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Post - 2015 Sustainable Development Goals Beyond the SDGs: How to deliver water and sanitation to everyone, everywhere surprise that sanitation was among the most off-track of all the targets, falling short by more than 650 million people. That is more than double the population of the United States. This is a failing we can ill-afford to repeat in these new global goals. More than 2.3 billion people still do not have access to a safe, private toilet. Nearly 1 billion have no choice but to defecate in the open, at road sides, in fields or behind bushes, which contaminates living environments and contributes to disease, death and indignity. While there is no doubt much progress has been made under the MDGs, you may not have A public toilet in Ciudad Pachacutec in Peru. More than 2.3 billion people still do not have access to a safe, private felt it if you are a disabled or toilet. Photo by: Monica Tijero / World Bank / CC BY-NC-ND elderly person, living in a remote community or in an informal By Margaret Batty urban settlement, particularly in sub-Saharan Africa and South Asia. ecently, world leaders embarked upon a new journey The question is, how do we change this trajectory in the to tackle extreme poverty and make our planet a healthier, more equal place to live with the adoption of the new global goals? new U.N. Sustainable Development framework. These are Drawing from experience exciting times, and a real chance for change. We know that success in sanitation does not require a Water and sanitation play a key role in these 17 global country to become wealthy. Singapore and South Korea goals on sustainable development — not only in SDG managed it in a generation, alongside their economic 6, but crosscutting through health, education and gender growth rather than waiting to become prosperous. rights. It’s hard to imagine a successful school, a successful It is a matter of political prioritization, incorporating hospital or a successful community without such basics sanitation into city planning and housing from the start, as safe drinking water, a decent, private toilet, effective and treating it as an essential public service critical to removal of human waste, and good hygiene practice, prosperity. It requires public funding and planning. including hand and face washing with soap. WaterAid has drawn upon these lessons and the U.K.’s But sanitation was an afterthought in the original own history, when a comprehensive sewer system inspired Millennium Development Goals. After all, human by the Great Stink of the sewage-infested River Thames in excrement and sewage systems are not attractive topics, London brought raging cholera epidemics under control, especially in official circles. When addressing the U.N. 150 years ago. We’ve worked with utilities in developing Commission on Sustainable Development in 2008, I used countries to extend water and sewerage networks to poor the word ‘shit’ to get my point about the impending crisis communities, and with city administrations to support the across — it was translated, albeit hesitantly, after a definite planning and design of new water and sanitation systems pause. And even the U.N. Deputy Secretary General Jan that have the potential to include hundreds of thousands Eliasson, a champion of ending open defecation, has had of newcomers, now and into the future. The work on translators hesitate at his use of the word ‘toilet’ in the implementing these new goals is already underway. conference rooms of the United Nations. All these efforts require resources, and another major When the final review of the MDGs came in, it was no challenge of the last two decades has been chronic under- R Africa Water, Sanitation & Hygiene • November - December 2015 19