Report / Case study

Alternative Sanitation in Protracted Emergencies: Final Report

author(s) Patrick, M. - Murphy, J. - Akers, P. - Brown, T. - Hill, V. - Handzel, T.
from UK Foreign, Commonwealth & Development Office (FCDO)
permalink open
themes
regions
  • Eastern Africa
  • Sub-Saharan Africa
  • Africa
  • World
citation

M. Patrick, J. Murphy, P. Akers, T. Brown, V. Hill, T. Handzel (2017) Alternative Sanitation in Protracted Emergencies: Final Report. Centers for Disease Control and Prevention (CDC)

Publications and datasets provided via GARDIAN

Abstract

Urine-diversion dry toilets (UDDTs) are a type of sanitation system designed for dry excreta management. In these above-ground systems, urine is diverted at the squat plate and feces is collected below in one or two (alternating) vaults. In the two vault system, one vault is in-use or ‘active’ at a time, while the other ‘closed’ vault stores and inactivates pathogens in the waste, primarily via desiccation, over a time period of six to 12-months. While these toilets are often described as an ecological sanitation or ‘ecosan’ system, excreta reuse is not necessarily a design goal for UDDTs. Instead, they are often used as an alternative, on-site sanitation option in areas where traditional below-ground options, such as pit latrines, are impractical due to difficult soil/ground conditions, flooding, or lack of space. This report provided valuable insight into the acceptability and performance of a large UDDT program implemented in a humanitarian context in Ethiopia, several years into the program and after considerable scale-up in Hiloweyn camp, Dollo Ado. The evaluation was implemented over more than a two-year period, allowing documentation of real field conditions over time including stored waste characteristics, toilet infrastructure, and overall user experience. Given that the program was several years into scale-up and therefore may have had stronger management and oversight than other locations, it is recommended that additional evaluations are undertaken in 1) more temperate and humid environments, 2) different cultural settings, and 3) earlier in implementation phase in an emergency setting. This may assist with developing guidance around a range of appropriate settings and conditions for UDDT use in humanitarian contexts. A number of lessons learned were documented from this evaluation, which may assist implementers in Dollo Ado and elsewhere – both in humanitarian and non-humanitarian settings. This research was supported by the Research for Health in Humanitarian Crises (R2HC) Programme

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