Sanitation (excreta management and solid waste management)

Preparedness Response Recovery
1. Assessment, analysis and planning
Identify and analyse the risks and barriers faced by persons with disabilities in accessing WASH facilities. Take measures to remove or mitigate them. X
Locate WASH facilities at an appropriate distance from each other and from people's homes. Locate handwashing facilities close to latrines; position communal waste disposal areas at some distance from residences. X X
Design obstacle-free access routes to sanitation facilities. X
Take steps to make community infrastructures accessible (markets, health centres, schools...). Make individual dwellings accessible as well. In communal latrines, install specific facilities for persons with disabilities. X X X
In the absence of detailed assessments, assume that 15 per cent of new or rehabilitated facilities must be accessible to everyone, including persons with disabilities. X
Ensure that persons with disabilities and their families are consulted about the disposal of waste. Consider excreta and menstrual hygiene and incontinence materials. Make sure that waste disposal arrangements are safe, respect personal dignity, and counter stigmatization. X X
2. Resource mobilization
Involve persons with disabilities when preparing the budgets for WASH-related humanitarian response plans or flash appeal projects. X
Ensure that proposals and budgets include the costs of making facilities and services accessible. X
3. Implementation
Conduct awareness-raising sessions with families on the significance of toilet accessibility for the independence and dignity of persons with disabilities. X
Make latrine blocks accessible by installing ramps and handrails. Make doorways wide enough for wheelchairs to pass. X X
Ensure cubicles are large enough to accommodate a wheelchair when the door is closed. X X
Provide low-level, easy-to-use taps for handwashing. X X
Install drainage systems to prevent surfaces from becoming slippery. X X
Always hold a community consultation about arrangements for safe excreta disposal and hygiene practices. Consult the community about the location, design and appropriateness of sanitation facilities. Consider the specific access requirements of persons with disabilities: they need to travel to reach the toilet; to have access to the toilet; and to be able to squat or sit on the toilet. X X X
Advise and support caregivers and support persons on managing faeces at home. Inform them how to dispose of faeces safely and hygienically. X
Install waste storage containers adapted to the different accessibility requirements of persons with different disabilities. Ensure that they are positioned where persons with disabilities can access them. X X
Train humanitarian workers and programmers in the WASH needs of persons with disabilities. Ensure that facilities are designed with access in mind. Facilities should respect personal dignity, be appropriate, and straightforward to maintain. X
Develop instructions and signage in multiple accessible formats that explain how to dispose of waste safely and hygienically. X
4. Coordination
Ensure that public building facilities (e.g., schools, hospitals...) have sufficient accessible latrines. X X
Consult persons with disabilities when communal solid waste disposal points are designed and sited. X
5. Monitoring and evaluation
Monitor how persons with disabilities use latrines. Record the percentage who report that the toilets meet their requirements and the percentage who are dissatisfied. Use this information to improve hygiene and the quality of facilities and services. X X