 10000 Toilet model “ and community mobilisation - inducing a demand pull Interpersonal Communication for direct exchange : Promoting interpersonal communication though grassroots operatives under different government programmes for sustaining awareness and motivation to install and use – a sustainable approach Strategies expanding partnership for supply chain strengthening: Roping in more players (SHGs) as Sanitary Marts and streamlining procedures for implementation of convergence model for strengthening the supply chain - creating a supply push. Close and regular monitoring : Regular monitoring of achievement vis a vis targets at Block and District Level and personally by District Magistrate – an effective management for geared intervention 7 The strategic approach pointers have been represented through the spider diagram as follows to assess the strategic accomplishments on a 10 point scale: Close and Regular Monitoring Leadeship and Political Will 10 8 6 4 2 0 Interpersonal communication Sector Priority Series1 Demand Pull Supply Chain Strengthening As observed Leadership, Sector Priority and Close Monitoring scored very high while the other factors have scope for improvement. Limiting factors that hindered progress ….the challenges Every intervention associated some challenges which also need strategic interventions in the short and medium term frame. Some such key challenges are: Demand is primarily subsidy driven, inadequate understanding &motivation for improving quality of life: Demand was majorly driven by subsidy while people are yet to connect toilet and environmentalhealth impacts as a prime motivator. Convergence with teething problems: The convergence model although very well strategized has some practical problems. Gram Panchayats (GPs) donot accord high priority to sanitation component within the MGNREGA programme resulting in delayed payment and hampering work progress. Lack of awareness on scientific /technical aspects of the new model: Thedesign specifications and the scientific rationale of the leach pit toilets are not clear to people in general, leading to risk of deviation from guidelines on insistence by users impacting quality assurance. Lack of community toilets: Inadequacy of community toilets at public places has restricted toilet use habit among the section spending significant time outside home. This is particularly relevant for working members and households who still do not have access to home toilets and in public places. Capacity of sanitary marts: The capacityand performance of sanitary marts remains acontentious issue. Lack of technical capacity of some of the newly appointed sanitary marts to deliver quality and influenced by deviant request from users .Several of them do not have technical personnel to manage the programme and educate user communities on the design aspects. This is more relevant where SHGs are engaged as service providers. 8 Inadequate systems for qualitative monitoring: While district have innovatively developed systems for monitoring the sanitation programme progress however it largely focuses on quantity, there is room for developing systems for qualitative outcomes of implementation of toilet construction Suggestiverecommendations….Way forward A combination of strengths and challenges define the way forward. The key focus areas and intervention approaches have been indicated as follows: 1. Sustaining the political and administrative will 2. Post saturation monitoring and reporting system at GP at block and district level to be institutionalised to avoid risk of slip back and sustain the ODF status 3. Developing effective systems for qualitative monitoring of toilet construction 4. Refresher training of Sanitary Mart representatives on technical design of the toilet and the superstructure for ensuring greater durability. This would also result in greater dissemination among beneficiaries. 5. Reviewing options for incorporating child friendly features in toilets and safe disposal of child excreta, use of poitties can be explored 6. Greater focus of environmental health issues related to open defecation targeting women, the youth and school going children 7. Greater emphasis on Scheduled Tribes (ST) , Minority sections to influence their behaviour towards toilet use 8. Setting up & strengthening village level institutions for implementation for community monitoring and social audit for usage 9. Promoting community toilets in strategic locations Conclusion Nadia district has demonstrated a promising and emerging model for accelerating sanitation coverage and promoting improvedpractices has elements and potential for replication. The six point approach with emphasis administrative and political will, identification of sanitation as a priority sector and streamlined innovative monitoring system for reviewing targets against achievements have been the major drivers. 9 Section 1.Introduction Background The global effort to eliminate open defecation achieved high level visibility in 2013 with the formal launch of the UN Deputy Secretary-General’s Call to Action on Sanitation, a UN General Assembly resolution calling all Member States to take action to end open defecation, the identification of improved sanitation as a key prerequisite for poverty The General Assembly resolution reduction by the President of the World Bank, and many “Sanitation for All” (A/RES/67/291, 24 July 2013) calls on Member States to other statements and initiatives. take action to reduce the practice, which is “extremely harmful to public health”. A second 2013resolution, “The Human Right to Safe Drinking Water and Sanitation” (A/RES/68/157, 18 December 2013), outlines the scale of the problem. Open defecation has been mentioned only one other time in GAresolutions. Government of India in line with global call has accorded high priority to eliminate open defecation nationally and announced “Swachha Bharat” that invites all stakeholders to join hands and make India open defecation free (ODF) by 2019. Government of West Bengal developed ODF policy and have decided to accelerate the implementation of Nirmal Bharat Abhiyan (NBA) in convergence with MGNREGA and achieve ODF West Bengal by 2017. In this context the Minister, Panchayat and Rural Development (P&RD), Government of West Bengal led a collective pledge with all the District Magistrates on 19th November, 2013, “the World Toilet Day” to accord high priority to sanitation and hygiene promotion in the development agenda and encourage all stakeholders to launch a campaign against open defecation. The priority agenda of the State has been further reinforced through the Swachh Bharat Abhiyan (G), the National Campaign aimed at developing a clean and Open Defecation Free India. Several attempts to change defecation behaviour and promote sanitation programmes in India from 1986 to 2004 had limited success. Behavioural change continues to be negligible despite high levels of knowledge, for several health behaviours, particularly sanitation related behaviours. Since 2004, the focus of the rural sanitation programme in India shifted to changing behaviour rather than on merely creating sanitation facilities under the banner of Total Sanitation Campaign (TSC). Nirmal Bharat Abhiyan (NBA) initiated on 2012 is an important programme initiated by Government of India to make India clean and open defecation free. Virtually TSC has been renamed as the NBA with the objective of accelerating the sanitation coverage in rural areas so as to comprehensively cover the rural community through renewed strategies and saturation approach. NBAenvisages covering the entire community for saturated outcomes with a view to create Nirmal Gram Panchayats (NGP). The vision has shifted from ‘access to toilets to all’ to “attaining Nirmal status”. While West Bengal state has made significant progress in providing access to improved toilets during the last decade however as per census 2011, nearly 51% population in rural areas continue to defecate in open. The recent NSSO report (2013) informs that only 40% of families exclusively uses the toilet out of 60% families having the facility at home in West Bengal. This clearly establishes the need for public awareness towards stopping open defecation, need for promoting improved 10 sanitation and hygiene practice among rural population and providing quality sanitary toilets at home and community level. Open defecation free status necessarily follows from Safe sanitation practice which involves fourissues Access to toilets through creation of infrastructure Utilization of the toilet followed by safe hand-washing Maintenance of the toilet for the infrastructural sustainability Collective community actions & behaviour change for elimination open defecation Nadia district, among all the districts of the state, is a forerunner and has been able to nearly achieve the targets set for installation of sanitary toilets at the household and institutional level. However while the achievement against targets satisfy the first issue of creating infrastructure, there is a need to understand the utilization and maintenance status in terms of behaviour and practice cutting across all sections of the population and also to understand the community will in preventing open defecation. Government of West Bengal decided to look in to the community perceptions on open defecation and assess the behaviour change through a rapid assessment in Nadia district that demonstrated a convergent model of NBA and MGNREGA for acceleration of service delivery and stakeholder’s mobilization on sanitation and hygiene promotion in the district. Objectives With this in the backdrop the study has been undertaken with the following objectives: To review the status of toilet coverage in the district and to identify the enabling factors To understand the perceptions, practices, motivations and constraints of households with respect to toilet use vis a vis open defecation in selected villages– To understand the community will and social norm in the context of stopping open defecation To understand the approaches and outcomes of convergence of NBA- MGNREGA- NRLM programmes and the effectiveness of involving SHG Clusters To suggest strategies for replicability in other districts of the State 11 Section 2. Approach and Methodology The study has used techniques and procedures, which have been tested in various projects, collecting data directly from the people in the communities. Two main methods have been administered for data collection and analysis – the quantitative and qualitative methods. The qualitative and quantitative methods are two ways to deepen knowledge on the populations and social systems. Activities The study traversed a series of activities, setting off through a Reconnaissance and a District Level Initiation workshop. Reconnaissance Household level Survey Community FGD Programme Initiation at the District Level Survey instrument design In depth discussion with eco systems Secondary Research Sample selection Analysis The activities have been elaborated as follows: Reconnaissance A preliminary visit was undertaken by a team from INSPIRATION on 31 May 2014 to meet stakeholders that include person in charge of sanitary mart, NBA team members, health service providers etc, to collect preliminary information and to discuss the topic of sanitation with villagers A discussion-held with eight housewives of Krishnagunj villagerevealedtheir awareness level, usage practice etc related to sanitation. The reconnaissance team also observed their toilets, water accessibility etc. 12 District level Kick-off Workshop Initiation workshop was held on the 12th of June 2014 for a stakeholder engagement to arrive at a consensus on the scope of work and to decide on the modus operandi for undertaking the survey. The workshop was presided over by the District Magistrate, Mr P B Salim who made a comprehensive presentation on the Sanitation Situation in Nadia focusing on the Sabar Souchagar programme.Mr S.N. Dave,WASH Specialist, UNICEF West Bengal, India presented the purpose of the study in order to understand the factors that have led to the commendable success of Nadia District in achieving sanitation targets. This was followed by a presentation by Dr Chandreyee Das, Secretary INSPIRATION on the scope of work and the methodology for survey and research. The workshop was attended by Sabhadhipati Zilla Parishad , other District level Functionaries along with Dr Deblina Dwivedi from UNICEF, Ms Swagata Bhattacharyay, Debasish Ghosh and UttamDeyfrom INSPIRATION. The workshop was followed by field visit for a cursory understanding of the field including functioning of Sanitary Mart. Snapshots of the workshop 13 Secondary research: A detailed analysis have been undertaken from the following sites and in depth analysis has been done for gauging toilet installation 1. Nadia district portal 2. Nadia Census data 3. Nadia MCD Report 4. Local Government Directory Gram Panchayat 5. NBA Website 6. MDWS Website 7. Reports and documents from the State NBA Cell including performance MIS Sample Design The sample size was decided through a systematic process forensuring coverage and representation. All 17 Blocks have been covered while within each block 3 GP-s and subsequently 2/3 villages have been selected to arrive at a number of 51 GPs and 120 villages respectively. Finally within a village 20 households have been selected making the sample size 2400. Coverage of all four subdivision 17 blocks to cover 2/3 Villages from each GP= 120 villages 3 GP per Block =51 GPs : 20 HH per village = 2400 sample 14 As indicated the sample selection traversed the path from GP to village to household selection each following a different method of selection to make it as representative as far as possible. The selection strategies have been indicated below: GP selection Random sampling has been done following the Local Gram Panchayat Directory. Three GPs have been selected from each block. Village Selection Ethnic composition was the main driver of sampling and selection of villages from each GP. Ethnic composition includes SC, ST/minority community and general categories. 2011 census has been used for sampling. Villages less than 100 HH have not been considered for the purpose of the survey. 2-3 villages from each GP have been selected based on ethnic diversity. Thus two aspects have been considered for village selection namely 1. 2. Population cardinality of villages Ethnic composition Household Selection 20 households have been identified in each village based on village specific household listing and proportionate division of sample between old and new toilet owners. Old type toilets were those models which used TSC/ NBA resources and were installed before October 2013 while the new toilets referred to those installed after 2013 through NBA- MGNREGA convergence. The sample selection process has been indicated below: GP Selection Random selection from the LG directory providing list of GPs following the "every 4th" GP selection principle 51 ( 3 per block ) Village selection Stratified sampling, stratification based on population size and ethnicity (General, SC, ST, Minority) followed by purposive sampling based on existence or initiation of toilets 120 ( 2/3 per GP) Household selection Propoortionate distribution of pre-decided 20 samples between old toilet and new type toilet owners 15 2400 ( 20 in each village) Survey Instrument Design Questionnaire based survey on the representative sample of 2400 has-been adopted as the quantitative approach. Qualitative methods involved: o In –depth interviews with various stake holders o Focus Group Discussions o Observation The target group for quantitative survey was the households while qualitative assessment have been done with the community groups , women groups and other stakeholders like Government and PRI functionaries , NGO/ CBOs etc . Indicators that will be assessed through household interviews are the following: Questionnaire Pointers Infrastructural attributes of toilet at household level Knowledge Whether family members are aware of toilet usage benefits – the risks involved in case of open defecation Whether family members are aware of the benefits of hand washing after excreta and toilet usage Whether women / mothers of small children are aware of toilet usage benefits – the risk involved in disposing child feces in open environment. Practice & Attitude: Usage practice of toilet of all members cutting across age and sex Disposal of child excreta Overall attitude towards toilet usage Constraints in toilet use Institutional Initiatives : Panchayat/ NGOs/ sanitary Marts/ SHGs An Observation checklist has been administered to capture the toilet status based on the following checklist. Observation Checklist Do the toilets lack security (insufficient lighting, inaccessibility to toilet / lack of functional lock? Condition of the toilet – intact or broken What is the type of pan – rural ( needing less water) or urban type ( flush friendly) / ceramic or mosaic If tap, does water flow easily? Does it have a mug in the toilet Does it have a broom in the toilet 16 Does the washing area or toilet have soap? Does the wall/ pan/ pantrap have excreta remains? Does it have a curtain/ door? Is the door/ curtain in good condition to ensure privacy The Questionnaire along with the Observation Checklist is provided in Annexure 1 Key discussion points with stakeholders Overall sanitation scenario What are the remarkable changes happened in terms of: Community awareness Behaviour& practice Health status Overall environmental cleanlinessWhat are the IEC initiatives undertaken Which according to you have worked best What are the major indicators with reference to the performance of various blocks What are the roadblocks for the desired progress What are the roadblocks in convergence between MGNREGA, NRLM with NBA Key discussion points with villagers What has been the change in toilet practice over time? What has been the motivation behind toilet installation and use? Does everybody use toilets? Is there still a practice of open defecation? What is the usual water source? What is the practice of excreta disposal for infants/children and sick/elderly people? What is the hand washing practice? What are the advantages of toilet use? What are the advantages of hand washing? What are the challenges of using toilets? Can you link toilet usage and hand washing with occurrence of diarrheal diseases? What is the school toilet habit of your children? What has been the role of Panchayats, Sanitary Marts and SHGs? Have you come across IEC material? What information or message have you got from these? Do you attend Gram Sabha meetings and have you come across such sanitation related discussions Do you feel that there is a community will to stop open defecation? What could be done to prevent open defecation? Community FGD and Key Informant Interview Formats have been included in Annexure 2. 17 Household survey The survey involved a series of steps Mobilisation of survey Team A team of 25 surveyors comprising 12 teams of two ( one male and one female ) were mobilized for the survey 4 Supervisors were engaged for the support of the surveyors in the field to guarantee the quality of the survey (each supervisor will have 3 teams), validate and cross check data and to conduct FGD-s and meetings. 1 Survey Coordinator coordinated the whole survey including undertaking stakeholder interaction, planning and supervising the survey, conducting FGD-s , report writing etc A Research and Analysis Team provided expert guidance in analysis and report writing Training of the survey team Training of survey team was conducted on 18th June 2014 at INSPIRATION Office where the expert team from UNICEF and INSPIRATION conducted the training on the design, questionnaire and its applications and survey ethics. Pre-testing the questionnaires and finalization: A pre-test with 5 questionnaires was carried out in Chakdah Block The pre-test was sufficient to adjust the questionnaire adequately to varied locational contexts as initial visit .This led to the finalization of questionnaire. Implementation of the Survey Implementation of survey involved the following steps Freezing the village list: As mentioned villages have been sampled based on population cardinality and ethnic breakup. However on sharing the identified set of sample villages with the GP and Block administration it was revealed that in some villages the Sabar Souchagar programme had not been initiated while in some construction of toilets scheme were underway. Since the objective of the study had been to assess the utilization practice with special reference to the Sabar Souchagar programme , finally three criteria have been administered in selecting sample villages 18 o o o Population Cardinality Ethnic composition Sabar Souchagar Programme initiated The village break up has been provided below: Table 2.1:Breakup of sample villages based on ethnic domination General SC ST Minority 55% 30% 9% 6% The total sample villages is provided in Annexure 3 Introduction of the surveyors in the administration and communities in general: Since the survey involved surveyors who were a mix of some local and some from outside, surveyors were introduced to the administration and Panchayats representing the community. Village mapping and listing which involved a participatory mapping of the village indicating key landmarks. This was followed by geographical segmentation of the village in to segments with each segment with 50 households. In every village 2/3 segments were selected based on the population size and a total listing has been done to categorize households based on owners of old type toilets, owners of new type toilets and household’s not- owning toilets. Old type were the models using TSC/ NBA resources and installed before October 2013 while the new toilets referred to those installed after 2013 through NBA- MGNREGA convergence (Sabar Shouchagar). Since there was a deliberate focus on review of penetration and usage of toilets under Sabar Souchagar programme, segments having greater number of new toilets have been considered for listing. This resulted in the distribution of owners of old and new toilets more or less balanced. Application of the questionnaire o A team of two surveyors could complete 8-10 interviews per day. In a particular location 12 surveyor teams conducted around 120 interviews per day. Hence it took around 18 days to complete the survey. Supervisors on their own conducted some surveys. o The supervisors undertook a careful review after three or six days to check for its completion and accurate codification and verify if required 19 Community FGDs and Interviews with Stakeholders Along with questionnaire based surveys various FGD / Meeting/ Interviews have been conducted with the following groups and individuals. BDO/ Jt BDOs Gram Pradhan and members ICDS workers or AWW, School Teachers Health staff particularly ANM-s ASHA workers The discussions revolved around the toilet ownership and utilization. While the administrative personnel including the BDOs, Gram Pradhans provided feedback on the overall coverage, utilization practices, convergence issues, ANM, School Teachers reported on institutional facilities and behavioural patterns within the institutional domain. Block Functionaries ANM , AWW, ASHA 20 Sanitary Mart Community FGD Analysis The analysis again involved a series of stages Data Entry and Data Processing Database was designed based on the questionnaire entries – their nature and size, Data was entered into the designed databases. Data processing was done in terms of validity and plausibility checks for identifying unreasonable and impossible entries and corrected. Data processing was also done for standardisation and coding exercises. On special occasion repeated field visit was undertaken for data correction and additional information collection. Quantitative analysis Finally output tables have been drawn for each entry in the data base and analysed for assessing ownership and utilisation. Qualitative analysis of FGD-s and interviews Stakeholder specific FGD-s has been analyzed for an in-depth understanding and key inferences have been drawn on stakeholder practices and perceptions. Section 3.Situation Analysis Background of Nadia District The geographical boundary of Nadia district comprises Bangladesh in the East, Bardhaman and Hugli district on the West, Murshidabad district on the North and North West and North 24 Parganas towards South and South East The total population of the district is 5267600 comprising 2653768 male and 2513832 female. The literacy rate of the district is 74.97%. The initial provisional data released by census India 2011, shows that density of Nadia district for 2011 is 1,316 people per sq. km. Nadia district administers 3,927 square kilometers of areas. 21 Under three-tier system of democratic decentralization, Zilla Parishad is the apex body at the district level followed by Panchayat Samitis at Block level as second-tier and Gram Panchayats, the thirdtier. Nadia Zilla Parishad, in the areas of Rural Development, has definitely made various contributions by way of extending financial, technical and moral support to the Panchayat Samities and Gram Panchayats of this district. It has also successfully implemented different development programmes sponsored by the State Government and the Government of India even at the remotest villages of this district. In the NBA guideline specifically under convergence with MGNREGA, the ‘GP’ is proposed as the unit of operation as against the district’, the operational unit under TSC. The district comprises four subdivisions: Krishnanagar Sadar, Kalyani, Ranaghat and Tehatta 17 Blocks and 187 Gram Panchayats. Other than municipality area, each subdivision contains community development blocks which in turn are divided into rural areas and census towns. In total there are 29 urban units: 8 municipalities and 15 census towns and two notified areas. Sanitation status in Nadia The physical performance of sanitation indicates a70% coverage in Nadia as a whole. Table 3.1: Physical Performance Toilets constructed upto the month of March 2014 since inception of TSC project Total HH in Nadia % Coverage Toilets constructed after Convergence with MGNREGA & NBA upto March 2014 Source: District NBA record till March 2014 628540 895432 70% 107510 The data informs that over 100,000 toilets were built in nearly six months period while around 500,000 toilets were built over a period of 15 years since the inception of the TSC programme in 1999. This indicates an acceleration rate of around 6% which is commendable. Acceleration Rate of Household Sanitation during Sabar Souchagaris 5.69 The block specific analysis was attempted to understand the situational context. The table below depicts the block variations. Table 3.2: Block specific sanitation penetrationup to March 2014 Block Total HH Sanitation Coverage since TSC CHAKDAH 87982 35379 CHAPRA 60949 52366 HANSKHALI 53985 40007 HARINGHATA 42966 22095 KALIGANJ 68779 52313 22 KARIMPUR-1 45266 40752 KARIMPUR-II 46967 43610 KRISHNAGANJ 29331 20135 KRISHNANAGAR-I 66746 31883 KRISHNANAGAR-II 26460 24433 NABADWIP 28792 28265 NAKASHIPARA 81519 56839 RANAGHAT-I 48970 30975 RANAGHAT-II 70947 42393 SANTIPUR 50021 38116 TEHATTA-I 53673 43988 TEHATTA-II 32079 23991 Source –District NBA data (March 2014) The analysis for the data in the table above indicates the percentage household coverage at the block level, as presented in the figure below: Figure 3.1: Block specific Percentage household Coverage 75% 82% 76% 60% 63% 70% 98% 92% 69% 90% 76% 93% 48% 60% 40% 80% 51% 100% 74% 86% 120% 40% 20% 0% As revealed Nabadwip has the highest penetration followed by Karimpur II Nadia District and Sabar Souchagar Programme The MGNREGA – NBA convergence programme coined as “ Sabar Souchagar “ programme in Nadia district was initiated on a pilot scale in July 2013 and on a all-district scale in a Mission Mode from October 2013. 