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As Figure 5.12 shows, Cape Town and Nelson Mandela Bay have the highest proportion of households<br />

with piped water inside dwellings. Cities such as Buffalo City and eThekwini, with large rural areas,<br />

have more difficulty supplying piped water to households. Cape Town, eThekwini, Mangaung and<br />

Msunduzi have the highest proportion of households with metered connections. In addition, Cape<br />

Town, Ekurhuleni, eThekwini and Nelson Mandela Bay have the best budgeting performance for<br />

spending on asset management. eThekwini (whose Water and Sanitation Department won the 2014<br />

Stockholm Industry Water Award), Buffalo City and Cape Town have the best technical capacity,<br />

measured by the number and qualifications of people occupying technical positions in their water<br />

infrastructure departments (SACN, 2015a).<br />

Over the last 20 years, access to potable water services has increased dramatically in urban areas.<br />

However, <strong>cities</strong> still face challenges in providing adequate sanitation services to households.<br />

Inadequately collected and/or treated waste can compromise water quality through pollution, affect<br />

human health and reduce the water’s fitness for use.<br />

Figure 5.13: Access to sanitation (2010)<br />

100%<br />

80%<br />

60%<br />

40%<br />

20%<br />

5<br />

0%<br />

BUFF<br />

CPT EKU ETH JHB MAN MSU NMB TSH<br />

No sanitation<br />

Flush toilet (connected to sewerage system)<br />

Flush toilet (with septic tank)<br />

Chemical toilet<br />

Pit toilet with ventilation (VIP)<br />

Pit toilet without ventilation<br />

Bucket toilet<br />

Other<br />

Source: SALGA/WRC (2014)<br />

As Figure 5.13 shows, over 80% of households have flush toilets connected to the sewage system in<br />

Johannesburg, Cape Town, Ekurhuleni Municipality and Nelson Mandela Bay Metro. In Msunduzi and<br />

Mangaung, ventilated improved pit (VIP) latrines are used by nearly 20% of households.<br />

SUSTAINABLE CITIES 181

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