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Creating demand for toilets in rural India
According to a UN study, more than 1 billion1
people around the world practice open defecation every day.
India leads the way, ahead of even neighbouring countries. It is surely not a statistic to be proud of. Open
defecation is a serious health problem as it can result in the spread of illnesses such as cholera and diarrhoea. It is
also an issue of dignity and safety for women.
The obvious first step in preventing open defecation is the construction of toilets, since more than 60% rural house-
holds in India don’t even have one. Over the years, Government has taken many steps to address this gap,
including schemes that provide financial support for toilet construction. Still, it hasn’t resulted in a significant
increase in rural toilet ownership. That begs the question: How does one create demand for toilets in rural India?
More than 500 million2
people in
rural India defecate in the open
The total economic impact
estimated at INR 2.4 trillion3
Of this, the health impact
alone is INR 1.75 trillion3
500 2.4 1.75
The Challenge
References:
1. UN Study: http://www.un.org/waterforlifedecade/sanitation.shtml
2. 2011 Census
3. World Bank Study, 2011. Economic impacts of inadequate sanitation in India.
http://www.wsp.org/sites/wsp.org/files/publications/wsp-esi-india.pdf
Arghyam’s Approach
to Demand Generation
Scalable Model
Any solution to a problem of this magni-
tude has to address scale. Therefore, we
created a solution within the Government
framework. Government had reserved 15%
of the NBA (Nirmal Bharat Abhiyan, now
renamed as Swachh Bharat Mission)
budget for IEC (Information, Education,
Communication) activities for improved
sanitation. However, its utilisation was
usually far less. According to Government
of India figures, about 5.5% of the
proposed budget was utilised in 2012-13.
We conceived a project that can result in
a greater and more effective utilisation of
this IEC budget. We entered into an agree-
ment with the RDPR (Rural Development
and Panchayat Raj) department of Gov-
ernment of Karnataka for creating and
piloting a scalable solution in the Davan-
gere district of Karnataka.
Professional Expertise
Creating demand for any product is a complex problem. However, with a professional approach, demand has
been successfully created in rural India for products such as toothpaste and soaps. We partnered with Centre
of Gravity, a professional communication firm, to do the same with toilets - to create a well-researched and
strategic campaign for demand generation. We also got on board Public Affairs Foundation, an independent
third party to evaluate the effectiveness and impact of the campaign.
Developing Campaign Strategy
Centre of Gravity conducted extensive research in Davangere for 4 months to understand the motivations and
barriers for toilet construction. Various research methods were used to unearth the human insights.
Household SurveyEthnography Concept Testing Group Discussions
Each partner in the project had a clear role assigned.
State Government
Funding - Execution, Planning
and Management
District Government
Human Resources, Advisory,
Execution and Monitoring
Arghyam
Conception, Funding - Campaign
Design and Management
Centre of Gravity
Campaign Strategy
and Design
Public Affairs Foundation
Campaign Monitoring
and Evaluation
Project Partners and Roles
Because of these problems, most women want toilets at
home. Why is this ‘want’ not translating into ‘demand’?
Motivation: Problems women face
Inconvenience
Fear
Shame
Humiliation
In Davangere, we found different motivations for toilet construction such as the desire to imitate what is
‘urban’ and to provide ‘comfort for the ailing’. However, lack of open space was the biggest catalyst for toilet
construction in villages. Around the village, the green cover is vanishing for various reasons. For women who
have to go out for open defecation, this is not good news. They have to walk further and look harder to find a
place, resulting in the following problems:
Longer distance implies taking more time
to find a place to defecate. Women have
to wait for the dark cover and therefore
can go only in the early morning or
evening.
Since they are moving away from
the familiarity of their village and
that too in the darkness, there is a
fear of the unknown.
Without green cover, chances of them
being spotted or teased by male
counterparts are higher. They feel
ashamed whenever this happens.
They sometimes are forced to go for open
defecation to someone else’s field. They feel
humiliated when they are shouted at by the
land owner.
Women Want, Men Decide
From a demand generation perspective, it is more important to motivate the one who decides to buy a
product than the one who needs it. While women feel the need for toilets, it is the men who decide on its
construction for the following reasons:
What can motivate men to construct toilets? Normally, in health
campaigns, there is a bias toward the rational message such as ‘Smoking
can cause cancer’ or ‘Not washing hands with soap can cause
diarrhoea’. However, knowledge doesn’t necessarily translate into
behaviour. Behavioural changes are often caused by emotional reasons.
