64292
                                  Water and Sewerage
                                   Services in Karachi

 Citizen Report Card:
  Sustainable Service
Delivery Improvements




  The Water and Sanitation Program (www.wsp.org)       December 2010
  is a multi-donor partnership administered by the
  World Bank to support poor people in obtaining
  affordable, safe, and sustainable access to water
  and sanitation services                             Report
DISCLAIMER:

Water and Sanitation Program (WSP) reports are published to communicate the results of WSP’s work to the development community.
Some sources cited may be informal documents that are not readily available.
The findings, interpretations, and conclusions expressed herein are entirely those of the author and should not be attributed to the
World Bank or its affiliated organizations, or to members of the Board of Executive Directors of the World Bank or the governments they
represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations,
and other information shown on any map in this work do not imply any judgment on the part of the World Bank Group concerning the
legal status of any territory or the endorsement or acceptance of such boundaries.
The material in this publication is copyrighted. Requests for permission to reproduce portions of it should be sent to
wsp@worldbank.org. WSP encourages the dissemination of its work and will normally grant permission promptly.
          Water and Sewerage
           Services in Karachi

  Citizen Report Card:
   Sustainable Service
Delivery Improvements
Contents
Foreword                                                                       5

Acronyms and Abbreviations                                                     6

Acknowledgments                                                                7

Executive Summary                                                              9

Introduction                                                                   13

Contextual Framework
Engagement for Reforms: Enabling the Utility to Ensure Social Accountability
The Citizen Report Card: A Viable Tool for Social Accountability
Why Prepare a Citizen Report Card?
Citizen Report Card: Process and Methodology
Process of Preparing the Citizen Report Card in Karachi
Methodology Followed
Selection of Respondents
Criteria for Town Selection
Interview Process
Substitution or Call Back

Water Services                                                                 23

Availability, Access, and Usage of Water Sources
Instances of Water Scarcity and Coping Mechanisms
Citizens’ Perceptions on Quality and Reliability of Services
Feedback from Users of Water Sources outside Residential Premises
Transparency in Service Provisions
Interaction with the KW&SB
Incidence of Waterborne Diseases
Satisfaction with Water Provision
Areas for Improvement

Sewerage Services                                                              37

Access to Sewerage
Quality and Reliability of Sewerage Maintenance
Costs Incurred in Maintaining Sewerage Facilities
                                                                                  Water and Sewerage Services
                                                                                  in Karachi: Citizen Report
                                                                                  Card—Sustainable Service
                                                                                  Delivery Improvements




Problems Faced with Sewerage
Interactions with the KW&SB on Sewerage-Related Issues
Satisfaction with Sewerage System

Public Toilets                                                               41

Availability and Usage of Public Toilets
Service Delivery Issues
Satisfaction with Public Toilets


General Perceptions and Opinions                                             43

Causal Factors for Complete Satisfaction                                     45

Explaining Complete Satisfaction with Water Supplied
through the Mains
Explaining Complete Satisfaction with Sewerage Connections
Explaining Complete Satisfaction with Public Toilets

Institutionalizing Citizen Report Cards in Karachi                           49

Using CRC as an Internal Change Management Tool: The Premise
Using CRC for Internal Reforms: The Strategy
External Dissemination of CRC Findings

Mobilizing Demand for Reform                                                 51

Communication and Advocacy Strategy in Support of CRC on
Water and Sanitation Services in Karachi
Program Objectives
Phase I: Program Activities
Phase II: Program Activities
Phase III: Dissemination—Institutionalizing Reform and Mobilizing Citizens
Lessons Learnt: Challenges and Constraints

Appendixes                                                                   61

Appendix A: Mapping the Context for Citizen Report Card in Karachi
Appendix B: Demographic Profile of Respondents
Appendix C: Key Stages in a Citizen Report Card Study
                                                                                           Water and Sewerage Services
                                                                                           in Karachi: Citizen Report
                                                                                           Card—Sustainable Service
                                                                                           Delivery Improvements




Foreword
Karachi is a city of over 18 million people, and the Karachi Water and Sewerage Board (KW&SB) is the only prime water utility
responsible for providing water supply and sewerage services. Over a period of time, for a variety of reasons, the KW&SB’s
performance graph had been showing a steady decline in terms of both the level and quality of services. One of the main
contributing reasons for growing customer dissatisfaction was the lack of the institutional adjustments necessary to meet the
growing challenges faced by rapid and uncontrolled population growth and urbanization. However, while the need for institutional
reforms can be felt in any kind of organization, public or private, reforming public sector institutions is a much more complicated
task. Overcoming a public sector institution’s inertia to bring about systemic and fundamental reforms by redefining policies,
operating practices, and customer relations requires careful navigation of a multisectoral landscape having sensitive political, social,
and financial implications. The management of the KW&SB, under the dynamic leadership of the former City Nazim and Chairman
KW&SB, Mr. Mustafa Kamal, took up the challenge of institutional reforms. Through a series of interactive engagements that
included site visits, consultations, and dialog with relevant stakeholders (provincial and local governments, the utility agency, and
civil society), rapid assessment work, the Water and Sanitation Program (WSP) assisted the KW&SB in conceptualizing a process
for institutional reform. It was realized quickly that steps would have to be taken on an urgent basis to extend the outreach of the
utility among its consumers, involve them meaningfully in the decision making process, and strengthen the social accountability of
the utility. This, it was felt, was critical to giving sustainability to the process of institutional reforms.

In consultations with WSP, it was decided to select the Citizen Report Card (CRC) as the tool to collect, document, and analyze
user feedback. This social accountability tool was selected as its scope was not only limited to a survey exercise but offered the
space for developing recommendations on sector policies, strategies, and programs to address institutional constraints and
improve service delivery. We are pleased that through this exercise, pioneering of CRC in Pakistan for any public sector utility was
initiated and has now been successfully conducted in nine out of 18 towns in Karachi city. The process was kept fully transparent
and participatory through measures taken to disseminate information and raise public awareness under the Communication
Strategy specially designed for the CRC process. The process was also firmly anchored in civil society participation through the
formation of an Advisory Committee that monitored progress and provided recommendations. It is also a matter of great pride and
satisfaction for us that we have now successfully institutionalized the process in the KW&SB by forming a special Cell, to be
managed by a dedicated team of KW&SB officials. We can confidently recommend other utilities in Pakistan to utilize the tool of
CRC for performance improvement and strengthened social accountability.

We have been greatly inspired and facilitated by the motivational leadership and guidance of our Chairman, Mr. Mustafa Kamal. It
would be appropriate at this stage to also acknowledge the efforts of four former Managing Directors of the KW&SB who kept the
momentum of institutional reforms going, overcoming all challenges: Brig. (Retd.) Iftikhar Haider, Mr. Ghulam Arif, Mr. Suleman
Chandio, and Mr. Fazl-ur-Rehman. In the end, the KW&SB will remain greatly indebted to the commitment and professionalism of
the team of WSP, Pakistan, under the wise leadership of Country Team Leader, Mr. Farhan Sami, and Ms. Maheen Zehra for their
continued technical assistance, counsel and guidance and, above all, for keeping faith with the KW&SB in meeting the challenge
of institutional reforms. We are hopeful and confident that this process of reform would continue and sustain and lead the KW&SB
towards becoming a technically and financially viable, socially accountable water utility, one which is capable of competing with the
best performing water utilities of the world.




                                                                                                           Mr. Qutubuddin Sheikh
                                                                               Managing Director, Karachi Water and Sewerage Board



                                                                                              5
Acronyms and Abbreviations
CDGK    City District Government Karachi



CRC     Citizen Report Card



CSO     Civil society organization



FGD     Focus group discussion



GoS     Government of Sindh



IRC     Interactive Resource Center



IUCN    The World Conservation Union



KMC     Karachi Metropolitan Corporation



KW&SB   Karachi Water and Sewerage Board



PAC     Public Affairs Center



SEC     Socioeconomic Classification



SITE    Sindh Industrial and Trading Estate



SLGO    Sindh Local Government Ordinance



WSP     Water and Sanitation Program




 6
                                                                                        Water and Sewerage Services
                                                                                        in Karachi: Citizen Report
                                                                                        Card—Sustainable Service
                                                                                        Delivery Improvements




Acknowledgments
Any reform of the water sector would need to consider ground realities. In Karachi, as in some other cities around the world,
water is politically charged and sometimes contentious. To attempt any reform in the water sector for the city, the strategic
importance of the ‘creation of demand for reform’ was realized. The Water and Sanitation Program (WSP) identified Citizen
Report Card (CRC), a simple yet powerful tool, as the way forward. The Karachi Water and Sewerage Board (KW&SB) not only
agreed with using this tool to carry out an assessment but also fully owned the process. The utility’s staff and management
wanted to reform the KW&SB and make it a dynamic organization with the help of its clients—the utility saw this as an
opportunity for improving its public image as well as an empirical way to influence the politics of the sector.

The CRC for the water sector in Karachi was launched with the technical support of WSP and the institutional backing and
ownership of the KW&SB to solicit user feedback on the utility’s services. Nearly 4,500 households in nine towns of Karachi city
were surveyed. A Communication and Advocacy Strategy was developed as an integral part of administering the CRC and
maximize the dissemination of information generated through this survey amongst the primary stakeholders—Karachi’s citizens.
For ensuring ownership of the process by the key stakeholders, an Advisory Committee, comprising KW&SB officials and
representatives of credible civil society groups, was notified by the KW&SB to provide inputs and oversight to the whole process.
The CRC process received a wide level of support from both the utility as well as consumer-based organizations and
nongovernmental organizations. The general consensus was that it had the potential of introducing structured and
institutionalized mechanisms of social accountability within urban utilities in Karachi and in other cities of the country.

As the Managing Director, KW&SB, stated, Karachi CRC is a joint initiative of the KW&SB, civil society of Karachi represented by
Karachi Water Partnership, Shehri-Citizens for Better Environment, Consumer Right Association of Pakistan, Panos South Asia,
and WSP. Within the city government and the KW&SB, key support was provided by Mr. Mustafa Kamal, City Nazim, Karachi;
all managing directors of the KW&SB, starting from Brigadier Iftikhar Haider to Mr. Ghulam Arif, Mr. Suleman Chandio,
Mr. Fazl-ur-Rehman, and Mr. Qutubuddin Sheikh. In addition, Mr. Mashkoor Husain, Mr. Ayub Sheikh, Mr. Ejaz Kazmi, and
Mr. Mahmood Kadir also provided technical inputs and critical institutional support.

From civil society groups, we would like to acknowledge Mr. Khateeb Shehri, Citizens for Better Environment, Ms. Simi Kamal,
Raasta Development Foundation, Mr. Sohail Malik, IUCN (the World Conservation Union), and Mr. Kaukab Iqbal, Consumer
Association of Pakistan.

Data presented in this report were collected through a technical survey carried out by The Nielsen Company, Pakistan, under the
guidance of Ms. Tehseena Rafi. The overall technical supervision of data collection and analysis was carried out by Dr. Gopa
Kumar Thampi of the Public Affairs Foundation. Mr. Farhan Anwar coordinated the process in Karachi.

The encouragement and support given by WSP’s Ms. Catherine Revels and Mr. Chris Heymans is also acknowledged. The
constant support provided by Mr. Farhan Sami, Country Team Leader, Pakistan, WSP, during this complex project is greatly
appreciated. Ms. Vandana Mehra, Regional Communications Specialist, WSP, provided critical support towards the planning and
delivery of overall communication processes that supported the CRC advocacy. We also acknowledge Ms. Sahar Ali of Panos
South Asia, who led a successful communication campaign for the process. Without Mr. Syed Farrukh Ansar’s overall logistical
coordination and support, it would not have been possible to carry out the arrangements required to implement a tool such as a
Citizen Report Card.




                                                                                                      Ms. Syeda Maheen Zehra




                                                                                           7
8
                                                                                         Water and Sewerage Services
                                                                                         in Karachi: Citizen Report
                                                                                         Card—Sustainable Service
                                                                                         Delivery Improvements




Executive Summary
This report discusses the key findings       Key Stages in a Citizen                     sessions to ensure that the
and recommendations emerging from            Report Card Study                           recording of household information
a pilot Citizen Report Card (CRC) on                                                     is accurate. Third, upon completion
                                             1. Assess the applicability of CRCs.
water, sanitation, and sewerage                                                          of each interview, go over the
                                             Conditions which affect the outcomes
services in Karachi. This initiative                                                     information collected to identify
                                             of CRCs include the relevance of the
comes, on one hand, in the wake of                                                       any inconsistencies.
                                             political context, the extent of
deteriorating services, weakened             decentralization, the extent to which       6. Analyze the data. Typically,
community interfaces and                     citizens can voice opinions freely, local   respondents give information on
accountability structures, poor revenue      competency to carry out surveys,            aspects of government services on a
generation and dysfunctional                 and advocacy.                               numeric scale (say, 1 to 10). These
governance structures and, on the
                                                                                         ratings are then aggregated and
other, an emergent consensus to bring        2. Determine the scope and plan the
                                                                                         averaged, and percentage measures
in far-reaching institutional reforms that   procedures. The next step is to
                                                                                         are produced.
should move beyond financial and             identify key sectors or services to be
technical imperatives.                       included in the survey, map service         7. Disseminate the results. There
                                             provision structures, and identify a        are three important points to consider
The CRC, pioneered by the Public             credible agency to conduct the survey.      when disseminating CRC findings:
Affairs Center (PAC), Bengaluru, is a
simple but powerful tool to provide          3. Design the questionnaire. Focus          G       The findings should be
public agencies with systematic              group discussions involving both                    constructively critical and should not
feedback from users of public                service providers and users are                     aim to embarrass or laud a service
services. CRC gains such feedback            necessary to provide input for the                  provider’s performance.
through sample surveys on aspects            design of the questionnaire. Providers
                                             of services may indicate not only what      G       The media is the biggest ally for
of service quality that users know best,
                                             they have been mandated to provide,                 dissemination. Prepare press kits
and enable public agencies to identify                                                           with small printable stories, media-
strengths and weaknesses in                  but also areas where feedback from
                                                                                                 friendly press releases, and
their work.                                  clients can improve their services.
                                                                                                 translations of the main report into
                                             Users may give their initial impressions
                                                                                                 local languages.
A CRC on public services is not just         of the service, so that areas that need
one more opinion poll; it reflects the       attention can be determined.                G       Following the publication of the CRC
actual experiences of people with a                                                              survey findings, service providers
                                             4. Sampling. When carried out                       and users should meet and discuss
wide range of public services.
                                             accurately, sampling gathers feedback               the key issues. This not only allows
The survey on which a report card is
                                             from a sample group that is                         for a constructive dialog, but also
based covers only those individuals
                                             representative of the larger population.            puts pressure on service providers
who have had experiences in the use
                                             It is, therefore, important to determine            to improve their performance for the
of specific services, and interactions
                                             an appropriate type of sampling design.             next round.
with the relevant public agencies.
Users possess fairly accurate                5. Execute the survey. First, select        8. Advocacy and service
information, for example, on whether a       and train a cadre of survey personnel.      improvements. The findings of the
public agency actually solved their          Second, after a certain proportion of       pilot CRC survey can then be used in
problems or whether they had to pay          interviews are complete, perform            an advocacy program which seeks to
bribes to officials.                         random spot monitoring of question          increase public pressure, build




                                                                                             9
coalitions and partnerships, and                             attitudes of the respondents              Data analysis and presentation have
influence key players.                                       towards services.                         been carried out across the following
                                                                                                       eight themes:
The CRC methodology is primarily                         G   Identify local issues pertaining to
rooted in quantitative research but is                       water and sanitation in Karachi.          G   Availability, access, and use
greatly enhanced by qualitative findings                                                                   of services.
                                                         G   Refine the survey questionnaire for
obtained through group discussions
                                                             the second phase of research—the          G    Reliability of services.
and observations. Hence, in the light of
                                                             quantitative phase.
the needs and objectives of this study,                                                                G    Perceptions on water quality.
a two-pronged research methodology                       Following this phase, a quantitative survey
                                                                                                       G    Costs incurred by customers.
was undertaken. In the first phase a                     was conducted in nine towns of Karachi
series of focus group discussions were                   covering the North, South, Central, North     G   Interactions with Karachi Water and
undertaken separately for men and                        East, and South West areas of the city,           Sewerage Board (KW&SB).
women groups across different                            representing low-, middle-, and high-
                                                                                                       G    Transparency in service provision.1
socioeconomic classes. This initial                      income groups.
phase helped to:                                                                                       G    Satisfaction with services.
                                                         The sample of 4,500 household
G   Gain insights in terms of                            interviews was spread across the nine         G    Priority areas for improvement.
    associations, perceptions, and                       towns (Table 1).
                                                                                                       Key Findings

                                                                                                       The detailed data analysis was carried
      Table 1: Spread of survey sample                                                                 out for water and sewerage services
    Towns                                     Location                               Sample size       provided by the KW&SB. While key
                                                                                                       findings are provided in the subsequent
    Gadap                                     North Karachi                          500               sections of this report, two overarching
                                                                                                       findings of this report card study are
    Bin Qasim                                 South West                             500
                                                                                                       highlighted here:
    Gulshan                                   Central                                500
                                                                                                       a) The KW&SB’s services were found to
    Orangi                                    North West                             500               be satisfactory and above average by
                                                                                                       6.5 percent of the users.
    Kemari                                    South West                             500
                                                                                                       b) Both users and utility staff want
    Saddar                                    South                                  500               improvement in systems and services.

