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The invisible burden of care work: women as producers of sanitation infrastructures

By Namita Kyathsandra, on 22 March 2023

 

Focus Development Association – Madagascar

 

This blog was written as part of the Learning Alliance between the OVERDUE project and the DPU’s MSc in Environment and Sustainable Development. Namita is a recent graduate of this MSc programme (2021/22), and her reflections on gendered sanitation infrastructures were produced in a module that tackles issues of environment and sustainable development in practice.


“It should be socially acceptable for women to wear diapers since we don’t have the freedom to urinate wherever we wish, as the men do
!”

A frustrated aunt exclaimed during an 8-hour road trip when all the women in the car had to pee but could not, for the lack of toilets on Indian highways. The men, who had stopped multiple times since, to relieve themselves laughed off my aunt’s loud rumination.

I wondered why it was more intuitive for her to think of diapers before wishing for more toilets, in her moment of frustration. A redundant question, as I already knew that accessible, safe, and hygienic toilets for women along Indian highways are a utopian expectation.

Photo: A. Allen

 

It was after several such experiences that I realised that cities are not designed by or for women. The lack of toilets, streetlights, and accessible transport renders the urban space easier for the men to occupy and challenging for the women to navigate.

The simple fact that I, despite my privilege, often resorted to “disciplining my body” (Kulkarni, O’Reilly and Bhat, 2017)during road trips as a coping mechanism for the lack of decent toilets reveals the extent of the predicament faced by those from marginalised classes and vulnerable communities – their embodied and lived experiences made more adverse by their female bodies. The sociocultural notions of shame and modesty, purity and pollution and the stigmatization attached to bodily processes of women such as menstruation and excretion invisibilises their material and infrastructural needs thereby perpetuating themselves.

Thus far, my lived experiences around sanitation as a woman were always from the perspective of a user. Learning from, and with our partners in Mwanza and St. Louis, I discovered the significant role women play as the providers and producers of essential sanitation infrastructures. It was one thing to read an article about bodies as urban infrastructures (Truelove and Ruszczyk, 2022) as part of my coursework, and a completely surreal experience to witness it In real-time, through fieldwork informed by real women.

“The women carry the entire burden of sanitation, especially during the winter months. The women here help the men here, no sanitation, no pipes, the women empty the water”

acknowledged a man from the Focus Group Discussion conducted in Saint-Louis, Senegal.

Flipping the coin to view women as providers of sanitation, was a revelation. I realised how easily we dismiss women’s role in shaping urban processes specifically in water and sanitation although they are present in every sphere. It is the women who fetch the water and clean the toilets, filling the infrastructural gaps left by the governments. But they are hidden actors, their roles overlooked and under-represented.

‘Gender is not just a lens but a valuable analytical tool’ is an essential insight that I have gained through this journey. I realised it is like stained glass – look at your immediate world through it and what you will see is a different version – a different hue, a deeper saturation, set against a different mosaic.

Photo: P. Hofmann

In Africa, women perform a large bulk of care work involving activities like cleaning, cooking, and childcare. However, in the absence of effective sewerage systems in Mwanza and St. Louis, by performing sanitation work bracketed as ‘care work,’ women become the wardens and custodians of the sanitation chain. They perform the roles of essential urban sanitation infrastructures and are responsible for the maintenance of shared household toilets. They clean the toilets and empty the pit latrines without any bodily protection, motivated by the well-being of their families and children, exposing themselves to health risks and vulnerabilities emerging from routinely handling faecal matter.

Fundamentally, they are filling a critical gap in sanitation service provision, in the absence of which their settlement and city systems would collapse, especially during the winter months of severe flooding. However, their role is relegated to the ‘work’ that they are expected to perform for being born with a female body. Their contributions as providers of sanitation services are invisibilised, and unrecognised and their work is labelled as ‘duty.’ Although the sanitation responsibilities added to the burden of care, the women, aware of their role as sanitation service providers seemed content with the notion that they were only fulfilling their biological roles.

“When and how does care work become duty and duty become oppressive?”

is a question that underpinned the group research. The dissonance as to whether women should be materially compensated to ease the burden of sanitation, fulfilling practical gender needs, but perpetuating internalised gender roles or should they challenge the unequal power relations in their households and societies, bewildered me. However, learning from the African cities, I appreciated how similar lived experiences of women are across time and space, as both users and producers.

A bigger insight I gained was that women are present everywhere across the sanitation chain as both users and producers and possess specialized knowledge which can inform policy and practice and hence carry the immense potential to catalyse long-term socio-political change.  Women play highly significant roles in the sanitation realm which benefits stakeholders across the scale of the household, the community, and the state.

