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Drinking water supply and sanitation in Pakistan is characterized by some achievements and many challenges. Despite high population growth the country has increased the share of the population with access to an
improved water source An improved water source (or improved drinking-water source or improved water supply) is a term used to categorize certain types or levels of water supply for monitoring purposes. It is defined as a type of water source that, by nature of its co ...
from 85% in 1990 to 92% in 2010, although this does not necessarily mean that the water from these sources is safe to drink. The share with access to
improved sanitation Improved sanitation (related to but distinct from a " safely managed sanitation service") is a term used to categorize types of sanitation for monitoring purposes. It refers to the management of human feces at the household level. The term was co ...
increased from 27% to 38% during the same period, according to the Joint Monitoring Program for Water Supply and Sanitation. There has also been considerable innovation at the grass-root level, in particular concerning sanitation. The
Orangi Pilot Project The 'Orangi Pilot Project'' ( ur, ; abbreviated OPP) collectively designates three Pakistani non-governmental organisations working together, having emerged from a socially innovative project carried out in 1980s in the squatter areas of Orangi, ...
in Karachi and
community-led total sanitation Community-led total sanitation (CLTS) is an approach used mainly in developing countries to improve sanitation and hygiene practices in a community. The approach tries to achieve behavior change in mainly rural people by a process of "triggering ...
in rural areas are two examples of such innovation. However, the sector still faces major challenges. The quality of the services is poor, as evidenced by intermittent water supply in urban areas and limited
wastewater treatment Wastewater treatment is a process used to remove contaminants from wastewater and convert it into an effluent that can be returned to the water cycle. Once returned to the water cycle, the effluent creates an acceptable impact on the environme ...
. Poor drinking water quality and sanitation lead to major outbreaks of
waterborne diseases Waterborne diseases are conditions (meaning adverse effects on human health, such as death, disability, illness or disorders) caused by pathogenic micro-organisms that are transmitted in water. These diseases can be spread while bathing, washing ...
such as those that swept the cities of
Faisalabad Faisalabad (; Punjabi/ ur, , ; ), formerly known as Lyallpur ( Punjabi, Urdu: لائل پور), named after the founder of the city, but was renamed in 1977 in honour of late King Faisal of Saudi Arabia. It is the 3rd largest city of Pak ...
,
Karachi Karachi (; ur, ; ; ) is the most populous city in Pakistan and 12th most populous city in the world, with a population of over 20 million. It is situated at the southern tip of the country along the Arabian Sea coast. It is the former cap ...
,
Lahore Lahore ( ; pnb, ; ur, ) is the second most populous city in Pakistan after Karachi and 26th most populous city in the world, with a population of over 13 million. It is the capital of the province of Punjab where it is the largest city. ...
and
Peshawar Peshawar (; ps, پېښور ; hnd, ; ; ur, ) is the sixth most populous city in Pakistan, with a population of over 2.3 million. It is situated in the north-west of the country, close to the International border with Afghanistan. It is ...
in 2006. Estimates indicate that each year, more than three million Pakistanis become infected with waterborne diseases. In addition, many service providers do not even cover the costs of operation and maintenance due to low tariffs and poor efficiency. Consequently, the service providers strongly depend on government subsidies and external funding. A National Sanitation Policy and a National Drinking Water Policy were passed in 2006 and 2009 respectively with the objective to improve water and sanitation coverage and quality. However, the level of annual investment (US$4/capita) still remains much below what would be necessary to achieve a significant increase in access and service quality.


Access

In 2015, 91% of the population had access to an "improved" water supply. This was 94% of the population in urban areas and 90% of the population in rural areas. In 2015, there were still around 16 million people lacking access to "improved" water. As for sanitation, in 2015, 64% of the population had access to "improved" sanitation. This was 83% of the population in urban areas and 51% of the population in rural areas. There were still around 69 million people lacking access to "improved" sanitation. In Pakistan, according to the Joint Monitoring Program for Water Supply and Sanitation of the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
and
UNICEF UNICEF (), originally called the United Nations International Children's Emergency Fund in full, now officially United Nations Children's Fund, is an agency of the United Nations responsible for providing Humanitarianism, humanitarian and Devel ...
, access in Pakistan to an
improved water source An improved water source (or improved drinking-water source or improved water supply) is a term used to categorize certain types or levels of water supply for monitoring purposes. It is defined as a type of water source that, by nature of its co ...
increased from 85% in 1990 to 92% in 2010. In the same time,
improved sanitation Improved sanitation (related to but distinct from a " safely managed sanitation service") is a term used to categorize types of sanitation for monitoring purposes. It refers to the management of human feces at the household level. The term was co ...
coverage increased from 27% to 48% (see table 1). According to the Pakistan Social And Living Standards Measurement Survey of 2010–2012, the main source of drinking water was as follows: 32% tap water, 28% hand pump, 27% motor pump, 4% dug well and 9% others. Assuming that other sources are identical to unimproved water sources, access to an improved water source was 91%, almost identical to the 2010 figure estimated by the JMP. For sanitation, the survey estimates that 66% had a flush toilet, 15% a non-flush toilet and 18% had no toilet at all. If all toilets were considered to be a form of improved sanitation, access according to this estimate would be 81%, much higher than the JMP estimate of 48%. The Millennium Development Goals aimed at halving the share of people without sustainable access to an improved water source and improved sanitation by 2015 compared to 1990. In 2006 the
United Nations Development Programme The United Nations Development Programme (UNDP)french: Programme des Nations unies pour le développement, PNUD is a United Nations agency tasked with helping countries eliminate poverty and achieve sustainable economic growth and human dev ...
estimated that concerning urban and rural water supply as well as urban sanitation, the targets will be achieved prematurely, whereas rural sanitation progress was classified to be "on track". According to the 2010 figures of the JMP above, however, the water target had been reached at that time already, while the sanitation target did not look as if it was going to be reached. According to the National Drinking Water Policy (NDWP) of 2009, Pakistan aims at providing universal access to drinking water in an equitable, efficient and sustainable manner by 2025. The National Sanitation Policy of 2006 aims to meet the Millennium Development Goal (MDG) concerning sanitation by 2015 and to also reach universal access by 2025.


