Economic Costs of Inadequate Water and Sanitation

South Tarawa, Kiribati

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• Publisher: Asian Development Bank
• Year: 2014
• Print ISBN: 9789292545000
• eBook ISBN: 9789292545017
• Edition: 1
• Topic: Technology & Engineering
• Subtopic: Agriculture
• Index: Technology & Engineering

The inadequate water supply and sanitation situation in South Tarawa has contributed to high rates of water-borne diseases and environmental degradation in the country's main urban center. There has been limited capital investment in water supply and sanitation infrastructure and ongoing operations and maintenance in South Tarawa, in part, as a result of low cost recovery in service delivery. To enable more informed policy responses to address the current situation, this study seeks to estimate the total economic costs associated with inadequate water and sanitation services in South Tarawa.

Annex 1
ADB TA7359-KIR: Tarawa Sanitation Improvement Project
Assessment of the Economic Costs of Inadequate Water Supply and Sanitation Services in South Tarawa, Kiribati

Household Survey Questionnaire

Thank you for agreeing to be part of this survey. This survey is conducted under an ADB-funded study on the “assessment of the economic costs of inadequate water supply and sanitation services in South Tarawa.” (Please see attached brief)

Enumerators please explain to the respondent the context of this survey and its purpose. Also, in each section of the questionnaire, there is a short description about the reasons for asking those questions. Please explain these to the respondent before asking each of those questions in the set.

Context

ADB is supporting South Tarawa Sanitation Improvement Sector Project (STSISP) to improve water supply and sanitation services on the Island of South Tarawa. As part of this initiative, the Government of Kiribati wishes to identify direct and indirect costs to the people of South Tarawa and the government due to the effects of inadequate (poor) water supply and sanitation services, that is, the current business as usual situation. People suffer from many diseases caused by poor water and sanitation services. Such diseases are transmitted through water called water-borne diseases, like dysentery, diarrhea, cholera, typhoid, etc. There are also diseases transmitted via mosquitoes. These diseases are called insect-borne diseases, like dengue.

Purpose

The main purpose of this survey is to obtain from the individual households information that can help us to assess

the financial costs to people due to the effects of poor water and sanitation services—costs associated with direct human health effects, such as water-borne diseases, vector infectious diseases, that include the costs associated with doctor visits, medicine, hospitalization, loss of income, etc.;

the amount households pay to reduce health problems caused by poor water and sanitation by, for example, boiling water, buying water tank filters, etc.; and

household conditions that may contribute to increased incidence of water- and insect-borne diseases, including loss of lives directly linked to these illnesses.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Code for Column 7: Treatment Outlets, 00 Traditional Medicine, 01 ‘Traditional doctor’, 02 Shop, 03 Hospital/Clinic/Health Center, 04 From overseas, 05 No treatment sought.

Thank you very much

Annex 2
Logit Regression Analysis of the Relationship Between House Type and Use of Beach

Table A2: Logit Regression Analysis of the Relationship Between the Use of Beach (Yes/No) and Type of House People Live In, Compared with the Use of Beach by People Who Live in Traditional House as a Reference

Source: Based on household survey, July 2013.

Annex 3
Relationship Between the Proportion of Household Members Suffering from Diarrhea and Dysentery and Villages in South Tarawa

Ordinary least square analyses without including any other explanatory variable reveals that th...

Table of contents

• Front Cover
• Title Page
• Copyright Page
• Contents
• Tables and Figures
• Foreword
• Acknowledgments
• Abbreviations
• Executive Summary
• Introduction
• Analysis of the Water Supply and Sanitation Situation in South Tarawa
• Impacts of Poor Water and Sanitation
• Economic Costs of Inadequate Water and Sanitation
• Reducing Economic Burden of Poor Water and Sanitation
• Conclusion
• References
• Annexes
• Back Cover