    Gulberg                                   Central                                500               This pilot CRC exercise in Karachi has
                                                                                                       provided an insightful feedback on
    North Nazimabad                           North East                             500
                                                                                                       citizens’ experiences and priorities for
    SITEa                                     North East                             500               service improvements in water and
                                                                                                       sewerage. By assembling a set of
    a. SITE stands for Sindh Industrial and Trading Estate.
    Source: Data compiled during a pilot Citizen Report Card on water, sanitation,
                                                                                                       1
    and sewerage services in Karachi.                                                                    Users of main connections were probed on how ‘transparent’
                                                                                                       their service provision was in terms of billing practices, and
                                                                                                       instances of corruption.




 10
                                                                                Water and Sewerage Services
                                                                                in Karachi: Citizen Report
                                                                                Card—Sustainable Service
                                                                                Delivery Improvements




credible and objective benchmarks, the    between the media and civil society   ‘responsiveness’ (supply side
CRC has provided a forum for different    networks such as the Karachi Water    willingness to reform). To ensure the
stakeholders to converge around           Partnership have created many         momentum created through this
issues and explore solutions and          enablers for ensuring a healthy       pioneering effort, CRCs need to be
reforms. The organizational buy-in from   blend of ‘voice’ (demand side         more comprehensive in coverage (all
KW&SB and the strong linkages built       advocacy and pressures) and           18 towns) and carried out periodically.




                                                                                  11
12
                                                                                          Water and Sewerage Services
                                                                                          in Karachi: Citizen Report
                                                                                          Card—Sustainable Service
                                                                                          Delivery Improvements




Introduction
Contextual Framework

In Pakistan, the devolution of the
service delivery function of municipal
services to local government, through
the enactment of the Local Government
Ordinance 2001, had opened up new
opportunities for reform in the
institutions of water supply and
sanitation service delivery. The creation
of three tiers of local government
(district, tehsil and union councils)
offered the potential for a clearer
allocation of responsibilities and the
potential to engender greater role
separation in service delivery. Initially,
the four provincial capitals (including
Karachi city) were designated as
‘city districts’, with towns designated
as the equivalent of tehsils in the
other districts. The devolution
process had established a supportive
context for reforming the political          G   The KW&SB was faced with legal                capital expenditures, operation
and operational accountability                   ambiguities, a dysfunctional                  and maintenance, and least
processes that are at the heart of               governance structure, lack of                 cost principles.
institutional challenge.                         technical support, tariff imbalances,
                                                 and financial crisis. This               G    The absence of a regulatory
Karachi, in particular, posed a                  predicament was compounded by                 framework made it difficult to hold
tremendous challenge. For many years             lack of accountability, transparency,         the KW&SB accountable for its
now, the Karachi Water and Sewerage              and operational autonomy. Lack of             performance—the utility was
Board (KW&SB), the major utility                 proper planning and investment                managed in terms of the KW&SB
agency, has remained simply as an                strategy contributed to inadequate            Act of 1996 (Government of
executing agency for the city, without           utility performance. The KW&SB’s              Sindh [GoS] control). It was also
any significant powers to make its own           investments mostly augmented                  functioning under the conditions
investment and operational decisions.            production and transmission,                  of the Sindh Local Government
With KW&SB acting as the extended                sometimes neglecting efficiency               Ordinance (SLGO) of 2001, City
arm of the state, there had been virtually       improvements, rehabilitation, and             District Government Karachi
no independent and robust monitoring             maintenance. Networks and                     control, which had marked
of its performance and no mechanism              facilities therefore had deteriorated,        implications for its place within
by which the organization could be held          and inefficiencies and losses made            the broader devolution process
accountable. As a result, the utility was        operations wasteful. In addition,             and its relative relationships with
faced with a deep-rooted crisis of               financial capacity constraints                the provincial, city, and town
governance, of which some key areas              prevented investment planning                 level governments in its area
of concern included:                             based on an integrated view of                of jurisdiction.




                                                                                              13
     Box 1: Karachi Water and Sewerage Board: A profile

     The supply and distribution of water to Karachi has been undertaken by a variety of agencies in the past. The first
     instance of law regarding water supply functions in the post-independence period was the Karachi Joint Water Board
     Ordinance 1949 that attempted to institutionalize the supply from Indus river, the source. Subsequently, the Karachi
     Joint Water Board, constituted in 1953, was the first entity to be assigned the task of executing the first major
     expansion of Karachi’s water supply system from the Indus river. Project execution was later entrusted to the Karachi
     Development Authority (KDA) upon its establishment in 1957. Distribution and retailing of treated water remained the
     responsibility of the erstwhile Karachi Metropolitan Corporation (KMC), some 22 other independent agencies, and bulk
     users. In 1981, the Karachi Water Management Board (KWMB) was created and assigned responsibility for water
     distribution throughout the metropolitan area and was given enhanced powers of cost recovery. Subsequently, the
     Government of Sindh (GoS) enacted the Sindh Local Government (Amendment) Ordinance of January 1983, which
     created the Karachi Water and Sewerage Board (KW&SB) within the KMC. The KW&SB was assigned to handle the
     water supply and sanitation services in Karachi.

     In 1996, the Karachi Water and Sewerage Board Act was enforced. Under this Act, the KW&SB was separated from
     the KMC and the annual budget was to be approved by the GoS. The legal framework, specification of functions as
     well as relevant financial guidelines and delegation of powers were provided in the Karachi Water and Sewerage Board
     Act 1996. In the most recent move, the SLGO 2001 directed the creation of a unified City District Government in
     Karachi. Civic agencies, including the KW&SB, were operationally merged into this new setup. It is to be noted that
     from 1953 to 1996, the water sector was controlled by the various branches of the city government.

     Two noteworthy changes took place at the policy and administrative levels in 1995 and 1996 that significantly altered
     the face of the official service providing agency. First, in 1995, direct military interference took place when a serving
     brigadier was appointed as the managing director of the KW&SB. From 1995–2007, five KW&SB managing directors—
     all serving or retired officers with a rank of brigadier—came directly from the army. Only very recently, in March 2007,
     was a civilian officer nominated to head the KW&SB. Second, on April 15, 1996, the Sindh Assembly passed the Water
     and Sewerage Board Bill 1996, that was assented to by the Governor of Sindh province on April 23, 1996, and
     subsequently published as an ‘Act’ of the Sindh Legislature. The decision-making mandate was entirely separated
     from the municipality after the approval and enforcement of the KW&SB Act 1996. The ‘Board’ became autonomous
     and was controlled directly by the provincial government. The chairman and vice chairman of the Board were directly
     appointed by the GoS, which established its essential control, and the policy and decision-making roles were entirely
     confined to the provincial government. The managing director, however, continued to enjoy the status of chief executive
     officer of the Board, along with the usual administrative authority in running the organization.

     This status persists even though the subsequently notified SLGO of 2001 devolves the roles and functions of the
     KW&SB, as assigned under the KW&SB Act 1996, to the City District Government Karachi and towns. The board of
     directors of the KW&SB, as constituted in the KW&SB Act, remains in place, and was reconstituted with the city nazim
     as the chairman. The KW&SB Act 1996 remains in force until further notice but the GoS “may take necessary steps to
     repeal or amend the KW&SB Act 1996 to ensure smooth implementation of the SLGO 2001�?.

     (Government of Sindh Notification No. SOVIII/KW&SB/2(41)/2002.)




14
                                                                                            Water and Sewerage Services
                                                                                            in Karachi: Citizen Report
                                                                                            Card—Sustainable Service
                                                                                            Delivery Improvements




G   The operational environment                    greater efficiency or for customers       Engagement for Reforms:
    was fraught with systemic                      to pay.                                   Enabling the Utility to Ensure
    weaknesses—illegally organized                                                           Social Accountability
                                               G   The KW&SB’s relationship with
    routing of water to retailers was
                                                   consumers and larger civil society        Through a series of interactive
    perceived as pervasive. A large
                                                   was almost nonexistent. Inappropriate     engagements that included site visits,
    number of consumers could access
                                                   services, lack of suitable response to    consultations, and dialog with relevant
    water only by paying illicit fees to the
                                                   consumer priorities and complaints,       stakeholders (provincial and local
    KW&SB frontline staff working with
                                                   and ineffective communication had         governments, the utility agency, and
    organized networks benefiting from
                                                   alienated consumers and the public in     civil society), and rapid assessment
    illegal connections.
                                                   general, thus making it difficult to      work, in 2005–06 the Water and
G   The KW&SB had almost no                        mobilize public support for action        Sanitation Program (WSP) assisted the
    influence over tariffs and there was           against illegal connections,              KW&SB in conceptualizing a process
    no independent regulation of tariffs           encroachment of pipelines, and other      for institutional reform in the water and
    either. In the absence of an effective         malpractices which undermined             sanitation sector in Karachi. One of the
    tariff structure and a process of              operations. The KW&SB needed to           key conclusions was that the reform of
    tariff setting that considered                 regain control of its networks, with      the utility was dependent on the overall
    economically rational operational              customers valuing, and paying for,        reform of the political and administrative
    factors, there was no incentive for            its services.                             sector in which it operates. While the
                                                                                             KW&SB—as the single-largest public
                                                                                             service agency in the water and
                                                                                             sanitation sector in Karachi—demands
                                                                                             specific attention in any reform process,
                                                                                             it was considered that the technical,
                                                                                             financial, and organizational reform of
                                                                                             the utility has to occur within a wider
                                                                                             framework of governance reform. To
                                                                                             tackle such serious and deep-rooted
                                                                                             institutional weaknesses, mobilization
                                                                                             and support for change was desirable
                                                                                             not only within the institutions itself
                                                                                             but amongst the widest possible range
                                                                                             of stakeholders. The KW&SB’s
                                                                                             recovery needed to be located
                                                                                             within wider sector reform and a
                                                                                             communitywide effort.

                                                                                             It was quickly realized that strong
                                                                                             elements of community participation
                                                                                             and consumer voice were central to the
                                                                                             viability and sustainability of the reform
                                                                                             process. In addition, given the
                                                                                             politicized nature of water, it is
                                                                                             important to develop ways for receiving




                                                                                              15
the voice of citizens without the ‘filter’       public hearing and social audits, these       organizational leaders with an
of those with vested interests. There            have been mostly tested in the broader        opportunity to design reforms for
was, thus, a requirement for developing          arena of governance. There are fewer          strategic reorientation. Experiences
neutral, credible, and apolitical                tools that are specifically relevant to the   with report cards, both national and
information on consumer choices,                 utility sector and to the water sector in     international, have amply demonstrated
preferences, and concerns to give the            particular. One promising tool is the         their potential for demanding more
reform agenda much-needed                        Citizen Report Card (CRC). Anchoring          public accountability and providing a
objectivity and focus, and move the              on the concept of user feedback, CRC          credible database to facilitate proactive
focus of consumer advocacy from                  provides a simple and widely replicable       civil society responses.
anecdote to an informed debate.                  tool for improving transparency and
                                                 public accountability, with useful
                                                                                               The Citizen Report Card: A Viable
Though there is an interesting array of          diagnostic pointers to utility managers
                                                                                               Tool for Social Accountability
participatory tools and approaches               for planning service improvements.
such as participatory expenditure                The ‘report card’ can stimulate               The CRC is a simple and credible tool
tracking, community score cards,                 collective citizen action and provide         to provide systematic feedback to
                                                                                               public agencies about various
                                                                                               quantitative and qualitative aspects of
      Box 2: Lack of consumer voice in the KW&SB                                               their performance.

      Civil society groups, historically, have had little say in matters related with          CRC elicits information about users’
      policy making, planning, and implementation of schemes and projects in the               awareness of, access to, use of, and
      water sector in Karachi. The sector is not supported by any kind of cohesive             satisfaction with, public services. In the
      regulatory framework. Issues that are crucial and important to the demand                context of poverty reduction programs,
      side, including tariffs and performance standards, are not adequately                    it often complements the expert
      addressed; there is no mechanism in place for registering and addressing                 analyses and conventional poverty
      public concerns either on such matters. At times, such as now, when local                monitoring indices with a ‘bottom-up’
      bodies have been administered by elected representatives, an indirect                    assessment of pro-poor services. CRC
      avenue for gauging public concerns has existed in the form of local councils.            identifies the key constraints that
      However, documented evidence in the form of ‘Council Resolutions’                        citizens, especially the poor and the
      suggests that little priority has been given to this sector by locally                   underserved populations, face in
      elected bodies.                                                                          accessing public services, their
      To ensure community participation in the provision of water and sewerage                 appraisals of the quality and adequacy
      and for close liaison with the civil society, the Karachi Water and Sewerage             of public services, and the quality of
      Board (KW&SB) has recently established a Civil Society Liaison Cell. The Cell            interactions they have with the
      provides two-way communication between the utility and civil society.                    providers of the services. The tool
      However, the Cell exists pretty much on paper and has rendered no                        offers several recommendations on
      significant contribution in facilitating any meaningful interactions between civil       sector policies, strategies and
      society or consumer groups and the service provider. Similarly, the KW&SB                programs to address these constraints,
      established a centralized Consumer Services Center at the head office of the             and improve service delivery.
      KW&SB (100 such centers are planned for the whole city). This service,
      however, is only a complaint registry system and not an avenue for                       CRC entails a random sample survey of
      absorbing any concrete or substantive consumer input in matters of policy,               the users of different public services
      planning, and implementation.                                                            (utilities), and the aggregation of the
                                                                                               users’ experiences as a basis for rating




 16
                                                                                      Water and Sewerage Services
                                                                                      in Karachi: Citizen Report
                                                                                      Card—Sustainable Service
                                                                                      Delivery Improvements




the services. The tool also helps to
convert individual problems facing
the various programs into common
sectoral issues. It facilitates not only
prioritization of reforms and corrective
actions by drawing attention to
the worst problems highlighted,
but also the cross fertilization of
ideas and approaches by identifying
good practices.

A CRC thus provides a benchmark
on quality of public services as
experienced by citizens. Hence, it
goes beyond the specific problems
that individual citizens may face. It
places each issue in the perspective
of other elements of service design
and delivery, and also draws
comparisons with other services, so
that a strategic set of actions can
be initiated.

