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National Human Development Report: 2001 - Indira Gandhi Institute ...

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40ECONOMIC ATTAINMENTS AND WELL-BEINGNATIONAL HUMAN DEVELOPMENT REPORT <strong>2001</strong>considerably lower than those reported in Census 1991, the picture is,however, different at the State level. For instance, in case of Kerala theproportion of households living in pucca houses was 56 per cent as per Census1991 and it was nearly 80 per cent as per NFHS-II. For Punjab it was 77 percent as per Census 1991 and only 53 per cent as per NFHS-II. Thesevariations could be on account of sampling errors and differences indefinition of pucca houses in the latter.Sanitation — Access toToilet FacilitiesA majority of India’s population does not have access to toiletfacilities in their dwellings and lacks sanitation facilities for the disposal ofwaste water. Apart from the availability of safe drinking water, lack ofsanitation, particularly sewage and disposal of solid waste including ‘nightsoil’ has been observed as among the main reasons for prevailing ill healthand morbidity levels in the country. As per the 1991 Census, less than onefourthof the households in the country had toilet facility within the premisesof their residence, the proportion was less than 10 per cent for ruralhouseholds and around 64 per cent for urban households.There are significant inter-State variations in access to toilet facilities.Among the major States, at one end in Kerala 51 per cent of the householdshad access to toilet facilities and at the other end it was less than 10 per centin case of Orissa. The proportion was higher only in case of Delhi, Tripura,Mizoram, Chandigarh and Lakshadweep. For the most populated States inthe country including, Bihar, Uttar Pradesh, Madhya Pradesh and Rajasthanthe proportion was well below 20 per cent. Even in the relatively developedStates like Gujarat and Maharashtra, the proportion of households withaccess to toilet facility was around 30 per cent. In all States, the proportionwas significantly lower for households in rural areas in comparison to urbanareas. Among the various population segments, access to toilet facilities forScheduled Castes and Scheduled Tribes households was lower than that ofother households in almost all States.NFHS-II also provides data on access to toilet facilities. As per theSurvey, 64 per cent of the households in the country had no access to toiletfacilities in 1998-99 in comparison to 76 per cent in 1991 reported by theCensus. Less than one-fifth of rural households and over four-fifth of urbanhouseholds had access to such facilities. At the State level, the data indicatesthat the proportion of households having access to toilet facilities in larger,more populated and poorer States was much lower than the national average.These include Andhra Pradesh, Bihar, Madhya Pradesh, Orissa, Rajasthan,Tamil Nadu and Uttar Pradesh. Among the smaller States only HimachalPradesh followed this pattern. In case of Kerala the proportion of householdswith access to household facilities at 85 per cent was much above thenational average of 36 per cent.The problem of sanitation for the majority, at household level, isessentially of awareness and education and not really of resources. Theresources, technology and management aspects of the problem are important,

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