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Water, Sanitation & Hygiene

Our goal

To enable widespread use of safely managed, sustainable sanitation services that contribute to positive health, economic, and gender equality outcomes for the world’s poorest people.

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At a glance

  • More than 3.5 billion people around the world live without safely managed sanitation.
  • Inadequate sanitation and hygiene are estimated to have caused more than half a million deaths from diarrhea alone in 2016.
  • Safe sanitation is essential to a healthy and sustainable future for developing economies.
  • We focus on accelerating innovations in non-sewered sanitation technology and service delivery, particularly in densely populated areas of South Asia and sub-Saharan Africa.

The latest updates on Water, sanitation & hygiene

https://www.gatesfoundation.org/-/media/gfo/5ideas_articles/articles/20210729-sanitation-reinvent-toilet/hero_ideasarticle_reinventedtoilet_072921_1600x1000.jpg?rev=29adea3fe53a494abb54048b7ec4c08e&w=1200&hash=2A25AFFE5BD3FA44CE31E21CAD643641

Advancing sanitation: 10 years of reinventing the toilet for the future

We already have the breakthrough technologies needed to provide safe and affordable sanitation services to the billions of people who are at risk of waste-borne diseases. Building markets and attracting businesses to this emerging sector are the next big challenges.

By Doulaye Kone

Interim Director, Water, Sanitation & Hygiene, Bill & Melinda Gates Foundation

https://www.gatesfoundation.org/-/media/gfo/5ideas_articles/articles/20181106-toilet-sanitation-china-beijing-innovation/20181105_optimist_toilet_ga1335695_pp400002_1600x1000.jpg?rev=cf41bac8c8ec4d4c8e5b47583191d5ac&w=1200&hash=AF1328FEDFA0F8A0D300BA023033E144

De-throning “The Throne” at the Reinvent the Toilet Expo in Beijing, China

The Reinvent the Toilet Challenge is driving scientists across the globe to tackle our most pressing sanitation issues.

By Ryan Bell

Feature Writer, Bill & Melinda Gates Foundation

https://www.gatesfoundation.org/-/media/gfo/5ideas_articles/articles/20180626-good-news-guinea-worm-disease-is-on-the-verge-of-eradication/20180625_optimist_guineaworm_1600x1000.jpg?rev=a77c4a36a3a645038accd7a03b105640&w=1200&hash=69EF8C8DED1F3E8855730ED1CA8EEA8E

Good news: Guinea worm disease is on the verge of eradication

South Sudan has stopped transmission of Guinea worm—zero cases in 15 months—signifying a major success in efforts to eradicate the disease, a horribly painful parasite that can trap families and entire communities in cycles of poverty.

Our strategy

We collaborate with government leaders, the private sector, and technologists to advance promising new toilet and waste treatment technologies, service delivery models, and policies with the greatest potential to revolutionize sanitation standards and practices at the local and national levels. Our core initiatives include:

  • Promoting policies and practical steps that governments can take now to establish safer sanitation through fecal sludge management—a sanitation strategy that does not require sewers
  • Investing, alongside governments in our priority geographies, in accelerated adoption of safely managed citywide sanitation, particularly in slums and informal settlements that are typically underserved
  • Investing in technologies, such as the reinvented toilet and the omni-processor, that can radically change the way municipalities and households manage human waste affordably, on a large scale, and with little or no need for water and electricity
  • Conducting research to help the sanitation sector develop data and evidence about what works

The burden of inadequate sanitation—and, therefore, the potential for progress—is greatest in sub-Saharan Africa and South Asia, so we focus our efforts in those regions.

  • Sub-Saharan Africa. As African cities and towns continue to grow, especially within informal settlements, governments are acknowledging the need for innovative sanitation solutions that are easier to deploy and less expensive to operate than sewer systems and wastewater treatment plants.
  • South Asia. Sanitation is a significant challenge for most South Asian countries, but many are now aggressively pursuing inclusive national sanitation strategies that emphasize safe sanitation. India, in particular, provides a global model for sanitation reform through the government’s Swachh Bharat Mission and a growing network of sanitation operators and utilities that are implementing fecal sludge management.
  • China. The Chinese government’s Toilet Revolution, which promises the rapid scaling up of safe sanitation approaches for the country, presents a strong opportunity for the adoption of new technologies within China’s rural and public toilet markets, particularly in areas facing water scarcity issues.

Accelerating the development of safe, non-sewered sanitation systems and technologies is our top priority within the water, sanitation, and hygiene continuum because it is where we believe we can catalyze the biggest change by making investments that other partners are unlikely to make. We acknowledge the critical role of clean water and hygiene initiatives, as well as efforts to end open defecation, in improving global health outcomes. We applaud the efforts of other organizations that focus on these areas.

Areas of focus

We focus our grantmaking in four complementary areas: developing and commercializing transformative sanitation technologies; transforming how cities can provide sanitation as a reliable, inclusive service; policy and advocacy; and measurement, evidence, and dissemination

Why focus on water, sanitation, and hygiene?

Unsafe sanitation is a massive problem that is becoming more urgent as our global population increases and trends such as water scarcity and urbanization intensify. About 4.5 billion people—more than half the world’s population—either practice open defecation or use unsafe sanitation facilities and services. To be effective, sanitation must be carefully managed at all stages, from waste collection and containment to transport and treatment. If there are gaps or breaks at any stage, harmful human waste flows into surface waters that people use for drinking and bathing and onto fields where children play and people live.

Poor sanitation, which is widely accepted as a chief contributor to waterborne diseases, causes the deaths of more than 1,200 children under age 5 every day—-more than from AIDS, measles, and tuberculosis combined. Inadequate sanitation and hygiene caused more than half a million deaths from diarrhea alone in 2016. Despite the indisputable connection between poor sanitation and human health risks, sanitation models and services aren’t improving quickly enough. According to the World Health Organization and UNICEF, sanitation rated as “safe for people” increased by only 3 percent worldwide over the past five years.

Creating sanitation infrastructure and public services that work for everyone and keep human waste out of the environment is difficult—and it isn’t a one-size-fits-all proposition. The toilets, sewers, and wastewater treatment systems that made sense in the past aren’t necessarily the best solutions for the future, especially in poor countries. These types of systems require vast amounts of land, energy, and water and are extremely expensive to build, maintain, and operate, even by the standards of wealthy countries. They are particularly difficult to introduce as new infrastructure into dense urban settings and informal settlements, where the impact of unsafe sanitation on people is the greatest.

Solving the sanitation challenge in the developing world will require breakthrough innovations in technologies as well as systems that are practical, cost-effective, and replicable on a large scale. Building and proving these new models is difficult, but the potential benefits to human health and dignity and economic growth are enormous. These benefits include increased human productivity, improved infrastructure, new jobs, and expanded entrepreneurial opportunities.

Lack of proper sanitation costs the world an estimated US$223 billion every year. At the same time, every dollar spent on sanitation is estimated to provide at least five dollars in economic return. And market research shows that the annual market value for new sanitation technologies designed for low-resource settings, such as the reinvented toilet, could potentially reach more than US$6 billion globally by 2030.

Strategy leadership

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Doulaye Kone

Interim Director, Water, Sanitation & Hygiene

Doulaye Kone leads the foundation efforts to ensure access to safe sanitation for the 3.5 billion people who currently live without it.

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David Parker

Deputy Director, Water, Sanitation, & Hygiene

David Parker leads the Water, Sanitation, & Hygiene's team's strategy, planning, and buisness operations and as well as its gender-focused work.

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Roshan Shrestha

Deputy Director, Water, Sanitation, & Hygiene

Roshan Shrestha leads efforts to promote urban sanitation markets and build municiapl capacity to manage sustainable sanitation systems.

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Program resources

The Reinvented Toilet Challenge

Learn more about the history of the Reinvent the Toilet Challenge and the foundation’s collaborations with global innovators, development banks, corporate partners, sanitation utilities, and governments.

Partnering information

Explore links to partners and resources related to the commercialization of new sanitation solutions.

Partner reading list

Read more about the impacts of sanitation on people and communities.

Partner resource list