CRC studies are not merely a means
of collecting feedback on existing
situations from citizens. They are also
a means for testing out different
options that citizens wish to exercise,
individually or collectively, to tackle
                                           citizens. The methodology involves         Why Prepare a
current problems. For example,
                                           systematic sampling across all             Citizen Report Card?
whether citizens were willing to pay
more or be part of citizens’ bodies        subsections or segments of citizens—       The Citizen Report Card is not a fault-
made responsible for managing public       including those who are satisfied as       finding exercise. It is, rather, an
water sources. CRC, thus, is               well as the aggrieved—and presents a       opportunity to reflect and diagnose
also a means for exploring citizens’       picture that includes all opinions. This   service quality issues and provide a
alternatives for improvements in           is possible because the methodology        platform for various stakeholders to
public services.                           makes use of advanced techniques of        converge and explore solutions. In
                                           social science research, for selecting     more practical terms, CRC gives the
An important aspect of the CRC is          samples, designing questionnaires,         following strategic inputs:
the credibility it has earned. The         conducting interviews, and
conclusions in a report card are not       interpreting results. As a result, the     a. Provides benchmarks on access,
opinions of a few persons who think in     report cards provide reliable and          adequacy, and quality of public
a particular manner, nor the               comprehensive representation of            services as experienced by citizens:
complaints of a few aggrieved              citizens’ feedback.                        CRC goes beyond the specific




                                                                                        17
problems that individual citizens face         c. Identifies indicators of problem          estimates not only on extra-legal costs
and places each issue in the perspective       areas in the delivery of public              incurred by users but also on amounts
of other elements of service design and        services: CRC enquires into specific         spent on forced investments such as
delivery, as well as draws comparisons         aspects of interaction between the           buying water purifiers or installing
with other services or across different        service agency and the citizen, and          storage tanks to cope with unreliable
domains of the same service, so that a         seeks to identify issues experienced by      and poor quality services.
strategic set of actions can be initiated.     citizens in interfacing with the services.
                                                                                            e. Indicates a mechanism to explore
                                               In more simple terms, it suggests that
b. Encapsulates citizen satisfaction                                                        citizens’ alternatives for improving
                                               dissatisfaction has causes that may be
to prioritize corrective actions: CRC                                                       public services: CRC goes beyond
                                               related to the quality of services enjoyed
captures users’ feedback in clear,                                                          collecting feedback on existing
                                               by citizens (such as reliability of water
simple, and unambiguous terms by                                                            situations from citizens. Instead, it also
                                               supply); difficulties encountered while
indicating their level of satisfaction or                                                   acts as a means of testing out different
                                               dealing with the agency to solve service
dissatisfaction. When this measure of                                                       options that citizens wish to exercise,
                                               related issues such as excess billing or
citizen satisfaction or dissatisfaction                                                     individually or collectively, for tackling
                                               complaints of water supply breakdown.
is viewed from a comparative                                                                various problems. For example, CRCs
perspective, it gives very valuable            d. Suggests reliable estimates               can provide information on whether
information that helps prioritize              on hidden costs and forced                   citizens are willing to pay more for
corrective actions.                            investments: CRC provides reliable           better quality of services or be part of
                                                                                            citizens’ bodies made responsible
                                                                                            for managing garbage clearance in
      Box 3: Rationale for Citizen Report Cards                                             the locality.


      What this exercise is about…                                                          Citizen Report Card:
                                                                                            Process and Methodology
      G   Capturing credible, neutral, and objective feedback on citizens’
          experiences while accessing and using water, sanitation, and                      A CRC on public services is not just
          sewerage services.                                                                one more opinion poll. A report card
                                                                                            reflects the actual experiences of
      G   Enabling a comparison of performances among different towns and                   people with a wide range of public
          encourage sharing of best practices.                                              services. The survey on which a report
      G   Analyzing, organizing, and reporting findings, conclusions, and pointers.         card is based covers only those
                                                                                            individuals who have had experiences in
      G   Facilitating opportunities for reforms and improvements.                          the use of specific services, and have
                                                                                            interacted with the relevant public
      What this exercise is not about…
                                                                                            agencies. Users possess fairly accurate
      G   Finding fault or pointing fingers.                                                information, for example, on whether a
                                                                                            public agency actually solved their
      G   Focusing only on the gaps in service delivery.                                    problems or whether they had to pay
                                                                                            bribes to officials. The CRC methodology
      G   Claiming that user feedback captures all dimensions of service delivery.
                                                                                            is primarily rooted in quantitative research
      G   Providing solutions (that is, feedback should be viewed as a                      but is greatly enhanced by qualitative
          ‘thermometer reading’ and not as an ‘antibiotic’).                                findings obtained through group
                                                                                            discussions and observations.




 18
                                                                                     Water and Sewerage Services
                                                                                     in Karachi: Citizen Report
                                                                                     Card—Sustainable Service
                                                                                     Delivery Improvements




Process of Preparing the                   Methodology Followed                      Questionnaire contained the
Citizen Report Card in Karachi                                                       following predetermined criteria:
                                           The report card methodology is
The CRC process in Karachi                 primarily rooted in quantitative          G    Ages: 25–50 years
commenced with a series of                 research but is greatly enhanced by
discussions and workshops to build         qualitative findings obtained through     G    Socioeconomic Class (SEC):
awareness among key stakeholders           group discussions and observations.            A, BC, and DE
on the potential of the tool.              Hence, keeping in mind the needs
Consultations were held with key           and objectives of this study, WSP         G    Education: SEC A
stakeholders from city-based civil         planned a two-pronged research
                                                                                                      SEC B and C
society organizations (CSOs),              methodology—qualitative research
research and survey firms, media-          was done in Phase 1, and a                                 SEC D and E
support organizations, and the             quantitative household survey was
KW&SB. These key informant                 conducted in Phase 2.                     G    Men: The men recruited were
interviews facilitated an                                                                 those who were the main
                                           Phase 1 was meant to:                          decision makers in households
understanding of the state of water
and sanitation services in Karachi,                                                       when it came to basic amenities
                                           G   Gain insights in terms of
shed light on thematic work being                                                         such as water, sewerage,
                                               associations, perceptions, and
done by city-based CSOs, their                                                            and electricity.
                                               attitudes of the respondents
capacity, vibrancy, and working                towards services.                     G    Women: The women recruited
relationships. It also provided an
                                                                                          were those who had more
understanding of likely local anchors      G   Identify local issues pertaining to
                                                                                          say in the purchase of
and available resources for CRC                water and sanitation in Karachi.
                                                                                          household goods and who
implementation. A collective
                                           G   Refine the survey questionnaire for        were more aware of household
assessment exercise was also
                                               the second phase of research—              issues pertaining to water
conducted to ascertain the contextual
                                               the quantitative phase.                    and sewerage.
fit of CRC to the local conditions in
Karachi. Political receptivity, openness   The qualitative phase was undertaken      In Phase 2, a quantitative
of service providers to receive            via focus group discussions (FGDs).       household survey was
feedback from users, vibrancy of local     This methodology allowed the              conducted. The findings from the
CSOs and media, and freedom to             participants to build on each other’s     FGDs were used to refine and
collect information in an unbiased         views and express their thoughts          mould the draft questionnaire
manner were some of the key                and opinions in a friendly and            provided by WSP. The survey was
indicators that were assessed. (See        nonthreatening manner.                    conducted in nine Karachi towns
Appendix A for a detailed feedback
                                                                                     covering North, South, Central;
on the assessment.)                        Group Formation and Recruitment
                                                                                     North was further fine-tuned
Following this, a local survey firm—       Each group consisted of eight to 10       internally by the research team of
The Nielsen Company, Pakistan—             respondents who were recruited            The Nielsen Company, through its
was selected after a competitive           using a Recruitment Questionnaire         field and data processing service
bidding process. A multistakeholder        prepared by The Nielsen Company.          units, contextualized this
CRC Advisory Committee was                 They were selected from the same          questionnaire in line with CRC
also set up to guide and review            areas in which the survey was to be       survey objectives for Pakistan.
the process.                               conducted. The Recruitment                Particular attention was paid to




                                                                                         19
length, content, and relevance. The                     West areas of the city represent the        G   General trends in water
questionnaire was reviewed by WSP                       low-, middle-, and high-income groups.          resource use or availability
before being translated into Urdu.                      The sample of 4,500 household                   (according to available data or
                                                        interviews was split as shown in Table 2.       secondary research).
Selection of Respondents                                                                            These criteria cover most of the
                                                        The sample of 500 interviews (for each
The relevant respondents for this                                                                   representative features of the city of
                                                        town) was statistically significant to
survey were filtered through a screening                                                            Karachi. Most importantly, they fall
                                                        provide representative information for
questionnaire which was developed                                                                   under the direct jurisdiction of the
                                                        the whole town.
by The Nielsen Company research                                                                     KW&SB, whose service provision of
team, and appended to the main                                                                      water and sewerage is the focal point
                                                        Criteria for Town Selection
questionnaire. Once the relevant                                                                    of this survey.
respondent was identified through the                   Each town had been chosen according
                                                        to the following criteria:                  The sample of 500 was further split
screener, the interview was conducted
                                                                                                    equally over the number of union
using the main questionnaire.
                                                        G   Land use status of the residents.       councils in each town. For instance,
Socioeconomic status of                                                                             the town of Bin Qasim has seven union
                                                        G   Socioeconomic profile of
respondents: The East and South                                                                     councils. In each union council,
                                                            the residents.
                                                                                                    therefore, over 71 or 72 interviews
                                                                                                    were conducted.
      Table 2: Sample of household interviews
                                                                                                    Interview Process
   Towns                                     Location                               Sample size
                                                                                                    Each area in a union council was
   Gadap                                     North Karachi                                 500      allocated a certain number of ‘starting
                                                                                                    points’ depending on the sample for a
   Bin Qasim                                 South West Karachi                            500
                                                                                                    particular union council. The starting
   Gulshan                                   Central Karachi                               500      point in an area was any landmark
                                                                                                    such as a mosque or a shopping
   Orangi                                    North West Karachi                            500      plaza. A minimum of 10 interviews
                                                                                                    were conducted around each starting
   Kemari                                    South West Karachi                            500      point. The sample for a certain union
                                                                                                    council was thus divided by 10 to
   Saddar                                    South Karachi                                 500
                                                                                                    arrive at the required number of
   Gulberg                                   Central Karachi                               500      starting points in each area. For
                                                                                                    instance, the union council Cattle
   North Nazimabad                           North East                                    500      Colony of Bin Qasim town was
                                                                                                    allocated 71 interviews. Therefore in
   SITEa                                     North East                                    500      each area of the union council of Cattle
                                                                                                    Colony seven (71/10) starting points
   Total sample size                                                                      4,500
                                                                                                    were allocated.
   a. SITE stands for Sindh Industrial and Trading Estate.
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation,
                                                                                                    To avoid the problem of overlapping
   and sewerage services in Karachi.                                                                starting points, the field supervisors
                                                                                                    made divisions of the target area




 20
                                                                                     Water and Sewerage Services
                                                                                     in Karachi: Citizen Report
                                                                                     Card—Sustainable Service
                                                                                     Delivery Improvements




(depending on the number of starting      selection of the first household. A        Substitution or Call Back
points) beforehand. If the number of      skipping of three2 households was done
                                                                                     No substitution or call back was to
starting points were more than the        after each successful interview to avoid
                                                                                     be made in this survey. If both the
number of areas inside a union council,   the neighborhood bias. The
                                                                                     respondents were either unwilling or
some areas were randomly dropped.         enumerators were instructed to give
The field team ensured that a maximum                                                unavailable, then the enumerators
                                          preference to joint interviews with both
geographical coverage of an area was                                                 proceeded to the house on the
                                          men and women heads of households.
made certain in such instances.           If only one of them was available,         right-hand side and asked permission
                                          interviews were conducted with the         for an interview from the neighboring
Once the surveyor was inside the                                                     household. The enumerator was
                                          available and willing respondent. As in
sample area, he or she went to the                                                   required to keep moving to the next
                                          Phase 1, the men and women
chosen starting point and selected the                                               house on the right-hand side until
                                          interviewed were those who were the
first household using the balloting                                                  he or she conducted an interview
                                          main decision makers in the household
technique to ensure randomness in the
                                          regarding matters and expenditure          successfully. The demographic profile
                                          pertaining to household water              of the respondents is given in
2
    ‘Three’ was chosen arbitrarily.       and sewerage.                              Appendix B.




                                                                                       21
22
                                                                                                  Water and Sewerage Services
                                                                                                  in Karachi: Citizen Report
                                                                                                  Card—Sustainable Service
                                                                                                  Delivery Improvements




Water Services
Availability, Access, and Usage of
Water Sources

What Sources of Water do People
have Access To and Use in the
Nine Towns in Karachi?
The sources of water most widely
available and used were obtained
based on usage, such as drinking,
washing, and bathing. Besides
identifying some of these indicators,
the qualitative phase of the study
also helped to determine the
associated details.

The sources were divided into
three categories:                                      2. Sources located outside the             donkey or horse carts, and private
                                                       household: This category includes          individuals, as well as bottled or
1. Sources located within the                          water sources such as ponds, rivers,       canned water.
household: These primarily include                     canals, and common wells situated
sources such as an individual or                       outside the household or the community     As Figure 1 reveals, connections from the
community connection from the main                     premises. Borewells operated by hand       mains water supply sources account for
line, both legal and illegal. Other                    or motor also fall within this grouping.   the largest available source for
sources which fall within this category                                                           households in Karachi; this is followed by
include individual or shared boreholes                 3. Sources which required water to         private vendors like water tankers. This
dug inside the household or the                        be purchased or delivered: This            drives home the fact that the Karachi
community compound.                                    category includes water sold by tankers,   Water and Sewerage Board (KW&SB) is,
                                                                                                  by far, the most prominent provider of
   Figure 1: Overall access to water sources                                                      water to households in Karachi. However,
                                                                                                  what is disconcerting is that more than
                                                                                                  one-third (37 percent) of all mains users
                                                                                                  are reportedly using illegal means to
                                                                                                  access water. Illegal connection from the
                                                                                                  mains line was found to be a frequently
                                                                                                  occurring trend in Gadap (45 percent),
                                                                                                  Saddar (49 percent), and Sindh Industrial
                                                                                                  and Trading Estate (or SITE, with 51
                                                                                                  percent). Half of Saddar’s population
                                                                                                  relies on illegal connections from the
                                                                                                  mains line, while the other half obtains its
                                                                                                  water through vendors, boreholes, and
                                                                                                  legal connection, from the mains.
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and             Orangi reports the maximum number of
   sewerage services in Karachi.
                                                                                                  legal connections.




                                                                                                    23
     Table 3: Water source profiles across towns (in %)

 Source                                                 Gadap Bin Qasim Gulshan Orangi Kemari Saddar Gulberg Nazimabad SITEa

 Mains connection (legal)—personal storage              35        46             22            63      25           12   58       55          26

 Mains connection—shared storage                        0         9              25            1       3            15   11       20          2

 Mains connection (illegal)—personal storage            45        29             30            35      37           49   23       30          51

 Boreholes, personal storage                            1         4              6             3       14           4    23       14          3

 Boreholes, shared storage                              0         0              5             0       1            15   5        3           10

 Vendors—donkey carts or bicycles                       5         16             3             1       16           8    0        0           3

 Vendors—private tankers                                20        18             22            34      16           16   7        16          28

 Bottled or canned water                                2         6              13            2       30           20   14       16          13

 Note: Figures aggregated across columns exceed 100 due to multiple responses.
 a. SITE stands for Sindh Industrial and Trading Estate.
 Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




     Table 4: Sources of water for domestic use and drinking                                                  The usage profiles also indicate that
                                                                                                              legal (36 percent) and illegal (34
                                                                       Usage (%)                              percent) forms of mains connections
 Source                                                Domestic use                        Drinking           are the most commonly used sources
                                                                                                              of water for domestic use across all the
 Borewell with motor or handpump                       2                                   3
                                                                                                              towns (see Table 4).
 Borehole—personal storage                             7                                   3
                                                                                                              However, significant spatial variations
 Bottled or canned water                               4                                   4                  have been observed. A large proportion
                                                                                                              (14 percent) of Kemari residents uses
 Mains connection—personal storage                     36                                  34
                                                                                                              bottled or canned water for drinking.
 Mains connection—shared storage                       9                                   8                  Many households in Saddar (15
 Mains connection (illegal)—personal storage           34                                  34                 percent), Gulshan (21 percent), and
                                                                                                              North Nazimabad (17 percent) use
 Vendor—bicycles or donkey carts                       4                                   3                  shared connections from the mains
 Water delivered by private tankers                    11                                  7                  lines. This type of connection was
                                                                                                              found to be used mostly in community
 Borehole—shared storage                               4                                   1                  living environments whereby
                                                                                                              households share a common storage
 Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage
 services in Karachi.                                                                                         tank which is supplied water through
                                                                                                              a mains line connection. Gadap




24
                                                                                                                 Water and Sewerage Services
                                                                                                                 in Karachi: Citizen Report
                                                                                                                 Card—Sustainable Service
                                                                                                                 Delivery Improvements




(12 percent), Gulshan (12 percent), and
Orangi (15 percent) purchase a significant
portion of their drinking water from
water tankers.

