"Nigeria's total and urban population is such a significant element of sub-Saharan Africa's - in the same way that China's population is for the world - that analysis of these urban phenomena for the region as a whole requires that efforts are made to asses what has been happening in Nigeria's towns" (Potts, 2012: 1390)
Infact, in Nigeria, over 100 million people lacked access to improved sanitation in 2011 (UNICEF, 2011: V).
I will focus on the the role of sanitation, of which the disposal of human faeces, plays an often underestimated role in preventing endemic diseases such as diarrohea. Esrey et al., (1985) found that the median benefits of service improvements in reducing diarrhoea morbidity were 25% from improved water availability and 22% from improved excreta disposal, and 16% from water quality improvements (Tumwine et al., 2002: 751) Additionally, "while water quality reduced the incidence of dracunculiasis, its role in in diarrhoeal disease control was less important than that of sanitation of hygiene" (Esrey et al., 1991: 609). Therefore, improved excreta disposal is not only a short term individual solution, but a solution that can have health benefits to the community as a whole.
In Nigeria today, "more people are without access to toilets today than were in 1990" (Water Aid, 2015). Despite being Sub-Saharan Africa's largest economy, rapid population growth has fallen on stagnant facilities and modernisation, resulting in a plunge in the proportion of people with access to a toilet - 71% of people now live without household sanitation (i.e a household loo) compared to 62% 25 years ago (Water Aid, 2015). Additionally, over 49million people practice OD in Nigeria, and the effects of this "falls disproportionately on children and women", with 194,400 children under five years old dying in Nigeria as a result of diarrohoeal disease.
Such studies highlight the importance of inclusive community approaches that address problems locally rather than a one-size fits all approach that in fact contribute to the rural urban dichotomy of water resources and sanitation facilities.
Reference List:
Christenson, E., R.
Bain, J. Wright, S. Aondoakaa, R. Hossain and J. Bartram (2014) 'Examining the
influence of urban definition when assessing relative safety of drinking-water
in Nigeria', Science of the Total Environment, 490, 301-312
Esrey, S.A., J.B.
Potash, L. Roberts and C. Shiff (1991) 'Effects of improved water supply and
sanitation on ascariasis, diarrhoea, dracunculiasis, hookworm infection,
schistosomiasis, and trachoma', Bulletin of the World Health
Organisation, 69, 5, 609-621
Potts, D. (2012) 'Challenging the Myths
of Urban Dynamics in Sub-Saharan Africa: The Evidence from Nigeria', World
Development, 40, 7, 1382-1393
Tumwine, J.K., J. Thompson, M. Katua-Katua, M. Mujwajuzi, N. Johnstone, E. Wood and I. Porras (2002) 'Diarrhoea and the effects of different water sources, sanitation and hygiene behaviour in East Africa', Tropical Medicine and International Health, 7, 9, 750-756
UNICEF (2011) 'Community Led Total Sanitation in Nigeria', 1-69,
Prepared for UNICEF and UK Aid
Water Aid (2015) 'Seven things you
probably didn't know about the state of the world's toilets' (WWW; http://www.wateraid.org/uk/news/news/seven-things-you-probably-didnt-know-about-the-state-of-the-worlds-toilets;
02 November 2015)
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