Thus, just sanitation is not just about providing toilets and sewerage systems. It is about acknowledging and accommodating intersectional identities, embodied experiences, bodily dignity, safety, environmental concerns, and the health and wellbeing of everyone involved. Urban trajectories that do not consciously account for sanitation justice by acknowledging its gendered dynamics and fostering distributive, procedural and recognitional justice (Rusca, Alda-Vidal and Kooy, 2018) in sanitation, will most likely produce social injustices in urban spaces. Neglecting the significance of designing cities to provide just and equitable sanitation for women will generate inequitable outcomes, not just for the women but for the city.

For more information on the OVERDUE / MSc ESD Learning Alliance, please visit https://www.esdlearningalliance.net

 

Bibliography

Desai, R., McFarlane, C. and Graham, S. (2015) ‘The Politics of Open Defecation: Informality, Body, and Infrastructure in Mumbai’, Antipode, 47(1), pp. 98–120. doi:10.1111/anti.12117.

Kulkarni, S., O’Reilly, K. and Bhat, S. (2017) ‘No relief: lived experiences of inadequate sanitation access of poor urban women in India’, Gender & Development, 25(2), pp. 167–183. doi:10.1080/13552074.2017.1331531.

Rusca, M., Alda-Vidal, C. and Kooy, M. (2018) ‘Sanitation Justice?: The Multiple Dimensions of Urban Sanitation Inequalities’, in Boelens, R., Perreault, T., and Vos, J. (eds) Water Justice. 1st edn. Cambridge University Press, pp. 210–225. doi:10.1017/9781316831847.014.

Shukla, A.M. (2019) Mumbai: Unresolved civic issues irks residentsDNA India. Available at: https://www.dnaindia.com/mumbai/report-mumbai-unresolved-civic-issues-irks-residents-2736710 (Accessed: 26 May 2022).

Truelove, Y. and Ruszczyk, H.A. (2022) ‘Bodies as urban infrastructure: Gender, intimate infrastructures and slow infrastructural violence’, Political Geography, 92, p. 102492. doi:10.1016/j.polgeo.2021.102492.

It’s time we unveil the hidden everyday experiences

By Amanda Hoang, on 14 March 2023

This blog was written as part of the Learning Alliance between the OVERDUE project and the DPU’s MSc in Environment and Sustainable Development. Amanda is a recent graduate of this MSc programme (2021/22), and her reflections on gendered sanitation infrastructures were produced in a module that tackles issues of environment and sustainable development in practice.

Unconscious biases

Before this module, I never fully understood what sanitation meant. To my assumption, sanitation only reached to the extent of water and hygiene with little focus on toilets, its infrastructure, and the stories behind its use. But perhaps this disinterest stemmed from my own privileges of living in a city where sanitation facilities meet my own needs: running water, piped sewerage, bins for sanitary pads, division of women/men toilets and decently maintained facilities.

In that very first lecture however, introducing the topic, Adriana Allen said that sanitation was both “visible yet invisible” at the same time. That statement was my personal entry point into sanitation – and as Emmanuel Osuteye said in the Learning Alliance retreat, it was my “hook” into why it is a critical entry point into unlocking just urban development.

Toilet facilities unlock the hidden everyday stories of injustice

It made me flashback to when I was based in peri-urban Kathmandu, Nepal, in 2019. Whilst I was working in a local school, I saw a young female student openly defecating behind the school’s toilet facilities. I wondered why there were practices of open defecation despite there being toilet facilities available just in front of her. After a conversation with female students, it was said that the school toilet facilities were just such poor quality, that students did not end up using them. The school toilets were created by an international non-governmental organisation (NGO) but since its creation, they played no further role. There was no running water, sanitary bins and toilets were not maintained, which resulted in further decline in the facility’s quality (Figure 1). For female students who were menstruating, they would skip an entire week of classes as the facilities were not catered for their menstrual needs. Similarly, outside of the school setting, women who menstruated were often subjected to banishment from the kitchen and places of worship due to passed down beliefs of impurity (Thapa and Aro, 2021).

Figure 1: Image of schoolgirls’ toilet in Kathmandu – similar conditions in example mentioned (Source: Shrestha, 2019)

With that conversation, I left Nepal with more questions than answers. Despite the provision of toilet facilities in schools, what was it about those toilets that discouraged female students from using them? There is a juxtaposition where toilets are visibly everywhere but everyday experiences and realities around these toilet practices, such as menstruation and taboos, continue to be invisible and under-researched. These invisible experiences allow us to understand the injustices in urban development and also provide an opportunity to advance just development. Sanitation is the artery of the city, playing a vital role in urban life, intersecting with the urban environment, health, water and more. Inequitable sanitation in the city therefore ultimately reflects the wider injustices in the city such as inequitable distribution of resources, and a lack of intersectional representation and recognition in governance (Rusca et al., 2018).