Almost similar trends were found in the
profiles for water for domestic use; all the
towns rely heavily on legal and illegal
connections from the mains line for
domestic use. However, at least 10
percent of the households in Gadap,
Bin Qasim, Gulshan, Orangi, Kemari, and
SITE use tankers as their main source of
domestic water.

How Regular is the Supply of Water
from the Mains Connection?
Almost 45 percent of respondents are
supplied drinking water seven days a
week from the mains connections during
normal times. In Bin Qasim, nearly 81
percent of households are supplied water
every day. Yet, there was wide variation in
the frequency of water supply across


    Table 5: Weekly supply of water from the mains connection (in %)

   Days                Gadap       Bin Qasim         Gulshan       Orangi       Kemari        Saddar       Gulberg         North Nazimabad     SITEa

   One                 0.5         1.0               0.3           22.1         4.4           0.5          0.3             2.8                 5.5

   Two                             2.9               0.3           27.9         6.1           0.5          2.8             10.8                25.1

   Three               5.5         2.4               5.6           29.5         15.6          4.1          16.2            21.6                22.5

   Four                5.0         4.6               13.4          7.9          11.2          8.4          12.6            13.1                12.8

   Five                8.1         5.3               9.0           5.9          6.8           19.6         11.6            6.7                 14.4

   Six                 23.4        1.9               12.0          2.3          9.8           5.4          6.7             3.0                 6.8

   Seven               53.4        81.4              59.4          3.6          41.7          61.3         49.4            41.1                12.8

   Don’t know          4.0         0.5                             0.8          4.4                        0.5             1.1                 0.3

   a. SITE stands for Sindh Industrial and Trading Estate.
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




                                                                                                                      25
      Table 6: Proportion of households experiencing water scarcity across towns

  Overall         Gadap           Bin Qasim         Gulshan       Orangi         Kemari         Saddar          Gulberg      Nazimabad     SITEa
  (N = 2010)      (N = 187)       (N = 183)         (N = 166)     (N = 283)      (N = 221)      (N = 286)        (N = 162)   (N = 219)     (N = 303)

  44.6            37.4            36.6              33.2          56.6           44.2           57.2            32.4         43.8          60.6

  a. SITE stands for Sindh Industrial and Trading Estate.
  Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




geography. For example, only                            Instances of Water Scarcity and                        short term stoppages and
4 percent of respondents in Orangi                      Coping Mechanisms                                      breakdowns. As Table 5 shows,
and 13 percent in SITE were                                                                                    seasonal water scarcity is experienced
                                                        To What Extent did Households
supplied water every day. In fact,                                                                             by a significant numbers of households
                                                        Experience Water Scarcity During
50 percent of households in Orangi                                                                             (45 percent) of the population in the
                                                        the Last One Year?
are supplied water for two days or                                                                             nine towns surveyed.
                                                        Respondents were asked about their
less in a week. During times of                         experiences during the last year when                  Wide variations are again observed
water scarcity, frequency of water                      they faced low or lack of water supply                 across the different towns. Instances
distribution falls—53 percent of                        lasting for a long duration (five days or              of scarcity are quite intense for
households are supplied water for                       longer). It was clearly explained to the               households in SITE (61 percent) and
three days or less in a week.                           respondents that this was different from               Saddar (57 percent).

                                                                                                               In Which Months do Households
   Figure 2: Months in which scarcity is experienced                                                           Experience Scarcity of Water?
                                                                                                               As expected, summer months are the
                                                                                                               most stressful for households who
                                                                                                               reported scarcity, the peak being the
                                                                                                               month of June.

                                                                                                               How do People Cope During Times
                                                                                                               of Scarcity?
                                                                                                               During periods of scarcity, people are
                                                                                                               forced to resort to expensive sources
                                                                                                               of water. As Table 7 shows, vendors in
                                                                                                               the form of tankers (31.3 percent),
                                                                                                               illegal connections from the mains
                                                                                                               (16.3 percent), and bottled or canned
                                                                                                               water (15 percent) were the most
                                                                                                               widely availed sources of water during
                                                                                                               the months of water scarcity. A
  Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and                           significant number of households in
  sewerage services in Karachi.                                                                                Gadap (10 percent), Bin Qasim (19
                                                                                                               percent), Kemari (24 percent), and




 26
                                                                                                              Water and Sewerage Services
                                                                                                              in Karachi: Citizen Report
                                                                                                              Card—Sustainable Service
                                                                                                              Delivery Improvements




Table 7: Sources used during periods of scarcity

Source                       Overall       Gadap        Bin Qasim Gulshan           Orangi        Kemari       Saddar     Gulberg     Nazimabad   SITEa
                             (N = 2010) (N = 187) (N = 183)           (N = 166)      (N = 283)    (N = 221)     (N = 286) (N = 162)   (N = 219)   (N = 303)

Vendors—tankers              31.3          24.6         36.6          50.6          47.0          18.1         19.6       12.3        26.5        35.6

Mains connection (illegal) 16.3            50.3         12.6          3.6           15.9          15.4         16.8       15.4        8.2         11.6
—personal storage

Bottled or canned water 15.0               2.7          9.8           13.3          2.1           23.1         22.0       19.1        23.7        17.5

Vendors—bicycles or          8.1           10.2         19.1          3.0           1.8           24.4         11.9       –           –           3.6
donkey carts

From relatives or            7.5           7.5          3.8           3.6           11.7          3.6          4.9        7.4         4.6         15.2
neighbors

Mains connection—            6.7           1.6          3.8           5.4           9.9           2.7          4.2        16.7        15.1        3.0
personal storage

Mains connection—            3.2           –            4.4           13.9          –             –            7.0        3.7         3.7         –
shared storage

Borewell motors or           2.6           1.6          0.5           1.2           3.5           5.4          4.2        3.1         0.5         2.3
handpumps

Boreholes dug using          2.6           –            4.9           2.4           –             1.4          0.7        10.5        7.3         0.3
a drill or machinery—
personal

Standposts or public         1.7           –            –             1.8           3.5           0.5          2.1        1.2         5.0         0.7
taps managed by
municipality

Water sold by private        1.2           1.6          0.5           –             –             2.3          0.7        –           –           4.6
individuals from
other residences


a. SITE stands for Sindh Industrial and Trading Estate.
Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




                                                                                                                   27
Saddar (12 percent) also purchase                      water from the mains (legally or illegally)            of water acceptable, and that the water
water from vendors on donkey carts                     tend to obtain water from private                      was clear; 14 percent of respondents,
and bicycles. Moreover, during months                  sources during water scarcities. In                    however, said that they found the water
of scarcity, households supplement                     comparison, households that primarily                  muddy. There was not much of a
their water supply from the mains                      obtain water from private or bottled                   difference between sources on these
connection and boreholes by borrowing                  sources tend to keep using the same                    counts. However, a relatively large
from neighbors, using a community                      source during water scarcities.                        proportion of respondents in Kemari
tap, and also by buying from other                                                                            (20 percent), Orangi (19 percent), and
households in some instances.                          Citizens’ Perceptions on Quality                       SITE (19 percent) found the water to be
                                                       and Reliability of Services                            partly muddy.
Data were also analyzed on source-
wise migration between times of                        What do Citizens Think of the                          How Frequent are Breakdowns
normalcy and scarcity for the subset                   Taste, Color, and Smell of                             and Stoppages?
of respondents who said they                           Water They Use?                                        Feedback from households using
experienced scarcity. In general, it was               The data show that the vast majority of                the mains shows very few cases
observed that households that obtain                   citizens find the taste, color, and smell              (15 percent) of major stoppages or


      Table 8: Shift in acquisition of drinking water (under normal conditions and during
      water scarcity, by source of water)

   Sources during                                                     Sources during normal supply (%)
   scarcity (%)                      Mains (illegal)           Mains (individual) Mains (shared)    Water tankers                   Bottled or canned

   Mains (illegal)                   37                        1                       0                      0                     0

   Water tankers                     24                        33                      32                     83                    2

   Bottled or canned                 15                        8                       19                     13                    96

   Donkey carts or bicycles          7                         7                       8                      1                     0

   Relatives or neighbors            6                         10                      4                      0                     0

   Boreholes (individual)            2                         6                       0                      0                     0

   Private vendors                   1                         1                       1                      2                     0

   Boreholes (shared)                1                         1                       0                      0                     0

   Mains (shared)                    0                         0                       29                     0                     0

   Mains (individual)                0                         24                      0                      0                     2

   Note: This table displays the source of water that respondents turn to during water scarcity by their source of water under normal conditions. For example,
   37 percent of respondents who obtain water from illegal connections to the mains obtain water from the same source during scarcities. Respondents may obtain
   water from multiple sources during scarcities and under normal conditions.
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




 28
                                                                                                               Water and Sewerage Services
                                                                                                               in Karachi: Citizen Report
                                                                                                               Card—Sustainable Service
                                                                                                               Delivery Improvements




    Table 9: Perceptions in quality of water (all sources taken together)

   Characteristics             Perception                       Number (%)              Reasons for unacceptability of taste         Number (%)

   Taste                       Acceptable                       96

                               Unacceptable                     4                       Brackish or salty                             73.2

                                                                                        Mixed with sewage water                       23.9

                               Sweet                            98                      It is contaminated                            0.7

                               Hard                             2                       Don’t know                                    2.9

   Color                       Clear                            84

                               Partly muddy                     13.8

                               Muddy (brownish)                 2.1

   Smell                       Acceptable                       94.5

                               Unacceptable                     5.5

   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




breakdowns during the last one year.
However, a relatively larger proportion
from SITE (29 percent) and Saddar
(20 percent) reported in the affirmative
on this count. The two most popular
alternative sources of water during
such stoppages from the mains are
private tankers (38 percent) and water
cans (26 percent), both of which
are purchased.

What are the Coping Measures
Adopted by Citizens to Meet
Issues of Adequacy and Quality
of Water?
Though the majority of respondents
expressed satisfaction with the taste,
smell, and color of water they use,
large numbers of households (45
percent) using the mains water report




                                                                                                                      29
                                                                                                                  median value was found to be
      Figure 3: Percentage of mains water users reporting
                                                                                                                  Rs. 7,0003). It was also found that
      storage facilities
                                                                                                                  over 93.8 percent of households with
                                                                                                                  storage tanks reside in a pucca (that
                                                                                                                  is, stronger) household structure.


                                                                                                                  Feedback from Users of
                                                                                                                  Water Sources outside
                                                                                                                  Residential Premises

                                                                                                                  How Accessible and Convenient
                                                                                                                  are Sources Located outside
                                                                                                                  Residential Premises?
                                                                                                                  As could be expected, most
                                                                                                                  respondents reporting use of sources
                                                                                                                  located outside residences belong to
                                                                                                                  the lower socioeconomic strata. The
                                                                                                                  data show that in most cases, these
                                                                                                                  sources are usually located at a
                                                                                                                  distance of around 10 minutes from
                                                                                                                  the residences of the users, covered
                                                                                                                  mostly by foot in times of both
                                                                                                                  normalcy and scarcity. The majority of
                                                                                                                  the users (70 percent) report that the
      a. SITE stands for Sindh Industrial and Trading Estate.
      Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and                          sources are accessible 24 hours a
      sewerage services in Karachi.                                                                               day. On an average day of collection
                                                                                                                  of water, users have to wait for 30
                                                                                                                  minutes. The water is fetched by
treating the water, probably due to                                respondents in Bin Qasim, all others           mostly adult men. The complaints
the worry of contamination. Boiling                                report high proportions of use of              related to this source included long
the water was found to be the most                                 storage facilities. Further analysis           queues, heckling, and quarrelling
popular form of treating water.                                    shows that the presence of a                   amongst the users.
Households were also asked whether                                 storage tank is positively correlated
they had storage tanks at home to                                                                                 Transparency in
                                                                   with a household’s socio-economic
cope with unreliable supply. Almost                                                                               Service Provisions
                                                                   classification (SEC). The higher the
one-fourth of those with a mains                                   household’s SEC, the higher the                Users of mains connections were
connection reported having invested                                chances of the presence of a                   queried about how transparent their
in storage facilities. The presence of a                           storage tank.                                  service providers were in terms of
storage mechanism indicates the                                                                                   billing practices and petty corruption.
uncertainty in water supply. As can                                This can be explained by the high
be discerned from Figure 3, except                                 cost of constructing such a tank (the          How Often do Customers Get
                                                                                                                  Water Bills?
3
                                                                                                                  A worrying finding from this survey is
  UD$1 = PKR 85 (approximately), as of August 2010. Conversion rates are from www.coinmill.com; all conversions
in the text are approximations.                                                                                   that large numbers of the KW&SB’s




 30
                                                                                                                Water and Sewerage Services
                                                                                                                in Karachi: Citizen Report
                                                                                                                Card—Sustainable Service
                                                                                                                Delivery Improvements




    Figure 4: Percentage of users of mains water source that reported receiving a water bill




   a. SITE stands for Sindh Industrial and Trading Estate.
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




legal customers (38 percent) report                     overall basis (87 percent). Extremely                    G     People will not waste water.
not receiving any bills for their                       low awareness regarding the status                       G     Billing is not proportionate to the
consumption of water. Wide spatial                      of KW&SB as a billing authority was                            water consumption. The charges
variations were noticed in this context.                found among the households of                                  were more than what was being
Over 82 percent of the households                       Gadap, where a high percentage of                              supplied or consumed.
with a mains connection in Bin Qasim,                   bill recipients either quoted an
                                                                                                                 G     Budgeting of water bill will
50 percent in Saddar, and 58 percent                    incorrect agency (37 percent) or
                                                                                                                       be possible.
in SITE reported not receiving a bill for               were not aware of the KW&SB at all
water consumption. On the other                         (8 percent).                                             Did Respondents Bribe Any
extreme, most users (97 percent) in                                                                              Official to Get the Work Done?
                                                        The billing charges are neither                          No cases of bribes paid were
Gulberg reported receiving a
                                                        perceived to be too high or too low in                   reported in this survey, though a
water bill.
                                                        most towns except SITE. In SITE,                         small proportion reported witnessing
For those receiving water bills, the                    38 percent believe that the charges                      someone else paying a bribe to
frequency of receipt is mostly on a                     for water supply from the mains                          an official.
monthly basis (87 percent); a few                       are somewhat high. Most of the
                                                                                                                 Did Respondents Receive Any
cases of quarterly and annual bills are                 residents did not offer any conclusive
                                                                                                                 Advance Notice from the KW&SB
also quoted. Almost one-third of the                    comments as to whether the billing
                                                                                                                 Regarding Stoppages?
users (31 percent) in Bin Qasim who                     should be based on consumption in
received bills report receiving                         their opinion.                                           Most respondents who reported
annual bills.                                                                                                    being affected by major stoppages in
                                                        Those who firmly believed that billing                   water supply could not recollect
The awareness of the KW&SB as a                         should be based on consumption                           seeing any advance notice about this
billing authority is quite high on an                   offered the following reasons:                           issue from the KW&SB.




                                                                                                                      31
                                                                                        while those of SITE (77 percent),
                                                                                        Orangi (76 percent), North Nazimabad
                                                                                        (72 percent), and Kemari (58 percent)
                                                                                        preferred interacting with the
                                                                                        authorities collectively.

                                                                                        The issue in most towns was resolved
                                                                                        amicably except in Bin Qasim (47
                                                                                        percent) and Gulshan (58 percent),
                                                                                        where dialog was supplemented with
                                                                                        some kind of pressure by the people.

                                                                                        Interactions with KW&SB officials were
                                                                                        extremely low in most towns. Over 26
                                                                                        percent of the households in the nine
                                                                                        towns did not think it would make any
                                                                                        difference, while over 19 percent did
                                                                                        not know where and with whom they
                                                                                        were supposed to interact. The issues
                                                                                        were related mostly to water stoppages
                                                                                        (79 percent), and a majority preferred
                                                                                        complaining in person. Over 47 percent
                                                                                        of the households who had
                                                                                        approached the KW&SB found its
                                                                                        officials very inaccessible.

