Lack of access to water, sanitation, and hygiene is one of the most pressing issues of our time. According to the UN, 2.4 billion people lack access to basic sanitation services, such as toilets or latrines, and diseases associated with inadequate water, sanitation, and hygiene kill millions of people per year.
No single sector can address sanitation issues alone. Decades of public sector investment have led to significant advancements in sanitation technology and access, but many experts believe that providing sanitation at scale requires market-based solutions. Yet as the adoption of market-based sanitation solutions has increased in recent years, it has become clear that a number of barriers exist which prevent market-based solutions from scaling or being successfully replicated.
Scaling Market-Based Sanitation, a USAID WASHPaLS desk review authored by FSG, assessed 13 market-based solution intervention case studies and over 600 documents on the sanitation sector to identify the barriers to scale. Based on this research, the report provides recommendations for how funders, implementers, and other actors can collaboratively scale interventions that increase sanitation coverage.