Not surprisingly, no one cited health reasons for constructing
a toilet at home.
Big financial
decision
For any activity that involves a
large financial investment, it is
usually the men who take the
decision. Toilet construction
that costs around Rs. 10,000 is
surely one such activity.
Construction
Construction activities like
digging pits, purchase of
construction materials and
dealing with masons are
usually performed by men.
Interaction
with GP
Interacting with the
Gram Panchayat (GP)
officials, to understand
and utilise the scheme, is
largely the responsibility
of men.
Emotional Vs Rational Motivation
Challenged by his wife, a man decides to
spend a day living the life of a woman. His
travails created greater empathy among
men for women.
The film narrates the story of a responsible
father who provides for the needs of his
daughter, in many ways, including the
construction of a toilet at home.
Testimonials of those who have built toilets
from the same village/district were shown
to inspire others.
The idea of responsibility was also brought
alive through posters, pamphlets, door
stickers, slogans and certificates.
Animated film
Posters/Pamphlets
Skit/Songs
Testimonial Films
Amplifying
the Motivators
In Indian villages, it is not
aspirational for men to openly
show love for the women.
Hence, the idea of
"responsible father" found
greater resonance among the
villagers as opposed to a
"loving husband".
Responsibility is a very universal
and deep biological quality.
Women also seek this quality
among men. It was brought
alive in the campaign through
different media.
Awareness & Eligibility
Even if one were to be motivated to construct toilets, there is still the financial barrier. With very little disposable
income and many financial priorities, a toilet is often postponed for a “good year”. While the scheme addresses
the financial constraints, following issues with its execution make it difficult for most villagers to access it.
There were still significant
proportions of the village
population unaware of
the scheme or the exact
incentive amount.
Access to the scheme
was limited as the eligibility
criteria was not clear.
Complexity
The scheme was rather
complex from the benefi-
ciary point of view
because of the many steps
in the process and the
documentation involved in
it. Within the Government,
there was no common
understanding of the
scheme.
Payment Delays & Low Credibility
Incentives were not paid on time and
one often had to pay a bribe to receive
the payment.
The village is a small, intimate communi-
ty where news travels fast. Everyone gets
to know about the delayed payments
very quickly and the many toilets aban-
doned at the pit stage are a constant
reminder of the scheme’s inefficiencies.
The Barriers
The scheme was communicated in a simple
six-step process
Swachchata Doots helped the beneficiaries walk
through the process
Making the scheme simple and easy to access
‘Jaldi’ Promise: Rs. 9200 incentive to be paid
within 20 days of construction
‘Jaldi’ Promise made by the Chief Executive Officer
(District) and the ZP (Zilla Panchayat) President
Overcoming payment delays and restoring credibility
Eligible households were given an invite that
assured them of their eligibility
Names of the eligible households were also put up in
a wall-painting at a prominent place in the village
Creating awareness of scheme and eligibility
Reducing the Barriers
Independent Evaluation
Return on investment: Variable (campaign execution) cost/toilet:
Public Affairs Foundation [PAF], Bangalore evaluated the campaign on toilet coverage and measured the impact
of the Behaviour Change Communication campaign on toilet construction behaviour. They conducted a baseline
in December 2013 prior to execution of campaign and an endline survey post-campaign in May 2014. Both studies
consisted of detailed household surveys, focus group discussions and interviews with Gram Panchayat officials. The
surveys were conducted across 25 GPs in the intervention area and 20 randomly selected GPs in the control area.
Target Households - 15037
INR 900/Toilet
for the current campaign
based on the current
endline numbers
INR 500/Toilet INR 600/Toilet
for an optimized
campaign, which is within the
allocated budget under
Swachh Bharat Mission.
at the revised 5% of Rs.12,000/toilet
provision for IEC under the
Swachh Bharat Mission.
‘Jaldi’ Campaign Roll-out
The ‘Jaldi’ campaign was inaugurated on 26th January, 2014. The campaign was rolled out to 25 GPs and
covered 119 villages across all 6 taluks of Davangere in one month.
Campaign Impact: Key Parameters
93%
such as approaching
the GP or filling up the
application form.
across 25 GPs
and
119 villages
9.5%
in the control
villages in the
same four-month period
37.6%
Took Action Toilets Completed
in the intervention
villages in the
four-month period
31.5%
Reach
Reflections and Recommendations
A. Creating Demand
With focused, coherent messag-
ing, it is possible to create a
surge in demand for toilets in
rural India. Two core universal
messages that have emerged
from the campaign are:
Responsibility as an emotional
motivator for men - the motivation
to provide for the family needs is a
more powerful motivator for men
(who are the decision makers)
vis-a-vis health, which is a rational,
less effective motivation.
Easy Access to Scheme
Providing information regarding
the scheme (incentive amount,
eligibility and process) to every
household and allowing easy
access to the scheme can
empower more people to utilise
the scheme.
B. Improving Supply Efficiencies
Demand creation required
efficient supply processes. Two
process improvements that can
dramatically improve the
campaign outcomes are:
Timely Payments
Making a time-bound and
specific promise on payment of
incentive (for instance, 20 days)
and ensuring its delivery as
promised, can help in subse-
quent waves of conversions.
Accurate, Dynamic Data
Creating a reliable way to
collect baseline, progress and
end-line data on a real-time
basis can help in effective
planning, review and evaluation.
C. Research Based Campaign
Development
The Davangere Campaign was
based on extensive research
with beneficiaries to understand
their motivations and barriers for
toilet construction. Insights from
the research proved crucial in
developing relevant, coherent
and impactful messages.
From our experience, such a
research-led communication
would be invaluable for
achieving the Swachh Bharat
Mission objectives.
Join Us
Contact
A complex, large scale problem like open defecation requires the coming together of many individuals
and institutions.We are looking at Governments, NGOs, Funders, Academic Institutions, Corporates and
interested individuals to develop this campaign further and scale it to different geographies in India.
For further details, please get in touch with us.
Join us in this mission towards an open defecation free India!
info@arghyam.org, www.arghyam.org, Ph : 91-80-41698941/2
www.davanagere.nic.inwww.karnataka.gov.in
Funding - Execution, Planning
and Management
Human Resources, Advisory,
Execution and Monitoring
www.centreofgravity.inwww.arghyam.org www.pafglobal.org
Conception, Funding - Campaign
Design and Management
Campaign Strategy
and Design
Campaign Monitoring
and Evaluation

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Creating Demand for Toilets in Rural India

  • 1. Creating demand for toilets in rural India
  • 2. According to a UN study, more than 1 billion1 people around the world practice open defecation every day. India leads the way, ahead of even neighbouring countries. It is surely not a statistic to be proud of. Open defecation is a serious health problem as it can result in the spread of illnesses such as cholera and diarrhoea. It is also an issue of dignity and safety for women. The obvious first step in preventing open defecation is the construction of toilets, since more than 60% rural house- holds in India don’t even have one. Over the years, Government has taken many steps to address this gap, including schemes that provide financial support for toilet construction. Still, it hasn’t resulted in a significant increase in rural toilet ownership. That begs the question: How does one create demand for toilets in rural India? More than 500 million2 people in rural India defecate in the open The total economic impact estimated at INR 2.4 trillion3 Of this, the health impact alone is INR 1.75 trillion3 500 2.4 1.75 The Challenge References: 1. UN Study: http://www.un.org/waterforlifedecade/sanitation.shtml 2. 2011 Census 3. World Bank Study, 2011. Economic impacts of inadequate sanitation in India. http://www.wsp.org/sites/wsp.org/files/publications/wsp-esi-india.pdf
  • 3. Arghyam’s Approach to Demand Generation Scalable Model Any solution to a problem of this magni- tude has to address scale. Therefore, we created a solution within the Government framework. Government had reserved 15% of the NBA (Nirmal Bharat Abhiyan, now renamed as Swachh Bharat Mission) budget for IEC (Information, Education, Communication) activities for improved sanitation. However, its utilisation was usually far less. According to Government of India figures, about 5.5% of the proposed budget was utilised in 2012-13. We conceived a project that can result in a greater and more effective utilisation of this IEC budget. We entered into an agree- ment with the RDPR (Rural Development and Panchayat Raj) department of Gov- ernment of Karnataka for creating and piloting a scalable solution in the Davan- gere district of Karnataka. Professional Expertise Creating demand for any product is a complex problem. However, with a professional approach, demand has been successfully created in rural India for products such as toothpaste and soaps. We partnered with Centre of Gravity, a professional communication firm, to do the same with toilets - to create a well-researched and strategic campaign for demand generation. We also got on board Public Affairs Foundation, an independent third party to evaluate the effectiveness and impact of the campaign.