23 The performance of the sanitation status under the Sabar Souchagar mission mode has been analysed below: Block-wise baseline target versus achievement: The figure 3.2 provides the cumulative target versus achievement in numbers while Figure 3.3 provides block specific percentage achievement and provides a comparative block analysis. 0 Baseline Survey Target Total Achievement Source: District NBA record till September 2014 24 12020 5920 14346 7173 19470 4838 14117 5867 13591 5956 7686 15838 5701 4422 4557 26376 7434 11072 6391 10962 7636 20268 7211 17683 18184 10653 5993 10000 5576 20000 8617 30000 18532 10942 40000 21789 35184 50000 43057 Figure 3.2:Blockwise baseline target versus achievement( cumulative till Sept 2014) 20.00 49.25 50.00 24.85 41.56 43.82 17.85 28.18 69.66 50.26 56.26 35.58 40.00 30.66 60.00 39.55 80.00 59.04 100.00 57.72 120.00 36.00 103.05 Figure 3.3: Percentage Achievement 0.00 Percentage Chakdaha Chapra Hanskhali Haringhata Kaliganj Karimpur-I Karimpur-II Krishnaganj Krishnagar-I Krishnagar-II Nabadwip Nakashipara Ranaghat-I Ranaghat-II Santipur Tehatta-I Tehatta-II Source: District NBA record: September 2014 The key findings are as follows: 1. Considering the block-wise baseline target versus achievement – only around 5of the 17blocks have surpassed the 50% achievement mark while 2 blocks just touched 50%. 2. Krishnanagar II has been extremely efficient in achieving targets and has surpassed the target by 103.05%. In any case as per March 2014 District NBA records , Krishnanagar II had 92% toilet coverage which made it a forerunner in the drive .This has been possible because of the proximity of the block to the ZP coupled with other factors like motivated Block and GP functionaries ,efficient functioning by Sanitary Marts because of their local presence etc . Further greater enlistment in baseline against which construction had been done followed by lower enlistment of eligible beneficiaries possessing MGNREGA job card as target deflated the target figure and inflated the performance percentage significantly. 3. Beyond Krishnanagar II, the top 3 well-performing blocks are – Karimpur – II (69.7% achievement), Chakdaha (59.0%) and Krishnaganj (57.7%). 4. The bottom 3 blocks performing poorly in terms of target achievement are – Nakashipara (17.9% achievement), Santipur (24.9%) and Krishnanagar-I (24.9%). Thus, these blocks need extra attention from authorities to boost up the target achievement. Block wise target versus achievement (current year 2014-15) Considering this year’s target versus achievement by blocks barring KrishnanagarII, four Blocks have crossed 10% achievement within a span of 4 months as indicated in the Table 3.3 below. However the pace had dampened to a large extent due to the Parliament Elections in May 2014, restricting on-going programme performances. The top 3 well-performing blocks are in terms of target achievement are – Kaliganj (17%), Krishnaganj (14%) and Ranaghat –I (13.9%)The bottom 3 blocks performing poorly in terms of target achievement currently are – Chakdaha (0.03%), Chapra (1.1%) and Santipur (2.1% achievement) only. Thus, these blocks need extra attention from authorities to boost up the target achievement. 25 Table 3.3 Target versus achievement in Current Year (2014-15) Sl. Percentage Name of the Block Target ( 2014-15 ) Achievement ( till 18 August 2014) No. Achievement 1 Chakdaha 7592 2 Chapra 12516 3 Hanskhali 14809 4 Haringhata 4966 5 Kaliganj 22740 6 Karimpur-I 14244 7 Karimpur-II 3605 8 Krishnaganj 5390 9 Krishnanagar-I 20537 10 Krishnanagar-II 72 11 Nabadwip 10431 12 Nakashipara 36767 13 Ranaghat-I 8603 14 Ranaghat-II 8645 15 Santipur 15140 16 Tehatta-I 7941 17 Tehatta-II 6572 Source: District NBA record on Martwise Report 18-08- 2014 2 143 1707 306 3873 1169 282 752 1513 207 307 1396 1195 480 320 640 561 0.03 1.14 11.53 6.16 17.03 8.21 7.82 13.95 7.37 287.50 2.94 3.80 13.89 5.55 2.11 8.06 8.54 GP Level Performance A block specific GP performance analysis was done to identify the poor performing and good performing GPs. The poor performers and good performers for each block have been presented below: Table3.4: Block specific Good Performing GP and Poor performing GP based on target versus achievement Block Good Performing GP Percentag e 79.04 88.07 GP Chakdaha Chapra Hanskhali Haringhata Kaliganj Karimpur-I Karimpur-II Krishnaganj Krishnanagar-I Nabadwip Poor Performing GP Saguna Hatisala-II Mayurhat-I, R.B.C.-II, Mamjoan, Badkulla-I Nagarukhra-II Barachandghar Madhugari Rahamatpur Joyghata Asannagar Mahisura 100.00 99.04 96.93 88.15 97.58 90.69 37.99 51.63 26 GP Percentage Chanduria-II Brittihuda 17.87 12.28 Gazna Nagarukhra-I Matiari Shikarpur Narayanpur-I Taldah-Majdia Dignagar Majdia-Pansila 6.87 26.52 14.19 18.63 40.19 38.39 19.62 26.63 Block Good Performing GP Nakashipara Patikabari Ranaghat-I Nowpara-Masunda Ranaghat-II Raghunathpur Hijuli-II Santipur Arabandi-I Tehatta-I Betai-I Tehatta-II Barnia Source: District NBA Record August 2014 63.23 61.10 88.28 77.57 98.76 89.75 Poor Performing GP Bikrampur 7.19 Khisma 26.75 Shyamnagar 0.00 Haripur 1.67 Shyamnagar 19.42 Gopinathpur 32.92 Some of the GPs which have performed very well in terms of achieving targets are Mayurhat-I, R.B.C.-II, Mamjoan , Badkulla-I (all from Hanskhali) having achieved 100%, Nagarukhra-II (99.0%) from Haringhata, Betai-I (98.8%) from Tehatta and Rahamatpur (97.6%) from Karimpur-II Some of the poor-performing GPs in terms of achieving targets are Shyamnagar (Ranaghat), Haripur from Santipur (1.7%), Gazna at 6.9% from Hanskhali and Bikrampur from Nakashipara (7%). These need special attention. Data from the District NBA Cell revealed that there has been over achievement in case of some GP-s as presented below: Table3.5: List of GP-s with over achievement Baseline Total Percentage Survey Target Achievement Chakdaha Routari 762 803 105.38 Chakdaha Silinda-II 426 560 131.46 Haringhata Haraighata-I 713 757 106.17 Kaliganj Rajarampur Ghoraikshetra 167 362 216.77 Karimpur-II Murutia 638 759 118.97 Krishnanagar-II Nowpara-I 706 730 103.40 Krishnanagar-II Dhubulia-I 585 705 120.51 Krishnanagar-II Sadhanpara-II 284 718 252.82 Ranaghat-I Tarapur 622 635 102.09 Ranaghat-II Raghunathpur Hijuli-I 105 159 151.43 Ranaghat-II Raghunathpur Hijuli-I 105 349 332.38 Ranaghat-II Aranghata 500 640 128.00 Santipur Fulia Township 29 33 113.79 Source: District NBA Record August 2014 Name of the Block Name of assigned GP This has been possible since toilets have been constructed beyond the Sabar Souchagar enlisted beneficiaries. The baseline survey conducted in 2012 provided the list of toilet non owning households while the list prepared under Sabar Souchagar included the toilet non owning households who have job cards. This has made the current the list even more restrictive. Hence work carried out based on the baseline list had some households not enlisted under the Sabar Souchagar eligible list for whom toilets have been constructed. 27 Section 4. Respondent Profile The purpose of the study was to assess the sanitation situation in terms of awareness, ownership and utilisation. While secondary information provided the data on the progress of installations, for understanding the behavioural aspects, as mentioned, a survey was conducted over a representative sample. A total of 2400 households were covered a population of more than 10,000 across 120villages drawn from all the blocks of the district. Table 4.1:Block specific samples covered Block Name Sample size Block Name Sample size Chakdah 160 Krishnanagar - II 140 Chapra 120 Nabadwip 140 Hanskhali 120 Nakashipara 160 Haringhata 160 Ranaghat - I 140 Kaliganj 140 Ranaghat - II 140 Karimpur - I 160 Santipur 140 Karimpur - II 140 Tehatta - I 140 Krishnaganj 140 Tehatta - II 140 Krishnanagar - I 120 Total 2400 The respondent profile has been presented below: Respondent Gender and relationship with Chief Wage Earner (CWE) The break-up between male and female respondents was 54% female respondents and 46%male. More than 40% of the respondents were the chief wage earner themselves and another 42%were the spouse of the chief wage earner. Little less than one tenth of the respondents were son or daughter of the chief wage earner and 6 %were the parents of the chief wage earner. Negligible proportion of the respondents was brother or cousin of the chief wage earner. Social features of the respondents Majority of the respondents (34 %) belong to Schedule caste category while 5 %belong to Schedule tribe. 33 %are Muslim and 21 %belong to the General category. Around one-third of the chief wage earners in the sample set are illiterate while the percentage illiterates as per the 2011 Census are 25% in Nadia District. One-fifth are literate but with no formal education. Another one third has studied till primary level. Only 9 %have studied till secondary level and an insignificant percentage are graduate and above. Of the households visited 82 %have school going children while 18 %reported no school going children in the household. Majority of the households covered were patriarchal in nature with 92 %having a male as the head of the household whereas only 8 % of the sample had female headed households. 28 Dwelling and Land Features Half of the households are living in “Kuchcha” type of dwelling while 22 %live in “Semi-pucca” and 28 %live in “Pucca” houses. 68 %possess land beyond their house in the homestead. Among those having land beyond house in the homestead, the size of the homestead is less than 5 katha for majority of the household. Around 11 %reported to possess 5-10 Katha1 of land. Among the top three sources of income are working as casual labour or daily wage labour with 45 %of the households reporting the same. This is followed by 20 %earning by working as agricultural labourer and 12 %earning through farming or agriculture. Socio-Economic Information Majority of the chief wage earners are engaged as daily labourer (45%) followed by cultivator (20%). 10% are involved in business or are self-employed in non-agriculture activities. Very few are engaged in service or work as factory worker. A very small percentage are engaged as weavers which makes the sample truly representative since Nadia has a legacy of cotton saree weaving. Three-fourth of the family members - other than the CWE- are not into any employment while one fourth are into some occupation with an overwhelming percentage being associated with SHG- s. Around 3 % of the family members are engaged as government servant. 27% of the respondent households have an annual income of below Rs. 24000 in the last one year of which 18%reported an annual income between Rs.18,000 – Rs.24,000 and 9% mentioned of less than Rs.18,000 annual income. Around 28%of the households reported annual income of Rs.36,000 – Rs. 48,000 and 24 %mention annual income between Rs.24000– Rs.36000. Only 21 %have more than Rs.48,000 annual income. On the other hand 44%of the households possess BPL card implying some anomalies in BPL enlistment. Among those with no BPL card, only 10 %have enrolled in the Panchayat list for availing BPL card. Among those who have not enrolled in the Panchayat list, around 11%have BPL stamp on ration card. Around 86%possess MGNREGA job card. Around 16%of the households have taken SHG loan or microfinance loan. However, majority (43%) of the households whoreceived loan, mentioned to have taken the loan more than a year ago. Around 26%mentioned to have taken the loan less than six months ago and 31 % had taken it between 6 months and 1 year. One fourth of the households have member of Self Help Group in the house. The loan was used mainly for cultivation (28%) followed by dwelling repair (16%), social event in family (9%), treatment (8%). Around 4%mentioned to have availed the loan for toilet installation. The analysis indicates that respondents covered diversities in terms of socio-economic characteristics. Detailed respondent profile has been provided in Annexure 4. Section 5: Toilet Ownership In changing the sanitation scenario towards an open defecation free status, the initiatives have traversed the path from Total Sanitation campaign to Nirmal Bharat Abhiyan to the MGNREGA 1 1 Katha is equivalent to750 Sqft. 29 convergence model introduced in 2013. The convergence model coined as “Sabar Souchagar” programme in Nadia District has been well adopted at all the blocks. While the extent of completion of toilet installation varies across the blocks, it is expected to be accomplished by 31st March, 2015. Toilet Ownership The district data from secondary sources shows that on an average 70% of households in Nadia own a toilet while analysis of the data obtained from listing, as a pre-requisite to sampling, indicates that 69% of the households posses a toilet. Among the respondent households with toilets installed, 43% mentioned to have constructed the same before July 2013, but more than half of the households have constructed after October 2013. However purposive sampling with focus on Sabar Souchagar programme in selection of villages has been responsible for such a break up. The Sabar Souchagar programme initiated from July 2013 (on a pilot basis) and from October 2013 on a district wide mission mode has resulted in this boost. Figure 5.1: Breakup of toilet owners based on year of construction • 43% • 2% • 55% Before July 2013 Between July and October 2013 After October 2013 Majority (85%) reported having toilets for the first time. Motivation for Toilet Building As revealed, subsidy acted as the most prominent motivator forth households to build the toilet with more than 50% of the households mentioning of this factor. This was followed by influence and motivation by peer and institutional influence with 27% such responses. Other factors like accumulating money for construction, catering to sick and old relatives also came up as motivating factors. The chart below depicts the different motivating factors. 30 Figure 5.2: Motivation for Toilet building Program was offering subsidy 52% Peer/ Institutional Influence 27% Mobilised funds 20% Had sick /old relative at home Construction of new house 10% 7% Event (wedding /funeral /new year) 2% Had visitors from outside village coming 3% Old one was not functional 1% Others 1% Composition of Peer and Institutions Out of peer and institutional influence, Panchayat members have played the most important role behind motivation to construction followed boyfriends& relatives. Sanitary Marts, SHG-s and Health Workers all have been instrumental in motivating the beneficiaries although to a limited extent. Influence of the peer and community members in changing behaviour is indeed a very positive sign as it indicates a change in social norm. Figure 5.3: Role of Various Stakeholders 70% 53% 12% Panchayat member Friend , relative , neighbour Sanitary Marts 7% 6% SHG Member Health Worker /ASHA Decision Making Motivation leads to decision making. The final decision maker to build the first toilet has been the head of the household in40 % of the cases. More than one-third of the households mentioned of the decision to be joint - made by the family members together. 31 Figure 5.4: Final Decision Makers to Build the First Toilet Head of Household 40% Spouse 7% 17% Self 36% Family together Out of the 17% decision makers in the“Self” category 70% are male and 30% comprise female Type of Present Toilet The current toilet type is “Pour flush” for all the respondent households. . Amongst those with pour flush type of toilet, 58% mentioned of having twin pit toilet,36%have single pit toilet and 6% have septic tank. Figure 5.5: Type of Present Toilet Type of Present Toilet Type of Present Toilet 58% 6% 100% 36% Twin Pit Toilet Septic tank Pour flush Single Pit Toilet A further un wrapping of data was done to understand the contexts of constructing one-pit toilets and septic tanks since in general TSC or NBA guidelines do not support such toilet constructions .It was observed that out of 856 ( 36%) one pit toilets , 238 such toilets were constructed during the Sabar Souchagar programme regime. Blocks like Nakashipara, Karimpur I and II, Tehatta I which are distant from the Distract Headquarters have more than 50% such toilets. On the other hand 16 out of total 149 (6%) Septic tank toilets were constructed under SabarSouchagar programme with around 50% such installations in Chakdah. 32 Difference of Current Toilet from the Old Toilet Out of the total toilet owners, in 14% of the cases, the existing toilet was the second installation. This had happened since the original toilet was in the father’s name and the second toilet was acquired by the son as the beneficiary as families got disintegrated into more than one household. Hence the son or his household members could make a comparative analysis between the earlier and the new model. As perceived by them, the most prominent improvement in the current toilet model over the old toiletis a better super structure and 88% have mentioned of it. 74% mentioned that new toilets have more facilities followed by 44% who mentioned greater user friendliness. 35% mentioned of greater privacy which is directly linked to existence of super structure followed by 21%, who mentioned that current toilets are easier to maintain. Latrine models Figure 5.6: Difference of Current Toilet from the Old Toilet 88% Better structure 74% More facilities More user friendly 44% Easy to maintain 21% 35% Ensures greater privacy Preferred Features of the Toilet While the comparative analysis of the present toilet model with the old toilet was done by second toilet users, general beneficiary feedback was gauged for the toilet model constructed under Sabar Souchagar. As evident 66% mentioned about the appearance while 68% mentioned of “no odour” as a preferred feature. Other preferred features as mentioned by respondents are “faces not visible”, “easy to clean” and “no insect infestation”.15% also mentioned the present toilet model to be less expensive. This is a natural response since subsidy is of the order of Rs 9100 making toilets affordable. 33 Figure 5.7: Preferred Features of the Toilet 66% 68% 52% 40% 31% 15% 2% Looks Good No odour No insect infestation Faeces not visible Easy to clean Requires less water for flushing Less expensive In general beneficiaries have accepted the Sabar Souchagar model but at the same time have mentioned of few difficulties associated with the design. Some such have been mentioned below 1. Height is less, ventilation is poor 2. The toilet block structure with pillars and 3’’ wall may not be durable and in some cases the wall is cracking after completion .Plinth to roof 5” brick work toilets are accepted by beneficiaries as they are more robust 3. Beneficiaries prefer urban type Pans instead of rural type deeper pans stating that it is not child friendly 4. They have mentioned the need for more space and height of the toilet super structure along with cast or concrete ceiling instead of asbestos or tin. Advantages vis a vis disadvantages of toilet use Analysis of advantages and disadvantages of toilet usage indicatesthat on the whole respondents are not negatively disposedtowardshaving toilets. Nearly 100% of the respondents are aware of some benefits of toilet use but unfortunately only about a quarter are aware of the health and environmental aspects of toilet utilisation. A similar percentage have mentioned of convenience as a definite advantage of using toilets. For this very understanding women have been the primary users but men and children still defecate in the open (however small the percentage may be) and infants excreta is not considered to be harmful. On the other hand respondents have mentioned of improved safety (17%), more privacy (13%), improved status and useful for guests (indicated by 9% of people). Comfort is also a driver as mentioned by 7% of people. 34 Positively – a huge majority (almost 80% of respondents) have indicated that owning toilets has no disadvantages at all. A few minor irritants have come up – e.g. bad smell (8%), attracts flies (5%), costly to maintain (2%), etc which has been the cause of dissatisfaction among 20% of respondents. Figure 5.8: Advantages and disadvantages of Owning a Toilet Advantages of Owning a Toilet Disadvantages of Owning a Toilet Improved hygiene /health /cleanliness 68% 34% Convenience /Save time 52% Improved safety 65% More privacy Improved status /prestige 29% Guests can use it 28% 39% More comfortable No advantages 1.0% Other 0.1% Bad smell 9% Attracts flies 6% Cost to maintain it 2% Work to maintain it 1% Other people come to use it Affects groundwater quality 1% Overflows 3% 1% No disadvantages Other 86% 1% Only around 6% of the respondents use toilets for bathing. Many people, specially women have expressed their inconvenience about bathing somewhere else due to problems of security and privacy Financial Support Both TSC and subsequently NBA programmes have been subsidy driven where the quantum of subsidy has been modfied from time to time to motivate beneficiaries and boost the demand situation . The transition has been depicted in the tablebelow : Table 5.1.: TSC- NBA Toilet Models Year Model Cost in Rs Beneficiary Contribution in Rs 2014 April 10900 900 2013 April 10000 900 2012 end of the year 3500 300 2012 starting of the year 2500 300 2010 640 320 2010 500 250 2008 440 220 In the survey 78% and 87% of the respondents could recall the cost of toilet and the amount of contribution respectively. Majority of the households mentioned that the cost of installing the toilet is Rs. 10000 and a similar percentage mentioned that cost borne by households is Rs. 900. 35 Figure 5.9: Economics of toilet installation Cost of Toilet Rs. 900 - Rs. 9000 Amount Paid for Toilet Less than Rs. 900 6% 14% Rs 900 Rs. 10000 36% Rs. 901 - Rs. 9000 Rs. 10000 Rs. >10000 40% 28% Rs. >10000 18% 3% 20% 680 households have toilets costing more than Rs 10,000 out of which 260 are suppported by scheme and the rest have made their own constructions. Around 20% of the respondents have mentioned that they have spend more than Rs. 10,000/- for construction of single sanitary block of which 12% have spent of the order of Rs 20,000 or more . This 6% comprise affluent persons of the village who have constructed their -toiletsof their own and constructed Septic Tanks increasing the expenses drastically, even upto Rs 60,000. And around 16% have spent an additional amount as add –ons to the basic model like inserting more number of rings to make the sanitary toilet sustainable in long run, painting of the superstructure wall to make it resistant to wear and tear, installing coloured pans, using better reinforcement material. Some have made the toilet block bigger than the prescribed norms and have added a bathing space. From the funding perspective, the opinion of the Block and GP members is that the success of the “Sobar Souchagar” programme for eradication of open defecation “depends on the convergence of NBA and MGNREGA to a great extent because modern type of toilet is costly. The project needs huge fund which can be easily managed from two programmes instead of one”. They agree to the fact that, “the progress of the convergence has made the project successful…qualities of the toilets have been improved due to the convergence programme”. Assistance Received While Making First Toilet On the issue of support and assistance , 57% mentioned to have received some assistance in constructing the first toilet.88 % mentioned to have received assistance from Panchayat while constructing the first toilet .90% of the households mentioned of monetary support while some mentioned on awareness, motivation and technical advice.Some (8%) have also mentioned of NGOs / Sanitary Marts. Some have provided multiple responses indicating both Panchayat and NGO or Panchayat and BDO in providing assistance. 36 Figure 5.10: Received Assistance from Type of Organization Yes 57% Panchayat NGO •94% •8% No B.D.O. Office •5% 43% Functional status of toilets Almost everyone who has installed toilets has it in functioning status and family members are using it. Only 1% has reported that the toilet they have is not functioning. Of the 1% around 50% have mentioned it to be non-usable because of non -cleanliness and foul smell and about a quarter mentioned that since they have not been cleared up for long and the pits are full. However they fail to realize that improper maintenance is the cause of such status and they themselves can handle it. 6% have mentioned that the superstructure is broken which has made the toilets unusable from privacy and security issues. Figure 5.11: Reason for Not Functioning Dirty 44% Full with faecal matter 25% Superstructure broken /missing 6% Building not completed 13% Bad odour 6% Other reasons like use as storage 6% Location of the Toilet As per the convenience of the family members, in 89% cases toilets are inside the premises. This is another motivating factor for women as it helps them maintain privacy and also ensures security. Within the premise majority of the toilets (60%) are located within 40 ft from the dwelling helping children, elderly and sick to avail of the facilities conveniently. 37 Figure 5.12: Distance of Toilet 21% Within house • 5% Within Premise/ homestead •89% 38% Outside premise 41% •7% <20 ft 20- 40 ft More than 40ft Source of Water to Use in Toilet and distance Majority have reported of ownership of a tube well which is the main source of water for their latrine. The water source is easily accessible and within 20ft of toilet. Figure 5.13: Source of Water to Use in Toilet and distance Source of Water to Use in Toilet Own Tube well Community Tube well Distance of Water Source 82% 61% 14% Own Well 1% Piped water 1% Pond Water 1% 6% 33% 20 ft 20- 40 ft More than 40ft Water Logging Problem in the Rainy Season As reported by beneficiaries, in general they do not face any problem regarding water logging during rainy season; a little more than one-fifth of respondents have reported of occasional problems. Yes •22% No •78% Associated features of and accessories in the toilet During field study, observation of Toilets was done for all 2400 sample households through astructured checklist. Salient features observed were as follows: 1. Condition of the toilets was observed to be good, satisfactory, bad and broken in 61%, 29%, 8% and 2% cases respectively. Most of the toilets (83%) were found to be clean without any excreta remains in the pan. 2. All the toilets were sanitary toilets.58% toilets were two pit followed by 36% one- pit toilet type and 6% Septic Tank. 3. 30% had rural pans. 67% used ceramic urban type models while Mosaic pans were found in 3% of the respondent households. 38 4. 82% households had buckets / drums for storing water and 73% toilets had a mug in the toilet to be used for flushing and cleaning. 16% did not have any standard arrangementfor water storage. 2% had piped water connection (pump set in tube well/well). 5. Only 36% had soap inside the toilet. 6. In 86% cases no lighting arrangement was found in the toilets. They use lamps during night. 7. 80% toilets had proper ventilation 8. 92% toilets had a door. 9. Proactive disclosure was written/painted in the wall of toilet block in only 27% cases while 73% toilets did not have any proactive disclosure. 623 (48%) toilets constructed under Sabar Souchagar have proactive disclosure. Stakeholder Feedback on Installation and Coverage At each block level stakeholders and beneficiaries were met to understand the status of installation of toilets. The snap shot at block level has been provided below: SNAPSHOP AT BLOCK LEVEL Chakdah Chapra Haringhata Haskhali Target of toilet installation of Block is 18532 within 31st March 2015. Approximately 50% of toilet installation has been completed (8188 out of 18532) according to Block information. “Sabar Souchagar” programme has been adopted by the block and the expected results are very good 15% of the houses target has been achieved Installation target is 6000 Done 3000 which means 50% of target Dakshinpara GP expects that within 31st March 2015 the target of 100% sanitation can be reached. Out of 2126, 214 toilets have been installed, construction of 30 toilets are running. 39 SNAPSHOP AT BLOCK LEVEL According to information given by Ramnagar GP there is some inconsistency in beneficiary list. Number of beneficiary is 1359 in base line survey report, but Block has given permission to 103. Out of 103 they have completed 35 and work is running for 15. Within 2 months total work will be finished. Karimpur I Karimpur II This Block will reach the target of 100% sanitation status within 2015. Following the census Village Report of 2012 out of 47000 HH, 13000 HH have no toilet (Approx) It is sure that the number of no toilet HH has been decreased in the mean time Almost 25% target has been achieved and work is going on in a satisfactory pace. Those households that do not have toilets many of them are using other’s toilet. Survey list needs to be updated properly in many villages Percentage of household having old toilet in the villages 90% to 95% (approximate) Percentage of household having new toilet in the villages 10% Percentage of household having no toilet in the villages 5% (approximate) ‘Sabar Souchagar’ programme has been started every where few days ago and work is going on 70% to 80% utilisation of household toilets can be generated According to ASHA 30% people of Gobarkuli village have no toilet; all of them go to open air. In the opinion of GP members 20% to 40% installation of beneficiary list have been covered. NS, Belpukur, GP have told out of 600,479 installation is still due. Impressive performance has been observed in the ‘Sabar Souchagar” programme. Almost 60% of households have installed toilet. Survey list needs to be updated in many villages Krishnagunj Krishnanagar I Krishnanagar II Nakashipara Tehatta I Tehatta II Ranaghat I Break up of old and new toilets are of the order of 65% and 35% respectively. Almost 80% of households are having toilets in their own household. Almost are using old toilets and 14%-15% are using new toilets. 10% households are using other’s toilet According to Block and Panchayat, toilets exists in 80% household majority of which is old and owners are using the toilets always “Sabar Souchagar” programme has been adopted by the block and the expected results are very good 60% of the houses have constructed toilets 40 Conclusion Nadia district has impressive sanitation coverage. In general stakeholders including the beneficiaries are geared up to boost up coverage. The Sabar Souchagar programme initiated from July 2013 (on a pilot basis) and from October 2013 on a district wide mission mode has resulted in this boost Subsidy of Rs 9100 under the convergence model has been the primer driver Panchayat followed by peer and community members have been the prime motivators behind constructing household level toilets Decision making was primarily by Head of Household In the self- decision making category 30% were women. 56% own two pit toilets. Construction of single pit and septic tank toilets during Sabar Souchagar regime, however small in number indicate deviations from guidelines. Preferred feature of the new model vis a vis the old model o Improved superstructure ensuring privacy o Looks neat and clean o Less water needed for flushing 41 Section 6: Current Practices & Utilization of Toilet Since 2004, the focus of the rural sanitation programme in India shifted to changing behaviour rather than on merely creating sanitation facilities. On a small scale some of these initiatives have shown a promise of sustainable behaviour change. However, for scaling up these initiatives it is imperative to understand the pathways that lead to a change in sanitation behaviours. Understanding variations in behavioural pathways can assist in planning locally relevant, culturally specific, and socially compatible behaviour change programmes. In Nadia survey reveals that people in general have adopted the pathway of change towards an open defecation free environment. Current Usage Behaviour The survey intended to track the pattern of intra-household defecation practice. As revealed, adult males and women have reported to display almost equal usage of toilets (around 97-99%). However insignificant, males are more likely to defecate in the open than females. Children are way behindin terms of usage of toilets, at just 66%. Figure 6.1: Toilet usage among different sections •97.38% •99.38% •66.29% Adult Men Adult women Children Community meetings in majority of the villages mentioned of the need of toilet use among women to preserve their privacy and dignity and to safeguard against insecure circumstances. 42 Among the children, the usage is relatively lowparticularly among children aged less than 5 years due to two major reasons as expressed by the respondents. Firstly toilets are not child friendly as expressed by 25% of the respondents and secondly, child excreta is not unhygienic or harmful and thus can be disposed indiscriminately. 5% aged persons mentioned of the toilets not being user friendly. Figure 6.2: User friendliness among children and aged For children aged (<5 years) Aged Person User •75% Friendly User •95% Friendly Non User •25% Friendly Non •5% friendly The usage pattern was further traced to understand the consistency of the practice in terms of toilet use “always”, since this will provide the strong basis for converting community norm against open defecation. Out of the toilet owners 94% use it always which maps to 66% of total households in the district as toilet coverage is around 70%. This is way above the 40% mark in West Bengal. The block specific scenario in terms of households who use toilet exclusively has been gauged and presented below 43 Figure 6.3: Block specific exclusively toilets users among toilet owning households 100% 99% 99% 98% 98% 98% 98% 97% 97% 96% 96% 94% 95% 93% 93% 91% 89% 90% 88% 85% 81% 80% As evident in Haringhata and Krishnanagar Blocks 99% of the toilet owners use toilets always while Karimpur II and Tehatta I Blocks lag behind in terms of use always. However considering the household level coverage at Block level (Ref Table 3.2), the above figures map to the following, considering all households. As evident, Nabadwip and Krishnanagar are the forerunners among the blocks of the district and Chakdah is a poor performer. Figure 6.4: Block specific exclusively toilets users among all households 100 90 80 70 60 50 40 30 20 10 - Chakdah Chapra Hanskhali Haringhata Kaliganj Karimpur - I Karimpur - II Krishnaganj Krishnagar - I Krishnagar - II Nabadwip Nakashipara Ranaghat - I Ranaghat - II Santipur Tehatta - I Tehatta - II % Households using toilets exclusively 44 Ethnicity specific toilet usage An analysis was done to assess ethnicity linked toilet utilization based on quantitative survey. As revealed in the chart respondents using toilet “always” is impressive across all ethnic categories. However among ST, OBC and Muslims the practice is somewhat lower, as revealed in the figure below. Figure6.5: Ethnicity specific toilet usages 94.00 92.66 92.42 92.00 90.00 89.70 89.78 OBC Muslim 88.00 86.00 84.52 84.00 82.00 80.00 SC ST General The overall progress has been substantiated by community responses through FGD-s in few villages as indicated below: In Muslim Para of Khisma GP in Ranaghat-1 block remarkable changes have been observed. Many of them got new toilets under the “SABAR SOUCHAGAR” programme. Open defecation is nearly decimated from the village. Toilet using behaviour is very good in the village. In Barnia GP Tehatta -2 block which is tribal dominated, community have mentioned that 7080 %people are using own toilet. On the flip side community feedback also revealed lack of awareness and clinging to tradition practices of open defecation among the ST and minority sections. In Harekrishnapur GP of Karimpur -1 block which is minority dominated open defecation although restricted, is still in practice. According to community “There is need for more awareness on toilet usage. Hand-washing practice also needs to improve”. In Kanainagar GP of Tehatta-1 and in Kalaberia village of Karimpur-1 it was found that a section of the tribal population are reluctant to use toilet. So, awareness campaigning against open defecation among them is not so easy. Anganwadi workers of Kanainagar GP of Tehatta 1 (tribal dominated) mentioned that “tribal children are not easily adaptive to change since it is an age old practice”. “Meetings with mothers also do not generate positive responses”. Similarly Anganwadi workers of Phatikbari GP of Nakashipara Block (Minority dominated) mentioned that hygiene habits among children are not satisfactory. Repeated awareness and education has brought in a change but is not upto the mark. 45 Income linked usage pattern Income is often a major driver in bringing in a behaviour change through creating access to infrastructure and hierarchy induced exposure. Hence the analysis attmepted to assess the block specific income linked usage pattern. The chart below provides block specific income status of respondents Figure 6.6: Block specific break up respondents based on income category < Rs. 18,000 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0% 51% Rs. 18,000-24,000 0% 0% 0% 39% 38% 36% 0% Rs. 24,001-36,000 0% 0% 0% 0% Rs. 36,001-48,000 0% 3% 11% 15% 12% 7% 5% 7% 5% 46% 1% 0% 0% 0% 11% 29% 23% 41% 38% 20% 44% 1% DK/ CS 14% 14% 14% 14% 14% 13% 11% 11% 11% 25% 25% 21% 21% 30% 27% 24% 34% 1% Ø Rs. 48,000 16% 22% 19% 28% 26% 14% 19% 17% 26% 19% 20% 19% 31% 26% 25% 27% 16% 31% 36% 29% 29% 42% 47% 21% 18% 27% 27% 18% 15% 25% 8% 14% 14% 17% 14% 13% 16% 12% 8% 11% 4% 5% 1% 4% 3% 6% 8% 1% 3% The percentage of high income and lowest income category respondent households were correlated with percentage using toilets always and as evident income level really does not have very direct correlation. This is primarily because of the provision of subsidy provided. Hanskhali Krishnanagar - II Krishnanagar - I Krishnaganj Ranaghat - II Santipur Kaliganj Nabadwip Chakdah Chapra Haringhata Karimpur - II Nakashipara Table 6.1: Correlation between Income & Sanitation usage: Percentage HHs in Percentage HHs in highest Percentage using toilet lowest income monthly income category always) category 7% 51% 98% 5% 39% 99% 5% 38% 98% 2% 36% 97% 14% 25% 96% 3% 25% 94% 6% 21% 96% 8% 21% 97% 12% 14% 93% 4% 14% 98% 17% 14% 99% 8% 14% 88% 11% 14% 89% 46 Percentage HHs in lowest income category 16% 25% 14% 13% Percentage HHs in highest monthly income category Karimpur - I Ranaghat - I Tehatta - I Tehatta - II 13% 11% 11% 11% Percentage using toilet always) 93% 98% 81% 91% Education linked usage pattern Education is expected to have an impact on the sanitation behaviour. The block specific education status considering different levels of education attainment has been indicated below : Figure 6.7: Education-wise distribution for Each Block % Of Illiterate % Of 2 (Literate but no formal education) % Of 3 Upto Primary level % Of 4 Upto Secondary level % Of 5 Upto Higher Secondary % Of 6 Under-graduate % Of 7 Graduate & above 100% 1% 1% 0% 2% 0% 0% 0% 1% 0% 0% 0% 3% 3% 3% 4% 2% 1% 4% 1% 1% 1% 1% 1% 1% 6% 4% 0% 4% 1% 1% 1% 0% 4% 9% 3% 0% 3% 3% 2% 2% 3% 3% 5% 9% 4% 4% 4% 2% 9% 4% 2% 1% 3% 9% 13% 6% 9% 8% 21% 24% 80% 28% 29% 32% 28% 30% 31% 21% 33% 36% 35% 29% 46% 38% 47% 26% 10% 60% 45% 16% 16% 20% 15% 16% 29% 16% 44% 30% 23% 40% 29% 57% 21% 16% 19% 49% 48% 44% 44% 42% 20% 39% 15% 36% 30% 30% 29% 28% 13% 25% 20% 23% 26% The toilet usage behaviour has been correlated with the different education levels to gauge the extent of dependency. Table 6.2.: Correlation between Education and Toilet Usage Always Block Name Correlation Coefft Illiterate -0.35 Upto Primary level 0.41 Upto Higher Secondary 0.35 As observed toilet practice certainly has a definite correlation pattern with education level. Illiteracy has a negative correlation while the educated have a positive correlation. 47 Frequency and seasonality of Use Frequency of toilet use shows a very impressive scenario. Almost all children between the age group of 5-12 years are using toilet always, majority (98%) women also use toilets regularly. The usage pattern of men is marginally lower as compared to women and children primarily because they go out to work in the field early in the morning and as a practice defecates in the open. However this is reducing significantly as mentioned by respondents of Ranaghat I Block “now we seldom come across or step on human excreta in the fields which used to be a common happening earlier and we would have to come and take bath for cleansing”. Figure 6.8: Frequency of Use 0.04% 3.0% 97.0% 0.04% 3.0% 97.0% Adult men : Dry Adult men: Season Rainy season 0.04% 1.9% 98.1% Adult women: Dry Season 0.04% 1.9% 0.3% 0.4% 99.2% 98.1% 0.3% 0.4% Always 99.2% Adult women: Children of 5-12 Children of 5-12 Rainy season years :Dry years : Rainy Season season Sometimes Never 10.8% 10.8% 2.8% 2.8% 86.4% 86.4% Children < 5years :Dry Season Children < 5years :Rainy season Supriya Biswas, wife of Shankar Biswas of Tarpur Gram Panchayat - Jhaumahal Village of Ranaghat I Block hails from a very poor family. They are working as daily labour for their livelihood. She has two sons one being handicapped. After lot of economic struggle they were able a buy couple of cows. They had nourished those two cows for long and had developed affection for them. But, at last they had to give it away and sell them as they needed money to construct a toilet. They considered it shameful to go for open defecation. Satisfaction with Toilet Usage Satisfation level with toilets is quite high – only around 10% of peole are dissatified. Almost one – third of people are very satisfied and almost 60% are satisfied. 48 Figure 6.9: Satisfaction with Toilet Usage 32% 10% 58% Very satisfied Satisfied Unsatisfied Satisfied Beneficiaries Water Usage to Flush the Household Toilet A majority – almost two-thirds of people have mentioned to need around 6-15 litres of water to flush household toilets; around 12% are significantly greater users of water – they use more than 16 llitres.However – a substantial percentage of people are relatively lesser users of water; they use even less than 5 litres of water to flush the household toilets. 49 Figure 6.10: Water Usages to Flush the Household Toilet 4% 8% More than 26 litres 22% 16 to 25 litres Less than 5 litres 66% 6 to 15 litres Challenges Faced in Toilet Usage The two most overwhelming problems in toilet usage are regarding emptying pits (as indicated by 19% of respondents) and non-user friendly toilets (mentioned by a similar proportion of people; 18%). Problems of maintenance (15%) and lack of ventilation (13%) are also some mentionable challenges; as perceived by end-users. 17% of the respondents mentioned of no challenge. It is evident that if the government and other bodies work towards alleviating these challenges or pain points of end-users; this can lead to a significant increase in the usage of toilets. Figure 6.11: Challenges Faced in Toilet Usage 19% Emptying pit problematic 3% 7% 8% Needs Land 13% Expensive 15% Lack of ventilation 18% Insect Problem Problem of maintenance Not user friendly 17% No problem Hygiene Practices & Hand Wash There is high correlation between proper hygiene practice in terms of hand washing and installation of toilets. 65 % of the households admit there has been a change in hand-washing behaviour post toilet installation. 50 Through the awareness programmes, people are generally aware of the ill-effects of opendefecation and good effects of hand-washing and that are resulting in change in their practices. Now, more and more people are aware of the fact that – “to control disease, proper hand washing with soap is a must”. Materials used to wash hands after self- defecation Majority of sample households reported using soap (71%) to wash hand after self-defecation. However, 25% still wash using soil. There has been significant effort given in Schools, AWC and local panchayatsto promote enhanced practice of hand-washing across the blocks. In case of material to wash hand after child defecation, 66% reported use of soap & 31% continue using soil. Figure 6.12: Materials used to wash hands after self- defecation Materials used to wash hands Materials used to wash hands after handling babies faeses 2%1% Soap Plain water 31% 71.0% 1%2% 25% 0% Plain water Ash Ash Soil 66% Soil Others Soap An associated behaviourchange with toilet use is hand- washing and specifically use of soap in handwashing. 64 % of the households mentioned that there has been a change in practice related to hand washing with soap after defecation, 38 %mentioned of wash hand before eating and around 17% mentioned on change in practice before cooking. Unfortunately only 12% mentioned to wash hands with soap after handling child faeces. Figure 6.13: Change in hand wash practice 64% 12% 38% 26% 17% Wash hand after defecation Wash hand after cleaning children’s faeces Wash hand before eating Wash hand after eating Wash hand before cooking Change in sanitation behaviour and disease prevention Half of the respondents admit that disease prevention is a benefit of washing hands after toilet use or handling excreta. Another 47 % feel it is necessary for cleanliness purpose. 51 Figure 6.14: Hand Washing Practice and disease prevention Cleanliness 47% Disease prevention Don't know 50% 3% Noticed Change in Occurrence of Diarrhoea Typhoid Other Water Borne Diseases 79 % of the respondents report that they have noticed decrease in occurrence of Diarrhoea, Typhoid and other water borne diseases after the change in hand wash practice. However, 8 % of the respondents believe there has been no change even after change in toilet practice. Figure 6.15: Occurrence of Water Borne Diseases 1% 12% 79% 8% Increased Decreased No change Can’t say Community FGD-s however have substantiated this feature. In majority of the FGDs control of disease particularly diarrhea was mentioned as a positive consequence of toilet use . Some have mentioned of control of jaundice.However secondary source information was not available to substantiate it. Awareness about Toilet Usage of Children in School 63 % of the respondents report awareness about toilet usage of children at school, however, around one-fourth were ignorant and reported ‘cannot say or do not know’. 15 %mentioned that they are unaware about the same. However, across the block various awareness generation activities and initiatives have been taken in schools to change the hygiene practice among children and high percentages of school children are aware of toilet use. Conclusion Toilet utilisation has improved impressively to a 85% - 90% figure although in some pockets it is below the expected level. Toilet utilisation among women has become a norm based on issues related to privacy, security and preservation of dignity. Usage among children , in the age group of below 5 , is relatively low. Infant excreta is still disposed indiscriminately and handling infant excreta is not considered unhygeinic for which a small percentage use soap post cleansing.In general practice of handwashing has improved with over 41% using soap for hand washing after self defecation . More or less people are satisfied with toilet usage and majority have not mentioned of any specific challenges. 52 Section 7: Practices associated with Open Defecation and Social Norm Open defecation in rural areas is a human development emergency that is causing infant deaths, child stunting, and widespread infectious diseases. A set of socio- cultural factors encourage open defecation and discourage the use of affordable latrines. Unless there is a change in social norm, it would be extremely difficult to abolish open defecation and make it free from such a human nuisance. Practices associated with Open Defection in Nadia In Nadia a huge 92% of respondents are unanimous in agreeing to the principle that open defacation should be completely stopped and have expressed a revealed preference towards toiet use. In general open defecation is still in practice among 8% of the respondents or their family members, of which 49% mentioned that they resort to open defecation during rush hours. Unfortunately 25% mentioned of practicing open defecation regularly. Among the open defecators children comprise 40% followed by male members (25%). Several reasons could be attributed to this behaviour among children and male. Since barring open defecation has still not been established as a strict social norm, defecating in the open is a very easy option to tackle any exigencies at home. The positive aspect of it is women have become conscious of privacy and dignity and do not prefer open defecation. Further children attend Anganwadi centres and Schools which are not equipped with such facilities for which children are forced to defecate in the open. Men on the other hand because of their outdoor nature of work take the advantage of relieving themselves elsewhere. Farmers or other job workers go to the fields as convenient Lack of community toilets, as expressed by participants in community FGDs, is a major factor behind continuance of such practice. Figure 7.1: Open Defection Scenario Occassions when OD is practiced Open Defection Rush hours during the day Yes 94% 6% No 49% Toilet not functioning properly 25% Regularly 25% Guests at home Other 14% 3% Disgracefully 33% have mentioned to be using their homestead for defecation without being conscious of the environmental health issues. 55% mentioned of defecating in bamboo groves, railway tracks, in open fields etc besides 12% using river sides for defecation. 53 Figure7.2: Location of Open Defecation 33% 12% Homestead 55% Riverside Elsewhere Places where Babies’ Faeces Usually Disposed Child faeces which are not considered unhygienic to that extent are indiscriminately disposed. About 38% dispose of baby’s faeces in open spaces like Open drain/ditch or simply throw it in garbage. Interaction with Amina Bibi of Krishnagunj indicated that “it has been an age old practice since infants cannot use toilets …. But they have not considered the pros and cons of such disposal.” However out of those who do not use toilet (41%) dispose of their faeces by putting it in the drain / ditch. A little over one-fifth put it into the latrine. A majority 80% people feel that they dispose outdoor since it is easy and convenient for them . Around around 13% feel that there is enough land for disposal of faeces; hence there is no need for using toilets. Figure 7.3: Places where Babies’ Faeces Usually Disposed Disposal of Baby Faeces Reason for Disposing Outdoor 21% 41% 13% 80% 7% 38% Put into toilet Put into drain /ditch Throwin garbage Easy and convenient Can save on water use Have enough land for disposal On the other hand elderly and sick people in general defecate in toilets. Almost all (95%) agreed that they use toilets for the sick and the elderly. This is obvious since this method is much more convenient, user-friendly and the sick and elderly feel much more at ease to use toilets. 54 Location for Defecation in case of Not Usable Toilet In case the toilet is non-usable; the primary location for defacation is neighbor’s latrine (mentioned by more than half of repondents). Unfortunately around one-third resort to the nearby bushes or field. The need for community toilets was once again expressed in this regard by community members. Figure 7.4: Location of Defecation in case of Not Usable Toilet Neighbour’s latrine 54% Field /forest Relative’s latrine 37% 7% Public latrine 2% Other 2% Social Norm Social influence is a collective phenomenon that exerts conscious and unconscious pressure on individuals, families and communities to conform to norms and practices. At the society or collective level, norms serve as prevailing codes of conduct that either induces or restricts individual behaviours. Individual interpretation of these norms is referred to as perceived norms. Perceived norms, on the other hand, exist at the individual, psychological level. They represent each individual’s interpretation of the prevailing collective norms. Social norm has been assessed from individual responses to understand the perceived norm as well as from group responses to gauge collective behaviour. Individual response to social order Response on whether open defecation should be stopped completely As indicated in the earlier section, beneficiary responses in survey reveals that in general people think that open defecation should be stopped completely. However considering the real situation where toilet installation has not had significant coverage like in Haringhata, Kaligunj and Shantipur blocks around 10% of respondents mentioned that open defecation cannot be stopped completely and such a practice can happen at times. 55 94% 89% 81% 92% 91% 91% 94% 94% 93% 96% 96% 92% 85% 86% 97% 100% 98% 120% 99% Figure 7.5: Percentage response on whether open defecation should be stopped completely 80% 60% 40% 20% 0% Women responses have been very positive and nearly 100% women said that whatever may be the constraints, open defecation cannot be a practice, particularly among women. Women have changed their practices significantly. Social norm toward open defecation among women has taken a positive turn. The aspect of women privacy and dignity has been recognized by community and perceived by women themselves. The issue of security has also gained importance. Women at the household level will act as change agents in bringing in an overall behavioural transformation Approaches to stop open defection Open field defecation, disposal of household solid and liquid waste are some practices that happen in the public domain affecting others in the community. On the response to the ill effects of open defecation 53% mentioned of polluting the environment which affects the community at large. Hence these behaviours have a detrimental impact on the lives of others and on the other hand community has to devise norms which will serve as prevailing codes of conduct that either prescribe or proscribe such individual behaviours. This has been expressed by a large percentage of respondents who feel that it can be stopped though community initiative followed by a section who consider that such behaviour can be promoted through a mix of community and individual initiatives. 56 Figure 7.6: Percentage response on Approaches to stop open defection 11% 67% Individual initiative 23% Community Initiative Both There have been some remarkable instances of individual initiative to stop open defecation cases of which have been cited below: Case of Sarjina Bibi of Khisma Gram Panchayat Maniktala - Muslimpara Village of Ranaghat I Block- SarjinaBibi is a marginal worker had worked under MGNREGA scheme to earn a livelihood. Her income level was very low as she did not have regular work. In this situation she arranged for her daughter’s marriage in Nandighat village of Anulia Gram Panchayat with DilwarMondol. They asked for dowry. But for Sarjina bibi, being a marginal worker, it was very hard to mobilise the money for marriage. But, she was slowly arranging that. One day the groom’s family said that they are not interested in the marriage proposal as the girl’s family does not have a toilet at home indicating a low status. The negativity charged up SarjinaBibi and she became desperate in collecting money for toilet after managing the dowry and other related expenditure. Knowing this fact the groom came forward and said he would not take any dowry instead the bride’s family should construct a toilet at their own residence. The subsidy helped her to construct the toilet. Key Players in Community Initiative Panchayats have been considered the key players since community norms involve defining of codes of conduct at the society level. SHG-s also have emerged as important players in Harighata, Kaligunj and Krishnanagar I. 57 Figure 7.7: Percentage response on Key Players in Community Initiative Panchayat 80% SHG 16% Young generation 14% AWW/ ASHA 8% NGO-s/ Sanitary Marts 6% Children 1% Strategy to stop open defecation Community mobilization is the key to stopping open defecation – this has been mentioned by 60% of respondents. Around one-third (32%) feel that greater awareness needs to be built up against open defecation. People are not much in favour of enforcement / penalties for the same although 8% mentioned of this. There were multiple reponses to the strategy to open defecation and several mentioned of more than one approach. Figure 7.8: Percentage response on strategy to stop open defecation Community mobilisation 73% Enforcement/ penalty Greater awareness 9% Children mobilisation 39% 1% Community responses on norms Community in general are averse to the concept of open defecation since they strongly believe that toilets can fight against land and water pollution which cause diseases. They help preserve the dignity and security of women in specific and direct people towards leading a civilised and decent life in general. Community even considers it as a punishable crime since the doings of one can impact the inhabitants of the area through transmission of diseases. For them it is not minimising open defecation but eradication of the same. Most of them are eager to get toilet but for some unavoidable circumstances there lies a gap between demand and supply. The aware section are motivating the unaware section to control open defecation. For the younger generation open defecation is an uncivilised activity and according to them “all round effort should be made to control defecating in the open”. Community feels that in general cleanliness and health 58 consciousness has increased. They suggest, community toilet should be constructed for those who have no toilet in the household even today and who spend a long time outside home to stop open defecation. Community toilets in market places are an option. Community toilets are very sparse in the block. The district data indicates that all over the district there are only 31 toilet blocks with some blocks having no community toilets, as presented below Table 7.1: Block specific distribution of Community Sanitary Complexes Sl. Name of the Upto the month since inception No. Block of TSC project 1 Karimpur-I 3 2 Karimpur-II 0 3 Tehatta-I 2 4 Tehatta-II 0 5 Kaliganj 0 6 Nakashipara 0 7 Krishnanagar-I 2 8 Krishnanagar-II 3 9 Krishnaganj 0 10 Chapra 3 11 Nabadwip 4 12 Hanskhali 3 13 Santipur 1 14 Ranaghat-I 2 15 Ranaghat-II 2 16 Chakdaha 1 17 Haringhata 5 Total 31 Source: Physical Performance report July 2014, District NBA Community responses on action to stop open defecation In Nadia district the Community Led Total Sanitation Approach as an approach has not been tried and implemented. The CLTS approach is a “subsidy free” approach relying on generating demand and subsequent action at the community level with no direct financial aid. It focuses on empowering the local community and mobilising it into action. Success in this latter approach is defined by whether the area becomes Open Defecation Free (ODF). However in community meetings respondents have come up with suggestions to control defecation ranging from soft approaches like awareness generation to harsh approaches like introducing fine or punishment. Some block specific community Reponses have been provided below: 59 Table 7.2: Block specific suggested actions to control open defecation Block Suggested Actions Shantipur 100% awareness with 100% control of open defecation is possible Ranaghat 2 , Krishnagunj Open defecation can be eradicated if fought unitedly Krishnanagar 2 100% control is possible if govt. gives more financial help to the poor Chakdah, Tehatta I Issue of sanitation to be harped in Gram Sansad meetings Haringhata, Hanskhali Fine or some punishment can be introduced to stop open defecation Hanskhali , Chapra Intense motivational drive Ranaghat 1 Community initiative to open defecation Karimpur I Joint venture by Gram Panchayat and Mart Kaligunj Health workers , students are key agents for communication the right message and mobilising the community Tehatta I , Kaligunj Creation of community toilets Conclusion Community in general are geared up to stop open defecation this is also reflected in beneficiary responses where 92% were of the same opinion – an definite indication of appreciation for sustainable behavioral change and adoption of hygienic enviornment. Although individuals need to change, the public opined (64% people) community initiative as the main approach to combat open defecation and the Panchayat is considered the key player in driving the community initiative. However, the community was positively inclined towards the role of other players like – SHG (13%), young generation (11%) and AWW/Asha (7%).Norms are social phenomena which are propagated among group members through communication for deciding on the codes of conduct. The “walk of shame” concept needs to be widespread touching all sections of the society. 60 Section 8: Institutional Coverage and Utilization Children are considered change agents as they learn and adopt new behaviour and practices faster. They can be involved to promote toilet use at home and stop open defecation.Community consultations have revealed that in some cases children have been inducers in bringing change within the family. Hence any sanitation programme needs to assess the sanitation behaviour of children beyond home. Schools and Anganwadi centres house children was a significant stretch of time and help children develop their sanitation habits. So, schools and Anganwadis centres are very important institutional stakeholder to move towards an open defecation free society. Under the TSC programme School and Anganwadi Toilet units have been constructed. Under the convergence model if the School and Aanganwadi toilet unit has not yet been constructed under TSC programme, then School and Aanganwadi toilet can be constructed under the MGNREGA. Fund available for construction of toilets through MGNREGA: The unit cost for school toilet is Rs.35,000, and the labour : material ratio is 10:90. The unit cost for Anganwadi toilet is Rs.8000. The unskilled labour: material ratio is 17:83 Toilet availability in Schools and Anganwadis The table below depicts the existing situation of the toilet availability in the schools and anganwadi centres of Nadia district. In the district in schools toilet availability is impressive. But, in the context of the Anganwadis only 63 % of the target has been achieved. Table 8.1 Toilet availability in Schools and Anganwadis Sl. No. Name of the Block Approved Achieved % Coverage In % School Toilets (units) Latrines for Balwadies/ ICDS Toilets (units) Approved Achieved % Coverage In % 1 Karimpur-I 342 412 120 300 206 69 2 Karimpur-II 393 393 100 325 271 83 3 Tehatta-I 413 413 100 351 266 76 4 Tehatta-II 277 313 113 186 179 96 5 Kaliganj 491 491 100 403 332 82 6 Nakashipara 519 526 101 491 410 84 7 Krishnanagar-I 554 554 100 556 153 28 8 Krishnanagar-II 253 294 116 175 175 100 9 Krishnaganj 344 344 100 266 183 69 10 Chapra 437 440 101 405 337 83 11 Nabadwip 312 311 100 248 244 98 12 Hanskhali 499 499 100 434 241 56 13 Santipur 372 367 99 441 279 63 14 Ranaghat-I 348 369 106 397 233 59 15 Ranaghat-II 446 508 114 564 192 34 16 Chakdaha 611 623 102 661 273 41 17 Haringhata 363 351 97 417 170 41 TOTAL 6974 7208 103 6620 4144 63 61 The block variations depict the following: 1) In Ranaghat-2, Chakdah, Haringhata, Krishnanagar-1 achievement of construction of toilets in ICDS centresis below average i.e. below 50%. 2) On the other hand, Nawadwip block, Krishnanagar -2 and Tehatta-2 block has achieved above 90% in toilet construction in the ICDS centres. 3) At least 63% of the target to construct toilet in ICDS centres has been achieved. 4) However, achievements of toilet preparation in the schools are very good in the district surpassing the target number of schools. Almost all of the blocks have achieved the target of toilet construction. In many blocks toilet construction achievement in schools are more than targets as they prepare separate toilets for boys and girls and thus have more than one toilet. Utilization Pattern in ICDS Centres and Schools The condition of toilets and the utilization pattern has been gauged through Focus Group Discussions with the school teachers, ANM workers, ASHA workers ( Refer to Annexure 4) for a representative FGD).Some key points have been discussed below: Anganwadi centres are housed either in own premises or within School Premise or in rented accommodation against a meagre rent of Rs 200 or in Clubs Anganwadis which are in rented accommodation are facing problem regarding usage of toilets. As the owners/landlords are only getting Rs.200 rent/month, they are not allowing children to use toilet. For that, children are either using neighbouring club or household toilet. If there is no such option, they are going for open defecation. In Dogachi Gram Panchayat, Block- Krishnanagar-1) out of 44 Anganwadis centres 14 centres are in rented accommodation. It has been revealed from the discussion that students cannot use their toilet due to landlord’s objection. They have expressed the serious need for community toilet as well as tube-well beside the AWC. Although they are educating children on toilet usage toilet and hygiene behaviour but lack of infrastructure is restricting the desiredbehaviour. Most of the schools (both primary and secondary) have toilets but many primary schools do not have separate toilet for boys and girl. It has been observed that many toilets are dirty but children are compelled to use that. In some cases school toilets are kept under lock and key to ensure cleanliness, striking at the basic objective of inculcating toilet behaviour and maintaining environmental health. 62 Public disclosure in a Haringhata School School Toilet Block Broken Toilet in the school In Hanskhali and Nawadwip GP the condition of most of the AWC toilets are good. But in other GPs especially Haringhata, Chapra, Nakasipara the situation of the Anganwadis need to improve. However AWWs are carrying out an important role in eradicating open defecation. They are jointly campaigning with ANM, ASHA and School teachers among children and villagers regarding the ill-effects of the open defecation. They are educating children on toilet using behaviour and proper hand-washing process as well as related hygiene practices. Health workers and anganwadi workers are also training mothers on better toilet using behaviour and hand-washing practice. In many schools rallies and door to door campaigning have been organized. However feedbacks revealed that there is need to spread more awareness among SC/ST students regarding the adverse effect of open defecation Block-specific feedback of AWW, ANM and ASHA has been presented in Annexure 5. Conclusion In general schools are equipped with toilets, in some cases with more than one toilet per school, making percentage coverage more than 100. On the other hand some schools have inadequatetoilet facilities in numbers and especially separate toilets for girls and boys. A significant number of toilets are not in a hygienic condition. Anganwadi centres mostly do not have their own building and hence many of the centres do not have the toilet facilities restricting toilet usage by children. 63 Section 9: Programme Management and CommunityMobilisation Programme Management The success of the initiative in making Nadia district a forerunner in the State has been largely possible due to the leadership provided by the District Magistrate and the Sabhadhipati in unison and in recognising Sanitation as a priority sector. The combined approach induced a spirited drive among the different ladders of government and panchayat structure in making Nadia open defecation free. The District Administration of Nadia handled the programme on a Mission Mode with strict but practical targets and on the 2nd of October 2014 a district wide oath taking ceremony was observed under the banner of Sabar Souchagar by different administrative hierarchies. This was followed by mass campaigns and localized awareness. The Secretary, Zilla Parishad was in charge of overseeing the programme in totality while Jt. BDO-s handled the programme at the block level. The District Sanitation Cell facilitated the over implementation. Implementation is supported by an efficient monitoring system was in place under the direct supervision of the District Magistrate to review the quantitative indicators. Thisensured that the results of monitoring are used to improve programme implementation. Monitoring was done by the level above the one being monitored but information for monitoring was collected from all levels, starting with the lowest. However the mechanism for keeping a check on qualitative aspects was not adequate which has had a reflection in divergence from guidelines. The construction of around 10% Single –pit and septic tank toilets indicate a divergence from the specified guidelines for such toilet constructions under NBA. Further divergence from design guidelines was observed in terms of non-compliance with specification related to pit depth, spacing between pits and fixing of vent pipes. 64 Community mobilisation through awareness generation and effective IEC strategies implementation Nadia district has been proactive in developing innovative IEC approaches and awareness generation for sanitation and hygiene promotion and have successfully demonstrated convergence with MGNREGA despite challenges. Consultations with different Block, GP level stakeholders and Sanitary Mart representatives indicated the nature of awareness drives undertaken in the different Blocks. As observed, majority of the Blocks have taken up more or less similar IEC strategies which include 1. 2. 3. 4. 5. 6. 7. 8. Door to door campaign Patha Sabha(Rally) Rally, drama Wall writing and posters Community meeting Mother’s meeting Health Awareness camp Cleanliness awareness camp for children (wash hand before & after use) at school, Wall writing, leafleting, posters 9. Self-dependent organization like SGSY / AWW/ ASHA are also helping to create more awareness (Table on Awareness generation instruments is included in Annexure6) Some blocks like Hanskhali, Krishnanagar I have adopted the maximum combination of awareness strategies. Several blocks like Chakdah, Hanslhali, Karimpur, Krishnanagar I & II, Nakashipara, Nawadwip, Kaligunj, Shnatipur, Ranaghat II, Tehatta I have adopted door to door campaign by engaging ANM, ICDS workers and SHG members. Road shows, miking, wall painting has been done in majority of the Blocks. Awareness in schools was organized in different forms. In Nakashipara quiz programme was organized among school children for raising awareness. Teachers generated awareness among children in prayer time to monitor their behaviour in Hanshali Block. Street shows and rally by children were organized in Blocks like Haringhata, Karimpur II blocks. Haringhata block observed “World Sanitation Day”. Community Awareness Survey respondents’ feedback indicates that majority of the households have learnt about toilet options and installation procedures from the Panchayat representatives as 33 percent mentioned the same. This is followed by relative, friends or fellow villagers as the source of information about the installation and procedures. Community meetings also are an important source of information for the households. Community consultations have indicated that door to door campaign is found to be the most effective mode of communication for awareness generation among the households. In most of the GPs village level meetings are a common phenomenon and they are very instrumental in building awareness among the community people. Regular meetings with mothers by ASHA or AWW or other health functionaries are also found to be quite common across GPs. In schools, teachers undertake awareness among students and change in practice has been achieved to a large extent among school going children in terms of toilet etiquettes and sanitation habits. 65 Figure 9.1: Sources of Awareness 33% From Panchayat Representative 26% From Relative /friends/ Villagers 13% From Community meeting From toilet owner 11% From construction agents 6% From NGO /agency/ Sanitary Mart 4% From ICDS/ Health Functionaries… 4% From Poster /advertisement 1% Other sources 1% Radio 1% Swachhtadoots as key players in community initiative was not familiar except in few Blocks like Haringhata, Shantipur, Nabadwip, and Chadah. As understood, the concept of Swachchhatadoot was introduced during initiation stage but later on this was not promoted. Only around a quarter (25%) of people are aware of government programme by the name of Nirmal Bharat Abhiyan that have been initiated in support of total sanitation . However people are familiar with the term Sabar Souchagar as revealed in community meetings . In general people are not only aware of the motivating catchline “ Toilet worth 10,000 against contribution of Rs 900 “but are also aware of the time when it was initiated in October 2013 Figure 9.2: Awareness of the Government Program in Support of Total Sanitation 25% Yes 53% No 22% Can’t say/ Don’t know Stakeholder feedback on Community awareness Stakeholders comprising Block, GP functionaries, ICDS, Health operatives and Beneficiaries indicated the following: After announcement of “World Sanitation Day” people have become aware of installation and use of toilet Sabar Souchagar’ programme has created a big push. Awareness on hand-washing has been increased and practice of open defecation has decreased. 66 New generation is aware and eager for stopping open defecation as they are willing to lead a scientific and civilized life. There is a remarkable change in toilet using behaviour in the village. Increased rate of installation and utilization is the result of awareness People keen to construct new toilets. Communities have changed the practice of going to open space for defecation. The convergence programme is on the track and expecting best results in the future. The Block specific key responses have been compiled and presented in Annex 7. Conclusion The success of the Sabar Shouchagar initiative in Nadia district, is largely due to the proactive leadership by the District Magistrate and the Sabhadhipati in unison and recognising Sanitation as a priority programme within the development sector. Community awareness and mobilisation has been done extensively utilising different grassroots operatives and using varied IEC strategies. The interpersonal communication through door to door campaign has been the most effective approach as mentioned by majority of the beneficiaries. 67 Section 10. Role and Performance of Sanitary Marts Started in 1991 in West Bengal, the establishment of Rural Sanitary Marts (RSM) cum Production Centres (PS) for low cost sanitary products production and promotion was an innovative strategy that demonstrated & enabled remarkably in improving the household toilet coverage through decentralised, community-based system. The sustenance of the RSM/PC depends on its quality performance and economic viability. They are to “demonstrate success as an enterprise and function in accordance with the objectives of the programme.” The profitability of RSM/PC depends on demand for its material and services in the area, the sale price fixed by the government and the cost involved. Demands for the sanitary materials depend on the social marketing done during the awareness programme. RSMs are generally managed by NGO-s while induction of Self Help Groups has recently been initiated in Nadia District. Sanitary Marts in Nadia With Midnapore District as the pioneer, RSM-s were established first in the state, in each and every district. Nadia district has also traversed this path. The list of Sanitary Marts operating in Nadia district, serving different GP-s has been provided in Annexure 8. However the survey covered around 38 Sanitary Marts which are a combination of NGO-s and SHGs and hence analysis pertain to these – list provided in Annexure 9. Role of Sanitary Marts Sanitary Marts are supposed to act as promoters, as production centres and as actors in sustaining the sanitation drive. In general members of the sanitary Mart keep contact and liaison with concerned Gram Panchayat members and Block level stakeholders. They conduct home visit and create awareness among the people on need of sanitary toilets and benefits of having sanitary toilet at home. They also organise programmes like rally / street shows/ wall paintings on sanitation for awareness generation. In Hanskhali Block, the Block and GP Administration have mentioned that Marts are instrumental in building awareness, motivating people in building toilets. In karimpur rally was organised jointly by Sanitary Marts, ANM, AWW-s etc. Door to door campaigning was done by SHG group Asar Alo jointly with the Mart .In Tehatta Ramkrishna Mission is campaigning against open defecation. As production Centremost of the Sanitary Marts have their centralised production centre while some of them have more than one production centre. Tehatta Lotus Club of Tehatta I Block has four production centres in different Gram Panchayat areas. All the Sanitary Marts are expected to manufacture all the components including the Mosaic pans but with introduction of Ceramic Pans they are not producing Mosaic Pans. In general all the Sanitary Marts have their skilled Masons. Many Marts has also started production at local level which reduces the material carrying cost. SHGs operating as Sanitary Marts have also established their production centres in several cases. SHGs often work in unison with the NGO led sanitary mart and are involved in awareness generation through their peer presence.SHG Clusters also engage their member SHGs to operate at local level as Sanitary Mart. 68 Dhubhali Unnani Databya Chikitsalay of Krishnanagar II Block mentioned that they beneficiary contribution in instalments. collect After completion of the toilet construction, they also make follow up visits to ensure utilisation of the same and check the quality of the construction. But there is no reporting system and thusRSMs do not submit any report on ongoing installation programme except routine MIS and completion report to the concerned authority. During Sabar Souchagar construction they were asked to take photographs of each sanitary block with proactive disclosure painted in the sanitary block. However proactive disclosures were not standardised and were either painted or pasted on the wall. Disclosures on Toilet Blocks Some Marts particularly SHG run marts are also engaged in other social development activities i.e. Kuchaidanga Simanta Gram Unnayan Samity of Karimpur I Block is a SHG formed under SGSY programme which is involved in Sericulture and allied activities. They involve local villagers in income generating activities. They also provide supplementary nutrition to children. Bholanath Group Sanitary Mart of Karimpur I, also a SHG, is involved in thrift and credit activities, tree plantation, Nursery raising as well as awareness generation under CHCMI programme. Few other Sanitary Marts are organising blood donation, health awareness camps and are also promoting sanitation through forums like Indian Red Cross Society at Dhubulia of Karimpur I Block Sanitary Mart Meeting with Sanitary Marts Construction in progress in Sanitary Mart Performance of Marts Performance of sanitary marts has been gauged from two angles –construction performance (quantitative) and compliance to design specifications (qualitative). 69 Construction performance The performance of Sanitary Marts both in quantitative and qualitative terms indicate that some performance of some sanitary marts in terms of achievement against targets is commendable and construction activities had attained a momentum. At the initial stage the Sanitary Marts were able to meet the target of 6-8 toilets per day. However due to fund crunch construction got delayed and many toilet blocks have remained half-finished. Further the Parliament Election in May 2014 caused a slump in the attained pace of construction. Ajlaampur Notun Para Gramin Bikash Kendra a Sanitary Mart engaged in Tehatta 2, Sakdah Youth and Cultural Forum, Krishnagunj, Sarada Sanitary Mart at Tehatta 2, Society for Rural Development and Youth Welfare at Haringhata Shantipur and Nawadwip, Sikharpur Vivekanda Welfare Society at Chakdaha, Institute for empowering Urban and Rural people at Ranaghat 2, Suktara Cluster Committee at Ranaghat 2, Nadia Zilla Gantantric Mahila samity at Krishnanagar I are the few Sanitary Marts which are performing well in terms of awareness generation and construction. Among SHG turned sanitary Mart, Bholanath Group Sanitary Mart working at Karimpur 1 are performing well in terms of awareness generation and toilet construction. The Marts have engaged skill labourers in adequate number but majority of them are contractual. Only a few skilled labourers are on the pay roll of the Sanitary Mart. The Sanitary Marts are providing quality material which they procure from local hardware shop including Pans. Very seldom they procure pans from other State. Pans used are mostly of urban type. Compliance to design specifications On the qualitative front, however, several instances the deviation from the design specifications have been observed and it is visible in some blocks that questions the credibility of such marts and the monitoring procedure. As per guidelines a twin pit four flash latrine must have five basic features i.e. Squatting Place/Platform, WC Pan suitable in rural areas requiring less quantity of water for flushing, Junction Chamber with proper sealing at the joints, Drain Pipe (Y Junction), 2 Leach Pits (circular in shape) with pit covers. However during field visit the following were observed which indicated deviation from the specification in several cases: As specified, the squatting plate should be at a height of 1 ft to 1.5 ft from the ground level which has been maintained on an average in all Blocks. The floor of toilet has a smooth finish and proper slope towards pan from all directions has been maintained in all Blocks. Use of urban pan with lesser slope is preferred by the beneficiaries instead of rural type pans and such urban pans are procured from local market based on availability which lack standardisation Junction chambers are installed properly. But proper Y junction is not in place in some of the blocks. Constructions of pits are faulty in many Blocks. The RSMs are constructing two pits of different depths while they were supposed to construct two pits of similar depth. Further 70 they keep both the pits functional rather than blocking the 2nd pit. The depth difference is made by laying one extra ring in the 1stpit. The pipe is fitted in such a way so that Pipe from the junction chamber goes to the 1stpit. Another pipe is connected from the 1stpit to the 2ndpit. The pipes between the pits are connected in such a way so that the overflow of 1st pit automatically fills the other. This feature was especially observed in sampled toilets in Chakdah, Haringhata, Krishnanagar I and Nabadwip Blocks. Cleaning of pit by hiring cess pool from Municipality is in practice for which the pitsare covered but not properly sealed. Toilets and bathrooms are constructed on top of the pits keeping a provision for cess pool cleaning. Two pit toilets, concrete from all sides including the bottom are considered as septic tank. All these features are predominant in villages of Chakdah Block area. Two pits at two levels Sealed pit with a vent pipe The spacing between the 2 constructed pits as per specification is at least 1 meter (3 ft). In a large percentage less than 1 ft gap is maintained which is often beneficiary driven due to lack of space. As per specification, no vent pipe should be erected but use of vent pipe is in practice. In many cases beneficiaries insisted the RSM to install vent pipe. This particular feature was observed in several Blocks especially in Haringhata, Chakdah and Hanskhali Blocks .In Hanskhali Block, the Pradhan himself was not aware of this. Two ventilators of appropriate size for light and for cross aeration have been more or less created but the size and positioning of ventilators are often not as per specification. In Haringhata few latrines had been handed over without proper roof and door, as was specified. The detailed analysis against an Observation Checklist is provided in Annexure 10 71 Problems of Sanitary Mart operation Although performance of some Sanitary Marts are commendable yet majority have reported of some problems for which they have been unable to match targets. Some such have been indicated below: Problem of beneficiary identification due to multiple surveys and disjoint eligibility lists. Most of the sanitary marts are facing problem in identification of beneficiaries under SabarSouchagr. They had received a beneficiary list from concerned GP which was done by Anganwari Workers in the year 2012. The list had some anomalies in terms of inclusion of toilet owners in the non-owner list or the otherwise. The former could have been possible since some households could have constructed their sanitary toilets in the intervening period. However the latter was a gross lapse. Further with the Sabar Souchagar programme in place households without job cards get automatically excluded from the list. However there are instances where toilets have been constructed by the Marts for many non-job card holding household with approval from Panchayat based on the earlier list but the Marts are not getting payments against such cases. Delayed payments from GP Payments under NBA fund from Block against applications are usually timely. But payments from GPs for MGNREGS component are delayed due to the following reasons: GPs accord lower priority to sanitation works and hence after disbursing all other payments against work completion under MGNREGS the left over amount is paid to the Marts. Delay in acquiring job card debars an eligible beneficiary from getting a toilet. Delayed payments from beneficiaries against unskilled labour In many cases the job card holding households are not offering labour and the Sanitary Mart is recruiting their skilled and unskilled labour to construct the toilets. In many cases the beneficiary withdraws the money against his/ her job card and pays for the unskilled labour engaged by the sanitary mart. Since the unskilled wage component is directly debited to the job card holder’s account, in several cases job card holder is not paying back the amount to the Sanitary Marts for covering the unskilled labour payments. To avoid this incidence, Sakdha Youth and Culture Forum Sanitary Mart of Krishnagunj Block is collecting the wage component (Rs 1359) along with beneficiary component (Rs 900) while collecting beneficiary contribution. SHGs in sanitation activity The Nadia District administration has initiated the process of converging NRLM with MGNRES and NBA. However Nadia being a non-focus district under NRLM, the SHGs already formed and clusters already working are facing a problem of not getting programme support. The District Administration is in the process of lining up the deliverable of the NRLM programme, particularly in the domain of capacity building of SHGs, along the lines of sanitary mart requirements since most of the SHGs have technical deficiencies as they don’t have trained Masons and requisite experience in this sector. 72 The delayed payments have impacted the SHGs also. For instance the SHG, namely Bholanath Group Sanitary Mart has a pending payment of more than 15 Lakhs from GP. However involvement of more players in the supply activity has strengthened the supply chain. Particularly involvement of SHG-s has reinforced the link between the supplier and beneficiary through peer influence and construction support. Beneficiary feedback on Sanitary Marts Awareness Respondent feedback shows that awareness about sanitary marts is rather low. Only 31 % know them as Sanitary Mart. While probed further it was evident that they are not familiar with the term “Mart” either they know the outlet by the name of person or by some other name – in some cases they also refer it as a GP set up. • 31% Aware Unaware • 69% Block analysis indicates a diverse picture with respondents of Nawadwip, Kaligunj, Chakdah, and Karimpur Blocks being more aware. This could be due to better visibility of sanitary marts or better performance. The block wise variation is presented in the chart below: 71% Figure 10.1: Awareness on Sanitary marts 80% 5% 16% 29% 34% 28% 20% 27% 29% 41% 18% 20% 25% 30% 29% 40% 23% 50% 41% 60% 32% 52% 70% 10% 0% On the functions of Sanitary Marts (in whichever name they refer to) respondents perceived the primary functions of sanitary marts as installation (46%) followed by awareness and motivation (25%) and use monitoring (12%). Similarly on support that they have received 37% mentioned of toilet installation followed by toilet procurement which was of the orer of 27%. The charts below depict these features. 73 Figure 10.2 Awareness on functions of Sanitray Mart and Support received from Sanitary Mart 0% 3% 6% 12% 25% 10% 17% 6% 11% 27% 46% 37% Awareness Support in toilet installation Toilet procurement Support in repair works Linkage with government No support Awareness and Motivation Linkage with Government Installation Use Monitoring Support in repairing Don’t know Awareness of SHGs as from Sanitary Mart Awareness of SHG-s as Sanitary Marts is very limited. Figure 10.3: Awareness on SHGs as Sanitary Mars Aware • 29% Unaware • 71% However block analysis on awareness on SHG involvement in sanitation activiites show that Nawadwip Block is way ahead with respect to other blocks.the chart below depicts this phenomenon 74 54% Figure 10.4 Awareness on SHGs in Sanitation Activities 60% 50% 1% 14% 14% 10% 2% 4% 13% 6% 6% 9% 11% 9% 8% 10% 14% 20% 21% 30% 10% 40% 0% According to respondents the most vital function of SHGs have been in the area of awareness and motivation. (43%). 24% of people said –SHGs have helped in installation of toilets. 15% indicated their utilization in Use Monitoring. The block variations are presented in the chart below: Figure 10.5 Block specific response on functions of SHGs 120% 100% 80% 60% 40% 20% 0% Awareness and Motivation Installation Use Monitoring In line with the response on functions of SHGs , the greatest support from SHGs has been in the area of awareness building (39%) and toilet installation (29%). They have also helped in toileprocurement – as mentioned by 13% respondents. Sustainability of Sanitary Marts Sustainability of RSMs depends to a large extent on the technical capacity of the agencies to construct improved toilet blocks and capacity of marts to invest own fund beyond revolving funds to wade through fund crunch situation arising from delayed and irregular payments. In Nadia district though the Sabar Souchagar initiative could achieve success while implemented through Sanitary Marts, there have been some lapses in terms of faulty designs and not adhering to technical specifications which indicates a possible risk and concern. 75 Skilled manpower availability with Sanitary Marts As indicated, the Marts have engaged skill labourers in adequate number but majority of them are contractual. Zilla Parishad has organised training on detailed design of the model at Nawadwip Block. It was organised for 3 days. Though the marts have received training on convergence model .However technical capacity of Sanitary Marts is still a challenge as none of the SHG sanitary marts have skilled manpower at their disposal and thus needs to be enhanced. Fund solvency of Sanitary Marts It has been observed and reported by the SGSY programme linked SHG groups turned Sanitary Mart, that they are investing their corpus in the Sanitation activities. While the cooperatives working as Krishi Unnayan Samabay Samities, engaged in thrift and credit activities are also investing their Corpus in the sanitation programme. The NGOs who are working as Sanitary Mart are facing fund crisis .The review of their Accounts though shows that due to non-payment and delayed payments all the Sanitary Marts are facing problem and aregetting into a debt trap or are leaving the work unfinished. During field visit most the sanitary mart members shared that they have a daily target to construct eight toilets but due to fund crunch they are constructing 2 to 3 toilets. Conclusion In general the RSM is an age old proven production cum marketing outlet for boosting the Sanitation programme. With engagement of SHGs as Sanitary Mart, the programme has received momentum. The SHGs are well organised having active members with local reputation and peer connect within the community and thus are better able to mobilise people. Integration with NRLM will help build their technical capability in the area of sanitation. Faulty design and deviation in many ways while constructing the toilets can impose a threat to the sustainability of toilets in long run. Routine monitoring for checking qualitative aspects has not yet evolved as a process and hence development of such mechanisms is an urgent need. However involvement of more players in the supply activity has strengthened the supply chain. Particularly involvement of SHG-s has reinforced the link between the supplier and beneficiary through peer influence and construction support 76 Section 11. Financing and Incentives - MGNREGS convergence Convergence of NBA with MNREGA has been strategically done following NBA Guidelines and MoRD Notification Number S.O.1022(E) dated 04.05.2012 regarding convergence of TSC with MGNREGA, to facilitate the rural households with fund availability for creating their own sanitation facilities. Beneficiary can access Rs.4500/- (material + labour cost) for construction of household latrine. Also, following changes has been made in MGNREGA programme to facilitate ‘rural sanitation’: MGNREGA has included the work of ‘rural sanitation related works, such as individual household latrines, school toilets, solid liquid waste management’ in their scheme All the activities related to rural sanitation shall be allowed on land or homestead owned by households belonging to the beneficiaries listed by NBA. For works to be taken up on private land and homestead, the individual land owner shall be a job card holder and also work in the project. Application of work, if relating to sanitation facilities, must be for at least six days of continuous work. In other cases it is 14 days of continuous work Based on the information given in NBA Guidelines mentioning convergence with MGNREGA stipulates the following: Programme From NBA Sources of Contribution Amount Central Government contribution State Government contribution Beneficiary contribution Subtotal Rs. 3200/- (3700 for hilly and difficult areas) Rs.1400/Rs.900/Rs. 5500/- Unskilled labour contribution Material cost Rs.2700/Rs.1800/- (includes skilled labour and material cost) Rs.4500/- (maximum limit) Rs.10,000/- From MGNREGA Subtotal Total unit cost of IHHL (1.d.+2.c.) Nadia district has been a forerunner in adopting and implementing the convergence model. The programme named as Sabar Souchagar was ticked off in October 2013 through an all-district oath taking programme where each and every block participated and percolated the mission at the GP level. This created immense demand for which work on installation/ construction was taken up on a war footing which improved coverage significantly. 77 Among the survey respondents 57% had toilets constructed between October 2013 to May 2014 and a sizeable number are being constructed although with a dampened pace since March 2014 for the Parliament Election. Advantages of the convergence model The convergence in general has come with a bunch of advantages, the primary one being that it has addressed one of the major issues of availability of fund during the construction of toilet. Novelty of the approach lies in strategy of using “MGNREGA fund for household asset creation- Sabar Souchagar” which was originally mandated for community asset creation. With increasing amount of subsidy people now have an access to an improved scientific sanitation model worth Rs 10,000 against Rs 900 own contribution . Demand has increased manifolds due to the significant increase in 78 subsidy of the order of Rs 9100 causing a leap towards decreasing open defecation. In general people are satisfied with the model for which usage is being ensured, yet another major step towards decreased OD. Further a job card holder is eligible to earn the mandatory beneficiary contribution of Rs900 by putting in own labour in constructing the toilet. Rather provision for unskilled labour under MGNREGA is Rs 1359 so the beneficiary has a scope for an additional earning of Rs 450 against an assured 9 days of work. Under the convergence strategy all “deserving are entitled to the facility- without APL BPL differentiation”. Further the beneficiary can have the satisfaction of “creating an own latrine with own labour “and in the process ensure quality in construction through participation. Beyond the beneficiary level, the convergence has stepped up MGNREGS activities at the GP level creating mandays and approaching the 100 manday mark, as opined by the GPand Block functionaries. Demand for job cards have increased since it is linked to toilet entitlement. In Nadia Sabar Souchagr being a priority programme has improved the monitoring of the outcomes from different tiers of administration like the District /Zilla Parishad and Block levels ensuring achievements against targets. The overall step up in the sanitation milieu has pulled in other players actively into the system. On a gender perspective SHG-s are being encouraged to participate as sanitary marts and undertake the activities of awareness creation, mobilisation, construction and installation of toilets. SHG-s have established themselves as credible players as a sizeable percentage (11%) of respondents mentioned that SHG-s can work actively towards eradication of open defecation. SHG-s have also expanded their domain of work which has led to enhanced empowerment. An added gender dimension to the newly developed model is that women are demanding bathing space associated with the toilet block to further preserve the dignity and privacy beyond the defecation practice. Concerns related to convergence However any programme comes with a flip side and that too in this case convergence of MGNREGS and NBA being a recent strategy associates teething problems. Primarily sanitation is still not in the priority of the GPs for which MGNREGA funds are initially diverted to the traditional asset creating activities leading to fund crunch. So although NBA funds are realised by Sanitary Marts in time the matching amount from MGNREGA comes late. GP capacity in rational utilisation of MGNREGA fund in converging with NBA is not adequate. Since a mandatory clause for support under MGNREGS is ownership of job cards, a section automatically gets debarred from availing of the facility. Survey data reveals that 14% of the respondents in general do not have job cards while 86% are entitled to the facility. The point to be mentioned here that 14 % non- coverage does not imply non access to toilets. Often families are disintegrated into households where one job card is held by the family head and the others are in the process of acquiring it. All family members usually access the toilet held in the name of one household head. Yet with time lag in acquiring a job card the process of securing a toilet automatically gets delayed. 79 Convergence and beneficiary feedback Beneficiary Contribution Job card holding beneficiaries are often not interested to put in labour either because of some age old taboo or because they consider the unskilled component to include some technical skill which they are incapable of undertaking and they do not want to spoil their own toilet construction in the process. This is reflected in the data on beneficiary contribution in terms of cash or material or labour. Figure 11.1 Beneficiary Contribution 16 4 80 Money Material Labour Block specific variations have been presented below Table 11.1: Block specific variations in Beneficiary Contribution 1. 2. 3. 1. Block Name Block Name Money Material Labour Money Krishnanagar Chakdah 96% 2% 1% 0% II Chapra 45% 34% 21% Nabadwip 93% Hanskhali 0% 0% 100% Nakashipara 53% Haringhata 99% 0% 1% Ranaghat - I 83% Kaliganj 94% 1% 4% Ranaghat - II 100% Karimpur - I 71% 7% 22% Santipur 95% Karimpur - II 45% 12% 43% Tehatta - I 30% Krishnaganj 0% 0% 100% Tehatta - II 46% Krishnanagar - I 0% 0% 100% 80 2. Material 3. Labour 0% 100% 2% 11% 0% 0% 2% 17% 10% 5% 37% 17% 0% 3% 52% 44% Figure 11.2: Block specific variations in Beneficiary Contribution 120% 100% 80% 60% 40% 20% 0% Money Material Labour The graphical representation below provides a clear understanding. While in several blocks like Haringhata , Kaliganj, Karimpur and several others have contributed money , indicated by the blue line , labour contributions are visible in Blocks like Hanskhali, Krishnaganj, Krishnanagar I and others as indicated by the green line. The brown line similarly indicates material contribution which is not significant. Days put in to toilet construction As observed over 75 % have put in 1-3 days while 15% have devoted 9 days as a whole as beneficiary labour input to construction. Block analysis revealed that Kaligunj and Nabadwip blocks, 33% and 17% of the respondents have put in 9 mandays in construction of toilets. Figure 11.3 Days put in to toilet construction 60% 50% 40% 20% 20% 5% 5% 0% 1 day 2 days 3 days 4 days 5% Series1 5 days 33% Kaligunj 17% Nabadwip 81 15% 9 days Wage earned under MGNREGA for toilet construction Limited contribution to labour has led to limited wage earnings under MGNREGS. 85% have mentioned of not earning wages from the activity under MGNREGA. Figure 11.4 Wage earned under MGNREGA for toilet construction 85% 90% 80% 70% 60% 50% 40% 30% 20% 10% 10% 1% 3% Partly Can’t say 0% Yes No Out of the respondents who have earned wages under MGNREGA for toilet construction majority have earned around Rs 150 tallying with 1 day of labour. 15% have earned around Rs 1300 associated with 9 days of labour which although not significant in terms of percentage involvement, yet shows promise considering the short span of convergence. Figure 11.5: Amount of wage earned under MGNREGA for toilet construction 50% 50% 40% 30% 20% 20% 10% 5% 0% Rs. 151 Rs. 302 Rs. 453 5% Rs. 604 15% 5% Series1 Rs. 755 Rs. 1359 As obvious Kaliginj and Nabadwip are leaders in this. Conclusion To sum up convergence is definitely a win-win strategy as on one hand it boosts the sanitation coverage by making scientific durable and improved variety of toilets with superstructure accessible to people by heavily enhancing the subsidy level. On the other hand it has created a supply push by making more resources available and pulling in more players into the system. The demand pull and supply push factors have led tolifting the performance status of sanitation in the district. 82 Section 12: Conclusion Nadia district has made a significant effort towards developing an ODF model, byincreasing and accelerating toilet coverage and also the utilisation of home toilets. There is a growing perception among adults on open defecation with special focus on women. Nearly 92% respondents have mentioned that open defecation should be stopped, 100% (barring 2 respondents) are aware on some benefits of toilet usage and the utilisation of home toilets is found between 85-90% that includes both old and new models which is very encouraging and informs the revealed preference for toilet use and behaviour change at family and community level. Stakeholders’ collective initiatives observed in some places for influencing social norm around open defecation and making Nadia district ODF is encouraging. The analysis further tried to identify three aspects in the context of the programme Strategises that worked in favour – the strengths Limitating factors that hindered progress – the challenges Suggestive recommendations - way forward Strategies that worked in favour….the strength A six-point strategy was adopted in Nadia which give sanitation a big push. Leadership and Political Will : The District Magistrate and Sabhadhipati in unison spearheaded the programme and mobilised sub-district level administrative and panchayat functionaries – a convergence of administrative and political will Adequate Priority to Sanitation Sector : Sanitation considered as a priority sector in the District and programme conceived in a mission mode with a pledge to deliver – inculcation of the right spirit Demand Pull Approach : Programme approach to creating demand and scaling up by focussed awareness on “ Rs 9100 subsidy for a Rs 10000 Toilet model “ and community mobilisation - inducing a demand pull Interpersonal Communication for direct exchange : Promoting interpersonal communication though grassroots operatives under different government programmes for sustaining awareness and motivation to install and use – a sustainable approach Strategies expanding partnership for supply chain strengthening: Roping in more players (SHGs) as Sanitary Marts and streamlining procedures for implementation of convergence model for strengthening the supply chain - creating a supply push. Close and regular monitoring : Regular monitoring of achievement vis a vis targets at Block and District Level and personally by District Magistrate – an effective management for geared intervention 83 The strategic approach pointers have been represented through the spider diagram as follows to assess the strategic accomplishments on a 10 point scale: Close and Regular Monitoring Leadeship and Political Will 10 8 6 4 2 0 Interpersonal communication Sector Priority Series1 Demand Pull Supply Chain Strengthening As observed Leadership, Sector Priority and Close Monitoring scored very high while the other factors have scope for improvement. Limiting factors that hindered progress ….the challenges Every intervention associated some challenges which also need strategic interventions in the short and medium term frame. Some such key challenges are: Demand is primarily subsidy driven, inadequate understanding &motivation for improving quality of life: Demand was majorly driven by subsidy while many people are yet to connect toilet and environmental health impacts as a prime motivator. Convergence with teething problems: The convergence model although very well strategized has some practical problems. GPs do not accord high priority to sanitation component within the MGNREGA programme resulting in delays in payment and hampering work progress. Lack of awareness on scientific /technical aspects of the new model: The design specifications and the scientific rationale of the toilets are not clear to many people that results in deviation from guidelines on insistence by users impacting quality assurance. Lack of community toilets: Inadequacy of community toilets at public places have restricted toilet use habit among the section spending significant time outside home. This is particularly relevant for working members and households who still do not have access to home toilets and in public places. Capacity of sanitary marts: The capacityand performance of sanitary marts remains a contentious issue. Lack of technical capacity of some of the newly appointed sanitary marts to deliver quality and address deviant proposals from user. Several of them do not have technical personnel to manage 84 the programme and to educate beneficiaries on the design aspects. This is more relevant where SHGs are engaged as service providers. Inadequate systems for qualitative monitoring: While district have innovatively developed systems for monitoring the sanitation programme progress however it largely focuses on quantity, there is room for developing systems for qualitative outcomes of implementation of toilet construction Suggestiverecommendations …. Way forward A combination of strengths and challenges define the way forward. The key focus areas and intervention approaches have been indicated as follows: 10. Sustaining political and administrative will 11. Post saturation monitoring and reporting system at GP at block and district level to be institutionalised to avoid risk of slip back and sustain the ODF status 12. Developing effective systems for qualitative monitoring of toilet construction 13. Refresher training of Sanitary Mart representatives on technical design of the toilet and the superstructure for ensuring greater durability. This would also result in greater awareness and dissemination among user communities. 14. Reviewing options for incorporating child friendly features in toilets and safe disposal of child excreta, use of poitties can be explored 15. Greater focus of environmental health issues related to open defecation targeting women, the youth and school going children 16. Greater emphasis on ST , Minority sections who are relatively more resistant to change 17. Setting up & strengthening village level institutions for community monitoring and social audit for usage 18. Promoting community toilets in strategic locations Conclusion Nadia district has demonstrated a promising and emerging model for accelerating sanitation coverage and promoting improved practices has elements and potential for replication. The six point approach with emphasis administrative and political will, identification of sanitation as a priority sector and streamlined innovative monitoring system for reviewing targets against achievements have been the major drivers 85 Annexure 1: Questionnaire Household Level Hygiene Behaviour and Practice in Nadia District A. Interview Identification Code : Block / GP/ Village /Household No from Listing No 1 2 3 4 5 Question Answers 6 Questionnaire number Block name GP name Village name Name of the NGO/ Sanitary Mart responsible for sanitation in the village Date of interview 7 8 9 Interviewer name Supervisor Checked by (dd/mm/yyyy) Start time End time B. Household Information No 10 11 12 13 14 Question What is the respondents ‘s name Name of the Head of Household Address of the House What is your relationship to the chief wage earner ( CWE) What is the respondent’s gender (answer this question by observation only) Coding Choice 1.Self 3.Son/daughter 5. Father/Mother 2.Spouse 4.Brother / Cousin 6.Other, Specify 1.Male 2.Female 86 15 16 17 18 19 What is the gender of the household head (Enter sex even if the respondent is the head of household) What is the occupation of the head of the household Does any member of the family fall in the following categories? How many people usually live in this house What is the level of education of CWE 20 Are there school going children in your family? 21 Type of dwelling where household is living. (Determine by direct observation if possible) (Check roof 1.Male 2.Female 1.Cultivator 2.Factory worker 3.Daily labourer 4.Service 5.Business / Self-employed in non- agriculture 6.Other, specify 1.Govt servant 2. Panchayat representative 4. School Teacher or staff 5. Anganwadi Worker 7. SHG member 1.Male …………….persons 8. None of the above 2.Female………….persons 4. Child ( 5-12 yrs 5. Child ( 12-18 yrs age)………persons age)………persons 1.Illiterate 2. Literate but no formal education 5.Upto Higher Secondary 1. Yes 1.Kuchcha 3. Health worker ( ANM/ ASHA) 6. Sanitary Mart staff 3. Child Total ………persons 3.Upto Primary level 7.Graduate and above 6.Undergraduate 2. No 2.Semi Pucca 87 3.Pucca 4.Upto Secondary level 8. Other, Specify type whether concrete, asbestos or thatched ) 22 Does your 1.SC family belong to any of the following categories (code all that applies) 23 Does your 1. Yes family have a BPL card? 23a If no, are 1. Yes you enrolled in the panchayat list for availing a BLP card 23b If no, does your ration card have a BPL stamp? 2.ST 3.OBC 2. No 1. Yes 4.Other 3. Don’t know 2. No 3. Don’t know 2. No 3. Don’t know C. Socio-economic Information No Question 24 Do you have a NREGA job card 25 Are you /female member of family member of a SHG Group? 26 Do you have land beyond your house in the homestead? If yes, size of homestead? 27 Coding Choice 1. Yes 2. No 1 2 No Yes 1.Yes 2.No 1. < 5 Katha 2. 5-10 katha 4. > 1 Bigha – 5. > 5 Bigha 88 3. 11 katha –1 Bigha 28 What were the main sources of your income of all your family members in the last 12 months (Read all options check only one) 5 Bigha 1.Farming/Agriculture 2. Agricultural labour 4.Skilled labour/Artisan 7. Pensioner/Remittance recipients, etc. 29 30 31 32 How much was the household’s total income (in Rs.) for the last 12 months 1. Less than 18,000 Have you ever taken a SHG/ microfinance loan If yes, when was your most recent loan taken What is /was the loan used for 1.Yes 5.More than 48,000 3.Casual labour/Daily wage labour 6. Self employed in nonagriculture 5. Regular salaried/ Wage employee 8. Other (Specify)__ 2. 18,00024,000 6.Can’t say /don’t know 3.24,001 to 36,000 4.36,001 to 48,000 2.No 1.Less than 6 months ago 1. Dwelling Repair 2.6 month – 1 year ago 2.Toilet installation 4. Treatment 5. Education 3.More than 1 year ago 3. Social Event in family 6. Others D. Toilet Information N o 33 34 35 36 37 38 39 Question Do you own a toilet When was this constructed Is the toilet you are using now your first toilet If ‘no’ when was the 1st toilet constructed (best estimate)? If had toilet earlier, in what ways is your current toilet different from your old toilet (check all that apply) What kind of toilet do you have at present If 1., specify type Coding Choice 1.Yes 1.Before July 2013 1.Yes 2.No 2. Between July and October 2013 3. After October 2013 2.No 3.Don’t know 1. 1. Better structure 2. Can’t remember 2. Has more facilities 3. More user friendly 1.Pour flush 1. Single Pit Toilet 4. Easy to maintain 5. E nsures greater privacy 6. Ot her , specify 2.Dry Toilet 2. Twin Pit Toilet. 89 3. Septic tank 40 41 42 43 44 45 46 47 48 49 50 51 What was the cost of the toilet How much did you pay for your toilet What was the motivation for building this toilet? (Do not read, check all that apply) If, 1, what was the amount of subsidy? If 2, who had told you? What was the mode of construction Did you / your family member contribute to the construction of the toilet If yes, what did you contribute ( Multiple response) If 3, did you receive wage payments under 100 day’s programme ( MGNREGA) If yes, how many days did you put in and what amount of wage payment did you get? Is the toilet functioning now If no, why not (Do not read options, check all 1.__________Rupees 2.Don’t know 3.Don’t remember 1. ………………. Rupees 2.Don’t know 3. Don’t remember 1.Program was offering subsidy 2.Someone told me I had to 5.Construction of new house 6.Neighbour got one 9. The old one was not function 9.Don’t know 3.Had enough money to buy 7.Event (weddin g /funeral /new year) 10.Othe r, specify 4.Sick /old relative 8.Had visitors from outside village coming 1. Rs __________ 2. Panchayat member 1. Friend or relative 4. Sanitary Mart / SHG Member 1.Built yourself ( totally with own fund) 1. Yes 5. Neighbour 3. Health Worker /ASHA 6. Others 2. Built under welfare scheme 2.No 1. Money 2. Material 3. Labour 4. Other s 1. Yes 2. No 3. Partly 4. Can’t say 1. ______days 2. Rs _____ 3.No water to flush 4.Slab broken 1.Yes 2.No 1.Dirty 2.Full 90 that apply) 52 53 54 55 56 57 58 59 60 61 62 63 Where is your new toilet situated If 3 , how far What is the source of water to use in toilet If not piped water, how far is the source situated from the toilet Do you have water logging problems in the toilet in the rainy season? Who made the final decision to build your first toilet (check only one) Did you receive assistance from any organization to build your first toilet (e.g. free /subsidized materials or labour, technical advice, loan, etc.) If yes from which organisation What assistance did you receive from the organization (read options and check all that apply) In the future, do you plan to make changes / improvements to your toilet If yes, what changes /improvements do you plan to make (read options, check all the apply) Has your toilet pit ever 5.Superstructure broken /missing 9.Prefer the field /forest 6. Building not completed 7.Used as storage 8.Smell s bad 10.Other, specify 1.Within house 2.Within Premise/homestead 3.Outside premise 1. <20 ft 1.Own Tube well 4. Piped water 1. 20 ft 2. 20- 40 ft 2. Community Tube well 5. Other source 2. 20- 40 ft 3. More than 40ft 3.Own Well 1.Yes 2.No 1.Head of household 4.Family together 2.Self 5.Other,specify 3.Spouse 1.Yes 2.No 3.Don’t know 1.Panchayat 3.Other 1. Monetary Subsidy 5.Design provided 1.Yes 2.NGO 4.Don’t know 2.Free 3.Loan /subsidized labour 6.Encouragement 7.Other, specify 2.No 3. More than 40ft 4.Technical advice 3.Don’t know 1.Line the pit 2.Improve the walls 5.Get pan 6.Get pour flush pan 9.Build bathing area 10.Build hand washing area 13. Other, specify 1.Yes 2.No 3.Improve the roof 7.Add ventilation pipe to pit 11.Build door 4.Improve the slab 8.Build water storage tank(s) 12.Move to inside the house 3.Don’t know 91 64 65 66 67 been emptied If yes, what do you do with the contents (read options, check all that apply) When the pit fills up, how long do you wait before emptying it (check only one options) What particular features do you like the most about your preferred toilet (Do not read options, check all that apply) What are the challenges of the particular toilet in use (Do not read options, check all that apply) 1.Spread on field as fertilizer 2.Dumped in the forest 4.Empty pit contents into new hole 1.Emptied right away) 5.Other, specify 3.Dum ped in the river /pond /canal 2.Less than one month 3.1-6 months 6.Don’t know 4. User friendly 4.7-12 months 5.More than 12 months 1.Looks good /comfortable 2. Don’t need much water to flush 3. Easy to clean 5.Has ventilation 6. Less expensive 7. Ensures greater privacy 8.Other , specify 1.Not user friendly 2.Lack of ventilation 3.Insect Problem 5.Expensive 6.Needs Land 7.Problem of maintenance 4.Empt ying pit proble matic 8.Other , specify E. Awareness, Practice and Perception 68 How did you learn about toilet options and the installat ion procedu 1.From Community meeting 2.From Relative /friends/ Villagers 3.From toilet owner 5. From construction agents 6.From NGO /agency/ Sanitary Mart 7. From SHG members 92 4. From Panchayat Represent ative 8.From ICDS/ Health Functionar ies/ School Teachers 69 70 1 2 3 4 5 6 7 8 71 72 73 74 75 res 9. From Poster 10. Radio (don’t /advertisement read options, check all that apply) Who all are using 1.A1. Adults Men your toilet ( Single or 3.Children multiple ticks) Frequency of use Adult men : DRY 1.Always SEASON Adult men: Rainy 1.A ways season Adult women: DRY 1.Always SEASON Adult women: Rainy 1.Always season Children of 5-12 1.Always years :DRY SEASON Children of 5-12 1.A ways years : Rainy season Children < 5years 1.Always :DRY SEASON Children < 5years 1.Always :Rainy season Is the toilet use 1. Yes friendly for children aged ( <5 years ) Is the toilet use 3. Yes friendly for aged persons? Is open defecation 1. Yes also in practice under any circumstance? If yes, when 1. Rush hours during the day Under such circumstance who defecate in open 11. From other IEC material 2.Adut Women 4. No one 2.Sometimes 3.Never 2.Sometimes 3.Never 2.Sometimes 3.Never 2.Sometimes 3.Never 2.Sometimes 3.Never 2.Sometimes 3.Never 2.Sometimes 3.Never 2.Sometimes 3.Never 12. Other sources ,specify 5. All 4.Do not know 4.Do not know 4.Do not know 4.Do not know 4.Do not know 4.Do not know 4.Do not know 4.Do not know 2. No 4. No 2. No 2. Guests at 3. Toilet not 4. Othe 5. Regularl home functioning r y properly occasio ns 1. Male Members 2. Elderly 3. Children 4. Anyone members 93 76 77 78 79 80 81 82 83 84 85 86 87 Where do they usually go? In your household, how are babies’ faeces usually disposed of (Check only one which is very often) If not 1, why do you do so If you have a sick or elderly, do they use toilets If no, how are their faeces disposed of If not 1, why do you say so 1. Homestead 2. Riverside 3. Elsewhere 1.Put into toilet 2.Put into drain /ditch 4.Buried 5. Others 1. Easy and convenient 2. Usual Practice 4. Have enough land for disposal 1.Yes 5. Children cannot use toilet 1.Put into toilet 2.Put into drain /ditch 4.Buried 1.Easy and convenient 5. Others 2.To avoid water use 4.Others 1.Yes 3.Thrown in garbage 3. To avoid water use 6. Others 2.No 3.Thrown in garbage 3. Have enough land for disposal Does anybody from 2.No neighbouring household use your toilet If your toilet is not 1.Public toilet 2.Neighbour’s toilet 3.Relative’ usable , where s toilet would you go to 4.Field /forest 5.Other,specify defecate (Don’t read options, check all that apply) Do you use 1.Yes 2.No multiple toilets simultaneously If yes, why do 1.Family members are used to it 2.Family is big so we need it at times you use the old 3.Good to keep it functional 4.Others one How satisfied are 1.Very satisfied 2.Satisfied 3.Unsatisfi you with the use of ed toilet Do you use your 1.Yes 2.No 94 88 89 90 91 92 93 toilet for bathing How much water per day does your household usually need to flush the toilet 1. Less than 5 litres 3. 16 to 25 litres 2. 6 to 15 litres 4.More than 26 litres What are the disadvanta ges of owning a toilet (Do not read options, check all that apply) 1.Bad smell 2.Attracts flies 3.Cost to maintain it 7.Overflows 4.Work to maintain it 8.No disadvanta ges 5.Other people come to use it 6.Affects groundwater quality 9.Don’t know 10.Other, specify What are the advantages of owning a toilet (Do not read options, check all that apply) With what do you wash your hands after selfdefecation With what do you wash your hands after child’s defecation/ cleaning of excreta Has there been a change in 1.Improved hygiene /health /cleanliness 5.Improved safety 2.More privacy 3.More comfortable 6.Improved status /prestige 7. Guests can use it 4.Convenie nce /Save time 8.No advantage s 9.Don’t know 10.Other, specify 1.Soap 2.Soil 4.Plain water 5.Others 1.Soap 2.Soil 4.Plain Water 5.Other 1. Yes 2. No 95 3.Ash 3.Ash 94 95 96 97 98 hand washing practice after installation of Toilet If yes, what What are the benefits of hand washing after toilet use or handling excreta Have you noticed change in occurrence of Diarrhoea, Typhoid or other water borne diseases in your house Are you aware whether your children use toilet in school? Are you aware of the governmen t programme 1.Wash hand after defecation 4. Wash hand before eating 1. Cleanliness 2. Wash hand after cleaning children’s faeces 5. Wash hand after eating 3. Wash hand before cooking 6. Other, specify 2. Disease prevention 3. Other, specify 4.Don’t know 1.Increased 2.Decreased 3. No change 4. Can’t say 1. Yes 2. No 3. Can’t say/ Don’t know 1. Yes 2. No 3. Don’t know or Can’t say 96 99 10 0 10 1 10 2 10 3 10 4 10 5 10 6 in support of total sanitation If yes, name the programme Are you aware of Sanitary Marts What are their functions What support did you get from Sanitary Marts Are you aware of SHGs involved in the sanitation activity What are their functions What support did you get from SHGs What has been your motivation to use a toilet ( Multiple 1.Yes 2.No 1.Awareness and Motivation 2. Linkage with Government 3. Installation 5.Support in repairing 1. Awareness 6.Other, specify 7.Don’t know 4. Support in repair works 7. No support 2. Support in toilet installation 5. Linkage with government 1.Yes 4. Use Monitorin g 3. Toilet procurement 6. Other, specify. 2.No 1.Awareness and Motivation 2. Linkage with Government 3. Installation 5.Support in repairing 1. Awareness 6.Other, specify 7.Don’t know 2. Support in toilet installation 4. Use Monitorin g 3. Toilet procurement 6. Other, specify. 4. Support in repair 5. Linkage with government works 7. No support 1.General 2.Better quality of 3.Panchayat 4.Facilitati Awareness life insistence on by Sanitary Mart/ NGO/ SHG 6.Privacy 7.Convenience 8.Female 9.Health 97 5.Young generation preference 10.Securty 10 7 10 8 10 9 11 0 11 1 11 2 responses are possible ) Please rank the 1st three motivation factors What are the ill effects of open defecation Do you think open defecation should be stopped completely ? Do you think open defecation can be stopped through individual initiative or a community approach is needed If through community initiative, who could be the key players? How can open defecation be stopped? and dignity of women preference 1. Pollutes the environme nt 2. Unhealthy and unhygienic 3. Others, specify 1. Yes 2. No 3. Can practice at times 1. Individu al initiative 2. Community Initiative 1. Pancha yat 2. SHG 6. Childre n 7. Others 1. Greater awareness 2. Community mobilisation improvem ent 4. Can practice during disaster 5. Others 3. AWW/ ASHA 4. NGO-s/ Sanitary Marts 5. Young generation 3. Enforcement/ penalty 4. Penalty 5. Childre n mobilisatio n? 3. Both 98 Observation Checklist for Household Toilet 1 Where is the toilet situated? 2 4 Is the name of the beneficiary and details of the toilet written on the wall of the toilet? If yes, in whose name? Does the toilet have lighting facility on the way to the toilet or n the toilet for use at night Condition of the toilet 5 6 7 What is the type of toilet If pour flush What is the type of pan 8 What is the facility of water in the toilet 3 9 10 11 12 If tap ,does water flow easily Does it have a mug in the toilet Does it have a broom in the toilet Is there soap in thehand washing area or in the toilet 13 Does the wall/ pan/ pantrap have excreta remains? 14 Is the door/ curtain in good condition to ensure privacy 1. Inside house 1. Yes 2. Within premises 2. No 1. Yes 1. Good 3. Outside 2. No 2. Moderate 1. Pour flush 1.One-pit 2.Two Pit 1. Rural 2.Urban type type (deep ) 1.Tap 2.Bucket of water 3. Bad 4. Broken 2.Dry disposal 3.Septic tank 3. Ceramic 4. Mosaic 1. Yes 1. Yes 3. Drum of 4. No water sourc e 2. No 2. No 1. Yes 2. No 1. Yes 2. No 1. Yes 2. No 99 Annexure 2: FGD Pointers FGD guide with community What has been the change in toilet practice over time? What has been the motivation behind toilet installation and use? Does everybody use toilets? What is the usual water source for toilet? What is the practice of excreta disposal for infants and sick/elderly people? What is the hand washing practice? What are the advantages of toilet use? What are the advantages of hand washing? What are the challenges of using toilets? Can you link toilet usage and hand washing with occurrence of diarrheal diseases? What is the school toilet habit of your children? What has been the role of Panchayats, Sanitary Marts and SHGs? Have you come across IEC material? What information or message have you got from these? Do you attend Gram Sabha meetings and have you come across such sanitation related discussions Is there still a practice of open defecation? Do you feel that there is a community will to stop open defecation? What could be done to prevent open defecation? Can the community act as a monitor in stopping open defecation? Are there community toilets in the locality? Are these functional? Who manages these toilets? Who pays for the repair and maintenance? And how much? What measures has been initiated to handle solid waste at community level as well as Household level Do you practice composting using your garbage at your homestead Does anybody has Gobar Gas plant at household level Do you have community toilet facility? Where? Is there is need for construction of community toilet in your area? If yes, please specify where. Key Informant Interviews BDO/Panchayat Member What is the overall sanitation scenario in the area in terms of installation and usage? What percentage of households have installed and what is the rate of utilization? What are the changes that happened in terms of: o Community awareness o Behaviour& practice o Health status o Overall cleanliness o Community will/ Social norm 100 What IEC initiatives have been taken to make people aware and motivated? Did you have “Oath taking” to stop open defecation and to build toilets in your area? Where do you rate the performance of your block/ Panchayat Samity within the District Which according to you have worked best in achieving the success in your block/ PS? What are the roadblocks in the desired progress? How do you rate the performance of SHG-s in your block/ PS? How do you rate the performance of Sanitary Marts in your area? Why do you think convergence between MGNREGA, NRLM with NBA has worked? What are the roadblocks in convergence between MGNREGA, NRLM with NBA? What do you think can be adopted as a strategy to stop open defecation? AWW/Primary school teachers Does the school/ Anganwadi Centre have a toilet? If no where do children go for urination and defecation? If yes, is it separate for boys and girls in school? Do all children use toilets? Is there still a habit of open defecation among children? What has been the change in toilet practice over time? What has been the motivation behind toilet installation and use? What proactive steps have you taken to train children in toilet habits and stop open defecation? What is the hand washing practice? Are there any problems of using toilets by children? What has been the role of Panchayats, Sanitary Marts and SHGs? Have you come across awareness/ IEC material? What information or message have you got from these? Do you attend Gram Sabha meetings and have you come across such sanitation related discussions Are SHGs active in your area in the domain of sanitation? Is open defecation still in practice in the community? Do you feel that there is a community will to stop open defecation? What could be done to prevent open defecation? Can the community act as a monitor in stopping open defecation? TSC members/ SHG members/ How many villages do you serve? And what is the household size / What percentage has been covered? What is the average daily installation? By when do you think you can cover 100% by installation of toilets in your service area? Are you involved in community motivation? What methods and means do you undertake to motivate people? What according to you restrict people from using toilets? Do you have post installation monitoring? How do you do it? Do you feel all toilets that have been installed by you are being used? If no, what do you do to further motivate them after installation? 