Sanitation Situation of the Philippines by Dr. Sudiacal of DOH
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Sanitation Situation of the Philippines Presented by: Aleli P. Sudiacal, MD, MPH National Center for Disease Prevention and Control Department of Health
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From Luzon Sanitation Summit, April 22-23, 2008, University of Makati Theatre, Makati CityMore at http://ecosolutionsmanila.blogspot.com/
Transcript of Sanitation Situation of the Philippines by Dr. Sudiacal of DOH
Sanitation Situation of the Philippines
Presented by:Aleli P. Sudiacal, MD, MPH
National Center for Disease Prevention and ControlDepartment of Health
“We shall not finally defeat AIDS, Tuberculosis, Malaria or any other infectious diseases that plague the
developing world until we have also won the battle for
safe drinking water, sanitation and basic health care.”
- Kofi Annan
Millennium Development Goal
• MDG # 7 Target 11 - Halving the proportion of people without access to improved sanitation.
• MDG # 7 Target 11 - Halving the proportion of people without access to improved sanitation.
Health Impact• 1.8 M people die from diarrheal diseases• 1 B people suffer from Soil-Transmitted
Helminthiasis• 1.5 M deaths in the 0 – 5 y.o. age group every
year of 5,000 child deaths/day• Diarrheal cases still in the top 10 leading
causes of morbidity for 20 years
Sanitation
• Is the hygienic means of preventing human contact from the hazards of wastes to promote health.
• Hygienic means of prevention- Personal hygiene practices- Latrines and septic tanks- Sewerage and wastewater technologies
Sanitation CoverageType of Sanitation Type of Sanitation
FacilityFacilityUrbanUrban RuralRural TotalTotal
Flush Toilet, ownFlush Toilet, own 76.776.7 53.653.6 65.765.7
Flush Toilet, sharedFlush Toilet, shared 15.915.9 10.710.7 13.413.4
Closed PitClosed Pit 1.51.5 10.710.7 5.95.9
Open PitOpen Pit 0.80.8 6.86.8 3.73.7
Drop/OverhangDrop/Overhang 1.11.1 2.82.8 1.91.9
No toiletNo toilet 3.93.9 15.415.4 9.39.3
OtherOther 0.10.1 0.10.1 0.10.1
TotalTotal 100100 100100 100100
Source: National Demographic and Health Survey, 2003
Majority of the existing septic tanks were poorly constructed.
Top Ten Provinces with lowest Sanitation Coverage
Province Rate1. Sulu 10.92. Basilan 22.43. Lanao del Sur 35.04. Marinduque 35.45. Masbate 44.56. Zamboanga Sibugay 45.77. Maguindanao 45.98. Lanao del Norte 48.29. Pampanga 50.0
10. Nueva Ecija 50.1 FHSIS, 2006
PHILIPPINES SANITARY TOILET COVERAGE PER PROVINCE, C.Y. 2006
LEGEND:
Less than 50 %
50-73% (< National AVE.)
74 % and more (> National AVE.)
Population Growth and Sewerage ServicesPOPULATION GROWTH AND SEWERAGE SERVICES POPULATION
COVERAGE
3742
48
54
6165
73
0 1 35 5 5 5
0
10
20
30
40
50
60
70
80
1970 1975 1980 1985 1990 1995 2000
NSO CENSUS YEAR
PO
PU
LA
TIO
N (
MIL
LIO
N)
National Population (NSO)
Service Area PopulationCoverage
Source: Philippines Environment Monitor 2003. World Bank
Cities with Sewerage System: Metro Manila, Baguio City,Ilocos Norte, Zamboanga City and Cebu City
Annual losses due to poor
sanitation–US$1.4 billion
–Php 77.8 billion
–1.5% of GDP
–Php 924 per capita
$1,011.20
$323.40
$40.10 $37.50
0.00
200.00
400.00
600.00
800.00
1,000.00
1,200.00
Health Water Tourism Other Welfare
OVERALLOVERALL ECONOMIC LOSSESECONOMIC LOSSES
Source: Economic Impact of Sanitation in the Philippines
What are the challenges?
Investments on Sanitation and Investments on Sanitation and Sewerage for the Past YearsSewerage for the Past Years
Annual Average Investment on Water Supply versus Sanitation and Sewerage
Php 1,505.82/yr.
(3%)
Php 43,749.95/yr.
(97%)
Source: Philippines Environment Monitor 2003, World Bank
Challenges
• Consumers’ willingness to pay
• Poor enforcement of laws
• Poor access to innovative solutions
• Lack of demand for sanitation services
FOURFOURMULAMULA ONE FOR HEALTH:ONE FOR HEALTH:IImplementation Framework for Health mplementation Framework for Health
Sector ReformSector Reform
Program Strategies/Activities - 1
1. Policy and Regulatory componenta. Develop models of regulationb. Create policies that favor
innovation in technology
Program Strategies/Activities - 2
2. Governance componenta. Create/identify capable bodiesb. Employ sector-wide approach
Program Strategies/Activities - 3
3. Service delivery componenta. Develop and disseminate alternative
optionsb. Create awareness and demandc. Create synergies
Program Strategies/Activities - 4
4. Financing componenta. Encourage public-private
partnershipsb. Explore complementary
alternative financing options e.g. user fees
Sanitation and hygiene are challenges that will not go away overnight. Real progress requires concerted efforts from all actors. And for us to
realize achieving our sanitation goals and targets means we have to act now.