Impact of inadequate sanitation

The economic impact of inadequate sanitation has been estimated at 344 billion Rupees (US$5.7 billion), equivalent to almost 4 percent of
GDP Gross domestic product (GDP) is a monetary measure of the market value of all the final goods and services produced and sold (not resold) in a specific time period by countries. Due to its complex and subjective nature this measure is ofte ...
. 87% of the impact is on health, 5% on increased costs of water supply and 8% are other impacts. The main health impacts are premature mortality and productivity losses, followed by treatment costs. Water supply costs include higher costs for the supply of piped water, higher expenses for bottled water and the cost of household water treatment. Other costs include the cost of increased time for open defecation and the use of shared toilets, and a relatively small cost of lost tourism revenues. Many intangible costs were not included in the estimate, such as the lack of privacy, security, status and dignity. The cost of environmental conditions stemming from poor sanitation was also not included in the estimate.


Service quality

Water supply
service quality Service quality (SQ), in its contemporary conceptualisation, is a comparison of perceived expectations (E) of a service with perceived performance (P), giving rise to the equation SQ=P-E. This conceptualistion of service quality has its origins in ...
is often insufficient in Pakistan. One document criticizes the MDG's methodology for only taking into account coverage figures, without giving attention to adequate service quality. Continuity of supply and water quality are two important elements of drinking water service quality. The treatment of collected wastewater is one element of sanitation service quality.


Continuity of supply

Intermittent water supply is common in urban areas. For Pakistani cities, the Asian Development Bank (ADB) indicates continuity rates of 1 to 10 hours (
Karachi Karachi (; ur, ; ; ) is the most populous city in Pakistan and 12th most populous city in the world, with a population of over 20 million. It is situated at the southern tip of the country along the Arabian Sea coast. It is the former cap ...
), 11 to 15 hours (
Rawalpindi Rawalpindi ( or ; Urdu, ) is a city in the Punjab province of Pakistan. It is the fourth largest city in Pakistan after Karachi, Lahore and Faisalabad, and third largest in Punjab after Lahore and Faisalabad. Rawalpindi is next to Pakistan's ...
) and 16 to 23 hours (
Lahore Lahore ( ; pnb, ; ur, ) is the second most populous city in Pakistan after Karachi and 26th most populous city in the world, with a population of over 13 million. It is the capital of the province of Punjab where it is the largest city. ...
) per day.The ADB abstracted the figures from unaudited data, collected from utilities for the SAWUN Benchmarking Database; see: During a 2005 workshop, similar figures were reported except for Rawalpindi for which a shorter duration of only 8 hours was reported (see Table 3).Reported by officials from the respective cities at a 2005 workshop in Karachi; see: Consequently, consumers use on-site storage mechanisms like ground or roof
tanks A tank is an armoured fighting vehicle intended as a primary offensive weapon in front-line ground combat. Tank designs are a balance of heavy firepower, strong armour, and good battlefield mobility provided by tracks and a powerful engine ...
, or they purchase water from lorry tankers or use
shallow well A well is an excavation or structure created in the ground by digging, driving, or drilling to access liquid resources, usually water Water (chemical formula ) is an inorganic, transparent, tasteless, odorless, and nearly colorless c ...
s and rivers. Many privately operated lorry tankers are licensed by water utilities and benefit from the discontinuous water supply.


Drinking water quality

According to a survey on behalf of the Pakistan Council of Research in Water Resources published in 2012, 88% of the functional water supply schemes in Pakistan provide water that is unsafe for drinking because of microbiological contamination. Increased
arsenic Arsenic is a chemical element with the symbol As and atomic number 33. Arsenic occurs in many minerals, usually in combination with sulfur and metals, but also as a pure elemental crystal. Arsenic is a metalloid. It has various allotropes, but ...
,
nitrate Nitrate is a polyatomic ion A polyatomic ion, also known as a molecular ion, is a covalent bonded set of two or more atoms, or of a metal complex, that can be considered to behave as a single unit and that has a net charge that is not zer ...
and
fluoride Fluoride (). According to this source, is a possible pronunciation in British English. is an inorganic, monatomic anion of fluorine, with the chemical formula (also written ), whose salts are typically white or colorless. Fluoride salts typ ...
contamination was detected in drinking water in various localities in Pakistan, according to an official government document., section 10.3. Generally, water pressure is low in Pakistani supply systems. Together with leaky pipes, this leads to infiltration of contaminated water. A survey of drinking water samples in Karachi in 2007/08 found that, of 216 ground and surface water samples collected, 86% had lead levels higher than the
WHO Who or WHO may refer to: * Who (pronoun), an interrogative or relative pronoun * Who?, one of the Five Ws in journalism * World Health Organization Arts and entertainment Fictional characters * Who, a creature in the Dr. Seuss book '' Horton He ...
maximum acceptable concentration of 10 parts per billion (ppb). The mean lead concentration was 146 ppb in untreated ground water and 77 ppb in treated tap water. In 2012, according to Rafiq Khanani, professor and pathology chairman at the
Dow University of Health Sciences The Dow University of Health Sciences (DUHS) is a public medical university located in the Urban metropolitan area of Karachi, Sindh, Pakistan. It was founded by Sir Hugh Dow, the then Governor of Sindh, in 1945. The university comprises two h ...
, water-borne
Naegleria fowleri ''Naegleria fowleri'', colloquially known as a "brain-eating amoeba", is a species of the genus ''Naegleria'', belonging to the phylum Percolozoa, which is technically not classified as true amoeba, but a shapeshifting amoeboflagellate excava ...
have killed at least 10 people in Karachi in three months. The infection does not occur by drinking water infested with the
amoeba An amoeba (; less commonly spelled ameba or amœba; plural ''am(o)ebas'' or ''am(o)ebae'' ), often called an amoeboid, is a type of Cell (biology), cell or unicellular organism with the ability to alter its shape, primarily by extending and ret ...
, but if water enters the nose. The amoeba then attack the brain and cause
primary amoebic meningoencephalitis Naegleriasis (also known as primary amoebic meningoencephalitis; PAM) is an almost invariably fatal infection of the brain by the free-living unicellular eukaryote ''Naegleria fowleri''. Symptoms are meningitis-like and include headache, fever ...
. Newspapers reported that drinking water was provided without any treatment or disinfection, which facilitated the spread of the amoeba. As a reaction to the findings, a citizen of Karachi submitted a court petition asking the Karachi Water and Sewerage Board to fulfill its duty to provide clean water. In October 2012, the
Sindh High Court The High Court of Sindh ( ur, ) is the highest judicial institution of the Pakistani province of Sindh. Established in 1906, the Court situated in the provincial capital at Karachi. Apart from being the highest Court of Appeal for Sindh in ...
issued a notice to the Board asking it to comment on the petition. In Rawalpindi water quality improved after a new managing director of the local utility made it a priority in 2007 as part of a broader performance improvement strategy. Within a year the share of samples that showed that water was unfit for drinking declined from 64 to 26 percent.