                                                                                        Incidence of Waterborne Diseases

                                                                                        Contamination of water has a major
Interaction with the KW&SB                problem with water supply never               impact on the health of people. This
                                          interacted with the authorities; instead,     survey attempted to find out instances
Respondents who were users of the
                                          political representatives like union          of waterborne diseases affecting
mains connection were asked a series
                                          councilors and town nazims were most
of questions regarding their nature of                                                  sample households in the nine towns.
                                          commonly approached. A distressing
interaction with the KW&SB.                                                             Respondents were asked about the
                                          finding from this survey was that
                                                                                        most common waterborne diseases
Over one-third (39 percent) of the        60 percent of the lowest SEC group
                                                                                        they contracted. Information was
households reportedly faced problems      (E2) never complained.
                                                                                        collected about the number of persons
in water supply over the past year. The
                                          The mode of interaction also differed         affected in the household, the average
incidence of problems was relatively
                                          across different towns. The residents of      number of days of the illness (per
higher in SITE (54 percent), Saddar
                                          Gadap (88 percent), Gulshan (82               person), and the cost incurred
(46 percent), Kemari (46 percent), and
                                          percent), Bin Qasim (80 percent),             (per person) for the treatment of that
Orangi (42 percent).
                                          Gulberg (77 percent), and Saddar (66          particular disease. On an average, two
However, over 40 percent of the           percent) strongly preferred interacting       persons in the households were
households who faced some kind of a       with the authorities at an individual level   affected by typhoid, hepatitis, cholera




 32
                                                                                                     Water and Sewerage Services
                                                                                                     in Karachi: Citizen Report
                                                                                                     Card—Sustainable Service
                                                                                                     Delivery Improvements




  Table 10: Incidence of waterborne diseases and costs incurred                                      dissatisfaction; and along a numerical
                                                                                                     scale of 1–10 with 1 being the lowest
  Illness                            No. of persons            Days of             Costs incurred/   and 10 being the highest. The main
                                     affected                  illness             person (Rs.)      source of drinking water has been
                                                                                                     broken down into two distinct
  Typhoid (N = 227)                   2                         22                 2,000
                                                                                                     categories: users of mains line (illegal
  Hepatitis (N = 119)                 2                         68                 4,250             and legal connections) and those
  Cholera (N = 1144)                  2                         8                  500               households who obtained water from
                                                                                                     outside sources.
  Dysentery (N = 182)                 2                         9                  500
  Source: Data compiled during a pilot Citizen Report Card on water, sanitation,
                                                                                                     The average satisfaction with drinking
  and sewerage services in Karachi.                                                                  water distribution among households
                                                                                                     across Karachi that primarily obtained


or dysentery. Over 23 percent of the
households were affected by cholera,
which had affected all the nine towns
surveyed. This is so despite the fact that
most households thought that the water
quality (in terms of its color, taste, and
smell) was acceptable (see Table 9). Bin
Qasim (19.4 percent) was the town
which was most affected by this
disease; incidentally, Bin Qasim
had reported significant usage of
water purchased from small-time
street vendors.

Hepatitis is the most expensive disease
to treat at Rs. 4,250 followed by typhoid
(Rs. 2,000). Median values were used to
calculate the costs to exclude the
influence of outliers.

Satisfaction with Water Provision

Citizens’ satisfaction is a direct measure
of the overall effectiveness of a service.
The households were asked to rate their
satisfaction with various aspects of
service delivery according to two
measures—along a scale ranging from
complete satisfaction and




                                                                                                       33
     water through mains lines (both legally               the highest satisfaction (7.36)
     and illegally) was 6.74 out of 10. Those              amongst the nine towns and SITE the
     who obtained water primarily from                     lowest (6.20) with regard to water
     sources outside their domicile, such as               from the mains. For sources outside
     through private water tankers, were                   residences, Saddar reports the
     markedly less satisfied—the average                   highest satisfaction (6.05) and Orangi
     satisfaction rate with water distribution             the lowest (2.80)
     among households that obtained water                  The KW&SB can take credit for this
     primarily from outside the household                  verdict, as the users of the mains
     was an abysmal 3.93. Gulberg reports                  connection for drinking water report a



         Table 11: Average satisfaction levels with drinking
         water distribution by source of water

        City/town                                                Source
                                                Main                         Outside domicile

       Karachi                                  6.74                         3.93


       Gulberg                                  7.36                         3.60


       North Nazimabad                          7.13                         5.23


       Saddar                                   6.99                         6.50


       Bin Qasim                                6.96                         5.93


       Kemari                                   6.90                         3.57


       Gulshan                                  6.49                         4.06


       Gadap                                    6.35                         3.09


       Orangi                                   6.29                         2.80


       SITE                                     6.20                         3.33

       Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage
       services in Karachi.




34
                                                                                                               Water and Sewerage Services
                                                                                                               in Karachi: Citizen Report
                                                                                                               Card—Sustainable Service
                                                                                                               Delivery Improvements




    Table 12: Areas for improvement

                 Gadap               SITE          Saddar        Kemari         Orangi        Bin Qasim        Gulshan       Gulberg North Nazimabad

    First        Regularly           Regularly     Regularly     Regularly      Regularly     Regularly        Time taken Clean          Clean
    priority     available           available     available     available      available     available        to attend to water        water
                 water               water         water         water          water         water            problems

    Second       Clean water/        Clean         Clean         Clean          Strong     Adequate            Regularly     Regularly Regularly
    priority     strong              water         water         water          pressure water for             available     available available
                 pressure                                                       from mains household           water         water     water

    Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




higher satisfaction on an overall basis,                Areas for Improvement                                    towns suggested that the KW&SB
with their coefficient of variance being                                                                         should first prioritize water availability
                                                        Most households cite the need for
on a lower side as compared to                                                                                   and then address water cleanliness.
                                                        regular availability of water as the
the ratings provided by users of                                                                                 However, residents of Gulshan felt
                                                        area the KW&SB could improve the
other sources.                                                                                                   that the KW&SB should first prioritize
                                                        most. When asked about the areas
This finding is further reiterated by the               in which the KW&SB should prioritize                     the improvement of its grievance
town level analysis which shows that                    any reforms, a majority of                               redress system, and households in
all the households of the nine towns                    households suggested that the                            Gulberg and North Nazimabad
rate the satisfaction with mains water                  agency should first concentrate on                       suggest that the KW&SB first
higher than their counterparts who                      providing a frequent and steady                          improve the cleanliness of water in
depend on outside sources.                              source of water. Residents of most                       those towns.




                                                                                                                   35
36
                                                                                                               Water and Sewerage Services
                                                                                                               in Karachi: Citizen Report
                                                                                                               Card—Sustainable Service
                                                                                                               Delivery Improvements




Sewerage Services
Access to Sewerage                                                                                              Quality and Reliability of
                                                                                                                Sewerage Maintenance
Where Does the Waste from the
Toilet Go?                                                                                                      How Frequently are Sewerage
Most households surveyed (93                                                                                    Facilities Cleaned?
percent) had a sewerage connection                                                                              Almost 83 percent of households
for disposal of toilet waste. However,                                                                          report that sewers are only cleaned
variations across towns are
                                                                                                                when blocked. Barring Gulshan, where
reported. Over 32 percent of the
                                                                                                                15 percent of households report that
households in Bin Qasim town were
                                                                                                                sewers are generally cleaned once a
reportedly using the drain outside
                                                                                                                month, respondents in most localities
their house for waste disposal.
                                                                                                                report that sewers are not cleaned
Some households in Kemari
                                                                                                                regularly. When sewers are cleaned,
(7 percent) and Gadap (8 percent)
                                                                                                                55 percent of households report that
were also using drains in the
absence of a sewerage connection.                                                                               the work is done by official cleaners
In most instances, the absence of a                                                                             while 34 percent of households admit
sewerage connection was found in                                                                                to hiring private cleaners. The latter
informal settlements (69 percent).                                                                              practice is the most prevalent in
Sewerage connections were also                                                                                  Gulshan and Bin Qasim, where 56
absent in newly established localities                                                                          percent and 47 percent of households,
where pipelines had not been laid as                                                                            respectively, reported hiring a
yet (10 percent).                                                                                               private cleaner.


   Figure 5: Profiles of toilet waste disposal




   a. SITE stands for Sindh Industrial and Trading Estate.
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




                                                                                                                      37
Costs Incurred in Maintaining                            Problems Faced with Sewerage
Sewerage Facilities
                                                         How Many Respondents
Did Households Incur Any                                 Faced a Problem with the
Expense for Cleaning                                     Sewerage System?
and Maintenance?
Respondents also have stated that                        A little under one-fourth of the
official cleaners charge households                      households (21 percent) had
to clean gutters—67 percent of                           experienced major sewerage problems
respondents in Sindh Industrial and                      in the past year. A high percentage of
Trading Estate (SITE) and 62                             problem incidences were reported from
percent of respondents in                                SITE (37 percent), Saddar (29 percent),
Nazimabad reported that official                         and North Nazimabad (27 percent).
cleaners charged to clear sewers.
                                                         Most of the major sewerage problems
On average, official cleaners                            were related to blocked gutter lines
charged between Rs. 20 to Rs. 50.                        (65 percent). Households also
Nearly 51 percent of households                          complained about rain water that
have used their own funds to                             was stagnant and had no proper
maintain sewers.                                         drainage outlet.

On average, a household spends                           Over 51 percent of the households
Rs. 500 per year to maintain its                         who reported being affected by major
connection. Almost 12 percent of                         sewerage problems had complained
households that did spend their                          to the authorities. Most of these were
own funds to maintain their                              in SITE (29 percent), Saddar
sewerage connections spent over                          (14 percent), and North Nazimabad
Rs. 1,000 per year.                                      (14 percent).


                                                                                                   Interactions with the KW&SB on
      Table 13: Redress of complaints with different authorities
                                                                                                   Sewerage-Related Issues

                                   Yes            Yes, partially          No        Total          As observed in the case of water,
                                                                                                   households generally approached
   Union counselor                 37.8           28.1                    34.1      100            the officials of the City District
                                                                                                   Government Karachi; union
                                                                                                   counselors (43 percent) or the nazim
   Town nazim                      64.7           17.6                    17.6      100
                                                                                                   (37 percent). Most complaints were
                                                                                                   communicated in person (81
   Union council nazim             31.7           30.4                    37.9      100            percent). Other methods included
                                                                                                   telephone calls (10 percent), letters
   Water board (N = 33)            6.1            12.1                    81.8      100            (5 percent), and complaint registers
                                                                                                   (3 percent).
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation,
   and sewerage services in Karachi.                                                               However, as can be discerned from
                                                                                                   Table 13, problem resolution was




 38
                                                                                                Water and Sewerage Services
                                                                                                in Karachi: Citizen Report
                                                                                                Card—Sustainable Service
                                                                                                Delivery Improvements




 Table 14: Average satisfaction with sewerage                                                    unfortunately quite low, with over
                                                                                                 80 percent of the households’
City/town                                                                 Score (maximum: 10)    complaints to the Water Board
                                                                                                 still pending redress. Only the
Gadap                                                                    7.23                    town nazim seems to take
                                                                                                 immediate action on the
Gulberg                                                                   7.05
                                                                                                 complaints received.
Kemari                                                                    6.95
                                                                                                 Satisfaction with
Gulshan                                                                   6.65                   Sewerage System
Orangi                                                                    6.44                   The average satisfaction among
                                                                                                 households across Karachi
Saddar                                                                    5.9
                                                                                                 towards sewerage services was
North Nazimabad                                                           5.85                   6.35 out of 10. There were,
                                                                                                 however, variations in the
Bin Qasim                                                                 5.7
                                                                                                 satisfaction of households
SITEa                                                                     5.24                   towards sewerage services in
                                                                                                 different towns. For example,
Total (for Karachi)                                                       6.35                   households in Gadap had an
                                                                                                 average satisfaction of 7.23 on
a. SITE stands for Sindh Industrial and Trading Estate.
Source: Data compiled during a pilot Citizen Report Card on water, sanitation,                   the high end, while households in
and sewerage services in Karachi.                                                                SITE had an average satisfaction
                                                                                                 of 5.24.




                                                                                                  39
40
                                                                                                    Water and Sewerage Services
                                                                                                    in Karachi: Citizen Report
                                                                                                    Card—Sustainable Service
                                                                                                    Delivery Improvements




Public Toilets
Availability and Usage of                               and 72 percent reported that public
Public Toilets                                          toilets are generally safe. Sixty-five
                                                        percent of respondents felt that toilets
Public toilets are found in parks, shops,
                                                        were clean either most of the time or
plazas, and mosques. About 1 percent
                                                        always. Only 14 percent of respondents
of respondents categorize themselves
                                                        found that water was rarely or never
as highly frequent users of public toilets
                                                        available in toilets.
and 10 percent of respondents
categorize themselves as rare users.                    Forty percent of households reported
Over 19 percent of households in                        that queues were present only rarely
Karachi have used a public toilet. Most                 while 33 percent reported that queues
of the users are found in Gadap (17.7                   were present either most of the time
percent), Bin Qasim (16 percent), and                   or always.
Kemari (16.6 percent).
                                                        Satisfaction with Public Toilets
Service Delivery Issues
                                                        The average satisfaction among
Almost 70 percent of households found                   households across Karachi towards
the location of toilets to be convenient                public toilets was 6.64 out of 10. Again,



    Table 15: Average satisfaction with public toilets

   Public toilets                                                   Mean score (out of 10)

   Gulshan                                                          8.69

   Gadap                                                           6.97

   Saddar                                                           6.83

   Orangi                                                           6.75

   SITEa                                                            6.41

   Bin Qasim                                                        6.38

   Gulberg                                                          6.21

   Kemari                                                           5.88

   North Nazimabad                                                  5.70
                                                                                                     there was great variation in satisfaction
   Total (for Karachi)                                              6.64                             rates across towns—the average
                                                                                                     satisfaction level in Gulshan was 8.69
   a. SITE stands for Sindh Industrial and Trading Estate.
                                                                                                     on the high end, while the average
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation,
   and sewerage services in Karachi.                                                                 satisfaction in North Nazimabad was
                                                                                                     5.70 on the low end.




                                                                                                      41
42
                                                                                    Water and Sewerage Services
                                                                                    in Karachi: Citizen Report
                                                                                    Card—Sustainable Service
                                                                                    Delivery Improvements




General Perceptions and Opinions
Nearly 37 percent of respondents felt     service delivery. Those in favor of       increase as a result of market forces and
that water and sewerage services have     private sector involvement cited          that government employees would lose
improved over the last two years. Close   potential improvements in service         their jobs. Over 80 percent of
to 29 percent felt that water and         delivery, such as fewer water shortages   households felt that information should
sewerage services have greatly            and frequently cleaned sewers in          be disseminated through television.
improved while 22 percent were            addition to greater transparency and      Some also wanted such information to
indifferent. Almost 49 percent of         responsiveness. Those against the         be made public through neighborhood
respondents were against the notion of    private sector’s involvement in public    meetings (8 percent), newspapers
private sector involvement in public      service delivery felt that prices would   (9 percent), and radio (1 percent).




                                                                                      43
44
                                                                                                  Water and Sewerage Services
                                                                                                  in Karachi: Citizen Report
                                                                                                  Card—Sustainable Service
                                                                                                  Delivery Improvements




Causal Factors for Complete Satisfaction
The satisfaction ratings discussed in                   from the corresponding expected
this survey are based on self-                          frequencies. In other words, chi-
assessment by the utility, of some                      square measures the magnitude of
selected services by various users.                     the discrepancy between expectation
Since user satisfaction feedback is an                  and observation. This test can be
important component of the                              applied to test the goodness of fit;
assessment of public services carried                   test the homogeneity or the
out, it may be useful to explore the                    significance of population variance;
significance of the relationship between                and test the significance of
satisfaction levels and some critical                   association between two attributes.
parameters or indicators of the
service. With this objective, an effort                 A chi-square test of association was
was made to identify critical parameters                carried out for the services probed in
                                                        this Citizen Report Card to explore
of services that influence complete
                                                        the strength of linkages between a
satisfaction as expressed by
                                                        set of independent variables (service
relevant users.
                                                        parameters or attributes) and a
The chi-square test is an important                     dependent variable (complete
test among the several tests of                         satisfaction). The chi-square tests
significance developed by statisticians.                resulted in an interesting order of
The chi-square (symbolically written                    variables that impact complete
as χ2) is a measure of the degree to                    satisfaction. Consolidated findings are
which observed frequencies deviate                      discussed here.


