Africa Water, Sanitation & Hygiene Nov - Dec Vol. 9 No.6 | Page 29

Sanitation Toilets and Gender-Based Violence One in three women around the world are victims of violence at least once in their lifetime. girls, who loose privacy and face shame having to defecate in public, or – after painfully holding their bladder and bowels all day – risk attack by waiting until night falls. The connections between toilets and violence against women may not initially be obvious. But consider a woman without access to a toilet in her home. When travelling to and from public toilets, using the toilet, or venturing from her home to defecate openly, she is vulnerable to violence. This vulnerability is becoming increasingly recognized and described. Since 2000, the world has been working towards ending open defecation by improving access to toilets through the United Nations Millennium Development Goals. However, significant progress, particularly that of which is equitable, is still needed. As highlighted in most recent progress reports, numerous inequalities in access to toilets exist. Urban areas gain, and have significantly more access to services than rural. Nine out of 10 people defecating openly live in rural areas. Within urban and rural areas, the wealthy have disproportionately greater access to toilets than impoverished populations. Not stopping there, disparities in access exist between religious, ethnic, and other identifiable groups, with disenfranchised groups seeing less access to services. Where toilets do exist, additional inequalities present in usability. Toilets generally remain inadequate for populations with special needs, such as the disabled and elderly, and women and girls requiring facilities to manage menstrual hygiene. Without accessible toilets for these populations, they remain excluded from opportunities to attend school and gain employment. In striving to achieve access to toilets under the Millennium Development Goals, inequalities have become apparent. A shift towards equitable approaches is vital to achieving goals and protecting dignity. Typical Chinese public toilet, no privacy at all Sou-fujimoto-public-toiletin-ichihara-designboom Master-bathroom Japanese Squat Toilet Great Wall Life’s a Game Africa Water, Sanitation & Hygiene • November - December 2014 27