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In Lao PDR, access to basic sanitation in rural areas has risen from an estimated 10% in 1995 to 38% in 2008.

Lao PDR's progress in rural sanitation

Lao People's Democratic Republic (PDR) faces considerable challenges in the delivery of sustainable and equitable access to sanitation in rural areas. The country is one of the poorest countries in East Asia and receives one of the highest per capita levels of aid in the world. Approximately 84% of its poor are rural inhabitants, with almost 2 million rural dwellers falling below the poverty line. More than half the population lives in upland areas with a critical lack of infrastructure, presenting huge technical, social and physical challenges to sanitation service delivery.

Nevertheless, the country has made progress since 1990 in increasing access to improved sanitation in rural areas. This is a story of rapidly increasing access to improved sanitation and of gradually improving government systems for service delivery. This progress is to an extent 'unsung' - Lao PDR's current sanitation challenges tend to eclipse its positive steps forward. But progress has been made in a difficult sector from an extremely low base, even if major challenges remain.

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Key Messages

  1. Lao PDR has made progress in increasing access to improved sanitation in rural areas, from an extremely low base. Access to basic sanitation in rural areas rose from an estimated 10% in 1995 to 38% in 2008, which represents strong progress, even if there is still a long way to go.
  2. Progress has been driven mainly by: private household investment in latrine construction linked to wider socioeconomic development; an improved policy and institutional framework; subsidised sanitation technology and construction; and donor financing to operations and capacity building.
  3. Key lessons learnt include: i) development finance is needed over the long term, particularly in low-resource environments; ii) there is no blueprint for progress in sanitation; iii) equity, sustainability and behaviour change need to be tackled head on to maintain progress; iv) progress in sanitation is linked to wider political change, which takes time; and v) progress outside the sector can contribute to sector progress.