Globally 2.4 billion people live without access to improved sanitation. Looking at the sanitation problems in India's, it's evident that women and girls bear a higher burden than men. The inequities suffered by women in rural or urban settings, affects them biologically, socially and economically.
The areas where impact of poor sanitation is clearly visible are - menstrual hygiene and sanitation issues as barriers to school attendance of girls, areas where women work under poor/no sanitation facilities, under-nourishment and dehydration among pregnant women and new mothers and children's health during first 1000 days.
The absence of safe and separate sanitation facilities is one of the key factors preventing girls from attending school, particularly during menstruation. Women are often vulnerable to harassment or violence when they use shared toilets, or practice open defecation.
The shame and indignity of defecating in the open affects their self-esteem. Several women wait to relieve themselves after the sun-set and consume less food and water to delay the need to relieve them which leads to health problems. Poor access to safe water and sanitation can have profound impacts for women and girls.
A lot of initiatives have been taken towards building toilets in schools, health centers, villages etc. But only building toilets is not enough, demand should also be generated through social behaviour and change in communication strategies.
Access to water, hygiene and adequate sanitation are fundamental human rights. There is a serious need to ignite behaviour change. Therefore, direct involvement of women in the planning and management of sanitation programs is important.
Hygiene promotion interventions are to be designed considering women and girls issues as priority. Knowledge/solution exchange initiatives programs from other countries and implementation of successful and cost effective technologies are important.
The delay on part of women for the need to relieve themselves leads to:
(a) Gestational Diabetes Mellitus
(b) Anemia
(c) Urinary tract infections
(d) Hypothyroidism
Choose the correct answer from the options given below: