Rotary.org: The Rotarian

A field guide to toilets

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R otary has a long history when it comes to toilets. In 1907, the Rotary Club of Chicago responded to a lack of public facilities by building a “comfort station” outside City Hall – one of the first Rotary service projects. Rotarians’ minds are still in the toilet today (and that’s a good thing).

The Rotary Foundation has granted more than US$4.7 million for water and sanitation projects over the past five years. Clubs have provided water and sewer lines to a village in Peru, installed bathrooms with flush toilets in a school in Belize, and brought Ecosan waterless composting pit latrines to four boarding schools in southwestern Uganda.

Rotarians in Kabale proposed installing the Ecosan toilets to replace poorly engineered pit latrines that posed a health hazard to students and teachers, says Robert Lyon, a member of the Rotary Club of Wheaton, Ill., USA. “When it rained, the pit toilets would sometimes collapse or overflow and contaminate the environment,” he explains. The Rotary Club of Kabale supervised the construction of the new toilets, partnering with the Rotary clubs of Carol Stream, West Chicago, and Wheaton on the project, funded by a Matching Grant from The Rotary Foundation.

That approach – working with local Rotarians to identify appropriate technology – is the best way to plan a sanitation project, says Daniele Lantagne, a public health engineer with the U.S. Centers for Disease Control and Prevention who specializes in safe water systems. “Team up with someone on the ground who is already doing something in the community,” she recommends. “Complete an assessment – go there, see what’s happening, see what people like, and find out what the practices are.”

Cultural norms and accepted behaviors all come into play, she notes, and anyone contemplating a sanitation project ignores them at their peril. Lantagne, who spoke at the Water and Sanitation Rotarian Action Group’s water summits in Los Angeles in 2008 and Birmingham, England, in 2009, emphasizes the importance of what’s called the sanitation ladder. “The ladder starts with open defecation – the worst – and goes up one step at a time,” she says.

The next rung

The next rung is unimproved sanitation facilities, such as uncovered pit latrines and bucket latrines, which don’t provide a barrier between people and their waste products. Then come facilities that are shared by more than one household, such as public toilets. At the top of the ladder, improved sanitation facilities ensure that waste is fully separated from human contact and eventually handled in a hygienic fashion. These include pit latrines with a slab, ventilated improved pit latrines, eco squat toilets, composting toilets, and flush toilets that are connected to a septic tank or sewer system.

In 2006, according to UNICEF, 24 percent of people throughout Africa practiced open defecation and 23 percent used unimproved facilities, while 15 percent had access to shared facilities and 38 percent to improved facilities.

“You try to get people one more rung up the ladder,” Lantagne says. “The most successful thing I’ve seen is community-led total sanitation, or CLTS. This works on the concept of shame. You walk into a community and there’s a sign that says, ‘We don’t do open defecation here.’ It’s a software solution. Lots of times Rotary clubs are more interested in hardware solutions – in the United States, there’s a push toward eco-toilets, for instance – but you have to start with the software.”

As far as hardware goes, the slab is the first-line approach. Usually made of concrete, this covers the pit and converts it into a squat toilet. “You can tell families, You dig the pit and build the superstructure, and we’ll provide the slab,” Lantagne says. “That’s the expensive part.”

In places with enough open land, moveable latrines are a good option for many families, she notes. A single person can dig a new pit when the original one fills up and move the slab and superstructure to the new location. “We tell people that the latrine superstructure should not cost more than their house,” Lantagne says. Brick latrines are not only expensive, but the superstructure can’t be moved. A variation on the moveable latrine is the “arbor loo”. A family plants a fruit tree over each filled pit, and because the fertilized soil can increase the tree’s production, the family’s diet as well as its income can benefit.

“The worst thing is picking a technology before you have any idea where you’re going, and dropping it in someplace where you don’t know the usage patterns and preferences,” Lantagne says. “That’s not going to work.”

When new equipment such as composting toilets or urine-diverting toilets is introduced, it’s important to work with the community to change behavior and provide whatever training is needed. The Ecosan toilets now in use in the Ugandan schools are pit toilets with brick superstructures. There are two pits per block, and half the doors on each block remain locked while one pit fills up. Then the other side is locked, and a solar panel heats up the waste to speed its transformation into compost. The clubs have ensured that the communities know how to use the new technology.

“All they need to do is lock the doors on the one side after that pit fills up,” says Cathy Hetrick, president of the Wheaton club. “It’s pretty self-sustaining as long as you know when to open and shut the doors. All you have to do is the harvesting.”