Wastewater treatment

The Pakistani Ministry of Water and Power reported in 2002 that only 1% of the domestic and industrial
wastewater Wastewater is water generated after the use of freshwater, raw water, drinking water or saline water in a variety of deliberate applications or processes. Another definition of wastewater is "Used water from any combination of domestic, industr ...
receives treatment. According to the Pakistan Water Situational Analysis, there are three wastewater treatment plants in Islamabad, of which only one is functional. Karachi has two
trickling filter A trickling filter is a type of wastewater treatment system. It consists of a fixed bed of rocks, coke, gravel, slag, polyurethane foam, sphagnum peat moss, ceramic, or plastic media over which sewage or other wastewater flows downward and ca ...
s, where effluents generally receive screening and
sedimentation Sedimentation is the deposition of sediments. It takes place when particles in suspension settle out of the fluid in which they are entrained and come to rest against a barrier. This is due to their motion through the fluid in response to the ...
. Lahore has some screening and grit removal systems, but they are hardly functional. In Faisalabad, there is a
wastewater treatment plant Wastewater treatment is a process used to remove contaminants from wastewater and convert it into an effluent that can be returned to the water cycle. Once returned to the water cycle, the effluent creates an acceptable impact on the environmen ...
, in which wastewater receives primary treatment, but it treats only 7 percent of the collected wastewater in the city. Multan, Rawalpindi and Gujranwala have no wastewater treatment plants at all. In rural areas, wastewater treatment is nonexistent, leading to pollution of surface and groundwater.


History and recent developments

For the first decades of Pakistan's modern history, in the largest cities City Development Authorities and their Water and Sanitation Authorities (WASAs) were responsible for water supply and sanitation. In towns and villages water supply facilities were built and operated by the provincial governments through their Public Health Engineering Departments (PHEDs). This was initially done without much participation by local government and communities in decision-making. However, in 1992 the federal government launched a Social Action Plan, which emphasized user participation, hygiene promotion and the use low-cost technologies in water supply and sanitation. A shift of sector responsibility then took place under the 2001 Local Government Ordinance (LGO). Under the LGO, three tiers of local governments were created: * 120
District A district is a type of administrative division that, in some countries, is managed by the local government. Across the world, areas known as "districts" vary greatly in size, spanning regions or counties, several municipalities, subdivisions o ...
* about 500
tehsil A tehsil (, also known as tahsil, taluka, or taluk) is a local unit of administrative division in some countries of South Asia. It is a subdistrict of the area within a district including the designated populated place that serves as its administr ...
s * about 5,000 local governments governed by
Union Councils of Pakistan The union councils of Pakistan ( ur, ), referred to as village councils in villages, are an elected local government body consisting of 21 councillors, and headed by a Nazim which is equivalent to a mayor or chairperson and a Naib Nazib (vice c ...
The responsibility for water supply and sanitation was nominally devolved to Tehsil Municipal Administrations (TMAs), the second-lowest tier of local government in Pakistan. The PHED was supposed to be merged into the Provincial Local Government Department and its staff was supposed to be devolved at the TMA level. However, the decentralization has not been implemented in all provinces. In 2008, it was reported that PHEDs were still active in water supply development, operation and maintenance, particularly in areas where the schemes spread across more than one tehsil. In those cases, the PHEDs usually develop supply-driven schemes with little or no participation of TMAs. In addition, the devolution took place differently from one province top another. According to a 2003 document, the PHED remains fully functional in the
Balochistan Province Balochistan (; bal, بلۏچستان; ) is one of the four provinces of Pakistan. Located in the southwestern region of the country, Balochistan is the largest province of Pakistan by land area but is the least populated one. It shares land ...
and in the Punjab Province, and local government powers were recentralized.


National Sanitation Policy of 2006

The National Sanitation Policy (NSP), approved by the federal government in 2006, promotes the grassroots concept of community-led total sanitation (CLTS) in communities with less than 1,000 inhabitants. In larger communities, the NSP promotes a "component sharing model", under which sewage and wastewater treatment facilities are provided by the communities in case that local government-developed disposal is not available. The objective is the safe disposal of excreta through the use of
latrine A latrine is a toilet or an even simpler facility that is used as a toilet within a sanitation system. For example, it can be a communal trench in the earth in a camp to be used as emergency sanitation, a hole in the ground (pit latrine), or m ...
s, the creation of an "open defecation free environment", safe disposal of liquid and solid waste and the promotion of health and
hygiene Hygiene is a series of practices performed to preserve health. According to the World Health Organization (WHO), "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases." Personal hygiene refer ...
practices. The federal government provides incentives for the implementation of the NSP in the form of rewards for open defecation-free tehsils/towns, 100% sanitation coverage tehsils/towns, the cleanest tehsils/towns and the cleanest industrial estates or clusters.