Sanitation also allows us to adopt a feminist political ecology (FPE) lens, paying particular attention to the ‘everyday’ and emotional narratives that are not usually recognised in policy and planning (Clement et al., 2019; Lancione and McFarlane, 2016). FPE enables us to understand how power relations are deeply gendered and how they marginalise groups not just related to gender but to caste, class, race, disabilities. As such, these invisible everyday realities are reflective of the inequalities in the city and therefore demonstrate how “spaces of exclusion” are created, thus leading to further injustice in the production of urban spaces (Bhakta et al., 2019).

Urban African parallels and unveiling wider institutional issues

Figure 2: Drawing parallels in Africa and Southeast Asia. A picture of toilet facility in Freetown (Source: participant photo in ESD/OVERDUE research, 2022)

Drawing parallels from the insightful work co-produced with OVERDUE partners as part of the Learning Alliance, from the toilet research in Beira, Bukavu and Freetown and across continents in the Nepali context, I see and hear stories of everyday injustices. These stories reiterate that intersectional sanitation realities – of women, the disabled, young, and elderly – remain invisible, perpetuating the social stigma and taboos around cleanliness, manifesting in lack of locks, doors, and sanitary bins for women (Figure 2), marginalising and creating greater urban inequalities. Yet as noted by Bhakta et al., (2019), these hidden sanitation realities are “characterised by unjust institutional practices” and thus expose unequal governance structures which dictate urban development such as in policy or staff development (pp.18).

Whilst these everyday stories have been powerful in revealing some of the sanitation injustices, I questioned how we could recognise these voices in a system that values quantitative data as facts. It was the use of Levy’s (1996) ‘Web of Institutionalisation’ whilst learning in the African city context that made me realise how these everyday stories of sanitation injustices can be turned into advancing just urban development. Ultimately, the Web shows how processes within institutions like local governments, can play an active role in advancing just urban development through the inclusion of women and intersectional voices in planning (Figure 3). During the Learning Alliance retreat in the UK in May 2022, Kavita Wankhade’s presentation on the Tamil Nadu Urban Sanitation Support Programme (TNUSSP) mentioned the role of civil servants being stuck in a system, where bureaucracy is dictated by wider processes but nonetheless still plays a role in representing the voices on the ground. As a civil servant working in procurement, I always assumed that I played only a minor role in local government. Kavita’s comment made me reflect on my own position in vocalising the hidden voices in sanitation. Whether that would be through advocating for gender-sensitive needs in procurement contracts (procedures), the role that we play in vocalising these hidden realities is an important step in a new governance structure which enables equal representation and just development (Levy, 1996).

Figure 3: The Web of Institutionalisation in action (Source: Author, 2022)

Sanitation’s role in advancing just urban development

To summarise, sanitation is an entry point to ensure greater equity in the city. These past months have made me reflect that sanitation is more than just water provision and cleanliness but encompasses a multitude of components like public toilets and the vital role of women as sanitation workers. Within these, it is these sanitation experiences that perpetuate injustices that continue to be hidden. By acknowledging the realities within the sanitation conversation, we also start tracing opportunities within the institutional web to change fundamental processes that impact urban development as well as awaken our own personal agency. By improving sanitation, we can therefore begin to advance genuine just urban development that is for women, men, children, elderly, disabled and for all.

For more information on the OVERDUE / MSc ESD Learning Alliance, please visit https://www.esdlearningalliance.net

 

Bibliography

Bhakta, A., Fisher, J., and Reed, B. (2019) Unveiling hidden knowledge: discovering the hygiene needs of perimenopausal women, International Development Planning Review, 41(2), pp.149-171.

Clement, F., Harcourt, W.J., Joshi, D., and Sato, C. (2019) Feminist political ecologies of the commons and communing, International Journal of the Commons, 13(1), pp.1-15

Lancione, M., and McFarlane, C. (2016) Life at the urban margins: Sanitation infra-making and the potential of experimental comparison, Environment and Planning A: Economy and Space, 48(12), pp.2402-2421.

Levy, C. (1996) The process of institutionalising gender in policy and planning: the ‘web’ of institutionalisation, DPU Working Paper No.74, pp.1-25.