The Illinois Rotarians have visited Uganda several times to check on the project. Involving the community was key, Hetrick says. Donated labor and locally made bricks helped keep the cost down to about $5,000 per school, for a block with eight doors. The compost will be used to fertilize the school gardens.

Difficult to talk about

“The kids were helping build, hauling rocks on weekends,” Hetrick says. “It was a huge community effort, with local Rotarians and the families of students involved. I believe anything you work that hard for, you want to keep it nice.”

Together, projects that focus on water, sanitation, and hygiene will lessen the incidence of diarrhea in developing countries, Lantagne says, but sanitation is often ignored because it’s difficult to talk about. “In many areas, we’re on target to meet the Millennium Development Goal for water,” she says. “With sanitation, we will not meet the goal.”

Many Rotarians rightly focus on the health benefits of toilets, particularly how they can help prevent diarrhea and disease. But Lantagne notes that in developing countries, diarrhea is so commonplace that it isn’t always considered a disease, so the health benefits of sanitation facilities can be a tough sell.

For most people, privacy and comfort are the real reasons to accept new toilet technologies. “Health is fifth or sixth on the list,” Lantagne says. “We’re telling people, You need to use latrines because it affects diarrhea. What we need to say is, Look, it’s private. A lot of it has to do with social norms – my neighbor has it, so I want it too.”

7 Comments:
At 9:54AM on 16 March 2010, julio carrero wrote: we are working in d4380, borota,tachira state,venezuela with the double dry voult system,funded in the rotary foundation matching grants for six families. it will benefit over 3000 people in the closest town. we would like to hear from similar experiencies to exchange ideas- rotarian leader mr julio carrero-
At 4:52PM on 18 February 2010, Rotarian Ken Berkin wrote: Sorry to read some folks get hung up on grammar rather than focusing on the important work to be done. we work in South Western Uganda and urgently improving the lives of orphans and needy children by the introduction of Rainwater Harvesting and showing the village folk how to use water. Canon Ken Berkin Rotary Club 671 District 1120. See www.fnkd.org
At 4:08PM on 13 January 2010, Eric Lewis wrote: Good Article, and for what its worth, I get the pun in the first paragraph. A little levity on such a serious subject is ok, and not offensive to me.
At 11:41AM on 5 January 2010, David Crosweller wrote: Well done Rotary. I was fortunate enough to speak at the annual meeting of District 1070 in Eastbourne, England, last October, and received a very good response from Rotarians who were present. If we want people to get out of poverty we HAVE to start with making sure they are healthy, and that means toilets and water. We provide ecosan as mentioned above and apart from water wells , we opt for rainwater harvesting and recharge units. Once healthy you can help with livelihoods and then people work their own way out of poverty without continued intervention from outsiders. Please visit our web site at www.wherevertheneed.org.uk. Thanks for being there Rotary.
At 11:37AM on 5 January 2010, Bonnie Black wrote: Our Plattsburgh Club (NY), along with our District 7040 and the Bergen-Highlands-Ramsey Club (NJ) partnered with the Managua Rotary Club in Nicaragua for a Matching Grant to provide latrines in remote areas outside of Managua. It has been quite succesful and we were able to construct (with local labor) over 200 individual pit latrines and 6 for use in local schools (over 150 children benefit). It all came about as a result of evidence of feces in the throats of the students at the local clinic run through an NGO some of us are also involved with. So, health WAS the driver in our case. When interviewing some of the recipients, the comments on privacy and comfort were noted, but health was the predominant benefit they knew they were receiving. We had a good educator that worked with them (a local)!
At 11:36AM on 5 January 2010, Ronald A. Goodsite, M.D. wrote: OK. Informative. BUT, I believe your choice of grammar in the first paragraph could be greatly improved. I disagree with your editorial comment that "Rotarians' minds are still 'in the toilet' today...." What I prefer you to state is that Rotarians continue to have concerns about, and continue to help improve, sanitation problems in many countries. If you would correct this I will be happy to share this article with my prospective Rotary members; I personally do not wish to be thought of as having MY head in the toilet!! The image is offensive and most distasteful. Let's be a bit more professional when discussing our Rotary projects, especially when these articles are available for anyone to read. Thank you. Ronald A. Goodsite, M.D. D5500 Governor 2004-05 Zone 26 Water Resources Coordinator 2009-2010
At 8:59AM on 30 December 2009, Dierk von Behrens wrote: Thank you for this article. I notice that no-one else has commented. Well, I wonder whether such information as we have here could be incorporated into the education-entertainment radio programs that the Population Media Centre of Bill Ryerson runs, in order to achieve better acceptance and more discussion.

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