National Drinking Water Policy of 2009

In September 2009 the government approved the National Drinking Water Policy that aims at providing safe drinking water to the entire Pakistani population by 2025, including the poor and vulnerable, at an affordable cost. A main objective is a clearer separation between the functions of service provision and regulation. The right to water for drinking precedes all other uses, like industrial or agricultural water use. Women are recognized as main actors of domestic water supply, and their active participation in the sector is sought. In accordance with the LGO, the document highlights the responsibility of local governments to provide drinking water. The policy is expected to be reviewed and updated every five years to examine its implementation and efficacy and to adapt it to the changing situation in the country.


Clean Drinking Water for All Programme

The Clean Drinking Water for All Programme/Clean Drinking Water Initiative aim to improve the quality of drinking water by building water treatment facilities. The US$8.2 million Clean Drinking Water Initiative, approved in 2004, provides for the construction of 445
water purification Water purification is the process of removing undesirable chemicals, biological contaminants, suspended solids, and gases from water. The goal is to produce water that is fit for specific purposes. Most water is purified and disinfected for hu ...
plants of 2,000 gallons per hour in all Pakistani tehsils. The Ministry of Environment is to "provide the technical support to the provinces by installing various plants at selected places on turn key basis and then handing it over to local municipal administration." The plants would be installed in "public places", which together with the limited capacity of the plants suggests that the purified water is not to be used for network supply, but rather for distribution as bottled water. The much larger US$168 million Clean Drinking Water for All Programme aims at delivering one purification plant to each Pakistani Union Council. The plants are expected to be maintained through contracting out for three subsequent years. It is estimated that one purification plant will serve 2-20% of each Union Council's population, which on average have 20,000 inhabitants. Under the programme, the establishment of 6,035 purification plants with capacities of 500, 1,000 and 2,000 gallons per hour is planned. In January 2009
USAID The United States Agency for International Development (USAID) is an independent agency of the U.S. federal government that is primarily responsible for administering civilian foreign aid and development assistance. With a budget of over $27 bi ...
signed a Memorandum of Understanding with the "Ministry of Special Initiatives" to support the programme with US$17.9 million, anticipating that over 31 million Pakistanis in 40 districts will benefit from it. The German companies
Siemens Siemens AG ( ) is a German multinational conglomerate corporation and the largest industrial manufacturing company in Europe headquartered in Munich with branch offices abroad. The principal divisions of the corporation are ''Industry'', '' ...
and KSB won contracts under the programme to install purification plants in Punjab. The Programme generated criticism when it was learned that inadequate planning may threaten to halt the entire programme. Furthermore, there have been allegations of conflict of interest by certain persons who, although occupying highest government offices, had formed private companies to win the installation contract from the Government. Taking cognizance of this, the Government of the Punjab has expressed its serious reservations against the project and has even suggested that it be halted until proper planning and siting of plants can take place.


Responsibility for water supply and sanitation


Policy and regulation

Drinking water and sanitation policy is the constitutional responsibility of provincial governments. Municipal utilities are accountable to both the provincial and local governments, but there is little regulation of their performance. This has changed to some extent in Punjab in 2006 when the provincial government, through its Housing, Urban Development and Public Health Engineering Department drew up a roadmap for reforming its water utilities. The roadmap aimed at making the five largest utilities, called the WASAs, more professional and accountable through the appointment of new managing directors from the private sector and through the signing of performance contracts between the provincial government and the utilities. The federal government is only involved in policy development and the setting of guidelines, mostly through the Ministry of Climate Change (formerly called Ministry of Environment). A National Drinking Water and Sanitation Committee was established in 2009 to implement both the National Sanitation Policy and the National Drinking Water Policy. The Ministry of Health is expected to set water quality standards and monitor drinking water quality in the country. Poor coordination between the ministry and other authorities have been reported. The Health Services Academy under the Ministry of Health published Quality Drinking Water Standards for Pakistan in May 2007. These standards were not officially implemented and monitored in 2008.


Service provision

Service provision is, in principle, a responsibility of local government, although in practice provincial governments still play an important role in service provision, especially in rural areas. In seven of the largest cities, which are among the ten City District Governments in Pakistan, there are semi-autonomous utilities called Water and Sanitation Agencies (WASAs). Some WASAs were created in response to loan conditions imposed by foreign donors during the 1990s, such as the Belochistan WASA in Quetta in 1989 and the WASA in Rawalpindi in 1998, the latter in fulfillment of a condition of a loan by the Asian Development Bank. WASAs also exist in Faisalabad, Lahore, Hyderabad, Islamabad and Multan. The WASA in Faisalabad had already been created in 1978. The WASA's are "wings" of the respective City Development Authorities. In Karachi, the Karachi Water and Sewerage Board (KWSB) was separated from the City Development Authority and is an autonomous utility established by law in 1996. Since the 2001 Local Government Ordinance, water supply and sanitation services in other cities and towns are expected to be transferred from provincial governments to the roughly 500 newly created Tehsil Municipal Administrations (TMAs). Responsibilities for coordination and joint implementation across TMAs were devolved to the 120
District A district is a type of administrative division that, in some countries, is managed by the local government. Across the world, areas known as "districts" vary greatly in size, spanning regions or counties, several municipalities, subdivisions o ...
Governments. However, as indicated above, challenges in the transition period were reported and provincial Public Health and Engineering Departments (PHEDs) in the four Pakistani Provinces continue to provide water services, especially in rural areas. In urban areas outside the largest cities, local governments have formed public sector water boards. NGOs are particularly active in sanitation, and have reached some notable achievements. Under the National Drinking Water and Sanitation Policies, the participation of NGOs and the private sector is encouraged.


