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When Water Becomes a Hazard : A Diagnostic Report on The State of Water Supply, Sanitation and Poverty in Pakistan and Its Impact on Child Stunting (English)

Despite a substantial decline in poverty, an increase in access to water and sanitation and a large decline in open defecation, diarrhea and stunting rates in Pakistan show few signs of a decline. This report provides evidence that the policy focus on eliminating open defecation rather than the safe management of fecal waste has been largely responsible for this. Water tests reveal shockingly high rates of E. coli contamination in both surface and ground water. To make matters worse, few households practice water treatment and untreated waste water is routinely mixed with surface and ground water for use in crop irrigation. This multiplies the channels through which the oral transmission of fecal bacteria can occur and creates strong downstream effects through food supplies headed to urban centers. Unsurprisingly, rates of diarrhea have remained stubbornly high even among the wealthiest households in metropolitan cities like Karachi. While the impact of of E. coli on diarrhea is well known, new research is showing the far more damaging impact of environmental enteropathy, a process by which fecal pathogens like E. coli can permanently damage the intestinal villi of young children making it difficult to absorb nutrients, even during periods when the child shows no signs of diarrhea. The report urges urgent action on safe sanitation and the treatment of water to combat this health crisis.

Details

  • Author

    Mansuri,Ghazala, Sami,Mohammad Farha0ah, Ali,Muhammad, Doan,Hang Thi Thu, Javed,Bilal, Pandey,Priyanka

  • Document Date

    2018/11/01

  • Document Type

    Working Paper

  • Report Number

    131860

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Pakistan,

  • Region

    South Asia,

  • Disclosure Date

    2018/11/06

  • Disclosure Status

    Disclosed

  • Doc Name

    When Water Becomes a Hazard : A Diagnostic Report on The State of Water Supply, Sanitation and Poverty in Pakistan and Its Impact on Child Stunting

  • Keywords

    Project to Improve Financial; rural water supply; Demographic and Health Survey; access to basic service; management of water; base year; contamination of drinking water; role of water; incidence of poverty decline; poor quality of water; nutritional status of child; responsibility for service delivery; access to water supply; millennium development goal; decline in poverty; point of use; access to sanitation; open defecation; operations and maintenance; fecal sludge management; piped water supply; net enrollment rate; reduction in poverty; large urban centers; per capita allocation; hands with soap; lack of investment; incidence of diarrhea; consumer price index; curative health care; accountability for outcomes; treatment of sewage; comments and feedback; oral rehydration salt; multivariate regression approach; world health organization; responsibility for water; septic tank design; per capita term; local government capacity; information management systems; Project Concept Review; Oral rehydration therapies; food consumption pattern; contaminant in water; rates of diarrhea; treatment of effluent; hours of water; access to latrines; ground water aquifer; point of disposal; intake of water; drinking water source; rural poverty rate; households with latrine; fruit and vegetable; high poverty rate; poverty headcount rate; pace of urbanization; public sector staff; bureau of statistic; primary health care; rural female literacy; data on poverty; headcount poverty rate; provincial capitals; rural area; nutritional outcome; Waste Management; improved water; budget allocation; health behavior; dietary diversity

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Citation

Mansuri,Ghazala Sami,Mohammad Farha0ah Ali,Muhammad Doan,Hang Thi Thu Javed,Bilal Pandey,Priyanka

When Water Becomes a Hazard : A Diagnostic Report on The State of Water Supply, Sanitation and Poverty in Pakistan and Its Impact on Child Stunting (English). WASH Poverty Diagnostic Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/649341541535842288/When-Water-Becomes-a-Hazard-A-Diagnostic-Report-on-The-State-of-Water-Supply-Sanitation-and-Poverty-in-Pakistan-and-Its-Impact-on-Child-Stunting