The other
day I received a message from an unknown source - probably one of the many
readers of my articles - lamenting about the state of our public health. He
pointed out lack of practical linkages between human waste production and
disposal and the apparent absence of official recognition that a significant
number of Kenyans do defecate 'openly'.
His view
was anchored on recent government statistics and the fact that open defecation
is no more a secret but the 'only way' for many of our folks living at the
socio-economic periphery of this country.
This,
definitely, is a pointer to many factors. The measure of a country's progress
is inseparable from the (primary) health standards of its people and the
quality of ideas flowing from its leadership.
The awkward
reality - and perhaps one that leaders must know - is that sanitation is the
core of all our socio-econo-political experiments. For no population lives in
isolation. We are inherently predisposed to risks and/or positives of others.
The Ebola epidemic in West Africa is one perfect example.
Ebola -
albeit all groaning and cries flying from its victims - has brought to the fore
a new positive thinking. That no frontiers exist on matters of public health.
That the mighty and the weak, the rich and the poor, the schooled and the
unschooled, the urbanites and the rural folks, are equally predisposed to
public health risks. That an all-inclusive engagement is the way to go to stay
healthy.
Which
brings us to the core of our discussion: Is our public health preparedness
commensurate to the dangers lurking ahead of us? Put it differently; are we ready
to judge our leaders by the number of toilets in their backyards?
This is
what the Kenyan government numbers say. Thirty-nine percent of Kenyans
have no access to improved methods of waste disposal. Most of these victims,
live in what is generally classified as rural areas - those pockets of our
nation that feature prominently on the wrong side of
Kenyan intelligentsia. (check:
http://www.sidint.net/content/inequalities-kenya)
In my home
county, Turkana, 91% of residents use unimproved sanitation. In this place,
valleys, bushes and rocky grounds not only serve as those must-reach beautiful
selfie-spots, but the only place to dispose of human waste.
Look, out
of the thirty wards in the county, practically twenty of them have no improved
sanitation facilities (read toilets). This is sixty percent of the county
going to the bushes!
No wonder
under-four mortality rate in the county is always on the upward trajectory as
we keep on blaming mosquitoes and hunger. The problem is poor sanitation. This is
what is killing my people.
Mark you;
this is not about toilets and defecation alone. It is the
whole sanitation thing. And according to them (these government
people); sanitation refers to the principles and practices relating to the
collection, removal, or disposal of human excreta, household waste, water and
refuse as they impact upon people and the environment.
Decent
sanitation is grounded in appropriate hygiene awareness and behaviour as well
as acceptable, affordable and sustainable sanitation services which is crucial
for the health and the wellbeing of the people.
Some
observations are clear even for the numskull. Poor or inexistent human waste
disposal facilities leads to higher human and economic costs to communities
through pollution of rivers, ground water and higher incidence of air and water
borne diseases. Needless to talk of the blows education will suffer from this.
On the
other hand, women and girls shoulder the greatest challenges of open
defecation. Bush defecation puts them right into the hands of rapists and other
sex pests roaming around in the vicinity.
The Indian
"rape-hunter" experience proves this right. In rural parts
of India, many women have been sexually abused and even died as a result
of attacks from these sex-hunters.
From the
look of things, Kenya should not afford hurtling down this deadly path. We have
the capacity – material or otherwise – to make things work. However, it is
instructive that the rethinking of our strategies takes into consideration the
many dynamics out there.
There is an
ingrained pseudo-cultural understanding among our people that things like
toilets, are for the cream in the society. For them, this is a show of progress
that the poor cannot afford. Tellingly, this is purely a problem of the mind
that can only be vanquished by consistent public awareness and follow-ups.
Again,
building a toilet falls at the bottom of the priority list of many economically
disadvantaged Kenyans. For many of these folks, building a toilet means
foregoing most of the badly needed items atop the family index. It is for this
reason that government-led sanitation projects come in handy down there.
At a time
when youth unemployment is the in-thing across public and private corridors in
this country, perhaps, it strikes some sense to shift our focus and energies to
sustainable toilets.
County
governments stand a better chance in actualizing this. What they need is
simple: train youth, support them financially and have them deal with toilet
construction, maintenance and management.
From a
radical standpoint, Parliament and County Assemblies can do Kenyans a great
service by passing laws stipulating that government officials – and especially,
those residing at the countryside – (should) build at least one toilet as a mark
of their commitment to sanitation.
Come 2017,
before you troop to your polling station, count the number of sanitation
facilities (toilets, refuse disposal points etc) in your village, constituency
and county to gauge the commitment of leaders in the development of this
country.
We must
think, speak and act sanitation to propel this nation’s socio-econo-political
wheel!
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