   Table 16: Factors of complete satisfaction with water
   supplied through the mains

   Parameters                                                               Chi-square   Rank
                                                                            values

   Costs associated with it                                                 1205.04      1
   Adequacy of water during normal times of supply                          867.22       2        Explaining Complete Satisfaction
   (that is, water available from this source is enough                                           with Water Supplied through
   to meet the needs of the family)                                                               the Mains
   Quality of maintenance (for example, of water pipes,                     866.72       3        While variations across towns are
   wells, pumps, and so on)                                                                       depicted in Table 17, Table 16 shows
   Other aspects of water quality (that is, whether water                   798.85       4        the chi-square values and the relative
   is clear, has acceptable taste and smell, and so forth)                                        ranks based on their values. Costs (to
   Regularity of water supply during normal periods of                      790.33       5        the household) associated with
   water supply                                                                                   accessing water, followed by
   Behavior of staff                                                        513.32       6        adequacy of water to meet household
                                                                                                  requirements and quality of
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation,
   and sewerage services in Karachi.                                                              maintenance are the first three major
                                                                                                  determinants of overall satisfaction.




                                                                                                    45
     Table 17: Satisfaction with water supply from the mains
     (top three causal factors across towns)

     Towns                  Rank 1                                       Rank 2                                         Rank 3

     Gadap                  Billing system                               Associated costs                               Other aspects of water quality

     Bin Qasim              Regularity of water supply                   Regularity of water supply during              Adequacy of
                            during normal times                          scarcity times                                 water supply

     Gulshan                Associated costs                             Quality of maintenance                         Adequacy of water supply

     Orangi                 Adequacy of water supply                     Regularity of water supply during              Quality of maintenance
                                                                         normal times

     Kemari                 Associated costs                             Billing system                                 Adequacy of water

     Saddar                 Regularity of water supply                   Associated costs                               Billing systems

     Gulberg                Regularity of water supply                   Adequacy of water supply                       Associated costs

     Nazimabad              Associated costs                             Adequacy of water supply                       Quality of maintenance

     SITEa                  Billing system                               Quality of maintenance                         Adequacy of water supply

     a. SITE stands for Sindh Industrial and Trading Estate.
     Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




46
                                                                                                              Water and Sewerage Services
                                                                                                              in Karachi: Citizen Report
                                                                                                              Card—Sustainable Service
                                                                                                              Delivery Improvements




   Table 18: Factors of complete satisfaction with
   sewerage connections

   Parameters
                                                                      Chi-square             Rank

   Cleaning of sewers                                                 6279                   1

   Problem resolution                                                 6020                   2

   Condition of sewers                                                6016                   3

   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and
   sewerage services in Karachi.



Explaining Complete Satisfaction                       Thus, regular cleaning and maintenance
with Sewerage Connections                              of sewers and speedier grievance
Variations across towns are depicted in                redress will improve satisfaction with
Table 19.                                              sewerage connections.


  Table 19: Satisfaction with sewerage connections (top three causal factors across towns)

  Towns                               Rank 1                                            Rank 2                             Rank 3

  Gadap                               Condition of sewers                               Problem resolution                 Cleaning of sewers

  Bin Qasim                           Problem resolution                                Cleaning of sewers                 Condition of sewers

  Gulshan                             Cleaning of sewers                                Problem resolution                 Condition of sewers

  Orangi                              Condition of sewers                               Problem resolution                 Cleaning of sewers

  Kemari                              Condition of sewers                               Cleaning of sewers                 Problem resolution

  Saddar                              Cleaning of sewers                                Condition of sewers                Problem resolution

  Gulberg                             Problem resolution                                Cleaning of sewers                 Condition of sewers

  Nazimabad                           Problem resolution                                Condition of sewers                Cleaning of sewers

  SITEa                               Condition of sewers                               Problem resolution                 Cleaning of sewers

  a. SITE stands for Sindh Industrial and Trading Estate.
  Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




                                                                                                                     47
     Table 20: Factors of complete satisfaction with public toilets

 Public toilets                                                     Chi-square    Rank

 Adequacy of public toilets                                         898           1

 Location of public toilets                                         808           2

 Cleanliness of public toilets                                      780           3

 Water availability in public toilets                               626           4

 Source: Data compiled during a pilot Citizen Report Card on water, sanitation,
 and sewerage services in Karachi.




     Table 21: Roadmap for service improvement

 Service                        Areas of improvement

 Water supply                    • Rationalizing cost of water

                                 • Ensuring adequacy of supply

                                 • Ensuring timely maintenance

 Sewerage                        • Regular cleaning and maintenance of sewers
                                                                                         Explaining Complete Satisfaction
                                 • Speedy grievance redress                              with Public Toilets
 Public toilets                 • Setting up more facilities in convenient locations     Increasing the number of public toilets
                                                                                         in the towns, putting them at
                                 • Ensuring cleanliness
                                                                                         convenient locations, and ensuring
 Source: Data compiled during a pilot Citizen Report Card on water, sanitation,
                                                                                         cleanliness are indicated as the
 and sewerage services in Karachi.                                                       key determinants of (current)
                                                                                         user satisfaction.




48
                                                                                                               Water and Sewerage Services
                                                                                                               in Karachi: Citizen Report
                                                                                                               Card—Sustainable Service
                                                                                                               Delivery Improvements




Institutionalizing Citizen
Report Cards in Karachi
There are three specific possibilities                 users, regarding the courtesy shown by                   G     Support the creation of local fora
that this exploratory Citizen Report                   the staff or motivation of the staff, may                      and opportunities for increased
Card (CRC) exercise opens up within                    point to specific aspects of personnel                         consultation and participation
the existing institutional framework                   management and development that                                from customers.
of water and sewerage services                         need attention.
in Karachi.                                                                                                     G     Mobilize additional resources
                                                       There are multiple ways that the KW&SB                         to change polices or
                                                       can utilize the CRC findings to facilitate                     improve implementation of
Using CRC as an Internal Change
                                                       improvements in services. In many                              existing policies.
Management Tool: The Premise
                                                       ways, what distinguishes a CRC from a
                                                                                                                G     Implement spatial uniformity.
The patterns of ratings and problems                   regular survey is the postsurvey strategy
highlighted in the CRC can be used to                  to build upon the ‘symptoms’ provided
                                                                                                                Using CRC for Internal Reforms:
diagnose the weak links in the Karachi                 by the CRC, and design effective and
                                                                                                                The Strategy
Water and Sewerage Board’s (KW&SB)                     focused responses. Some of the
operations. The objective scores and                   responses that the KW&SB can                             “When a physician checks the
measures offer a clear indication of the               consider are:                                            temperature and blood pressure of a
severity of these weaknesses. For                                                                               patient, she is looking for the
instance, a slightly worrying finding                  G    Redesign service delivery processes.                symptoms of the illness. She then
ensuing from this exercise is the wide                                                                          uses the test results to do an expert
                                                       G   Respond to the unique needs of
variation in service quality across                                                                             diagnosis of the patient’s condition.
                                                           various customer strata (poor versus
different towns. This clearly signals                                                                           The remedies she prescribes are
                                                           rich localities).
inequity in service provision. Yet                                                                              guided by the findings of her
another issue is that of the low                       G   Design back-end improvements                         diagnosis. She will consider different
resolution of complaints. Further                          (computerization for billing, training of            options and dosages before deciding
assessment of the feedback given by                        staff, and so on).                                   on her prescriptions.�?


   Table 22: Exploring future possibilities

   Key driver                                                Menu of actions                                          Desired outcomes

   Internal review and assessment                            • Performance monitoring                                 • Identifying service gaps
   (Diagnosis)
                                                             • Strategizing reforms or responses                      • Improved service quality

   External sharing of findings                              • Public dissemination of findings                       • Enhanced transparency
   (Accountability)
                                                             • Regular customer interfaces                            • Better customer relations

                                                             • Consultations on specific issues                       • Space for participation

   Periodic/Repeat CRC                                       • Identifying service benchmarks                         • Tracking progress over time
   (Benchmarking)
                                                             • Reviewing benchmarks                                   • Pressure on poor performers

   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




                                                                                                                    49
      Table 23: From symptoms to reforms: Options generated to respond to specific CRC findings

   Key finding           Possible reasons            Suggested measures             Expected risks or barriers          Timeline




This medical analogy is helpful in            offers the basis for moving on to the          to enhance the credibility of the entire
understanding the link between a CRC          next step.                                     exercise. Proactive initiatives such as
and the responses or reforms required                                                        organizing customer meetings and
from the KW&SB. The information               (2) Probing the causal factors underlying      open houses can be tried out in the
provided by the CRC can be a useful aid       the symptoms is the next step. Those           nine towns to bring the KW&SB closer
to diagnosis and a springboard for            who engage in this diagnostic exercise
                                                                                             to the people. It is recommended that
further probes into the problems              need to have good domain knowledge
                                                                                             following the dissemination of the
identified in the service ratings. For        to be able to identify these factors and
                                                                                             CRC, two rounds of public (customer)
example, the ratings of the different         their relative importance in a given
                                                                                             meetings be organized at each town
dimensions of a service are very similar      context. The diagnosis should result in
                                                                                             level. The first one can be to discuss
                                              the identification of the gaps that need
to the symptoms that a doctor is able to                                                     the findings from the CRC and also to
                                              to be filled in order that the services may
read from the test results. If the KW&SB                                                     publicly state the responses that the
                                              be improved
gets a low rating on ‘problem resolution’,                                                   KW&SB is planning to address some
it means that people are either left          (3) The search for reform options that         of the emergent issues. Following
dissatisfied with the services or forced to   can effectively fill these gaps is the final   this, a mid-year review should be
explore other informal options. Here, the     step in this sequence. Often, a                organized to not only discuss
report card has merely signaled some          combination of reforms may be required.        progress in the reforms or responses
‘symptoms’ based on feedback from the         Domain knowledge and expertise are             but also to get public perceptions on
people. But whether they reflect genuine      critical to the identification, choice, and    the issue.
problems or what their underlying             sequencing of reforms.
causes are cannot be inferred from the                                                       Yet another possibility is to use the
symptoms alone. What is required is a         Since reforms can upset the status quo         feedback to realign and review existing
deeper probe into the phenomena               and go against the interests of influential    standards and norms of services. The
identified by the people and the factors      groups, it is also important to strike a       institutional spaces created through
that might have contributed to them.          balance between the ideal and the              regular customer interfaces can also
                                              practical. Broad-based internal                be used for customer education
The sequence of steps that can lead the       discussions could help to identify the set     campaigns and programs.
KW&SB to a set of focused responses           of practical reforms or responses. A
and reform options can be described as:                                                      It may also be worthwhile to share
                                              model template to capture the ideas and
                                                                                             the critical processes and findings from
                                              reflections is presented in Table 23.
(1) The starting point is the CRC’s                                                          this pilot initiative with other utilities
ratings of the different dimensions of the                                                   such as power, and sectors such as
                                              External Dissemination of
KW&SB’s. They provide an array of the                                                        health and education. A ‘Donor
                                              CRC Findings
symptoms that act as impediments to                                                          Roundtable’ can also be organized
effective service delivery. An assessment     Dissemination of the CRC findings with         to disseminate the learning
of these symptoms and their severity          various stakeholders is an essential step      among partners.




 50
                                                                                         Water and Sewerage Services
                                                                                         in Karachi: Citizen Report
                                                                                         Card—Sustainable Service
                                                                                         Delivery Improvements




Mobilizing Demand for Reform
Communication and Advocacy                 the survey but also by using the              responsibilities, highlights the need for
Strategy in Support of CRC on              feedback and information on gaps in           reform while also identifying what
Water and Sanitation Services              service delivery to demand for                reforms are required and, most
in Karachi                                 qualitative improvements in services.         importantly, helps create a constituency
                                                                                         demanding reform and improvement.
The information generated through a        In this age of communication,
Citizen Report Card (CRC) is credible,     information is the fuel that drives the       But CRC data are typically statistical,
objective, and provides useful insights    media engine. Where a tool such as the        and survey-based research is generally
into, and indicators of, citizens’ views   CRC generates information on how              replete with technical terms not easily
and concerns, which have been used         citizens perceive and use public utilities,   understood by a general audience.
to initiate wide-ranging processes of      media becomes a key ally in the               Statistical data need to be translated
reform and transformation. Crucial to      dissemination of this information to the      into action-oriented information that
the success of such initiatives has been   larger population of citizens using these
                                                                                         can create a constituency demanding
citizen participation in the reform        services. This dissemination helps build
                                                                                         reform on the one hand, and an
process, not just through responses in     awareness of civic rights and
                                                                                         institution committed to undertaking the
                                                                                         reforms demanded on the other.

                                                                                         So, for the CRC process to become
                                                                                         truly participatory, a need was felt to
                                                                                         motivate the ‘demand’ side—by
                                                                                         encouraging citizens to become
                                                                                         involved and coalesce into a
                                                                                         constituency demanding that reform be
                                                                                         an ongoing process of improvement,
                                                                                         of water and sanitation as well as
                                                                                         other civic services, rather than a
                                                                                         one-off exercise.

                                                                                         A strategy was developed to sensitize
                                                                                         the media to a citizen-driven reform
                                                                                         agenda. Through a competitive bidding
                                                                                         process, the media advisory firm of
                                                                                         Panos International was selected
                                                                                         to design and implement a
                                                                                         communication strategy, to be woven
                                                                                         around the whole CRC process. Panos
                                                                                         identified the participating media
                                                                                         ‘partners’ through a series of
                                                                                         engagement activities. It proposed
                                                                                         working closely with a smaller group of
                                                                                         print, radio, and television journalists
                                                                                         and professionals—a core group that
                                                                                         could be guided in developing key
                                                                                         messages that bring about desired




                                                                                           51
outcomes in terms of awareness,           publications, news directors of             This introductory round of meetings,
knowledge, and action. By involving       television channels, as well as             while creating a supportive environment
the media as a key stakeholder in this    proprietors of publishing houses. These     for CRC coverage, also helped Panos
way, it was felt that the CRC would       media persons would then meet and           identify the key journalists (beat
then become a ‘breaking story’,           interact with a CRC team comprising,        reporters, anchors, radio broadcasters,
reported by the media as it unfolds,      where possible and available, the lead      news editors, and so on) with whom to
to create mass awareness among            consultant Dr. Gopa Kumar Thampi,           liaise for subsequent activities, such as
citizens and accountability in            WSP CRC Coordinator Mr. Farhan              the Media Mission to Bengaluru, Media
service providers. In the historical      Anwar, WSP Institutional Development        Roundtables, and fellowships, among
perspective of the CRC, this was a        Specialist Ms. Maheen Zehra, and            others. During most meetings with
pioneering initiative.                    Panos Country Representative                editors, they were asked to identify, and
                                          Ms. Sahar Ali.                              where possible introduce, the relevant
The objectives were to be achieved                                                    beat reporters to the CRC team.
primarily through the private,            The CRC was ‘sold’ at these meetings
independent media—a combination           like a breaking story in Karachi. Media     CRC Introductory Workshops
of mainstream media such as print,        persons were encouraged to link the         Based on the meetings with editors,
television, and radio, as well as         CRC to other major stories—the              Panos prepared a list of beat reporters
theater—through a range of activities.    upcoming elections, for example, or the     who would be assigned any stories
The activities unfolded in three          monsoons and its impact on water and        about the Karachi Water and Sewerage
phases—presurvey, survey, and             sanitation services.                        Board (KW&SB). Two informal sessions
dissemination—linked with the
phase-wise planning of the CRC
                                             Box 4: Media organizations and persons visited
process itself.