Innovative approaches

A number of innovative sanitation approaches have been piloted in Pakistan. These include participatory sanitation infrastructure projects - such as the
Orangi Pilot Project The 'Orangi Pilot Project'' ( ur, ; abbreviated OPP) collectively designates three Pakistani non-governmental organisations working together, having emerged from a socially innovative project carried out in 1980s in the squatter areas of Orangi, ...
in urban slums in the 1980s and the Lodhran Pilot Project in rural areas since 1999 - as well as Community-led total sanitation (CLTS) projects implemented since 2003.


Orangi Pilot Project

Orangi Orangi ( sd, اورنگي, ur, ) is a municipality approximately in an area that forms much of the northwestern part of Karachi, Pakistan. When grouped with the neighboring municipality of Baldia Town, the Orangi-Baldia population is estimat ...
is a large informal low-income settlement located in Karachi and place of a user participation success story. The Orangi Pilot Project (OPP) was initiated by an NGO under Dr. Akhtar Hameed Khan in 1980 in order to improve the poor sanitation conditions through a low-cost sanitation program with active user participation. A main feature of the project is the component sharing model. The first component is responsibility of the communities, which receive technical assistance. The community develops and constructs primary household sanitary latrines, underground sewers and neighborhood collector sewers. Those are connected to main sewers and treatment plants, which form the second component and are constructed with public funds. The OPP was very successful and about 100,000 households have developed their own sanitation systems in Orangi. The project was replicated by NGOs and CBOs in other Pakistani cities. The component sharing model is encouraged under the 2006 National Sanitation Policy.


Lodhran Pilot Project

Inspired by the OPP, a pilot project emerged in
Lodhran District Lodhran District ( skr, ), is a Districts of Pakistan, district in the province of Punjab (Pakistan), Punjab, Pakistan, with the city of Lodhran as its capital. Located on the northern side of the River Sutlej, it is bounded to the north by ...
in 1999. The project follows a low cost, community owned rural sanitation model based on a participatory approach. In 2004, the Lodhran Pilot Project (LPP) received a US$1.1 million grant by the World Bank-administered Japan Social Development Fund (JSDF) to expand the model in 100 villages in Southern Punjab. Under the grant, TMAs receive technical assistance concerning public private partnerships, training and capacity building and communication.


Community-led total sanitation (CLTS)

In Pakistan, the concept of Community-led total sanitation (CLTS) was first introduced as a pilot project in
Mardan District Mardan District ( ps, مردان ولسوالۍ, ur, ) is a district in Mardan Division of Khyber Pakhtunkhwa province in Pakistan. The district is named after Mardan city, which is also the headquarters of the district. The district is famou ...
in the
North West Frontier Province The North-West Frontier Province (NWFP; ps, شمال لویدیځ سرحدي ولایت, ) was a Chief Commissioner's Province of British India, established on 9 November 1901 from the north-western districts of the Punjab Province. Followin ...
in 2003 by UNICEF together with a local NGO IRSP (Integrated Regional Support Program). A main objective of the concept is to create open defecation free villages through behavioral change in the whole community, rather than to construct sanitation facilities for individual households. Since then, CLTS has spread rapidly in the whole country and became a main feature of the National Sanitation Policy, which provides financial rewards for defined outcomes. Development agencies began to link their funding and incentives to theopen defecation free status. For example, the Khushal Pakistan Fund has allocated about US$200 million (12 billion Pakistani rupees) to community infrastructure projects in open defecation free communities. In addition, several organizations like Plan Pakistan and WaterAid have integrated CLTS in their strategies and projects. CLTS projects were active in all four Pakistani regions in 2007. NGOs were implementing CLTS in about 20 districts in 2008. At the same time, more than 130 defecation free villages already existed in Pakistan. Through CLTS more than 1,500 villages achieved "open defecation free status" by 2009. This figure is expected to reach 15,000 villages by June 2011, covering a third of the rural population of Pakistan. An assessment of CLTS pilots in nine villages showed that open defecation stopped, but communities used unimproved and unhygienic latrines making any substantial effort to upgrade or replace damaged latrines.


Karachi Bulk Water Supply Project


Efficiency of utilities

There is little reliable quantitative information available concerning the performance of Pakistani water and sewer utilities, including on their efficiency. The Asian Development Bank (ADB) prepared a document, which includes data for the cities of Rawalpindi, Karachi and Lahore. Furthermore, data from six major cities were reported during a 2005 workshop in Karachi. Beginning in 2005, the first systematic performance
benchmarking Benchmarking is the practice of comparing business processes and performance metrics to industry bests and best practices from other companies. Dimensions typically measured are quality, time and cost. Benchmarking is used to measure performan ...
for water and sewer utilities in Pakistan was initiated by the World Bank's
Water and sanitation program The Global Water Security & Sanitation Partnership (GWSP), formerly the Water and Sanitation Program, is a trust fund administered by the World Bank geared at improving the accessibility and infrastructure of water and sanitation for underdevelope ...
as part of a regional project that also covered India and Bangladesh. Eight utilities participated, including five WASAs in Punjab as well as the utilities of Karachi, Peshawar and Islamabad. The benchmarking project found that data were not very reliable and that benchmarking was "largely externally driven than internally motivated" and that the organizational culture of utilities was "often slow to accept performance measurement, accountability to customers and to government, and improved service outcomes." Two common indicators of the efficiency of utilities are non-revenue water and labor productivity.


