Display options
Share it on

J Educ Health Promot. 2021 Sep 30;10:350. doi: 10.4103/jehp.jehp_1658_20. eCollection 2021.

Achievements and challenges of India's sanitation campaign under clean India mission: A commentary.

Journal of education and health promotion

Manas Ranjan Behera, Himanshu Sekhar Pradhan, Deepanjali Behera, Damodar Jena, Sudhir Kumar Satpathy

Affiliations

  1. School of Public Health, KIIT Deemed to be University, Odisha, Bhubaneswar, India.
  2. National Health Mission, Department of Health and Family Welfare, Government of Odisha, Odisha, Bhubaneswar, India.
  3. School of Rural Management, KIIT Deemed to be University, Bhubaneswar, Odisha, India.

PMID: 34761036 PMCID: PMC8552289 DOI: 10.4103/jehp.jehp_1658_20

Abstract

Universal access to safe sanitation is yet to be accomplished in India. Although Clean India Mission (named as "Swachh Bharat Mission (Gramin)" for rural India) claims that the sanitation coverage in rural India has increased from 39% to 100% of households from 2014 and 2019, yet open defaecation continues in India in large numbers. This article discusses the achievements on Swachh Bharat Mission (Gramin) and identifies the existing challenges that need to be acted on to achieve the success of India's Swachh Bharat Mission. We searched international database mainly Google scholar, Pubmed, Medline, Scopus, and Science direct using "Clean India," "Swachh Bharat," "Sanitation," "Open defecation," "Environmental heath," and "India" as search keywords in different combinations. In addition, websites of relevant United Nations (UN) agencies, Government of India and leading newspaper and national agencies were also searched manually for related publications and reports. In the last 5 years (2014-2019), significant efforts have been made for the Swachh Bharat Mission by creating various social movements and awareness program to improve toilet coverage throughout India. Over 100 million, latrines have been built as of the end of the first phase of Swachh Bharat Mission (Gramin) as on October 2, 2019 and all villages across the districts of India have been declared Open Defaecation Free. Still, nearly half of the rural population (52.1%) defecate in the open. Lack of piped water supply, poor construction of toilet substructures and misconception among people about toilet use remain as key challenges in the achievement of India's sanitation mission. Sanitation-related behavioral change and improvement in toilet facilities must be prioritized to ensure usage of built toilets and eventually can accelerate the universal access to sanitation and meet Sustainable Development Goals.

Copyright: © 2021 Journal of Education and Health Promotion.

Keywords: Environmental health; Swachh Bharat; open defecation; sanitation clean India; sustainable development goals

Conflict of interest statement

There are no conflicts of interest.

References

  1. Lancet. 2012 Jun 9;379(9832):2151-61 - PubMed
  2. BMJ Glob Health. 2019 Sep 30;4(5):e001892 - PubMed
  3. Lancet Glob Health. 2015 Nov;3(11):e701-11 - PubMed
  4. PLoS Med. 2012 Jan;9(1):e1001162 - PubMed
  5. Health Place. 2014 Sep;29:43-51 - PubMed
  6. Lancet. 2015 Jan 31;385(9966):430-40 - PubMed
  7. Trans R Soc Trop Med Hyg. 1991 Jan-Feb;85(1):8-11 - PubMed
  8. Lancet. 2009 Sep 19;374(9694):1032-1035 - PubMed
  9. SSM Popul Health. 2018 Oct 31;7:013-13 - PubMed
  10. PLoS Med. 2014 Mar 25;11(3):e1001620 - PubMed
  11. Lancet Child Adolesc Health. 2018 Apr;2(4):255-268 - PubMed
  12. J Health Econ. 2016 Jul;48:135-48 - PubMed
  13. Environ Health Perspect. 2018 Feb 02;126(2):026001 - PubMed
  14. PLoS One. 2013 Apr 26;8(4):e62004 - PubMed
  15. PLoS One. 2017 May 24;12(5):e0178042 - PubMed
  16. Lancet. 1991 Oct 12;338(8772):907-10 - PubMed
  17. Eur J Clin Nutr. 1990 Sep;44(9):611-28 - PubMed
  18. Cochrane Database Syst Rev. 2010 Jun 16;(6):CD007180 - PubMed
  19. Trop Med Int Health. 2000 Jan;5(1):22-32 - PubMed
  20. Soc Sci Med. 2005 Dec;61(11):2446-59 - PubMed
  21. Lancet Glob Health. 2019 Jan;7(1):e132-e147 - PubMed
  22. Bull World Health Organ. 2009 Aug;87(8):580-7 - PubMed
  23. Int J Hyg Environ Health. 2017 May;220(3):551-557 - PubMed
  24. Soc Sci Med. 2015 Aug;139:80-9 - PubMed
  25. BMC Public Health. 2015 Sep 10;15:880 - PubMed
  26. Emerg Themes Epidemiol. 2012 Nov 13;9(1):7 - PubMed
  27. Int J Hyg Environ Health. 2018 Mar;221(2):121-133 - PubMed
  28. Trop Med Int Health. 2014 Aug;19(8):894-905 - PubMed
  29. PLoS One. 2016 Aug 17;11(8):e0161262 - PubMed
  30. Science. 2015 May 22;348(6237):903-6 - PubMed
  31. Am J Trop Med Hyg. 2018 Aug;99(2):534-545 - PubMed
  32. PLoS One. 2013 Sep 16;8(9):e73784 - PubMed
  33. Trop Med Int Health. 2013 Mar;18(3):246-9 - PubMed
  34. BMC Public Health. 2017 Jan 5;17(1):12 - PubMed
  35. Parasitology. 2000;121 Suppl:S51-71 - PubMed

Publication Types