Program Objectives                           Print media

G     Sensitize the media.                   G     Mr. Mudassir Mirza, Deputy Editor, Jang newspaper, Karachi
G   Build media capacity for
                                             G     Mr. Kamal Siddiqi, Editor Reporting, The News, Karachi
    informed and action-oriented
    CRC reporting.                           G     Mr. Bahzad Alam, News Editor/City Editor, Dawn
G     CRC advocacy.
                                             G     Mr. Fazal Qureshi, Chief Editor, Pakistan Press International news agency

Phase I: Program Activities
                                             Electronic media (including radio)
Presurvey—Media Engagement
and Media Visits                             G     Mr. Azhar Abbas, Director, News and Current Affairs, Dawn News
The first step was to build an enabling
environment for the coverage of the          G     Mr. Rasheed Channa, Vice President, ARY One World, Karachi
CRC by the media. Panos conducted
                                             G     Mr. Masoom Rizvi, Editor, News, Aaj TV, Karachi
a series of introductory engagements
and activities aimed at sensitizing the
                                             G     Mr. Mehdi Raza, Chief Executive, Karachi 107
city’s key media houses. Panos
identified editors of newspapers and




 52
                                                                                         Water and Sewerage Services
                                                                                         in Karachi: Citizen Report
                                                                                         Card—Sustainable Service
                                                                                         Delivery Improvements




were then held in the preparatory
                                                Box 5: Media representatives for the Bengaluru Mission
phase of the CRC Communication and
Advocacy Strategy. Informal meetings            G     Mr. Zeeshan Azmat, Reporter, The News
were organized with the media. These
sessions took place on October 8 and            G     Mr. Danish Saeed, Commercial Manager, Apna Karachi FM 107
27, 2007. WSP’s CRC coordinator,
Mr. Farhan Anwar, spoke to the                  G     Mr. Aamir Ahmed Khan, Reporter, Geo News
participants on the role of the media.
                                                G     Mr. Ishtiaq Hussain, Theater Trainer, Interactive Resource Center
He also expressed the expectation that
the media would not just report the
CRC but popularize it among citizens
and help in creating a constituency         advocacy organizations have kept the         problems of his constituents, learnt
demanding reform in the KW&SB’s             pressure on utility companies and other      about community radio, and
water and sanitation services.              city government institutions, particularly   discovered how sting journalism is
Mr. Anwar also shared with the              the role the media has played in             being carried out by a local television
participants some of the developments       this effort.                                 channel, TV9.
in the project, that is, the formation of
                                            The Media Mission was held from              Orientation Workshop I
an Advisory Committee at the City
                                            February 25 to March 1, 2008, and an         Stakeholder consultative dialog: With
District Government Karachi, which
                                            intensive agenda was prepared in             the survey under way, Panos
included high-ranking officials of the
                                            consultation with The Public Affairs         organized a context-setting activity for
KW&SB and representatives from
                                            Center in Bengaluru. The group visited       journalists to understand the wider
prominent civil society organizations.
                                            the offices of leading daily newspapers      urban context which impacts water
                                            in the city (The Times of India and          and sanitation issues in a burgeoning
Phase II: Program Activities
                                            Bangalore Mirror), met with a theater        metropolis such as Karachi. The
Survey—Mobilizing the Media                 troupe engaged in socially relevant          workshop, titled ‘Profiling the Water
Media Mission to Bengaluru: The next        theater, interacted with a politician who    and Sanitation Sector in Karachi: A
step was to shortlist, from this core       was dedicated to solving the civic           Stakeholder Consultative Dialog’, was
group of journalists, four reporters who
would travel to Bengaluru and study
media coverage of the CRC. Why
Bengaluru? Because this was the
birthplace of the CRC, where the
Report Card methodology has been
developed, tested, and refined over the
past decade, during which time three
CRCs have also been conducted.

In Bengaluru, the CRC was initiated by
citizens as a campaign demanding an
improvement in civic services. In order
to ‘institutionalize’ citizen demand for
reform in Karachi, it was felt necessary
to study how the city’s residents and




                                                                                           53
held on April 18, 2008. Subject
specialists from the public and
private sectors made presentations
on various aspects of the city’s water
and sanitation issues. Questions of
water quantity and availability,
sources, supply versus demand,
water quality, the politics of
distribution, pricing, conservation
practices, institutional challenges
such as leakage, and many others
were addressed and attempted to be
answered by representatives of
government institutions such as the
KW&SB, private organizations such
as Urban Resource Center, Shehri-
Citizens for Better Environment,
Karachi Water Partnership, Orangi
Pilot Project, Transparency
International, consumer rights
organizations such as The Helpline
Trust and Consumers Association of
Pakistan, and water experts from
Water and Sanitation Program (WSP).         on water and sanitation. Freelance          Prior to the commencement of
The role of the media in reporting          journalists were also included in           the fellowship, an orientation
civic issues and the challenge of           this activity.                              workshop was organized where
keeping citizens’ concerns on the                                                       story ideas were deliberated upon
media agenda were also discussed            Fellowships were offered to five            and refined with inputs from
by senior journalist and renowned           journalists to write two articles each,     Mr. Farhan Anwar, CRC Coordinator,
columnist, Mr. Ghazi Salahuddin.            covering different aspects of water         WSP, and Mr. Shahid Saleem
                                            and sanitation. The fellowship              (ex-Deputy Managing Director,
CRC Media Fellowships                       provided a training opportunity             Planning, KW&SB).
In addition to a workshop for beat          for journalists to report more incisively
reporters, Panos offered fellowships        on urban development. The fellows           This activity generated a series of
to journalists from English and             worked closely with Panos and               vigorously researched and well-
Urdu newspapers reporting on civic          experts on water and sanitation             written newspaper reports and
issues to produce a series of articles      issues who helped refine their stories.     features related to water and
                                                                                        sanitation issues, while also
                                                                                        strengthening general journalism
                                                                                        skills. The exercise also developed
      “We got to know everything about water and sanitation at the workshop
                                                                                        an ‘elite force’ of reporters on water
      held by Panos. It was extremely informative.�?
                                                                                        and sanitation, who can be
      Mr. Saif Khan, Reporter, Pakistan Press International news agency
                                                                                        commissioned to write on such
                                                                                        issues in the future.




 54
                                                                                                                             Water and Sewerage Services
                                                                                                                             in Karachi: Citizen Report
                                                                                                                             Card—Sustainable Service
                                                                                                                             Delivery Improvements




        Table 24: Citizen Report Card media fellows’ published stories

        Journalist                                Newspaper                                   Dates of publication             Headline

        Mr. Jamil Khan                            The Daily Times                             Monday, May 12, 2008             ‘KW&SB to strengthen supply
                                                                                                                               network and crackdown on illegal
                                                                                                                               water connections’

                                                                                              Saturday, May 24, 2008           ‘KW&SB bill scheme goes down
                                                                                                                               the drain’

        Mr. Saif Ali Khan                         The Nation                                  Monday, May 12, 2008             ‘Clean drinking water a distant
                                                                                                                               dream for Karachiites’
                                                  Business Recorder
                                                                                              Monday, June 2, 2008             ‘Civic experts fear flooding of
                                                                                                                               Karachi this monsoon’

        Mr. Jan Khaskheli                         The News                                    Monday, May 26, 2008             ‘Narrowing of storm water drains
                                                                                                                               causing alarm’

                                                                                              Saturday, June 7, 2008           ‘Displaced communities await
                                                                                                                               provision of water’

        Ms. Zofeen T. Ebrahim                     Dawn                                        Tuesday, May 20, 2008            ‘Water conservation: Case for a
                                                                                                                               change of lifestyle’

                                                  IPS, Dawn                                   Monday, May 26, 2008             ‘Piped water still an
                                                                                                                               unfulfilled dream’

        Mr. Shabina Faraz                         Jang Midweek                                Wednesday, May 28, 2008          ‘Halqa-e-fikr se maindain-e-amal
                                                  Magazine                                                                     tak… Rah dushwaar sahi magar na-
                                                                                                                               mumkin nahin’4

                                                  Jang Sunday                                 Sunday, June 1, 2008             ‘Barrhti hui abaadi aur sehat
                                                  Magazine                                                                     ke masaa’il’5


       Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




4
    This can be translated as: ‘From realm of thinking to action on the ground: The path is difficult but not impossible’.
5
    This can be translated as: ‘Issues of increasing population and health’.




                                                                                                                               55
                                                          compiled and included in the      The documentary contextualized the
                                                          toolkit. Samples of best          need for reform of water and
                                                          journalism practices in           sanitation services in Karachi—it
                                                          reporting water and               highlighted the lack of accountability
                                                          sanitation issues were also       and opportunities for citizens to
                                                          included in the form of           impact public policy, while presenting
                                                          articles culled from print        the CRC as a tool to generate
                                                          media, both national and          information from users of public
                                                          international. A summary of       services in order to improve them.
                                                          the final report and a copy of
                                                                                            Finally, the documentary provided a
                                                          the documentary, ‘Water
                                                                                            visual record of the CRC process,
                                                          Wisdom’ were also included        which can also be used for advocacy
                                                          in the toolkit.                   purposes. It could be particularly
       Please give cover of Toolkit
                                                                                            beneficial in the long term to
                                                           Key documents such as CRC
                                                                                            advocate for institutionalizing the
                                                           background material and the
                                                                                            process in the KW&SB, and also
                                                           Executive Summary of the
                                                                                            among other civic agencies in
                                                           survey report were translated
Media Toolkit                                                                               Karachi and elsewhere.
                                                 into Urdu. A book on Karachi’s urban
A media toolkit titled ‘Water Wisdom
                                                 issues, Understanding Karachi, by          From conception to completion, the
on Tap: A Journalist’s Guide to the
                                                 renowned architect and urban planner       preparation of the documentary took
Citizens’ Report Card on Water and
                                                 Mr. Arif Hassan was included in the        several months. Detailed briefing
Sanitation Services in Karachi’, was
                                                 toolkit. Both Urdu and English             sessions with the film-maker,
compiled, designed, and published
                                                 versions of the book were distributed.     Ms. Maheen Zia, were followed by
by Panos for dissemination on the
day the CRC survey findings were                                                            constant facilitation in securing
                                                 CRC Documentary
made public in Karachi. The toolkit                                                         interviews with key stakeholders. The
                                                 Panos commissioned a 15-minute
contained background information                                                            Panos team and the WSP CRC
                                                 film, ‘Water Wisdom: Hearing
developed by the Public Affairs                                                             coordinator assisted the film-maker
                                                 Citizens’ Voices on Water and
Center on CRCs. It also included                                                            with questions for the interviews.
                                                 Sewerage Services’, documenting the
profiles of the organizations involved                                                      Once filming was complete, the
                                                 CRC process and building a case for
in the CRC survey and associated                                                            script underwent several revisions.
                                                 the need for citizen engagement with
activities. A list of organizations and                                                     The commentary was also edited
                                                 the state on civic services. The
individuals whom the media could                                                            several times and rewritten by Panos
                                                 documentary also highlighted the
contact for further information on                                                          to achieve clarity, simplify language,
                                                 need for greater civic responsibility on
water and sanitation issues was                                                             and reduce length.
                                                 the part of citizens.
                                                                                            Urdu and English versions of the
                                                                                            documentary were prepared. The
                                                                                            English version of the documentary
      “The list of water and sanitation contacts in the toolkit is extremely
                                                                                            was screened at the CRC survey
      useful—a great idea!�?
                                                                                            dissemination workshop, and its
      Mr. Waqar-ul-Hassan, Assistant News Producer, FM 107
                                                                                            copies were enclosed in the
                                                                                            media toolkit.




 56
                                                                                         Water and Sewerage Services
                                                                                         in Karachi: Citizen Report
                                                                                         Card—Sustainable Service
                                                                                         Delivery Improvements




Phase III: Dissemination—
Institutionalizing Reform and
Mobilizing Citizens

CRC Findings:
Public Dissemination
Once the survey was completed, the
findings were disseminated to
stakeholders, including the media,
through a public event held in Karachi
in collaboration with the Karachi Water
Partnership (Member, CRC Advisory
Committee) on June 5, 2008, which            Dr. Thampi made his analytical                The theater presentations helped
coincided with World Environment Day.        presentation of the survey. Then the          disseminate CRC findings among
The event was a one-day consultative         journalists were asked to share any           citizens in a creative, entertaining,
seminar and partners’ meeting to share       story ideas they may have identified.         and participatory manner. The
the findings of the CRC and the Karachi      These were fleshed out, and other story       CRC’s statistical data were brought
Water Partnership. The survey results        ideas added on to generate a list of          to life on stage in a series of
were analyzed and an executive               ideas for further investigation and           real-life situations highlighting
summary of the report, as well as a          reporting. Stories were assigned to           citizens’ problems and concerns
copy of Dr. Gopa Kumar Thampi's              journalists based on their interest.          about water supply and
analysis, were released to the media at                                                    sanitation services.
this event in printed form, as part of the   Interactive Theater Presentations
media toolkit (that is, ‘Water Wisdom        Following his participation in the Media      This reminded citizens of their civic
on Tap: A Journalists’ Guide to the          Mission to Bengaluru, Mr. Ishtiaq             rights, helped stimulate debate
Citizens’ Report Card on Water and           Hussain of the Lahore-based Interactive       among them on critical civic issues,
Sanitation Services’) as well as through     Resource Center (IRC) worked with a           and underscored that their
a multimedia presentation summarizing        Hyderabad-based theater group, Murk,          involvement is necessary to
the context of the survey, its               to develop a 15-minute theater                improve the water supply and
methodology, and key findings.               presentation on Karachi’s water and           sanitation services they receive.
                                             sanitation issues. Other sources of           A key objective of the theater
Orientation Workshop II                      information for developing the                presentations was to help build a
The second orientation workshop,             presentation were citizen interviews          constituency for demanding reform
‘Understanding Citizens’ Report Card:        recorded for the documentary, story           among the citizens of Karachi. This
Workshop to Interpret CRC Data’, was         ideas prepared for media fellowships,         was evident in the interactions after
held on June 6, 2008, the day after the      the CRC Survey Report, and the                the presentations, when a number
survey findings were made public. It         content of focus group discussions held       of participants took to the stage to
focused on demystifying CRC statistics.      during the questionnaire’s development.       share their specific water and
After an initial introduction to CRC with                                                  sanitation problems, and demand
the screening of the documentary,            A series of eight theater performances        of local government officials
‘Water Wisdom: Hearing Citizens’             were organized by Panos’s partner in          (wherever they were present) to
Voices on Water and Sewerage Issues          this activity, the IRC. Performances were     solve them. The IRC carried out the
in Karachi’ (which many journalists had      held in all of the surveyed towns of          video documentation of the
missed seeing the previous day),             Karachi, except in Kemari.                    performances and interactions.




                                                                                           57
 Table 25: Program objectives, outputs, and outcomes by activity

Proposed activity                   Objective                          Output                           Expected outcome

Presurvey phase

Media visits and CRC                Sensitize the media                Introductory write-ups,          Media is sensitized
introductory workshops                                                 curtain-raiser articles
                                                                       on CRC
Survey phase

Media Mission to                    Sensitize the media                Mission report                   Media understands CRC objectives
Bengaluru                                                                                               and what it can achieve

Orientation workshop I:      Sensitize the media                       Orientation workshop             Media understands CRC context
Profiling the water and
sanitation sector in Karachi

Media fellowships                   Build media capacity for           Series of reports in             Media reporting on CRC is in-depth, accurate
                                    informed and action-               print and electronic             and investigative; advocacy for citizen-led
                                    oriented CRC reporting             media                            reform and accountability mechanisms to be
                                                                                                        included in political party manifestos

Media toolkit                       Build media capacity for           Media toolkit                    Media reporting on CRC is in-depth, accurate,
                                    informed and action-                                                and investigative
                                    oriented CRC reporting

CRC documentary                     CRC advocacy                       15-minute CRC                    Documentation of CRC process
                                                                       documentary

Dissemination phase

CRC findings and their              Build media capacity for           Coverage of CRC                  A high-profile event which brought together
public dissemination                informed and action-               survey key findings              civil society, citizens, the city’s mayor, and
                                    oriented CRC reporting                                              KW&SB management in a constructive
                                    and CRC advocacy                                                    session where the CRC survey findings were
                                                                                                        critiqued and Karachi’s water and sanitation
                                                                                                        services discussed

Orientation workshop II:            Build media capacity for           Orientation workshop             Statistical data demystified; media's capacity
Understanding CRC                   informed and action-                                                built to interpret statistical data into insightful
                                    oriented CRC reporting                                              media outputs (reports and features)

Theater presentations               CRC advocacy                       Theater performances             CRC data disseminated among citizens; CRC
                                                                                                        advocacy; citizen mobilization for reform of
                                                                                                        public utilities

Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.



58
                                                                                       Water and Sewerage Services
                                                                                       in Karachi: Citizen Report
                                                                                       Card—Sustainable Service
                                                                                       Delivery Improvements




Lessons Learnt: Challenges
and Constraints

G   Competing for media
    attention during a period of
    heightened political activity.

One of the greatest challenges to
the program was securing media
attention and interest during a
period of heightened political activity
and turmoil in Pakistan. The
transition from quasi-democratic,
military-led rule to a democracy
through a general election and
the tensions created by the
assassination of a leading political
personality, created an environment
where the CRC story faced stiff
competition. Securing space for
citizens’ concerns continues to
pose a challenge for organizations
pursuing development activities
in Pakistan.