Non-revenue water

The share of non-revenue water (NRW), water which is produced but not billed due to several reasons like leakage and illegal connections, varies between an estimated 25% in
Multan Multan (; ) is a city in Punjab, Pakistan, on the bank of the Chenab River. Multan is Pakistan's seventh largest city as per the 2017 census, and the major cultural, religious and economic centre of southern Punjab. Multan is one of the List ...
and an estimated 75% in
Gujranwala Gujranwala ( ur, , label=none; ) is a city and capital of Gujranwala Division located in Pakistan. It is also known as "City of Wrestlers" and is quite famous for its food. It is the 5th most populous city proper after Karachi, Lahore, Faisala ...
. It is difficult to accurately measure NRW, because customer metering is uncommon. For example, in Punjab only 3 percent of connections of the five largest utilities have functioning meters and are being read. As indicated in table 3, officials from major Pakistani cities reported a share of NRW during a 2005 workshop, ranging from 40% to 50%. There is no agreement on appropriate levels of NRW among professionals. However, Tynan and Kingdom propose a
best practice A best practice is a method or technique that has been generally accepted as superior to other known alternatives because it often produces results that are superior to those achieved by other means or because it has become a standard way of doing ...
target of 23% in developing countries.The study uses data from 246 water utilities, of which half are in 44
developing countries A developing country is a sovereign state with a lesser developed industrial base and a lower Human Development Index (HDI) relative to other countries. However, this definition is not universally agreed upon. There is also no clear agreem ...
. The utilities range from small ones, which serve fewer than 125,000 people to large ones, serving more than 500,000. All regions and within countries, all income levels are included. In each of the five categories (NRW, labor productivity, service coverage, water prices and connection costs and continuity of service), at least 30 utilities from developing countries and 30 from developed countries are included. The best practice targets for developing countries are based on the performance of the top 25 utilities of developing country utilities. The study uses data from the World Bank's Water and Sanitation Utilities database and the Asian Development Bank; see:


Labor productivity

There are no updated and precise figures for labor productivity, measured in employees per 1,000 connections. However, the Ministry of Water and Power indicated a poor performance in the country's major cities. The ADB found an average of 5.6 employees per 1,000 connections in Karachi. In Lahore and Rawalpindi, labor productivity is indicated lower at 9.5 and 12.7 employees per 1,000 connections, respectively. At the 2005 workshop, between 6 and 27 employees per 1,000 connections in major cities were reported (see table 3). Tynan and Kingdom propose a best practice target of 5 employees per 1,000 connections in developing countries. However it should be mentioned that equally to NRW, this target is a suggestion of the authors, which is not established as official best practice target among professionals. roken footnote/sup> A 2010 report by the
Water and sanitation program The Global Water Security & Sanitation Partnership (GWSP), formerly the Water and Sanitation Program, is a trust fund administered by the World Bank geared at improving the accessibility and infrastructure of water and sanitation for underdevelope ...
notes that "civil service staffing policies constrain utility managers from hiring the staff they require; they cannot incentivize them appropriately; and on-the-job training seems to be limited by most accounts."


Financial aspects


Tariffs and cost recovery

Because of low tariffs, poor collection efficiency and overstaffing, many urban utilities do not cover the costs for operation and maintenance. According to an international survey conducted in 2012, the water tariff in Karachi was among the 20 lowest water tariffs in the world in a sample of 310 cities. According to this survey, the residential water tariff in Karachi was US$0.09 per m3 for a consumption of 15 m3 per month. The tariff had been raised by 67% in September 2011, in order to pay for an increase of the electricity rates charged to the water utility. This made it the third-highest increase in water tariffs in the world in 2011.Global Water Intelligence: Tariff rises outstripped by inflation, Vol. 13, Issue 9, September 2012, p. 38. According to the Karachi Water and Sewer Board, the unmetered water tariff after the increase was 111
Pakistani Rupee The Pakistani rupee ( ur, / ALA-LC: ; sign: Re (singular) and Rs (plural); ISO code: PKR) is the official currency of Pakistan since 1948. The coins and notes are issued and controlled by the central bank, namely State Bank of Pakistan. In ...
s (about US$1.17) for a residences of 100
square yard The square yard (Northern India: gaj, Pakistan: gaz) is an imperial unit and U.S. customary unit of area. It is in widespread use in most of the English-speaking world, particularly the United States, United Kingdom, Canada, Pakistan and India. ...
, corresponding to US$0.08 per m3. For larger residences the flat tariff is much higher. The metered tariff, however, was 71 Rupees per 1,000 gallons, corresponding to about US$0.16 per m3. In many cities and towns, especially smaller ones, municipalities subsidize water supply because tariff revenues are insufficient to recover costs. The National Drinking Water Policy of 2009 does not mention cost recovery, while a draft of the policy called for increased cost recovery. In Rawalpindi a new managing director appointed in 2006 regularized unauthorized connections, collected arrears and thus increased cost recovery from 53 to 86 percent. The utility is now able to pay all salaries and electricity bills from its own revenues.


Investment and financing

The sector strongly depends on internal and external financing. The Ministry of Power and Water reported in 2002 that in recent years, 49% of the total new investments in the water sector had been financed by external loans and 43% by the government. The MTDF recognizes that with 0.25% of its total
GDP Gross domestic product (GDP) is a monetary measure of the market value of all the final goods and services produced and sold (not resold) in a specific time period by countries. Due to its complex and subjective nature this measure is ofte ...
, Pakistan's investment in the water supply and sanitation sector is inadequate and provides for US$2 billion (120 billion rupee) or US$404 million per year for the sector from 2005 to 2010, half of which is to be paid by the federal and provincial governments, including the construction and rehabilitation of water supply schemes in urban and rural areas and wastewater treatment plants in provincial capitals. The other half is expected to be provided by the private sector and includes water supply systems, sewerage networks and wastewater treatment as part of new housing schemes in cities and towns.


External cooperation

The government receives substantial external support to improve drinking water supply and sanitation through loans from the
Asian Development Bank The Asian Development Bank (ADB) is a regional development bank established on 19 December 1966, which is headquartered in the Ortigas Center located in the city of Mandaluyong, Metro Manila, Philippines. The bank also maintains 31 field office ...
(ADB) and the
World Bank The World Bank is an international financial institution that provides loans and grants to the governments of low- and middle-income countries for the purpose of pursuing capital projects. The World Bank is the collective name for the Interna ...
, as well as grants from Japan and the United States. In addition, NGOs directly provide assistance.