Rusca, M., Alda-Vidal, C. and Kooy, M. (2018) Sanitation justice? The multiple dimensions of urban sanitation inequalities. In: Boelens, R., Perreault, T., and Vos, J. (eds) Water Justice, Cambridge University Press, pp.210-225

Shrestha, E. (2019) Without proper sanitation facilities, girls keep missing school during menstruation [Online] www.kathmandupost.com Available at: https://kathmandupost.com/national/2019/12/31/without-proper-sanitation-facilities-girls-keep-missing-school-during-menstruation [Accessed: 24.05.2022]

Thapa, S., and Aro, A.R. (2019) ‘Menstruation means impurity’: multi-level interventions are needed to break the menstrual taboo in Nepal, BMC Women’s Health, 21(84), pp.1-5

Cover image source: Hesperian Health Guides (2021) Sanitation for Cities and Towns [Online] Available at: https://en.hesperian.org/hhg/A_Community_Guide_to_Environmental_Health:Sanitation_for_Cities_and_Towns

The field research – Learnings beyond the research itself

By ucfuarl, on 7 July 2017

While only lasting for a few weeks, the field research trip is an intense experience that provides in-depth learnings that go beyond the research outcomes themselves. One of the key highlights for me was how a good field research technique is about combining learnings from human interactions as well as using planning and organisational tools to reduce the uncertainty that surrounds field research.

Part 1: Learnings from the people – Disillusionment in the periphery

View from the community of Villa Lourdes Ecológico (VMT)

I’m standing here on the dark distant slopes of Villa Lourdes Ecológico, a settlement without water, sewerage or electricity access, looking down at the city of Lima that stretches as far as the eye can see. We have just had a focus group using headtorches with a group of mostly women, their kids playing at their feet. They came to meet us with hope, a hope to be listened to. They feel forgotten and right here, in this dark spot, I can relate to this disillusionment.

Since arriving in Lima, I have heard many heartfelt sentences from people who have lost hope and no longer believe in the transformative change we came here to seek. Vicente Chavez, a leader of the fog catcher initiative from this community, wants to move back to Cusco instead of “waiting here, hoping for the water to come from the sky”.

A few days before, at a march on water access, I came across the slogan “stop fighting is to start dying”. Whilst extreme for effect, I do believe that when people feel disheartened about their situation, they stop engaging and driving change.

 

Without pressure on decision makers, they may well be forgotten.

I can already observe the direct negative impact of the lack of hope. With the fog catchers project, people lost hope in official support and decreased engagement to the point that they were not making use of a solution that was already available to them. Some community members did not even know that they were entitled to a piece of land to cultivate using water from the fog catchers.

And yet, people’s support and buy-in are rarely mentioned in policy briefs as a key prerequisite to foster participation. It appears critical that our recommendations consider how to help restore people’s hope in the potential for transformative change in order to ultimately foster their participation and make them instrumental in their future.

Two crucial factors to regain this confidence from the people: transparency and action. Communities explicitly asked for “no more lies” about their situation. They need to understand better the short to long term plans to organise and decide accordingly. Not knowing often means that they linger in the fear of taking action that could damage their current situation. They also need to “see proofs” that improvements are made whether in the form of electricity access or small-scale infrastructure work such as stairs. When projects reach their community, people feel heard and that change is possible thereby increasing their likeliness to engage.

This gave me an additional purpose and some guidance for our research. As future planners, we have the duty not only to bring to light these forgotten realities but to also deliver recommendations that aim at overcoming people’s disillusionment when requiring their participation. In other words, the role of a socio-environmental planner is to make sure that no one is left out in the dark without hope.

Water march board

Part 2 – Learnings from the process – Networking, my ally for achieving holistic research

As Lima was my first field research trip I was aware that data collection would be the most challenging phase of the research process. As a project manager, I am used to things being planned from A to Z before a project even starts. As a result, I was fearing data collection as I viewed it as uncertain and unpredictable. Thankfully, I discovered a great ally that changed my perspective and allowed us to bring structure to data collection: networking.

I understand networking as interactions with a system of interrelated primary and secondary connections that hold different roles, views and power about a given topic. To have a holistic data gathering, it is important to network with a diverse range of actors of various opinions. However, not all stakeholders play the same role in data collection. In the field, when time is limited, it is vital to be flexible and to learn to also rely on secondary connections. While they may provide a smaller share of information, these connections can be more engaged and transparent. In our case, we met with an engineer working on the ecosanitation project from Sedapal who could be considered as a secondary connection given his operational clout in the project. His insights, provided anonymously, proved even deeper than information provided by the key project partner AguaEcosan.