A political event-obsessed media          G   Lack of interest of TV media.            Recommendation: See previous
often ignores the wood for the                                                         recommendation.
trees—obsessively pursuing                Perhaps the biggest offender in
politicians for their statements and      connection with the above point was          G    Fragmented community
paying little heed to citizens’ views.    television. A disappointing lack of               mobilization in a megacity with
Keeping Karachi’s water and               initiative, consistency, and interest was         multiple political affiliations.
sanitation issues on the media            observed among television journalists
                                          and the channels they represented, in        The theater component faced problems
agenda was a constant challenge.
                                          development stories. They were found         related to community mobilization. In a
Recommendation: Greater                   trailing and tailing politicians and other   city of 16 million, it was perhaps an
engagement with editors and               political personalities and making           unrealistic expectation from a single
policy-makers of television channels      reports based on their statements,           community-based organization to
is required to create space for civic     without any inclination to widen the         mobilize people from diverse
issues. Panos proposed a snappy           scope and horizon of media coverage          communities across the city. Moreover,
content survey followed by a series       by giving space to issues of public          in a city like Karachi where a multiplicity
of media dialogs with editors to          interest and relevance. Unfortunately,       of political affiliations are to be found
share the findings, building a case       television channels seem to be setting       within a community or locality,
for prioritizing issues that affect the   the media agenda, with newspaper             mobilization is often a feat only the
lives of citizens.                        reporters following the lead.                politically well-connected and savvy




                                                                                           59
                                                                                G   Managing Karachi Water and
                                                                                    Sewerage Board’s sensitivity to
                                                                                    media criticism while refraining
                                                                                    from ‘media management’.

                                                                                Consideration of the Board’s sensitivity
                                                                                to critical media coverage was a
                                                                                challenge. An understanding of how
                                                                                media functions, and of the nature and
                                                                                psyche of its reporters and desk editors
                                                                                is uncommon among people outside
                                                                                the media industry. Building bridges
                                                                                between these two universes—to
                                                                                enable outsiders to respect the media’s
                                                                                role and responsibility—was a constant
                                                                                challenge in the program. It is important
                                                                                to point out that the concept of ‘media
                                                                                management’ is condescending. Panos
                                                                                Pakistan’s strategy was to ensure that
                                                                                the media had the necessary
                                                                                information and tools at hand to report
                                                                                accurately without trying to impose a
                                                                                particular bias in the reporting. It must
can achieve. In many places,               Recommendation: There is no          be understood that such attempts
witnessing a theater presentation—no       ‘one size fits all’ in the case of   often backfire leading to unnecessarily
matter how entertaining—was not a          community mobilization. A strategy   negative reporting if one is perceived
priority for the community that had a      for mobilization of communities      to be trying to influence the objectivity
choice of other types of entertainment     suited to specific environments      of the media.
or other demands on their time and         must be developed. Panos
attention. To a lesser extent, the issue   will communicate observations        Recommendation: There is a need
of suitable venues that were centrally     and experiences from this program    to sensitize and educate institutions
located and accessible while also          to the IRC and possibly assist       outside the media in the workings
being away from the din of traffic,        in devising a mobilization           of the media in order to build
was another challenge for the              strategy which is suited to the      a relationship of mutual respect
theater component.                         megacity environment.                and understanding.




 60
             Water and Sewerage Services
             in Karachi: Citizen Report
             Card—Sustainable Service
             Delivery Improvements




Appendixes
62
                                                                                                                Water and Sewerage Services
                                                                                                                in Karachi: Citizen Report
                                                                                                                Card—Sustainable Service
                                                                                                                Delivery Improvements




Appendix A: Mapping the Context for
Citizen Report Card in Karachi
In considering whether to adapt or                             feel safe conducting public                       G      Quality of media—Is the media
adopt the Citizen Report Card (CRC)                            feedback exercises like                                  independent? Do media persons
methodology, it is important to assess                         the CRC?                                                 cover issues related to public
whether the local context is suitable.                                                                                  services? Will they cover CRC
The Public Affairs Foundation has                          G   Citizens’ ability to voice                               findings and present them in an
identified eight factors that are                              experience—Do citizens feel                              unbiased manner?
critical to the success of the                                 free to give honest feedback
                                                               about government services?                        G      Responsiveness of service
CRC methodology.
                                                                                                                        providers—Do service providers
                                                           G   Presence and activism of civil                           seek consumer or user feedback?
G   Political context—How would
                                                               society organizations—Are                                How open would they be to
    political institutions in Karachi react
                                                               there active nongovernmental                             independent assessments on
    to methodologies such as CRC?
                                                               organizations or community-                              their performance?
G   Decentralization—Do utilities like                         based organizations in Karachi?
                                                                                                                 These indicators were assessed by
    the Karachi Water and Sewerage                             Are they independent and
                                                                                                                 different sets of stakeholders at a joint
    Board have reasonably high                                 nonpartisan?
                                                                                                                 evaluation workshop organized on April
    degrees of financial and
                                                           G   Survey and research                               18, 2007. Participants were asked to
    policymaking power?
                                                               competency—Are there                              score each criterion on a scale of 1 to
G   Ability to seek feedback—Would                             demonstrated local skills for                     10, with ‘1’ being least favorable and
    research or survey organizations                           survey and analysis?                              ‘10’ being most enabling (see Table 26).


    Table 26: Scores from the stakeholders

    Criterion                                          Government              Civil society            Media                Research         Average
                                                                               organizations                                 firms

    Political setting                                  7                       4                        5                    6                5.5

    Decentralization                                   8                       8                        8                    3                6.8

    Ability to seek feedback                           5                       8                        8                    7                7.0

    Ability to voice experience                        7                       8                        10                   8                8.3

    Activism of civil society organizations            4                       6                        6                    4                5.0

    Survey/analysis competency                         5                       5                        4                    8                5.5

    Quality of media                                   5                       6                        8                    5                6.0

    Responsiveness of providers                        7                       4                        2                    6                4.8

    Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




                                                                                                                       63
Appendix B: Demographic Profile
of Respondents
The sample of the survey aimed to cover               the education and occupation of the                  obtaining a minimum of 4 percent
the vast diversity that existed among the             chief wage earner of the household                   from each category.
residents of Karachi. The respondents of              (the chief wage earner is the person
the survey were profiled into:                        who contributes most to the                          Figure 6 illustrates that most of the
                                                      household budget). These SECs have                   respondents fall in the SEC D
G     Socioeconomic Classification (SEC);             been determined through natural                      category. This type includes relatively
                                                      incidence occurring from following a                 well-educated skilled workers; not so
G     Household ownership profile;
                                                      predetermined sample methodology.                    well-educated small retailers; and
G     Household structure;                            Table 27 demonstrates the method                     nonexecutive staff members. Other
                                                      of determining the SEC of                            SECs with high frequencies in the
G     Education; and                                                                                       survey were categories E2, C, and B.
                                                      each household.
G     Gender.
                                                      The survey has been able to capture                  Household Ownership Profiles
Each household interview was classified               the diversity in the socioeconomic                   Over 80 percent of the respondents
into a socioeconomic category based on                categories quite successfully,                       resided in self-owned houses while


      Table 27: Determining the socioeconomic classification for households

    Occupation of chief earner                                                       Education of chief earner

                                                    Illiterate    Less than      School (5-9 Matric          Intermediate Graduate      Post-
                                                                  Primary        years)                                                 graduate

    Unskilled worker                                E-2           E-2            E-1            E-1          D             D            C

    Petty trader                                    E-2           E-2            E-1            E-1          D             C            C

    Skilled worker                                  E-2           E-2            E-1            D            D             C            C

    Nonexecutive staff                              E-2           E-2            D              D            D             C            C

    Supervisory level                               D             D              C              C            B             B            B

    Small shopkeeper/businessmen                    D             D              C               C           B             B            A-2

    Lower/middle executive, officer                 D             C              C              C            B             B            A-2

    Self employed/employed/professional              B            B              A-2             A-2         A-2           A-1          A-1

    Medium businessman                              B             A-2            A-2            A-2          A-2           A-1          A-1

    Senior executive/officer                        B             A-2            A-2            A-2          A-1           A-1          A-1

    Large businessman/factory owner                 A-2           A-2            A-2            A-1          A-1           A-1          A-1

    Source: Based on survey conducted by AC Nielsen Pakistan (now The Nielsen Company, Pakistan) for PAS 1998.




 64
                                                                                                              Water and Sewerage Services
                                                                                                              in Karachi: Citizen Report
                                                                                                              Card—Sustainable Service
                                                                                                              Delivery Improvements




                                                                                                                Household Structure
  Figure 6: Socioeconomic classification of the respondents
                                                                                                                Household structure is a very important
                                                                                                                demographic in research studies on
                                                                                                                water and sewerage. It is an essential
                                                                                                                variable in obtaining service provision
                                                                                                                trends. Figure 8 provides details of the
                                                                                                                household structure of respondents.

                                                                                                                Most of the population resides in pucca
                                                                                                                (or stronger) houses, that is, where the
                                                                                                                roofs and walls of the houses are made
                                                                                                                of concrete and there is a toilet and
                                                                                                                kitchen in most cases.

                                                                                                                In Bin Qasim and Gadap, a significant
                                                                                                                population of these towns is living in
                                                                                                                houses made of semi kutcha (temporary)
                                                                                                                or pucca material, where either the wall
  Source: Data compiled during a pilot Citizen Report Card on water, sanitation,                                or the roof is constructed from concrete.
  and sewerage services in Karachi.

                                                                                                                Gender
                                                                                                                Like other data in the demographic
the remaining 20 percent were living on                across almost all the chosen                             profile, gender count has resulted from a
rent. Figure 7 delineates the overall and              sample areas. A minimum of 78                            natural incidence through a set and
town-wise household ownership status.                  percent of residents in every town                       predefined sampling methodology.
The trend of living in self-owned                      were reported to be living in self-                      Table 28 gives the gender mix covered
houses was consistently observed                       owned houses.                                            in the survey.


   Figure 7: Household ownership profile




    Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




                                                                                                                  65
   Figure 8: Structure of households




   Note: ‘Kutcha’ means temporary; ‘pucca’ means more strongly built houses.
   a. SITE stands for Sindh Industrial and Trading Estate.
   Source: Data compiled during a pilot Citizen Report Card on water, sanitation, and sewerage services in Karachi.




   Table 28: Gender mix                                    Table 29: Educational profiles

   Gender                                %                  Level of education                        %

   Men                                   87                 Never attended school                     23

   Women                                 10                 Primary level                             12

   Joint interview                       3                  Middle level                              12

   Source: Data compiled during a pilot Citizen             Matric                                    21
   Report Card on water, sanitation, and
   sewerage services in Karachi.
                                                            Intermediate (F.Sc./F.A.)                 14

Educational Profiles                                        Graduate (B.A./B.Sc.)                     14
An analysis of the educational profiles
                                                            Postgraduate (M.A./M.Sc.)                 4
of the respondents (see Table 29)
reveals that most have never attended
                                                            Source: Data compiled during a pilot Citizen
school. Another significant portion of                      Report Card on water, sanitation, and
the population falls in the Matriculation                   sewerage services in Karachi.

level category.




 66
                                                                                     Water and Sewerage Services
                                                                                     in Karachi: Citizen Report
                                                                                     Card—Sustainable Service
                                                                                     Delivery Improvements




Appendix C: Key Stages in a
Citizen Report Card Study
G   Assess the applicability of             G   Sampling. To collect feedback        G    Disseminate the results. There are
    Citizen Report Cards (CRCs).                from the entire population would          three important points to consider with
    Conditions which affect the                 require too much time and                 regard to the dissemination of
    outcomes of CRCs include the                resources. Sampling, when carried         CRC findings:
    receptiveness of the political              out accurately, gathers feedback
                                                                                     G    The findings should be constructively
    context, the extent of                      from a sample group that is
                                                                                          critical and should not aim to
    decentralization, the extent to which       representative of the larger
                                                                                          embarrass or laud a service
    citizens can voice opinions freely,         population. The appropriate
                                                                                          provider’s performance.
    local competency to carry out               type of sampling design must
    surveys, and advocacy.                      be determined.                       G    The media is the biggest ally for
                                                                                          dissemination. Prepare press kits with
G   Determine the scope and plan            G   Execute the survey. First, select
                                                                                          small printable stories, media-friendly
    the procedures. Next, identify key          and train a cadre of survey
                                                                                          press releases, and translations of the
    sectors or services to be included in       personnel. Second, after a certain
                                                                                          main report into local languages.
    the survey, map service provision           proportion of interviews are
    structures, and identify a credible         complete, perform random spot        G    Following the publication of the CRC
    agency to conduct the survey.               monitoring of question sessions to        survey findings, service providers and
                                                ensure that the recording of              users should meet and discuss the key
G   Design the questionnaire. Focus
                                                household information is accurate.        issues. This not only allows for a
    group discussions, involving both
                                                Third, upon completion of each            constructive dialog, but also puts
    service providers and users, are
                                                interview, go over the information        pressure on service providers to
    necessary to provide input for the
                                                collected to identify the                 improve their performance for the
    design of the questionnaire.
                                                inconsistencies, if any.                  next round.
    Providers of services may indicate
    not only what they have been            G   Analyze the data. Typically,         G    Advocacy and service
    mandated to provide, but also areas         respondents give information on           improvements. The findings of the pilot
    where feedback from clients can             aspects of government services on         CRC survey can then be used in an
    improve their services. Users may           a numeric scale (say, 1 to 10).           advocacy program which seeks to
    give their initial impressions of the       These ratings are then aggregated         increase public pressure, build coalitions
    service, so that areas that need            and averaged, and percentage              and partnerships, and influence
    attention can be determined.                measures are produced.                    key players.




                                                                                         67
Media Clippings
                                                                          Water and Sanitation Program
                                                                          20 A Shahrah-e-Jamhuriat
                                                                          Ramna 5, G-5/1
                                                                          Islamabad, Pakistan
                                                                          Phone: (92-51) 2279641-46
                                                                          Fax: (92-51) 2826362
                                                                          Email: wspsa@worldbank.org
                                                                          Web site: www.wsp.org




                                                                        December 2010

                                                                        WSP MISSION:
                                                                        WSP’s mission is to support poor people in
                                                                        obtaining affordable, safe, and sustainable access
                                                                        to water and sanitation services.

                                                                        WSP FUNDING PARTNERS:
                                                                        The Water and Sanitation Program (WSP) is a
                                                                        multi-donor partnership created in 1978 and
                                                                        administered by the World Bank to support poor
TECHNICAL INPUTS:                                                       people in obtaining affordable, safe, and
Dr. Gopa Kumar Thampi, Ayub Sheikh, Tehseena Rafi, Vandana Mehra, and   sustainable access to water and sanitation
                                                                        services. WSP provides technical assistance,
Sahar Ali                                                               facilitates knowledge exchange, and promotes
                                                                        evidence-based advancements in sector dialog.
PEER REVIEWERS:                                                         WSP has offices in 25 countries across Africa,
                                                                        East Asia and the Pacific, Latin America and the
Ayub Sheikh, Superintending Engineer, KW&SB; Javed Shamim,
                                                                        Caribbean, South Asia, and in Washington, DC.
Head of Internal Reform Program, KW&SB; Simi Kamal, Pakistan Water      WSP’s donors include Australia, Austria, Canada,
Partnership; and Farhan Anwar and Farhan Sami                           Denmark, Finland, France, the Bill and Melinda
                                                                        Gates Foundation, Ireland, Luxembourg,
                                                                        Netherlands, Norway, Sweden, Switzerland, the
FIELD COORDINATION OF THE PROJECT:                                      United Kingdom, the United States, and the World
Farhan Anwar                                                            Bank. For more information, please visit
                                                                        www.wsp.org.

OVERALL TASK MANAGEMENT AND SYNTHESIS OF REPORT:                        AusAID provides WSP-SA
Syeda Maheen Zehra, Senior Institutional Development Specialist         programmatic support.

                                                                        Editor: Anjali Sen Gupta
                                                                        Photographs by: Asad Zaidi, Panos, and Guy Stubbs/WSP
                                                                        Created by: Write Media
                                                                        Printed by: PS Press Services Pvt. Ltd.