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.

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.

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 residents, DNA 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.

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

Rapid urban expansion and the emergence of new urban centres in the Global South is frequently accompanied by a lack of adequate infrastructure and services. This is resulting in declining levels of access to water supply and sanitation for a large number of urban dwellers, with the State increasingly unable to fulfill its role as a provider of basic services.

I will elaborate on this using the example of Dar es Salaam, a city that has been the focus of my research for a while.

In Tanzania’s largest city we see that formal service provision is limited to central and more affluent areas. The gap in service provision is particularly high in rapidly growing peri-urban areas such as Tungi and Kigamboni, whose inhabitants are among the worst served.

Both wards are areas that tend to absorb large proportions of the growing urban population, but with disproportionately high percentages of poor households. This is going to accelerate further once the construction of a new bridge that connects these two wards to the city’s main business district is complete.

Peri-urban areas may be incorporated into the city, but still lack services

At the same time, many informal areas previously labelled as ‘peri-urban’, like the Kombo and Karakata subwards close to the airport in the South, have become more consolidated and incorporated into the urban core. Yet they continue to suffer from non-existent or inadequate formal infrastructure and services.

As with the Kigamboni peninsula, the majority of those affected are lower-income people that experience varying degrees of water poverty, often with severe implications on their livelihoods; both in terms of the additional time spent to meet their needs and their income, if their economic activities rely on water.

Global efforts to meet water and sanitation needs

To address injustices in the current provision of infrastructure and services, there has been a renewed commitment globally towards universal access through the Sustainable Development Goals in order to activate people’s right to water supply and sanitation. Tanzania is one of the countries that have endorsed the right to water and sanitation.

In practice, however, efforts to tackle the shortfall have largely been seen as a problem of maldistribution. In other words, proposed solutions currently include expanding the water source, reforming the utility and improving the network – these plans assign major roles to utilities, the state and external support agencies.

Poverty, which is first and foremost conceived as people’s financial inability to pay, is regularly presented as the main reason for people lacking access to water supply and sanitation. This is in spite of evidence that Dar es Salaam’s lower-income households frequently pay more in relative and actual terms for a service that in reality is of a lower quality and lower frequency.

More than just a distributional struggle

But water injustices in cities are much more than just a distributional struggle. They are created by socially fabricated political-economic structures, which have led to clear power imbalances that misrecognise those without access. Power relations play a significant role in Dar es Salaam where water has become a commodified good. Even though water supply is in public hands the utility is heavily pushed to be financially autonomous and commercially viable.

In Dar es Salaam and many other cities in the Global South the lack of entitlement and recognition is associated with the informal status of the urban water poor and their disempowerment. While the utility acknowledges their responsibility to provide Dar es Salaam’s residents with water regardless of their tenure status the proportion of their action contributing towards improving supply in informal settlements has been negligible so far.

Co-produced water practices

The deficiency of utility networks and supply in poor urban settlements has given rise to the emergence of a range of alternative practices. Many of them emerge out of poor people’s needs and can range from individual coping mechanisms to collectively organised and negotiated initiatives. Some of these communal efforts represent different forms of co-produced service provision whereby organised groups of poor communities are collaborating with the state directly.

Goals of current DPU research

Earlier this year, I was part of a group of colleagues from DPU, in collaboration with a number of partner organisations, that embarked on the Wat Just research project – Translocal learning for water justice: Peri-urban pathways in India, Tanzania and Bolivia – to explore alternative practices to access services with a particular focus on co-produced water management in three cities; Cochabamba, Dar es Salaam and Kolkata.

In each city we found a variety of service co-production arrangements that range from latent state support to fully institutionalised co-production platforms. However, very little is known to date about their actual performance and their potential to operate at scale.

The aim of our future research is to examine their transformative potential to address not only the current service gap – i.e. meet the urban poor’s practical needs – but also to investigate how far they can tackle more strategic needs such as challenging and transforming existing power relations that threaten to keep the needs of the urban poor hidden.

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Pascale Hofmann is a lecturer at the DPU and is currently studying for an EngD at the DPU and UCL’s department of Civil, Environmental and Geomatic Engineering (CEGE). She has been working with Professor Adriana Allen on a research project with seed-funding from the ISSC (International Social Science Council) Transformations to Sustainability Programme.

The project, on Translocal learning for water justice: Peri-urban pathways in India, Tanzania and Bolivia, has brought together academics and NGOs from Bolivia, India and Tanzania to discuss and share the challenges and opportunities of co-produced water and sanitation services in their cities. How can these platforms contribute towards water justice at the city scale? A series of Water Justice City Profiles have been produced, elaborating on the challenges in each urban region, as well as a series of videos that explain the concepts and contexts in which the research operates – several of which will be released in the coming weeks.