Asian Development Bank

Punjab Cities Improvement Investment Program (since 2009). In July 2009 the
Asian Development Bank The Asian Development Bank (ADB) is a regional development bank established on 19 December 1966, which is headquartered in the Ortigas Center located in the city of Mandaluyong, Metro Manila, Philippines. The bank also maintains 31 field office ...
(ADB) approved a loan for an unknown amount to support a "Punjab Cities Improvement Investment Program" that aims at "improved municipal environment and public health for an estimated 6 million residents across some 11 larger intermediate cities of Punjab Province". Sindh Cities Improvement Investment Program (since 2008). In December 2008 the ADB approved a $300 million loan for the Sindh Cities Improvement Investment Program, which aims at improving water supply, wastewater, and solid waste management infrastructure in more than 20 secondary cities in the Province of
Sindh Sindh (; ; ur, , ; historically romanized as Sind) is one of the four provinces of Pakistan. Located in the southeastern region of the country, Sindh is the third-largest province of Pakistan by land area and the second-largest province ...
with more than six million inhabitants. The loan, in the form of a multitranche financing facility (MFF), will also support urban sector reforms - such as the establishment of local government-owned urban services corporations - and capacity development. The first tranche of $38 million (2009–2012) targets the northern Sindh cities of
Sukkur Sukkur (; ) is a city in the Pakistani province of Sindh along the western bank of the Indus River, directly across from the historic city of Rohri. Sukkur is the third largest city in Sindh after Karachi and Hyderabad, and 14th largest ci ...
, New Sukkur,
Rohri Rohri (Sindhi: روهڙي; ur, ) is a city of Sukkur District, Sindh province, Pakistan. It is located on the east bank of the Indus River, located directly across from Sukkur, the third largest city in Sindh. Rohri town is the administrative ...
,
Khairpur Khairpur( Sindhi and ur, ) is a city and the capital of the Khairpur District, in Pakistan's Sindh province. History The Talpur dynasty was established in 1783 by Mir Fateh Ali Khan, who declared himself the first ''Rais'', or ruler of Sindh, ...
, Shikarpur and
Larkana Larkana ( ur, , translit=lāṛkāna; sd, لاڙڪاڻو, translit=lāṛkāṇo) is a city located in the Sindh province of Pakistan. It is the 15th largest city of Pakistan by population. It is home to the Indus Valley civilization site Moh ...
. Punjab Community Water Supply and Sanitation Sector Project (2003-2007). The ADB also financed the Punjab Community Water Supply and Sanitation Sector Project with US$50 million, which was active in rural areas in all districts of the Punjab province from 2003 until the end of 2007. As a result, about 2.5 million additional people in 778 villages were provided with water supply and sanitation facilities, according to the ADB "with full cost recovery". Community-based organizations maintain and operate the schemes and charge the users. Tehsil municipal administrations were strengthened and received training. In addition, communities received training in health and hygiene practices and the construction of latrines. The project also established a link between the beneficiary communities and
micro finance Microfinance is a category of financial services targeting individuals and small businesses who lack access to conventional banking and related services. Microfinance includes microcredit, the provision of small loans to poor clients; savings ...
institutions, which have disbursed about US$4 million to about 15,000 borrowers in 617 communities.


Japan

Abbottabad water supply (since 2010). In September 2010
JICA The is a governmental agency that delivers the bulk of Official Development Assistance (ODA) for the government of Japan. It is chartered with assisting economic and social growth in developing countries, and the promotion of international co ...
approved a 3.644 billion Yen grant to improve water supply in
Abbottabad Abbottabad (; Urdu, Punjabi language(HINDKO dialect) آباد, translit=aibṭabād, ) is the capital city of Abbottabad District in the Hazara region of eastern Khyber Pakhtunkhwa, Pakistan. It is the 40th largest city in Pakistan and fourth ...
in the Pashtun area through the development of surface water supply for the city that so far depended only on groundwater. The project has no sanitation component. In 2008 and 2010 it had approved two grants in the amount of 5.19 billion Yen for water supply in
Faisalabad Faisalabad (; Punjabi/ ur, , ; ), formerly known as Lyallpur ( Punjabi, Urdu: لائل پور), named after the founder of the city, but was renamed in 1977 in honour of late King Faisal of Saudi Arabia. It is the 3rd largest city of Pak ...
in Punjab. Just as the project in Abbotabad, it aims at developing bulk water supply, in this case from a well field located near a Canal, the Jhang Branch Canal. A parallel project provides training and advice on institutional reforms. The project builds on a previous project to improve the water distribution network in the city. Lahore Sanitation (since 2006). Since 2006 JICA has provided grants in the amount of 2.44 billion Yen to improve sanitation and drainage in Lahore under two projects. Karachi (1994-?). In 1994 the Japanese Bank for International Cooperation (JBIC), one of the predecessor agencies of today's JICA, approved a 10.3 billion Yen loan for a Karachi Water Supply Improvement Project. JICA also supported a Master Plan for water Supply and sewerage in Karachi, completed as a final draft in 2008. Islamabad and Rawalpindi Water Supply (1989-2000). In 1989 JBIC had approved two loans to support two Metropolitan Water Supply Projects to transfer bulk water from the
Khanpur Dam Khanpur Dam is a dam located on the Haro River in Khanpur, Khyber Pakhtunkhwa about 50 km from Islamabad. It forms Khanpur Lake, a reservoir which supplies drinking water to Islamabad and Rawalpindi and irrigation water to many of the agric ...
and the
Simly Dam Simly Dam is an high earthen embankment dam on the Soan River, east of Islamabad and Rawalpindi in Rawalpindi District, Punjab, Pakistan. It is the largest reservoir of drinking water to people living in Islamabad, the capital of Pakistan. Th ...
for a total of 18.268 billion Yen. The Khanpur project, implemented between 1994 and 2000, aimed at increasing bulk water supply to
Islamabad Islamabad (; ur, , ) is the capital city of Pakistan. It is the country's ninth-most populous city, with a population of over 1.2 million people, and is federally administered by the Pakistani government as part of the Islamabad Capital T ...
and
Rawalpindi Rawalpindi ( or ; Urdu, ) is a city in the Punjab province of Pakistan. It is the fourth largest city in Pakistan after Karachi, Lahore and Faisalabad, and third largest in Punjab after Lahore and Faisalabad. Rawalpindi is next to Pakistan's ...
from the Khanpur Dam. An ex-post evaluation of the project in 2002 judged that "the effect of the project was not necessarily high". The amount of water supplied was only 41% of what had been planned, and there were "various problems with the executing agency (the Capital Development Authority) such as the scarcity of personnel, underdeveloped institutions, and the shortage of active efforts." A Japanese field survey in 2008 re-examined the situation and found that "no noticeable improvements have been made". The total amount spent was US$109 million (12,442 million
Yen The is the official currency of Japan. It is the third-most traded currency in the foreign exchange market, after the United States dollar (US$) and the euro. It is also widely used as a third reserve currency after the US dollar and the e ...
). Among other things, water purification facilities with a capacity of 281,000 m³ per day, water supply facilities and water storage facilities had been constructed.


