More than half of all Ethiopians have access to an improved source of
drinking water, but the country still has much work to do if it hopes
to achieve its goal of providing access to safe water and sanitation for
its 83 million people by 2015, experts say.
“Despite an increase in coverage, the number of people that require
access to sanitation and hygiene, for instance, are still the highest in
Africa, if not the world,” said Kebede Faris, water and sanitation
expert for the World Bank’s Ethiopia office. “As a result, a significant
number of Ethiopians are still facing WASH [water, sanitation and
hygiene]-related health problems and also losing their lives.”
A recently released study by the UN Children’s Fund (UNICEF) shows
that some 271,000 Ethiopian children under the age of five died in 2010
alone, with pneumonia and diarrhoea causing more than one-third of those
deaths.
The authors said “basic steps” such as hand-washing with soap,
expanding access to safe drinking water and sanitation, along with
providing other medical services, could have saved their lives. The
problem remains: “An overwhelming majority, nine households in every 10,
does not treat their drinking water,” leaving them susceptible to
various health problems.
Ethiopia is seeking to meet the UN Millennium Development Goals’
targets on water, sanitation and hygiene through its Universal Access
Plan II, which seeks to provide 98.5 percent of the population with
access to safe water along with 100 percent access to sanitation by
2015.
Nationally, the proportion of Ethiopian households with access to an
improved source of drinking water – categorized as a public tap or stand
pipe, borehole, a protected well, spring water and rainwater – has
reached 54 percent, according to the Demographic Health Survey 2011.
However, there are significant disparities between urban households,
where 95 percent of people have access to an improved source of drinking
water, and rural areas where just 42 percent access safe drinking
water.
Rural-urban divide
Like access to water services, government data shows a wide gap in
access to sanitation between urban and rural households. According to
the country’s Growth and Transformation Plan 2010, the national coverage
of sanitation stands at 60 percent, with rural coverage at 56 percent,
compared to 88 percent for urban households.
“Building latrines is not enough. A systematic approach that focuses
on quality or building to minimum standards, maintenance and use are
equally important,” said the World Bank’s Kebede, adding that there was a
need “to invest now to save more future lives and impairments of many
kinds”.
Other water-borne diseases are also common as a result of poor water
and sanitation. “With more than 65 million people living in the trachoma
endemic parts of rural Ethiopia, we need to reach out to more people
and fast, with proper sanitation and hygiene practices, as most of the
cases are happening in areas where water supply and sanitary conditions
are poor,” said Menebere Alemeu, country representative for NGO
International Trachoma Initiative.
The organization reports that more than 75 percent of visual
impairment in the country caused by trachoma is related to the lack of
sanitation and hygiene.
The government has expressed its ambition to achieve the set targets.
“Our eyes are on our own Growth and Transformation Plan targets, but
globally we are also committed to achieving the MDGs [UN Millennium
Development Goals],” said Minister of Health Tedros Adhanom.
Finding the money
However, the government’s budgetary allocation to the water sector
has been decreasing over the years, “declining almost by half – from 4
percent in 2006 to 2.5 percent in 2010″, according to international NGO
WaterAid. The inadequate budget for the water sector and the growing
cost of establishing water and sanitation services could also see the
country pay more for services, according to another recent study by the
Ministry of Finance and the UN.
“The budget is calculated based on the current and future cost
investment this sector requires and we are on [the] right track of
securing the financing,” said Yohannes Gebremedhin an official with the
Ministry of Water and Energy. “We are now working on issues related to
sustainability of the systems we set up with communities,” he said,
adding that this would cut down on the costs of repairing systems.
Recent updates to Ethiopia’s universal water access plan and a new
hygiene and sanitation Strategic Action Plan suggest that the cost of
meeting the national WASH targets is now closer to US$2.4 billion, with
$1.75 billion dedicated solely to the rural water supply.
“With this plan…we need to work on innovative, cost-effective
sector-wide approaches along with securing the necessary budget on time
so as to meet the target set,” said Daniel Gelan, UNICEF’s WASH expert.
“We, along with the government, are working strongly to find the budget
sources and are doing well so far.”
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