Having recognised the importance of networking, it became critical to integrate it in our research process as a key planning tool for data collection. Recognising that these connections may not always happen organically, it is important to have the methods in place to foster networking and adapt it constantly in the field. Clear research objectives and actor-mapping were critical to  framing our networking. By knowing the data we needed, the current gaps and the existing actors we could interact with, it became easier to prioritise connections and make the required substitutions when needed, understanding the implications for our research.

Actors mapping

The role of networking as a planning tool for data collection was critical in achieving our research objective to understand better the eschemas model, a publicly-driven city-wide framework from Sedapal to provide water and sanitation services to 100% of the population. Making a direct connection within Sedapal had not yielded any result so we mapped potential actors that could help us gather similar data and decided to network upwards from the communities. We leveraged our existing relationship with the NGO Peruanos sin Agua to connect with a leader from an eschema committee at a water protest march. While the march itself had little importance from a data collection perspective, the contact had the potential to be the missing link we needed to connect with Sedapal as the march was organised in collaboration with the worker union from Sedapal. This allowed us to achieve our initial research goal.

First, these key learnings about the methods to network efficiently allowed me to overcome my fear of data collection by understanding that data collection can be planned and is not as uncertain as I saw it originally. Furthermore, recognising the existence of this system of interrelated primary and secondary connections enabled me to use networking as a key ally to engage with these connections and collect data in a holistic and efficient way. Ultimately, this ultimately has a positive impact on the quality of our research outcomes.

 

Conclusion

It is undeniable that pre-research plays a key role in research trips as it allows to gain deep knowledge about a given field of analysis and form initial hypotheses to verify during the research. However, once on the ground, the reality can challenge assumptions and reshape priorities… but after all, research is about ‘trusting the process’. While tools such as networking should be used to help reduce uncertainty, planners should remain flexible and embrace the research journey to gather findings that go much beyond pure research outcomes.


Florie Arlegui is a product strategy lead studying for a MSc Environment & Sustainable Development as a part-time student (2015-2017) in order to pursue a career change. She is particularly passionate about sustainable mobility in cities.

Solidarity with the people of Old Fadama, Accra- Ghana

By ucfuadr, on 24 May 2012

EDITORIAL: There will be a discussion on the current situation in Old Fadama as well as the often overlooked perils of fire in informal settlements on Wednesday 30 May 5-7pm in Room 101 in the DPU. It will consist of an initial presentation on the settlement followed by reactions from organisations on the ground and a panel of international experts on disaster mitigation and housing. You are all welcome to join!

 

 

 

 

 

 

 

 

 

 

 

Dear friends,

We are writing on behalf of the DPU MSc Environment and Sustainable Development (ESD) study group recently back from the 3 weeks field trip where we studied Urban Agriculture in Old Fadama, a large informal settlement in Accra, Ghana. Today we received bad news from the community saying that last Monday (May 21st) a fire ravaged 1,000 houses rendering over 3,500 people homeless. Moreover, these people who already have almost no belongings are now left with nothing and with no place to stay. To make matters worse, the rainy season is just now starting.

The situation in Old Fadama is that of permanent transiency. Because of its informal nature, the government does not provide infrastructure and Old Fadama’s insecure land tenure has made both the community and outside organisations hesitant to invest. All basic infrastructure and housing is thus organised, built and maintained by the community and the Old Fadama Development Organisation, OFADA, at their own cost.

The local authorities are unclear about the dimensions of the catastrophe and are doing little to assist the community. As the relationship between Old Fadama and the Accra Metropolitan Assembly is tense, the amount of aid the community will receive is unclear and unreliable. The Ghanaian media are not giving precise information about the fire and are mostly blaming the dwellers instead of promoting a campaign to help them to cope with this misfortune.
Thankfully, the community is well-organised and NGOs and organisations like People’s Dialogue for Human Settlements, OFADA (Old Fadama Development Association) and the Ghana Federation of the Urban Poor are working hard to help the Old Fadama community. In fact, our local facilitator in Accra, Mr. Fuseini, was responsible for enumerating the homeless despite the fact that he himself lost everything in the fire.

In collaboration with the ESD staff, our group has thus decided to raise awareness through the DPU channels in order to inform you all about this and gather suggestions about ways to help them. Additionally, the DPU staff will be in contact with the Ghana Federation of the Urban Poor, People’s Dialogue and other organisations to explore how to best support the people of Old Fadama. Please feel free to show your solidarity with ideas. We are also considering the feasibility of collecting funds to help with the re-building efforts.

We will of course keep you posted on any events, efforts, or new information on this topic.

Thank you so much in advance.

‘The Old Fadama Group’ from the Environment and Sustainable Development Programme at the DPU

For more information and pictures about this visit: http://philipkumah.wordpress.com/2012/05/22/fire-outbreak-in-old-fadama/