Pro-poor governance in water and sanitation service delivery: evidence from Global Analysis and Assessment of Sanitation and Drinking Water surveys

Perspect Public Health. 2018 Sep;138(5):261-269. doi: 10.1177/1757913918788109. Epub 2018 Jul 17.

Abstract

Aims: The Sustainable Development Goal (SDG) for water and sanitation seeks to achieve universal and equitable access to safe and affordable drinking water and access to adequate and equitable sanitation and hygiene. This article examines what governments are doing to achieve this, paying particular attention to actions that governments report taking to better serve the poor and other vulnerable populations (i.e. pro-poor governance). This article also assesses the extent to which, and how, UN-Water's Global Analysis and Assessment of Sanitation and Drinking Water (GLAAS) has tracked governments' efforts to reach the poor since the inception of this global monitoring effort.

Method: This article employs qualitative document analysis and iterative coding to identify pro-poor governance themes examined in GLAAS reports from 2008 to 2016 and provides a quantitative summary of findings related to pro-poor governance from the most recent GLAAS surveys.

Results: The dimensions of pro-poor governance and number of questions related to pro-poor governance in GLAAS surveys have increased from 2008 to 2016. While the majority of countries report taking actions to promote equity, many countries did not provide information about specific actions they were taking to provide better services to the poor. Moreover, several actions countries reported taking (e.g. implementing an increasing block tariff) are likely to be ineffective.

Conclusion: The findings of this study raise concerns about the extent to which governments are taking - or are positioned to take - effective action to meet the SDG aspiration of safe and affordable water and sanitation services for all. Without information on what countries are doing to promote equity, policy makers and researchers are unable to discern which policies are effective in different contexts.

Keywords: Sustainable Development Goals; inequalities; international health; policy; sanitation; water.

Publication types

  • Review

MeSH terms

  • Drinking Water / standards*
  • Global Health
  • Government Programs / organization & administration*
  • Government Programs / standards
  • Humans
  • Hygiene / standards*
  • Policy
  • Sanitation / methods
  • Sanitation / standards*
  • Socioeconomic Factors
  • Vulnerable Populations
  • Water Supply / economics
  • Water Supply / methods
  • Water Supply / standards*

Substances

  • Drinking Water