United States

In January 2009
USAID The United States Agency for International Development (USAID) is an independent agency of the U.S. federal government that is primarily responsible for administering civilian foreign aid and development assistance. With a budget of over $27 bi ...
signed a Memorandum of Understanding with the "Ministry of Special Initiatives" to support the Clean Drinking Water for All Programme (see above) with US$17.9 million, anticipating that over 31 million Pakistanis in 40 districts will benefit from it.


World Bank

Punjab Municipal Services Improvement Project (2006-2012). The World Bank contributed a loan of US$50 million to improve municipal services in Punjab. The project is implemented by the provincial government of Punjab, with about half the funds going to water supply and sanitation. Punjab Cities Governance Improvement (2012 onwards). In 2012 the World Bank approved another US$150 million loan for cities in Punjab, again with a significant share devoted to water supply and sanitation. Second Karachi Water Supply (1993-2001). Under the second Karachi Water Supply Project, the World Bank contributed with US$92 million to increase water supply coverage and sanitation in Karachi and to improve operation, management and financial viability of the
Karachi Water and Sewerage Board Karachi Water and Sewerage Board (KWSB) is responsible for production, transmission and distribution of potable water to the citizens of Karachi, Sindh, Pakistan. History Karachi Joint Water Board constituted in 1953 was the first body which wa ...
(KWSB). The project started in 1993 and provided for the construction of a canal to bring water from the Indus River, pumping stations, water and wastewater treatment facilities. In low income areas, small bore sewers were to be built. The operational efficiency of KWSB was expected to improve through technical assistance by the World Bank and increased cost reduction measures, e.g. reduction of water losses. Rural Water Supply & Sanitation Project (1991-2000). The World Bank contributed with US$137 million to the Rural Water Supply & Sanitation Project, which was active from 1991 to 2000 in the self-governing Pakistani state of
Azad Jammu and Kashmir Azad Jammu and Kashmir (; ), abbreviated as AJK and colloquially referred to as simply Azad Kashmir, is a region administered by Pakistan as a nominally self-governing entitySee: * * * and constituting the western portion of the larger Ka ...
. The main objectives of the project were to improve rural productivity and health and reduce poverty and deprivation. The components of the project included the construction and rehabilitation of water supply and sanitation schemes, institutional strengthening and training, latrine construction materials accompanied by health education and promotion, water resources and sanitation studies and private sector support.


Non-governmental organizations

Foreign NGOs also provide support for the extension of drinking water supply and sanitation in Pakistan. For example, WaterAid from the UK has set up a rainwater collection project in the
Thar Desert The Thar Desert, also known as the Great Indian Desert, is an arid region in the north-western part of the Indian subcontinent, Subcontinent that covers an area of and forms a natural boundary between India and Pakistan. It is the world's Li ...
and influenced government in the city of
Gujranwala Gujranwala ( ur, , label=none; ) is a city and capital of Gujranwala Division located in Pakistan. It is also known as "City of Wrestlers" and is quite famous for its food. It is the 5th most populous city proper after Karachi, Lahore, Faisala ...
in Punjab leading to the provision of clean water for 2,500 slum residents. It also helped to include hygiene education in schools.


See also

*
Karachi Water and Sewerage Board Karachi Water and Sewerage Board (KWSB) is responsible for production, transmission and distribution of potable water to the citizens of Karachi, Sindh, Pakistan. History Karachi Joint Water Board constituted in 1953 was the first body which wa ...
*
Karachi Bulk Water Supply Project Karachi (; ur, ; ; ) is the most populous city in Pakistan and 12th most populous city in the world, with a population of over 20 million. It is situated at the southern tip of the country along the Arabian Sea coast. It is the former c ...
*
Water resources management in Pakistan According to the United Nations' " UN World Water Development Report", the total actual renewable water resources increased from 2,961 m³ per capita in 2000. A more recent study indicates an available supply of water of little more than 1,000 m³ ...
*
Dams A dam is a barrier that stops or restricts the flow of surface water or underground streams. Reservoirs created by dams not only suppress floods but also provide water for activities such as irrigation, human consumption, industrial use, ...
, water locks and
canals Canals or artificial waterways are waterways or river engineering, engineered channel (geography), channels built for drainage management (e.g. flood control and irrigation) or for conveyancing water transport watercraft, vehicles (e.g. ...
of Pakistan


References


External links


National level


Ministry of Climate Change (formerly the Ministry of Environment)WaterAid Pakistan


City level


Water and Sanitation Agency RawalpindiLodhran Pilot Project
{{Water supply and sanitation by country