101 How many people are engaged in the organisation? Do you have technical manpower in your organisation to look into technical issues? Do you take care of the repair of toilets post installation? In case of SHG run Sanitary Mart, please asko How long you are engaged in SHG programme o What are your main group activities apart from this? o What was your groups’ closing Balance during September 30, 2013 o What is your closing balance till May 2014 Do you face any problem in delivering your service? Do you face any problem in getting payments from the govt. or panchayat or the beneficiary? From October 2013 to May 2014 How many HH toilets constructed by you o What claim did you have submitted to Gram Panchayat o What amount is due and how long? o What amount is claimed at Block level o What amount is due and how long? Has the convergence between NBA and MGNREGA worked in your favour? If yes, how? If no why? Do you have anything to say on the design or specification of the present sanitary toilets? Are these user friendly? Are these child friendly? Do you think there is need for some improvement in design to make it more user friendly? What has been the change in toilet practice over time? What has been the motivation behind toilet installation and use? Is there still a practice of open defecation? What according to you are the challenges of using toilets by community? What is the school toilet habit of your children? Do you feel that there is a community will to stop open defecation? What could be done to prevent open defecation? Can the community act as a monitor in stopping open defecation? Are there community toilets in the locality? Are these functional? Who manages these toilets? Who pays for the repair and maintenance? And how much? Are there community toilet facility? Where? Is there is need for construction of community toilet in your area? If yes, please specify where. Institution level observation Toilet use in school Toilets in Anganwadi centre Toilet Blocks and their usage Water resources – both for drinking water as well as for other use including use in toilet Signs of open defecation 102 Annexure 3: Selected Blocks and Villages Block GP Name Changed GP Village Name Changed village Manasapota Noada Durgapur New Kautukpur Priya Nagar Sri Krishnapur Rautari Telipukur Rameswarpur Gangoria Subarnapur Laopalla Johirapara Uttar Duttapara Nischintapur Pauchkahania Bihadia Chota Chandghar Molamdi Hijuli Baroitna Juaupur Shantipur Ararbegia Charmejdia Gangadhar Char Bramhanagat (Khelar Math) Kanainagar Chakdah Chakdah Chakdah Chakdah Chakdah Chakdah Chakdah Chakdah Haringhata Haringhata Haringhata Haringhata Haringhata Haringhata Haringhata Haringhata Kaliganj CHANDURIA-I CHANDURIA-I MADANPUR-I MADANPUR-I MADANPUR-I RAUTARI SIMURALI SIMURALI BIROHI-I BIROHI-I BIROHI-I KASTODANGA-I KASTODANGA-I KASTODANGA-I KASTODANGA-II KASTODANGA-II BARACHANDGHAR CHANDURIA-I CHANDURIA-I MADANPUR-I MADANPUR-I MADANPUR-I RAUTARI SIMURALI SIMURALI HARINGHATA - I HARINGHATA - I HARINGHATA - I MOLLABELIA MOLLABELIA MOLLABELIA FATEPUR FATEPUR BARACHANDGHAR Manasapota Noada Durgapur Jangal (CT) Kautukpur Kaliganj Kaliganj Kaliganj Kaliganj Kaliganj Kaliganj Nabadwip BARACHANDGHAR MATIARI MATIARI RAJARMPUR RAJARMPUR RAJARMPUR CHARMAJDIA BARACHANDGHAR JURAUPUR JURAUPUR JURAUPUR PALITBAGIA PALITBAGIA CHARMAJDIA Molamdi Bara Atagi Mohanpur Ghola SitaChandrapur Daluipura Brahman Para Nabadwip CHARMAJDIA CHARMAJDIA Brahmanagar Nabadwip CHARMAJDIA CHARMAJDIA Nabadwip MAJDIA PANSILA MAHISURA Char Brindabanpur Majdia (CT) Nabadwip Nabadwip MAJDIA PANSILA SWARUPGANJ MAHISURA MBI SimulGachi Gadigachha (CT) Nabadwip SWARUPGANJ MBI Maheshganj Santipur Santipur Santipur Santipur ARBANDI-I ARBANDI-I BELGORIA-I BELGORIA-I ARBANDI-I ARBANDI-I BELGORIA-I BELGORIA-I Denui Khalsi Malipota Pumlia 103 Ektarpur Narapati Para Rameswarpur Sonakhali Baksha Panchpukuria JalkarBhomra Sekandarpur Kathdanga HazraPota Khalsi ChakGobindapur Mahisura Ghoshpur Mahisura Baman Pukur Natun Gram (Najrul Palli) Arrandi Boalia Baira Pumlia Rationale for changing GP/Village No Changes No Changes Not yet started Not yet started Not yet started Not yet started No Changes Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Not yet started Name Problem Name Problem Name Problem Not yet started Not yet started Very little work done Very little work done Not yet started Not yet started Not yet started Not yet started Block GP Name Changed GP Village Name Changed village Santipur Santipur Santipur Chapra Chapra Chapra Chapra Chapra NABLA NABLA NABLA ALFA ALFA CHAPRA-I CHAPRA-I HATKHOLA NABLA NABLA NABLA ALFA ALFA CHAPRA-I CHAPRA-I HATKHOLA Simulia Goalpur Nabla Bania Khari Dompukur Chapra Dwipchandrapur Dukria Joynagar (Palta) Goalpur Sabujnagar Bania Khari Dompukur Chapra Dwipchandrapur Rajibpur Chapra HATKHOLA HATKHOLA Hatkhola Shikra Karimpur - I HAREKRISHNAPUR HAREKRISHNAPUR Dhanerpara Karimpur - I HAREKRISHNAPUR HAREKRISHNAPUR Gopalpur Uttar Krishanapur Sreerampur Karimpur - I Karimpur - I Karimpur - I Karimpur - I Karimpur - I HAREKRISHNAPUR KARIMPUR-II KARIMPUR-II KARIMPUR-II SHIKARPUR HAREKRISHNAPUR KARIMPUR-II KARIMPUR-II KARIMPUR-II SHIKARPUR Durlabhpur Kalabaria Majlispur Natna Gandina Durlabhpur Kalabaria Majlispur Natna Baruipara Karimpur - I SHIKARPUR SHIKARPUR Fulbari Karimpur - II DHORADAHA-I DHORADAHA-I Dhoradaha Jotdarpur narayan Sahebpara Karimpur - II DHORADAHA-I DHORADAHA-I Monoharpur Karimpur - II NANDANPUR NANDANPUR Jaynabad Monoharpur /Sirsha Garaimari Karimpur - II NANDANPUR NANDANPUR Ratanpur Nandanpur Karimpur - II NANDANPUR NANDANPUR Raynagar Gopalpur Karimpur - II Karimpur - II Tehatta - I Tehatta - I RAHAMATPUR RAHAMATPUR KANAINAGAR KANAINAGAR RAHAMATPUR RAHAMATPUR KANAINAGAR KANAINAGAR MahishBathan Rahamatpur Sardanga Bahadurpur MahishBathan Rahamatpur Sardanga Srirampur Tehatta - I KANAINAGAR KANAINAGAR Tehatta - I Tehatta - I RAGHUNATHPUR RAGHUNATHPUR RAGHUNATHPUR RAGHUNATHPUR Uttar Char Chandpur Jitpur Raghunathpur Uttar Char Chandpur Jitpur Nischintapur Tehatta - I TEHATTA TEHATTA Kulgachhi Nowdapara 104 Rationale for changing GP/Village Not yet started Not yet started Not yet started No Changes No Changes No Changes No Changes Work not fully operational Work not fully operational Work not fully operational Work not fully operational No Changes No Changes No Changes No Changes Work not fully operational Work not fully operational Work not fully operational No Changes Work not fully operational Work not fully operational Work not fully operational No Changes No Changes No Changes Work not fully operational No Changes No Changes Work not fully operational Work not fully operational Block GP Name Changed GP Village Name Changed village Tehatta - I TEHATTA TEHATTA Khaspu Khariapara Nakashipara Nakashipara Nakashipara BETHUADAHARI-II BETHUADAHARI-II DHANANJAYPUR BETHUADAHARI-II BETHUADAHARI-II DHANANJAYPUR Bade Tehatta Bagunda Sibpur Bade Tehatta Bagunda Dhananjoypur Nakashipara Nakashipara DHANANJAYPUR DHANANJAYPUR DHANANJAYPUR DHANANJAYPUR Dhaparia Radhanagar Dhaparia Machpota Nakashipara PATIKABARI PATIKABARI Bekoail Changa Nakashipara PATIKABARI PATIKABARI Belpukuria Taibechara Nakashipara Tehatta - II Tehatta - II Tehatta - II PATIKABARI BARNIA BARNIA BARNIA PATIKABARI BARNIA BARNIA BARNIA Patikabari Komthana Charakpota Uzirpur Patikabari Komthana Charakpota Haritola Tehatta - II Tehatta - II Tehatta - II Tehatta - II Hanskhali PALASIPARA PALASIPARA SAHEBNAGAR SAHEBNAGAR BAGULA-I PALASIPARA PALASIPARA SAHEBNAGAR SAHEBNAGAR BAGULA-I Baor Rudrapara (P) ChhotaNaldaha Kulgachhi Bhabanipur Baor Rudrapara (P) ChhotaNaldaha Kulgachhi Purba Bhayna Hanskhali BAGULA-I BAGULA-I Kaikhali Uttar Bhayna Hanskhali Hanskhali DAKSHINPARA-II DAKSHINPARA-II DAKSHINPARA-II DAKSHINPARA-II Dhakuria Gopalpur Dhakuria Itaberia Hanskhali Hanskhali Krishnaganj RAMNAGAR RAMNAGAR BHAJANGHAT TUNGI RAMNAGAR RAMNAGAR BHAJANGHAT TUNGI Malsadaha Nagarpota Nalupur Malsadaha Nagarpota Dongahata Krishnaganj Krishnaganj BHAJANGHAT TUNGI BHAJANGHAT TUNGI BHAJANGHAT TUNGI BHAJANGHAT TUNGI Dharmmapur Radhakantapur Dharmmapur Tungi Krishnaganj Krishnaganj Krishnaganj Krishnaganj KRISHNAGANJ KRISHNAGANJ TALDAH MAJDIA TALDAH MAJDIA KRISHNAGANJ KRISHNAGANJ TALDAH MAJDIA TALDAH MAJDIA Krishna Ganj KomarPur Goari Gopipur Krishna Ganj KomarPur Goari Mothurapur Krishnanagar - I ASSANNAGAR Joania Dafarpota Bhabanipur Krishnanagar - I ASSANNAGAR Joania Nidhirpota Raotora 105 Rationale for changing GP/Village Work not fully operational No Changes No Changes Work not fully operational No Changes Work not fully operational Work not fully operational Work not fully operational No Changes No Changes No Changes Work not fully operational No Changes No Changes No Changes No Changes Work not fully operational Work not fully operational No Changes Work not fully operational No Changes No Changes Work not fully operational No Changes Work not fully operational No Changes No Changes No Changes Work not fully operational Work not fully operational Work not fully operational Krishnanagar - I Krishnanagar - I DEYPARA DEYPARA DEYPARA DEYPARA Satgachhi SimulTala Satgachhi Subarna Bihar Krishnanagar - I RUIPUKUR. Dogachi Sibchandrpur Jatrapur Krishnanagar - I RUIPUKUR. Dogachi Usidpur Jalalkhali Krishnanagar II Krishnanagar II Krishnanagar II Krishnanagar II Krishnanagar II Krishnanagar II Krishnanagar II Ranaghat - I Ranaghat - I BELPUKUR BELPUKUR Dalai Molla Belpukur BELPUKUR BELPUKUR Polta Polta Rationale for changing GP/Village No Changes Work not fully operational Work not fully operational Work not fully operational Work not fully operational No Changes NOAPARA-I NOAPARA-I Chhagharia Chhagharia No Changes NOAPARA-I NOAPARA-I Singhati Singhati No Changes NOAPARA-I NOAPARA-I Noapara Noapara No Changes SADHANPARA-II SADHANPARA-II Gabarkuli Gabarkuli No Changes SADHANPARA-II SADHANPARA-II Tatla Tatla No Changes ANULIA ANULIA ANULIA ANULIA GhoraGachha Nandighat Ranaghat - I ANULIA ANULIA Anulia Ranaghat - I KHISMA KHISMA Khisma No Changes No Convergence Work No Convergence Work No Convergence Work Ranaghat - I KHISMA KHISMA Radhanagar GhoraGachha Anulia Ghosh Colony Anulia - Pulin Nagar Khisma Maniktala Khisma Muslimpara Taksali Ranaghat - I Ranaghat - I Ranaghat - II Ranaghat - II Ranaghat - II Ranaghat - II Ranaghat - II Ranaghat - II Ranaghat - II TARAPUR TARAPUR ANISHMALI ANISHMALI ANISHMALI DUTTAFULIA DUTTAFULIA RAGHUNATHPUR RAGHUNATHPUR TARAPUR TARAPUR ANISHMALI ANISHMALI DUTTAFULIA DUTTAFULIA HIJULI - I HIJULI - I HIJULI - I Gazipur JhauMahal Purbanagar BaliaDanga Chaksaarisadanga Kalupur Nathkura Jafar Nagar Rajapur Gazipur JhauMahal Chinapukuria Enuli Bazar Srirampur Kalupur Roypara Uttarpara Natungram Block GP Name Changed GP Village Name 106 Changed village No Convergence Work No Changes No Changes Work is ongoing Work is ongoing Work is ongoing No Changes Work is ongoing Work is ongoing Work is ongoing Annexure 4. Respondent Profile The purpose of the study was to assess the sanitation situation in terms of awareness, ownership and utilisation. While secondary information provided the data on the progress of installations, for understanding the behavioural aspects, as mentioned, a survey was conducted over a representative sample. A total of 2400 households were covered from 120 villages across all Blocks of the district. Table A4.1: Block specific samples covered Block Name Chakdah Chapra Hanskhali Haringhata Kaliganj Karimpur - I Karimpur - II Krishnaganj Krishnanagar - I Sample size 160 120 120 160 140 160 140 140 120 Block Name Krishnanagar - II Nabadwip Nakashipara Ranaghat - I Ranaghat - II Santipur Tehatta - I Tehatta - II Sample size 140 140 160 140 140 140 140 140 The respondent profile has been presented below: Respondent Gender and relationship with Chief Wage Earner The break-up between male and female respondents was 54% female respondents and 46 %male. Figure A4.1: Respondent’s Gender 46% 54% Male Female More than two-fifth of the respondents were the chief wage earner themselves and another 42%were the spouse of the chief wage earner. 107 Figure A4.2: Relationship with Chief Wage Earner (CWE) 41% 42% 7% 6% 1% Little less than one tenth of the respondents were son or daughter of the chief wage earner and 6 %were the parents of the chief wage earner. Negligible proportion of the respondents was brother or cousin of the chief wage earner. Household Information Majority of the households covered were patriarchal in nature with 92 %having a male head of the household whereas only 8 %had female household head. Figure A4.3: Gender of the Household Head 8% 92% Male Female Majority of the household heads are engaged as daily labourer (58%) followed by occupation as cultivator (25%).Only little more than one-tenth are involved in business or are self-employed in non-agriculture activities. Very few are engaged in service or work as factory worker or weaver. 108 Figure A4.4: Occupation of the Household Head Daily labourer 53% Cultivator 23% Business / Self-employed in non- agriculture Factory worker/Weaver/others Service 12% 9% 2% While three-fourth of the other family members do not fall in any category, but 28%are engaged in some pursuit with SHG membership topping the list. Figure A4.5: Occupation of Other Family Members Occupation of Other Family Members Engagement of Other Members of Family SHG member Govt servant 27.7% 72.3% Occupied 89.4% 5.8% Panchayat representative 1.5% School Teacher or staff 1.2% Anganwadi Worker 1.2% Health worker 0.6% Not Occupied Majority of those engaged as Self Help Group member with nearly 90 %reporting the same, followed by around 6 %engaged as government servant. Half of the households are living in “Kuchcha” type of dwelling. 22% living in “Semi-pucca” and 28%living in “Pucca” houses. Figure A4.6: Type of Dwelling 28% 51% 22% Kuchcha Semi Pucca 109 Pucca 34 %of the households belong to Schedule caste category and 5 %belong to Schedule tribe. 33 %are Muslim and 21 %belong to the General category. Figure A4.7: Type of Caste Category of the Household 34% 33% 21% SC 5% 7% ST OBC Muslim General Household Education Around one-third of the chief wage earners are illiterate. One-fifth are literate but with no formal education. Another one third has studied till primary level. Only 9 %have studied till secondary level and negligible are graduate and above. Figure A4.8: Education Level of Chief Wage Earner 34% 19% Illiterate Upto Primary level Upto Higher Secondary Graduate and above 1% 2% 2% 9% 34% Literate but no formal education Upto Secondary level Undergraduate Currently School going children: 82% Currently no school going children: 18% Of the households visited 82 %have school going children while 18 %reported no school going children in the household Socio-Economic Information Figure A4.9: BPL Card Status BPL Card Ownership Enrolled in the Panchayat List for availing a BPL card 90% Ration Card with BPL Stamp 89% 56% 44% 10% Yes No Yes 11% No 110 Yes No 44 %of the households possess BPL card. Among those with no BPL card, only 10 %have enrolled in the Panchayat list for availing BPL card. Among those who have not enrolled in the Panchayat list, around 11 %have BPL stamp on ration card. Around 86 %possess MGNREGA job card. One fourth of the households have member of Self Help Group in the house. Figure A4.10: Program Entitlements Self /female member of family NREGA job card ownership member of a SHG Group Yes •86% Yes •25% No •14% No •75% Around 11 %reported to possess 5-10 katha of land. 68 %possess land beyond house in the homestead. Among those having land beyond house in the homestead, the size of the homestead is less than 5 katha for majority of the household with 85% reporting the same. Figure A4.11: Size of Homestead < 5 Katha 5-10 Katha • 85% • 11% 11 katha – 1 Bigha > 1 Bigha – 5 Bigha • 2% • 1.7% > 5 Bigha • 0.3% Among the top three sources of income are working as casual labour or daily wage labour with 45 %of the households reporting the same. Followed by 20%earning by working as agricultural labourer and 12%earning through farming or agriculture. Figure A4.12: Main Sources of Income of all Family Members in the last 12 months 8% 10% 3% 2% Pensioner/Remittance recipients, etc. Self employed in non-agriculture Regular salaried/ Wage employee Skilled labour/Artisan Casual labour/Daily wage labour Agricultural labour Farming/Agriculture 45% 20% 12% 111 Around 28%of the households reported annual income of Rs.36,000 – Rs. 48,000 and 24%mention annual income between Rs.18,000 – Rs.24,000. Only 21%have more than Rs.48,000 annual income. 18%reported between Rs.18,000 – Rs.24,000 annual income and 9% with less than Rs.18,000 annual income. Figure A4.13: Household Income in Last 12 Months 28% 24% 21% 18% 9% Less than 18,000 18,000-24,000 24,001 to 36,000 36,001 to 48,000 More than 48,000 Around 16 %of the households have taken SHG loan or microfinance loan. However, majority of the households mentioned to have taken the loan more than a year ago with 43 %mentioning the same. Around 26 %mentioned to have taken less than six months ago and 31 %between 6 months and 1 year. Figure A4.14: SHG/Microfinance Loan Status SHG Microfinance Loan Taking Most recent Loan Taking 16% 26% 43% 31% 84% Less than 6 months ago Yes No 6 month – 1 year ago More than 1 year ago The loan was used mainly for cultivation (28%) followed by dwelling repair (16%), social event in family (9%), treatment (8%). Around 4 %mentioned to have availed the loan for toilet installation. Others includes purchase of land or for income generating activities. Figure A4.15: SHG/Microfinance Loan Used For Cultivation Dwelling Repair Social Event in family Treatment Toilet installation Education Others 28% 16% 9% 8% 4% 3% 32% The analysis indicates that respondents covered diversities in terms of socio-economic characteristics 112 Annexure 5: Qualitative Response on Toilet Availability and Usage in ICDS Centres and Schools Nawadwip Toilet Availability Toilet Using School AWC/ICDS School AWC/ICDS Available in three In Charmajdia only few Students are using and All are using but GP s primary and anganwadi/ICDS have open defecation is in Charmajdia in high school. toilets. In Mahisura, decimated few AWC Separate toilets for Mayapur panchayat toilet children are boys and girls in is very good using the primary and neighbouring secondary school. club’s /school’s/house’s toilet. Ranaghat-1 Available in three GP s primary and high school Haringhata Available in three GP s primary and high school. Separate toilets for boys and girls in primary and secondary school. Available in all GP Nakasipara In Ghazipur village most of the anganwadi/ICDS centres have toilet but not separated for boys and girls. In Ghoragacha village anganwadi does not have toilet and children are using neighbouring club’s toilet. In Mollaberia most of the centre has toilet. But, in Fatehpur GP children are going for open defecation as lack of toilet availability in AWC. Students are using and open defecation is very limited Open defecation is limited in villages among children. Students and children are using toilet and not facing any big problem Separate toilets in the schools and students are using that Among SC/ST children due to their tradition open defecation has been observed. In Dhananjoypur and Separate toilets in the Phatikpur most of the schools and students are centres do not have using that toilets. 113 Children became very much aware regarding the illeffects of open defecation and totally against of it and there is an important campaigning going on among children and mother in Toilet Availability School AWC/ICDS Tehatta- 2 Chapra Tehatta- 1 Karimpur 2 Chakdaha Toilet Using School Available in all GP high school but Primary school has only one common toilet. Available in all Primary and High School In Baruia gram panchayat the situation of toilet in ICDS is very bad. Students are using that but need separate toilet Not availability in ICDS Students are using that but need separate toilet In Tehatta GP most of the schools do not have toilet. In Kanainagar 4 school toilets are there. In Nandanpur few schools did not give land for toilet. But in Nandanpur Adarsh Vidyapith separate toilets are therein Rahamatpur toilets are there in the school. In kanaipur few AWC has Students are using that toilet but in Tehatta most but water is not there in of them do not have toilet. Kanaipur. Also need separate toilet. In Madanpur GP school toilet is available. In Chanduria-1 only in high school separate toilets. In Rahamatpur GP all anganwadis have toilet. But, in other GPs most of the anganwadis do not have toilet. In Nandanpur there is only one toilet in the anganwadi which people are using. AWC/ICDS Dhannanjoypur GP Open defecation decreased but not eradicated. Most of the ICDS centres are in rented accommodation where toilet uses is restricted. However the ICDS workers manage to use the toilet, but children defecate outside. In AWC children are using toilet but in Tehatta GP there is no toilet in the AWC. Available toilet is not clean so they cannot use and most of anganwadis do not have toilets so they need to go for open defecation. All of the school students are using toilet. Awareness chart in school regarding toilet behaviour. SC/ST students need to be involved more in the toilet using behaviour. In Rahamatpur toilets are there in the school and they are using that. In Rautari, Chauduria, Most of the students are In few ICDS Simurali GP most of the using toilet in Madanpur. centre do not anganwadis do not have have toilet so toilet so up to 5 years any option children are going for without open open defecation. defecation. But, if toilet is 114 Toilet Availability School AWC/ICDS Toilet Using School Santipur Toilet is very dirty in Arbandi-1, belghoria-1, Nabla GP high school. In Arbandi-1, Belghoria-1, Nabla gram panchayat no ICDS centre has toilet. In Arbandi-1 the school toilet is very dirty and students are compelled use that. Ranaghat -2 In Anishmali, Duttaphulia panchayat schools have separate toilet. School children are using that toilet Kaligunj In the primary and high school toilets are available. In Duttaphulia most of the ICDS centres have toilet. In Hijuli-1 most of the centres do not have toilet. In Hijuli-1 model latrine proposal have been proposed under “Sabar Souchagar”but yet to be implemented. In Bara Chandghar, Palit Baria gram panchayat most of the ICDS centre has toilet. While, In Juranpur most of the centres do not have toilet. Hanskhali Most of the schools in all GPs are having toilets. In Dhakuria Gram panchayat separate toilet for boys and girls are there but the situation is not good. In Nagarpota panchayat there is no toilet available in the ICDS centres. In school most of the students are using toilets. Few ICDS centres in Bagula do not have toilets 115 In schools students are using toilet. AWC/ICDS available then most of them are using that. Open Defecation practice has been restricted but need more awareness among tribal students and children. But, children are using toilets. But, In Anishmali, Hijuli-1 gram panchayat there is a trend of open defecation among children. Most of the children are using toilet in ICDS centres. But, In Juranpur open defecation among children have been observed. Open defecation is prominent in Nagarpota, Uttar Bhayana GP among children but slowly change is coming in their toilet using behaviour.But, children in AWC Toilet Availability School AWC/ICDS so they are using nearby club’s toilet In Uttar Bayana few AWC do not have toilets. No separate toilets. Most of them do not have toilets. Karimpur I In schools also toilet situation is not up to the mark Krishnagunj Primary and secondary schools have toilets but few schools do not have separate toilet Primary and high schools have toilet but condition need to be improve Most of the anganwadis have toilet and children are regarding that In most of the schools most of the schools have toilets Anganwadis have toilet and awareness meetings have been organized Krishnanagar I Krishnanagar II Toilet Using School Students are using but facing difficulties Students are using toilets not facing big difficulties In AWCs in the block Students are using but it availability of toilet is inconvenience is there average. When more than one children need to use toilet then difficulties have been observed. 116 Students are using toilets AWC/ICDS are using toilets. Children are using where toilet available but where there is no toilet open defecation is there. Children are using toilets and sanitation behaviour has been changed In AWC children are aware and using toilet but in few anganwadis they are compelled to go for open defecation due to lack of toilet availability. Children are using and aware regarding toilet using behaviour Annexure 6: Block specific Awareness Generation Instruments Awareness building Chakdah Door-todoor campaign Door To door campaigning by MNREGA supervisor and ASHA Meetings with villagers Mothers meetings by ASHA/ICDS Member and supervisor meeting ,GP meeting and samsad meeting Chapra Haringhata Haskhali Door to door by ASHA workers Karimpur I Karimpur II Krishnagunj In block every Friday meeting with Pradhan,UP,N S,secretary Camp and mothers meeting in ICDS Discussion in gram-Shaba meeting Mothers’ meeting, Saturday meeting done by Asha and AWW Panchayat members 4th Saturday meeting Door to Door campaigning by ASHA and AWW IEC Hoardings and flex by GP, use if IEC materials at meetings Road shows by GP, Mike announcements and awareness camp in fairs. Banner, tableau has been used for awareness generation. Drama, cycle rally, block fair, songs. GP pradhan is taking initiative in that. ASHA/AWW. Tableau and video show on sanitation, Observance of “World Sanitation Day” Wall writing and mike announcement by panchayat, Students rally Hording , Posters, Flex, Hand bill and booklet, In Mollaberia videography by block and GP Hoarding,poste rs,flex Mothers meeting on Awareness in Schools among students Campaigning by AWW workers. Teachers generate awareness among children in prayer time, monitor their behaviour Rally for cleanliness,2ns and 4th Saturday rally Rally by students and oath talking performance In Rahamatpur Rally organized by students Wall painting,rally,le Mike announcements, wall painting, VHND programme, rallies Mike announcements 117 Sanitary mart/SHG Group In Mollaberia street drama show by students, Display of posters, wall painting, festoons Community mobilization meetings Gram sabha,meeting Community activities Street corner through Marts are instrument al in building awareness, motivating people in building toilets, Rally in Nandanpu r by mart,SHG, ANM/ Anganwadi Awareness building Door-todoor campaign Meetings with villagers s Krishnanagar I Door to Door campaigning by ASHA and AWW Village meetings by GP Krishnanagar II Door to door discussion Meeting with villagers Nakashipara Door to door personal communicati on Ranaghat I Nawadwip Mothers meetings by ASHA/ICDS regular basis Mothers meeting done by Teachers, ASHA, AWW Monthly mothers' meetings In Anulia every month meeting with mothers have been organized Door to door personal communicati on in the block with panchayat pradhan,uppradhan Regular meeting with Samsad,Gram sabha IEC aflets distribution Posters Community activities Awareness in Schools among students students and parents Mike publicity and slogan writing on the wall by GP Poster ,leaflets Camp, rally, mike campaign, slogan writing on the wall Rally by students and children Wall painting in the villages,VHND through anganwadis Mike announcement, wall painting, rallies In Dhananjoypu r from school rally have been organized In Anulia wall painting has been used for awareness Social Camp through block miking,hoardin g,flex 118 In Mahisura rally, road show Camp through students and teacher Sanitary mart/SHG Group Self Help Groups are working for awareness generation only The selfhelp group ‘Ashar Alo’ serves this area, SHG members are \trying to aware people unitedly with Marts In Tarapur, few Selfhelp Group are also generating awareness among villagers on better toilet using In Mayapur every second Saturday SHG camp. One Club is working very good Awareness building Kaligunj Door-todoor campaign Meetings with villagers Mothers meetings by ASHA/ICDS IEC Community activities ICDS workers door to door campaigning ICDS workers door to door campaigning Meeting with Samsad,Gram sabha GP ,sansad wise meeting Hoarding,Flex,b anner,leaflet Ranaghat II ICDS workers door to door campaigning GP ,sansad wise meeting Hoarding,Flex,b anner,leaflet,bo oklets Campaigning by pradhan,uppradhan Tehatta I • Door to door campaign by Mart and SHG Every month by 20th mother’s meeting at ICDS centre • Marts and Panchayet organized ‘Oath taking’ programme • Slogan writing on the wall, mike campaigning • Indian Red Cross Society organized a rally to aware people against open defecation Drama programme, cycle rally, block fair, songs etc. Shantipur Tehatta II Hoarding,Flex,b anner,leaflet,bo oklets,tableau Gram sabha,meeting has been organized 119 Flex, hoarding etc. VHND every Wednesda y Awareness in Schools among students Sanitary mart/SHG Group in Mahisuira in this context. Rally with school,stu dents “Swacchat a Dut”camp aigning on 2nd OCT Milking, Drama, street corner for campaigning Milking, wall painting Campaigning and rally by students and teachers • SHG members are trying to aware and motivate communit y unitedly with Panchayat and Mart Awareness campaigni ng by ASHA, ANM. Also Ramakrish na mission is campaigni ng to eradicate open defecation . Annexure 7: Stakeholder response on Community Awareness Block Chakdah Stakeholder Response GP, Block functionaries and beneficiaries Chapra Block response Haringhata Block and functionaries GP Haskhali GP functionaries and beneficiaries Karimpur – I Block, Panchayat, Sanitary Mart, ICDS and Health functionaries Karimpur- 2 Block GPfunctionaries and 100% people who have toilet are using it. They are more willing to use toilet than before. No doubt that increased rate of installation and utilization and high amount of subsidy is the result of awareness Only sick and infants cannot use toilet and after defecation their faeces are thrown in the toilet pits. According to guardians children are aware of good and healthy practices and use toilet in school and at home. Remarkable changes have been observed regarding the toilet using behaviour. Better performance by the sanitary marts and the SHG groups has been observed. The convergence programme is on the track and expecting best results in the future. Open defecation almost eradicated from the village. There is increased motivation for toilet installation. Awareness has been increased. People are very eager to participate in the awareness generation programme. Dumping of garbage is done in a particular place. 90% to 95% people are using toilet. People are willing to use toilet so demand of toilet is increasing. All ICDS centres, Primary school have toilets and children are 100% aware of toilet use. After announcement of “World Sanitation Day” people have become aware of installation and use of toilet. However there are 9 tribal sansads were people do not agree to install toilet due to their superstition and poverty. All the groups admit that all who have toilets, old or new, are using it People are conscious about the necessity of toilet but due to poverty they cannot give Rs. 900/- for installation. GP is trying to help them. All groups have pointed out majority people have changed their practice of open defecation. Excluding a few exceptions all those who have toilets in the houses, use it regularly. Communities have changed the practice of going to open space for defecation. Only old, sick and too young children cannot use the toilet Remarkable performance has been observed in the ‘Sabar Souchagar” programme. Almost 80% of households have installed toilet. The Programme “Sabar Souchagar” is going to be a big success 120 Block Stakeholder Response Krishnaganj Block , GP Functionaries Krishnanagar I Krishnanagar II Block and functionaries GP Block, GP functionaries and beneficiaries Nakashipara Block, GP functionaries and other stakeholders Ranaghat-1 Block, GP functionaries Ranaghat -2 Block, GP and other stakeholder in the block. Even, people are investing their own money to upgrade their toilet. Awareness among villagers are increasing regarding the project. Those who do not have toilets many of them are using other’s toilet. Percentage of household having old toilet in the villages 90% to 95% (approximate) All who have toilets in the house, are using it. Faeces of Sick old and too young who cannot attend toilet, are thrown either in toilet pit or in a hole in the backside of the house Drastic change in habit of open defecation is observed --- all are willing to use toilet except a few ‘Sabar Souchagar’ programme has created a big push People are aware and do not defecate in the open place Surely the remarkable change in practice of open defecation is the cause of disease downfall. Community toilet can improve the situation further People who have toilets in the house do not go to open air defecation, except in the time of field work But people who have no toilet go for open defecation. The old sick and too young children are unable to use toilet. Majority people have changed their practice of open defecation. The result is control of environment pollution, mosquito and flies. Women have expressed their liking for use of toilet. People are willing to stop open defecation and have faith on their own ability of being successful to stop it. They believe that 100% control is possible if govt. gives more financial help Impressive performance has been observed in the ‘Sabar Souchagar” programme. The Programme “Sabar Souchagar” is going to be a big success in the block. Awareness among villagers are increasing regarding the project. Awareness on hand-washing has been increased and practice of open defecation has been decreased. People keen to construct new toilets. People are more conscious regarding toilet using and they are aware on ill-effects of open-defecation. There is a remarkable change in toilet using behaviour in the village. There is lack of hand-wash practice although it has improved manifolds. There is limited knowledge on handling child excreta. New generation is aware and eager for stopping open defecation as they are willing to lead a scientific and civilized life. People know that stopping open defecation is necessary for pollution control, disease control and for preserving security and dignity of life 121 Block Stakeholder Response Tehatta -1 Block and functionaries GP Tehatta-2 Block and functionaries GP Some people are aware and are eager to get toilet and are enlisting their names willingly. Many people are aware of advantages of sanitation but still are using open space as they have no option like community toilet. Toilets exist in 80% of household People, who have no toilet are using toilets of neighbours or relatives but nobody goes to defecate in open air. People are now habituated to go to toilet. But they cannot use toilet in rainy season, especially who have soil toilets. Old, sick and too young child cannot use toilet. They defecate in a particular place and faeces are thrown into the pit. There is no community toilet. But all agree that they want such toilet. “Sabar Souchagar” programme has been adopted by the block and the expected results are very good. At least 80% of the houses are using toilets. Open defecation has been decreased remarkably. There is little confusion among villagers regarding the utilisation of job cards but this is not affecting the work progress and toilet using behaviour. Annexure8: List of Sanitary Marts functioning in Nadia Sl. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 2 Name of the Block Name of the Mart Sarvik Vivakananda Sanastha Society for Socio Economic Development Udaynagar Shishunatyam Sanastha Chakdaha Shimurali Indira Gandhi Smriti Raksha Samity Sikarpur Vivakananda Walfare Society Uttarpara Samajdarparn Baro Andulia Mahila Samity Chapra 122 Name of assigned GP Sarati Ghetugachhi Silinda-I Hingnara Kanchrapara Chanduria-II Routari Silinda-II Talta-I Shimurali Chanduria-I Dewli Madanpur-I Madanpur-II Saguna Dubra Talta-II Alfa Chapra-I Sl. No. 3 4 5 6 7 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 2 3 4 5 6 7 9 10 1 2 3 4 5 6 Name of the Block Name of the Mart Siprasangha Biswabhaati Monalisha R.N.W.S. Sakdaha Cultural Forum Matangini Swanirvar Mahila Gosthi Hanskhali Bazarpara Welfare Society Mamjoan Janakalyan Samaj Hanskhali Sakdaha Cultural Forum Dakshinpara-II No. Panchayat Cluster Committee Haringhata Hard Society Haringhata Haringhata -I Cluster Group Tarama Swanirbhar Gosthi Gobar danga Vivekanda Rural Welfare Foundation Dishari Cluster Sealkhala Integrated Social Development Society Debagram Gram Unnayan Kendra 123 Kaliganj Name of assigned GP Hatisala-I Hatkhola Hridaypur Pipragachhi Bagberia Brittihuda Hatisala-II Chapra-II Kalinga Mahatpur Maheshpur Bagula-I Bagula-II Betna-Gobindapur Mayurhat-I R.B.C.-II Gazna R.B.C.-I Mamjoan Badkulla-I Badkulla-II Gazna Mayurhat-II Dakshinpara-I Dakshinpara-II Fatepur Kastadanga-I Haringhata-II Mollabelia Birohi-I Haraighata-I Kastadanga-II Birohi-II Nagarukhra-I Nagarukhra-II Barachandghar Palitbegia Barachandghar Panighata Debagram Faridpur Sl. No. 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 9 Name of the Block Name of the Mart Gobra Hatgachha Juranpur Matiari Rajarampur Ghoraikshetra Hatgachha Kaliganj Palitbegia Debagram Plassey-II Faridpur Gobra Kaliganj Plassey-I Kaliganj Matiari Mira-I Mira-II Mira-I Vivekananda Group Hatgachha Cluster Committee Plassey -2 Cluster Chandghar Rural Development Society Rahima SHG Nabin Cluster Kaliganj Cluster Purbasa SHG Ananya Cluster Chhoto Chandghar Naldapara Janakalyan Society Kaliganj Block Gramin Kendra & Shilpo Janakalyan Society Chakbegia Sadananda Seva Pratisthan Plassey Bhagat Sing Youth Forum Simantha Gram Unnayan Sanastha Bhonalath Group Sanitary Mart Karimpur Nabarun Rural Sanitary Mart Muktadaha Naba Diganta Gram Sanitary Mart Kuchaidanga Matka utpadak Samity Sanitary Mart Mira-II Karimpur-I Kuchaidanga Simantha Gram Unnayan Society Hagnagari Women & Child Welfare Society Karimpur-II Binay Badal Dinesh Club 124 Name of assigned GP Palitbegia Plassey-I Karimpur-I Karimpur-II Shikarpur Pipulbaria Jamsherpur Harekrishnapur Madhugari Hogolbaria Dhoradaha-I Dhoradaha-II Natidanga-I Natidanga-II Dighalkandi Murutia Nandanpur Narayanpur-I Narayanpur-II Sl. No. 10 1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 1 2 3 4 Name of the Block Name of the Mart Sakdaha Cultural Forum Krishnaganj Nadia Zilla Ganatantrick Mahila Samity Bhimpur Health Awarness Sporting Association Sakdaha Cultural Forum Sonadaha Taposhili - O - Samaj Kalyan Samity Madhumita Swanirbhar Dal (SHG Group) (New) Krishnanagar-I Suksagar Road Palpara Amghata Vivekananda Seva Kalyan Samity Gopalpur Dr. B.R. Ambedkar Kishore Seva Sangha (Nabard) Krishnanagar-II Chapra Jana Seva Samity Society for Rural Development & Youth Welfare Nabadwip Nasratpur Rupasi Bangla Welfare Society Haritala Mahila Unnyan Samity Sona SHG Haranagar SKUS, RSM Nakashipara 125 Rahamatpur Gobindapur Joyghata Krishnaganj Shibnibash Taldah-Majdia Bhajanghat-Tungi Matiari-Banpur Joania Bhatjungla Dogachhi Asannagar Poragachha Bhimpur Deypara Ruipukur Chakdignagar Dignagar Bhaluka Bhanderkhola Dhubulia Unani Databya Chikitsalaya Erake? Club Name of assigned GP Dhubulia-II Nowpara-II Sadhanpara-I Belpukur Nowpara-I Dhubulia-I Sadhanpara-II Swarupganj CMCB Majdia-Pansila M.B.-I M.B.-II Fakirdanga-Gholapara Bablari Mahisura Mahisura Bikrampur Haranagar Bilkumari Dhananjoypur Sl. No. 5 6 7 8 9 10 11 12 13 14 15 1 Name of the Block Name of the Mart Dhubulia Unani Databya Chikitsalaya Bethuadahari Bhorer Alo RSM Chapra Jana Seva Samity Society for Prakritjan and Rural Development 2 Society for Rural Development & Youth Welfare 3 Ranaghat Jogpur Road Dr. B.R. Ambedkar SC/ST Development Society 4 Suryaday Swanivar Dal 5 6 7 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 Ranaghat-I Ranaghat Nawpara Social Welfare Society Godhuli Swanirvar Ghosti Institute of Empowering for Rural Development Sema Mahila Samity Srijani Farmers Society for livehood development Ranaghat-II Suktara Cluster Committee Samaj Kalyan Sw. Dall Uttaran Sangha Tarama SGSY Dall Agamoni Mahila Sanqha Matangini Cluster Committee Santipur 126 Name of assigned GP Dharmada Muragachha Dogachhia Billagram Bethuadahari-I Bethuadahari-II Majhergram Nakashipara Birpur-I Birpur-II Patikabari Khisma Habibpur Ramnagar-II Payradanga Anulia KalinarayanpurPaharpur Nowpara-Masunda Tarapur Ramnagar-I Barasat Kamalpur Anishmali Majhergram Aranghata Raghunathpur Hijuli-I Bidyapur-I Duttapulia Bahirgachhi Jugalkishore Bidyapur-II Raghunathpur Hijuli-I Debagram Raghunathpur Hijuli-II Shyamnagar Nokari Debagram Aranghata Debagram Arabandi-I Sl. No. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7 Name of the Block Name of the Mart Pubali Mahila Samity Haripur GP Cluster Committee Society for Rural Development & Youth Welfare Baro Andulia Mahila Samity Bhagini Nibeduata S.G.S.Y Dall Bandhan Cluster Committee Tehatta-I Indian Red Cross Society Putimari Mallicka Mahila Samity Tehatta Lotus Club Sarada Sanitary Mart Tehatta-II Aglampur Nutan para gramin vikash kendra 127 Name of assigned GP Arabandi-II Baganchra Haripur Babla Gayeshpur Nabla Belghoria-I Belghoria-II Baganchra Arabandi-I Arabandi-II Fulia Township Haripur Babla Betai-II Chhitka Kanainagar Betai-I Shyamnagar Tehatta Chanderghat Patharghata-I Patharghata-II Natna Raghunathpur Barnia Palsunda-I Palsunda-II Sahebnagar Palashipara Gopinathpur Hanspukuria Annexure 9: List of Sanitary Marts covered under survey Block Chakdah Chakdah Chakdah Chakdah Chakdah Chakdah Chakdah Chakdah Haringhata Haringhata Haringhata Haringhata Haringhata Haringhata Haringhata GP CHANDURIA-I CHANDURIA-I MADANPUR-I MADANPUR-I MADANPUR-I RAUTARI SIMURALI SIMURALI HARINGHATA - I HARINGHATA - I HARINGHATA - I MOLLABELIA MOLLABELIA MOLLABELIA FATEPUR Village Manasapota Noada Durgapur New Kautukpur Priya Nagar Sri Krishnapur Rautari Telipukur Rameswarpur Gangoria Subarnapur Laopalla Johirapara Uttar Duttapara Nischintapur Pauchkahania Haringhata FATEPUR Bihadia Kaliganj BARACHANDGHAR Chota Chandghar Kaliganj Kaliganj Kaliganj Kaliganj Kaliganj Kaliganj Nabadwip BARACHANDGHAR JURAUPUR JURAUPUR JURAUPUR PALITBAGIA PALITBAGIA CHARMAJDIA Molamdi Hijuli Baroitna Juaupur Shantipur Ararbegia Charmejdia Gangadhar Nabadwip CHARMAJDIA Nabadwip CHARMAJDIA Char Bramhanagat (Khelar Math) Kanainagar Nabadwip Nabadwip Nabadwip MAHISURA MAHISURA MBI Mahisura Ghoshpur Mahisura Baman Pukur Nabadwip MBI Santipur ARBANDI-I Natun Gram (Najrul Palli) Arrandi Santipur ARBANDI-I Boalia Santipur BELGORIA-I Baira 128 Name of Sanitary Mart Indira Gandji Sriti Rakha Committee Indira Gandji Sriti Rakha Committee Shikarpur Vivekananda Welfare Society Shikarpur Vivekananda Welfare Society Shikarpur Vivekananda Welfare Society Shikarpur Vivekananda Welfare Society Shikarpur Vivekananda Welfare Society Shikarpur Vivekananda Welfare Society Haringhata 1 Cluster Haringhata 1 Cluster Haringhata 1 Cluster Haringhata Hard Society Haringhata Hard Society Haringhata Hard Society Society for Rural Development & Youth Welfare Society for Rural Development & Youth Welfare Sealkhala Integrated Social Development Society Hutegacha Cluster Committee Hutegacha Cluster Committee Debagram Gram Unnayan Kedra Debagram Gram Unnayan Kendra Dishri Cluster committee Dishri Cluster committee Society for Rural Development & Youth Welfare Society for Rural Development & Youth Welfare Society for Rural Development & Youth Welfare Erake Club Erake Club Nabadwip Block Haritala Mahila Unnayan Samitte Mahisura Panchayet Sona Swanirbhar Gosthi Society for Rural Development & Youth Welfare Society for Rural Development & Youth Welfare Society for Rural Development & Youth Welfare Block Santipur GP BELGORIA-I Village Pumlia Santipur NABLA Joynagar (Palta) Santipur NABLA Goalpur Santipur NABLA Sabujnagar Chapra Chapra Chapra Chapra Chapra Chapra ALFA ALFA CHAPRA-I CHAPRA-I HATKHOLA HATKHOLA Bania Khari Dompukur Chapra Dwipchandrapur Rajibpur Shikra Karimpur - I HAREKRISHNAPUR Uttar Krishanapur Karimpur - I HAREKRISHNAPUR Sreerampur Karimpur - I Karimpur - I Karimpur - I Karimpur - I Karimpur - I Karimpur - I Karimpur - II Karimpur - II Karimpur - II Karimpur - II Karimpur - II Karimpur - II Karimpur - II Tehatta - I Tehatta - I Tehatta - I Tehatta - I Tehatta - I Tehatta - I Tehatta - I Nakashipara HAREKRISHNAPUR KARIMPUR-II KARIMPUR-II KARIMPUR-II SHIKARPUR SHIKARPUR DHORADAHA-I DHORADAHA-I NANDANPUR NANDANPUR NANDANPUR RAHAMATPUR RAHAMATPUR KANAINAGAR KANAINAGAR KANAINAGAR RAGHUNATHPUR RAGHUNATHPUR TEHATTA TEHATTA BETHUADAHARI-II Durlabhpur Kalabaria Majlispur Natna Baruipara Jotdarpur narayan Sahebpara Monoharpur /Sirsha Garaimari Nandanpur Gopalpur MahishBathan Rahamatpur Sardanga Srirampur Uttar Char Chandpur Jitpur Nischintapur Nowdapara Khariapara Bade Tehatta Nakashipara BETHUADAHARI-II Bagunda Nakashipara DHANANJAYPUR Dhananjoypur Nakashipara DHANANJAYPUR Dhaparia 129 Name of Sanitary Mart Society for Rural Development & Youth Welfare Society for Rural Development & Youth Welfare Society for Rural Development & Youth Welfare Society for Rural Development & Youth Welfare Baro Andulia Mahila Samity Baro Andulia Mahila Samity Baro Andulia Mahila Samity Baro Andulia Mahila Samity Baro Andulia Mahila Samity Baro Andulia Mahila Samity Kuchaidanga Simanta gram unnayan samity Kuchaidanga Simanta gram unnayan samity Kuchaidanga Simanta gram unnayan samity Bholanath Group Sanitary mart Bholanath Group Sanitary mart Bholanath Group Sanitary mart Simanta Gram Unnayan Samity Simanta Gram Unnayan Samity Hagnabari Women Child Welfare society Hagnabari Women Child Welfare society Binay Badal dinesh Sanitary Mart Binay Badal dinesh Sanitary Mart Binay Badal dinesh Sanitary Mart Binay Badal dinesh Sanitary Mart Binay Badal dinesh Sanitary Mart Baro Andulia Mahila Samity Baro Andulia Mahila Samity Baro Andulia Mahila Samity Tehatta lotus Club Tehatta lotus Club Red Cross society Red Cross society Haranagar Samabay Krishi Unnayan Samity Ltd. Haranagar Samabay Krishi Unnayan Samity Ltd. Haranagar Samabay Krishi Unnayan Samity Ltd. Haranagar Samabay Krishi Unnayan Samity Ltd. Block Nakashipara GP DHANANJAYPUR Village Machpota Nakashipara Nakashipara Nakashipara Tehatta - II Tehatta - II Tehatta - II PATIKABARI PATIKABARI PATIKABARI BARNIA BARNIA BARNIA Changa Taibechara Patikabari Komthana Charakpota Haritola Tehatta - II PALASIPARA Baor Tehatta - II Tehatta - II Tehatta - II Hanskhali Hanskhali Hanskhali PALASIPARA SAHEBNAGAR SAHEBNAGAR BAGULA-I BAGULA-I DAKSHINPARA-II Rudrapara (P) ChhotaNaldaha Kulgachhi Purba Bhayna Uttar Bhayna Dhakuria Hanskhali DAKSHINPARA-II Itaberia Hanskhali Hanskhali Krishnaganj Krishnaganj Krishnaganj Krishnaganj Krishnaganj Krishnaganj Krishnaganj Krishnanagar - I RAMNAGAR RAMNAGAR BHAJANGHAT TUNGI BHAJANGHAT TUNGI BHAJANGHAT TUNGI KRISHNAGANJ KRISHNAGANJ TALDAH MAJDIA TALDAH MAJDIA Joania Malsadaha Nagarpota Dongahata Dharmmapur Tungi Krishna Ganj KomarPur Goari Mothurapur Bhabanipur Krishnanagar - I Joania Raotora Krishnanagar - I DEYPARA Satgachhi Krishnanagar - I DEYPARA Subarna Bihar Krishnanagar - I Dogachi Jatrapur Krishnanagar - I Dogachi Jalalkhali Krishnanagar - II Krishnanagar - II Krishnanagar - II Krishnanagar - II Krishnanagar - II Krishnanagar - II BELPUKUR BELPUKUR NOAPARA-I NOAPARA-I NOAPARA-I SADHANPARA-II Belpukur Polta Chhagharia Singhati Noapara Gabarkuli 130 Name of Sanitary Mart Haranagar Samabay Krishi Unnayan Samity Ltd. Chapra Janoseba Samity Chapra Janoseba Samity Chapra Janoseba Samity Sarada Sanitary Marity Sarada Sanitary Marity Sarada Sanitary Marity Aglampur Natun Para gramin Vikash Kendra Aglampur Natun Para gramin Vikash Kendra Sarada Sanitary Marity Sarada Sanitary Marity Matangini Swanirbhar Mahila Gosthi Matangini Swanirbhar Mahila Gosthi Dakhhinpara 2 No. Panchayet Calture Committee Dakhhinpara 2 No. Panchayet Culture Committee Manjan Kalyan Samity Manjan Kalyan Samity Sakdha Youth and Culture Forum Sakdha Youth and Culture Forum Sakdha Youth and Culture Forum Sakdha Youth and Culture Forum Sakdha Youth and Culture Forum Sakdha Youth and Culture Forum Sakdha Youth and Culture Forum Nadia jila Ganatantrik Samabay Rindan Samity Ltd. Nadia jila Ganatantrik Samabay Rindan Samity Ltd. Sonadaha Tapashili and Adibashi Samajkalyan Samity Nadia jila Ganatantrik Samabay Rindan Samity Ltd. Nadia jila Ganatantrik Samabay Rindan Samity Ltd. Nadia jila Ganatantrik Samabay Rindan Samity Ltd. Dhubhali Unnani Databya Chikitsalay Dhubhali Unnani Databya Chikitsalay Chapra Janoseba Samity Chapra Janoseba Samity Chapra Janoseba Samity Chapra Janoseba Samity Block Krishnanagar - II Ranaghat - I GP SADHANPARA-II ANULIA Village Tatla GhoraGachha Ranaghat - I ANULIA Anulia Ghosh Colony Ranaghat - I ANULIA Anulia - Pulin Nagar Ranaghat - I KHISMA Ranaghat - I KHISMA Khisma Maniktala Khisma Muslimpara Taksali Ranaghat - I Ranaghat - I Ranaghat - II TARAPUR TARAPUR ANISHMALI Gazipur JhauMahal Chinapukuria Ranaghat - II ANISHMALI Enuli Bazar Ranaghat - II Ranaghat - II Ranaghat - II Ranaghat - II Ranaghat - II DUTTAFULIA DUTTAFULIA HIJULI - I HIJULI - I HIJULI - I Srirampur Kalupur Roypara Uttarpara Natungram 131 Name of Sanitary Mart Chapra Janoseba Samity Society for Rural Development and Social Welfare (Bamanpukur, Nawadwip) Society for Rural Development and Social Welfare (Bamanpukur, Nawadwip) 1. Society for Rural Development and Social Welfare (Bamanpukur, Nawadwip) 2. Ranaghat Jogpur Road Dr. B. R. Ambedkar SC/ST Development Society(Ranaghat) Society for Rural Development and Social Welfare (Bamanpukur, Nawadwip) Society for Rural Development and Social Welfare (Bamanpukur, Nawadwip) Noapara Social Welfare Society (Ranaghat) Noapara Social Welfare Society (Ranaghat) Institute for Empowering Urban & Rural People Institute for Empowering Urban & Rural People Sreemaa Mhila Samity, Duttafulia, Nadia Sreemaa Mhila Samity, Duttafulia, Nadia Suktara Clusster Committee Suktara Clusster Committee Suktara Clusster Committee Annexure 10: Observation checklist for constructionassessment of Two Pit Toilets based on technical specification Sl. No 1 a b c d Components A Twin Pit toilet must have the 5 basic structures: Squatting Place/Platform WC Pan (Rural Pan) If no, check the type of pan and mention in remark column Junction Chamber with proper sealing at the joints. Drain pipes (Y junction) Observation Yes / No Specificati on Yes Minimum 3’X3’ No Pan with greater slope 30 degree (70% urban pan and remaining rural pan) Yes No Remarks Blocks Instead of pre-cast Squatting plate, onsite construction is in practice. Use of urban pan is preferred by the beneficiaries All the surveyed blocks Lesser slope as pans procured from market. Sealed properly 4” pipe Pipe diameters are as per specification. Proper Y junction is not in place in few blocks. All the surveyed blocks All the surveyed blocks Chakdah and Haringhata Nakashipara, Karimpur I, Karimpur II, Chapra etc. Pipe from the junction chamber goes to one pit. Another pipe from the first pit is connected to the second pit. e 2 Leach Pits (circular in shape) with pit covers. Yes Minimum 3’ diameter internal The pipes between the pits are connected so that the overflow of one will automatically fill the other. Design error in all the blocks. Two pits - concrete from all sides including bottom – considered as septic tank. Latrine and bathroom constructed on top of the pits and kept a provision for cess pool cleaning. Cleaning of latrine by hiring cess pool from 132 Single pit in maximum in number at Blocks i.e. Haringhata, Nakshipra, Karimpur I & II and Tehatta I Common in Chakdah and Haringhata Sl. No Components Observation Yes / No Specificati on Remarks Blocks Municipality is in practice. Pit covered but not properly sealed Observed in Chakdah Observed in Chakdah 2 a A toilet with 2 symmetrical leach pits at the back of the squatting place with a space of about approx. 12 ft x 12 ft. If no, specify the layout of the pits No Deviations found. At the most 1Ft to 3 ft distance maintained A height difference of 1 ft has been observed between the two pits. It is done by laying one extra ring in the 1st pit. In all the surveyed blocks Deviations found in all Blocks Specially observed in Chakdah, Haringhata, Krishnanagar I and Nabadwip Blocks. The concept is as the1st pit gets filled up; the over flow will automatically go into the 2nd pit through the pipe laid. b The connecting pipes should be straight yes Maintained In all the surveyed blocks 3 The spacing between the 2 constructed pits should be at least 1 meter (3 ft) The distance between the 2 outgoing pipes should be 4 inches. The distance between the pan and the rear wall should be about 8 inches. The floor has a smooth finish and proper slope towards pan from all directions. The squatting place should be at a height of 1 ft to 1.5 ft from the ground level. No vent pipe. No Less than1 ft gap In all the surveyed blocks Yes Maintained In all the surveyed blocks yes 4-8’’ distance maintained 4 5 6 7 8 Yes Yes Maintained Plinth level No 133 In all the surveyed blocks In all the surveyed blocks 15’’ height maintained on an average In all the surveyed blocks Use of vent pipe is in practice. In all the surveyed blocks Sl. No 9 10 a b c d Components Proper pit covers with complete sealing from top. Super structure must have the following characteristics: The super structure is properly closed from all sides to ensure privacy and safety. The structure must have two ventilator of appropriate size for light and for cross aeration. Must have a proper roof The fixtures of doors should operate properly and should have lock arrangements. Observation Yes / No Specificati on No Remarks Blocks Beneficiaries put the vent pipe on their own. Specially at Haringhata and Hanskhali use of vent pipe was rampant In all the surveyed blocks. No proper sealing. Concrete sealing 1st Pit cover somehow sealed while 2nd pit cover remained open Observed in Chakdah Yes Maintained In all the surveyed blocks Yes but without appropriate size In few cases, ventilators are erected on opposite sides of the wall. Specially observed in Chakdah, Haringhata, Krishnanagar I and Nabadwip Blocks. Yes Wood and tin roofs are common. In all the surveyed blocks In few cases, toilets have been handed over to the beneficiaries without roof. Observed in Haringhata yes Maintained 134 In all the surveyed blocks Checklist at the time of construction of Twin pit toilet Points to remember while surveying a twin pit toilet S.No 11 12 13 Components The excavation should be extended by 6 inches from all sides than the actual measurements of construction. Channel for pipes to be dug up to 9 in to 12 in as per requirement. The bottom of the leach pit should not be concrete. Observation Yes / No Yes Yes Remarks Maintained in all Blocks as pointed out by beneficiary/RSM representatives during survey In all the surveyed blocks No Mentioned in 1e 14 Check the type of leach pit – concrete rings or brick layer Precast concrete rings used in all the surveyed blocks. 15 N.A. a If concrete rings, check the type of concrete rings Precast rings made of cement concrete Yes b Precast rings made of ferro cement No Use of Portland cement is common in all the blocks. N.A. c Height of concrete rings : 1 ft Yes Maintained in all the surveyed blocks d 8 to 10 holes of 1.5 inch dia No Between each rings, 4 – 5 brick chips are laid for maintaining the gap. 16 If brick layer, the lining of the pit is done in honey comb fashion upto the invert level of the incoming pipe. Not observed 17 The entire leach pit is lined with 4 inch thick brick wall. The very first brick layer should be 9 inch thick to ensure better stability. The inner diameter of the entire leach pit should be 32 inches. Not observed 20 The height of the incoming pipe must be 3 fit from the pit bottom Yes 21 The holes should be present in alternate brick layers. NA 22 The number of holes per layer should be 6 to 8 of 2 inches wide. The pipes should have a minimum gradient of 1:10 The pipe should project 4 inches inside the pit wall. 18 19 23 24 Not observed Yes Inner diameter maintained on an average 30’’ and pit covers are 32’’ so that pit covers has some extra space. In all the surveyed blocks Mentioned in 15 d. Not observed Yes -O135 2- 4’’ projected in all Blocks.
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