  • 4. Developing Campaign Strategy Centre of Gravity conducted extensive research in Davangere for 4 months to understand the motivations and barriers for toilet construction. Various research methods were used to unearth the human insights. Household SurveyEthnography Concept Testing Group Discussions Each partner in the project had a clear role assigned. State Government Funding - Execution, Planning and Management District Government Human Resources, Advisory, Execution and Monitoring Arghyam Conception, Funding - Campaign Design and Management Centre of Gravity Campaign Strategy and Design Public Affairs Foundation Campaign Monitoring and Evaluation Project Partners and Roles
  • 5. Because of these problems, most women want toilets at home. Why is this ‘want’ not translating into ‘demand’? Motivation: Problems women face Inconvenience Fear Shame Humiliation In Davangere, we found different motivations for toilet construction such as the desire to imitate what is ‘urban’ and to provide ‘comfort for the ailing’. However, lack of open space was the biggest catalyst for toilet construction in villages. Around the village, the green cover is vanishing for various reasons. For women who have to go out for open defecation, this is not good news. They have to walk further and look harder to find a place, resulting in the following problems: Longer distance implies taking more time to find a place to defecate. Women have to wait for the dark cover and therefore can go only in the early morning or evening. Since they are moving away from the familiarity of their village and that too in the darkness, there is a fear of the unknown. Without green cover, chances of them being spotted or teased by male counterparts are higher. They feel ashamed whenever this happens. They sometimes are forced to go for open defecation to someone else’s field. They feel humiliated when they are shouted at by the land owner.
  • 6. Women Want, Men Decide From a demand generation perspective, it is more important to motivate the one who decides to buy a product than the one who needs it. While women feel the need for toilets, it is the men who decide on its construction for the following reasons: What can motivate men to construct toilets? Normally, in health campaigns, there is a bias toward the rational message such as ‘Smoking can cause cancer’ or ‘Not washing hands with soap can cause diarrhoea’. However, knowledge doesn’t necessarily translate into behaviour. Behavioural changes are often caused by emotional reasons. Not surprisingly, no one cited health reasons for constructing a toilet at home. Big financial decision For any activity that involves a large financial investment, it is usually the men who take the decision. Toilet construction that costs around Rs. 10,000 is surely one such activity. Construction Construction activities like digging pits, purchase of construction materials and dealing with masons are usually performed by men. Interaction with GP Interacting with the Gram Panchayat (GP) officials, to understand and utilise the scheme, is largely the responsibility of men. Emotional Vs Rational Motivation
  • 7. Challenged by his wife, a man decides to spend a day living the life of a woman. His travails created greater empathy among men for women. The film narrates the story of a responsible father who provides for the needs of his daughter, in many ways, including the construction of a toilet at home. Testimonials of those who have built toilets from the same village/district were shown to inspire others. The idea of responsibility was also brought alive through posters, pamphlets, door stickers, slogans and certificates. Animated film Posters/Pamphlets Skit/Songs Testimonial Films Amplifying the Motivators In Indian villages, it is not aspirational for men to openly show love for the women. Hence, the idea of "responsible father" found greater resonance among the villagers as opposed to a "loving husband". Responsibility is a very universal and deep biological quality. Women also seek this quality among men. It was brought alive in the campaign through different media.
  • 8. Awareness & Eligibility Even if one were to be motivated to construct toilets, there is still the financial barrier. With very little disposable income and many financial priorities, a toilet is often postponed for a “good year”. While the scheme addresses the financial constraints, following issues with its execution make it difficult for most villagers to access it. There were still significant proportions of the village population unaware of the scheme or the exact incentive amount. Access to the scheme was limited as the eligibility criteria was not clear. Complexity The scheme was rather complex from the benefi- ciary point of view because of the many steps in the process and the documentation involved in it. Within the Government, there was no common understanding of the scheme. Payment Delays & Low Credibility Incentives were not paid on time and one often had to pay a bribe to receive the payment. The village is a small, intimate communi- ty where news travels fast. Everyone gets to know about the delayed payments very quickly and the many toilets aban- doned at the pit stage are a constant reminder of the scheme’s inefficiencies. The Barriers
  • 9. The scheme was communicated in a simple six-step process Swachchata Doots helped the beneficiaries walk through the process Making the scheme simple and easy to access ‘Jaldi’ Promise: Rs. 9200 incentive to be paid within 20 days of construction ‘Jaldi’ Promise made by the Chief Executive Officer (District) and the ZP (Zilla Panchayat) President Overcoming payment delays and restoring credibility Eligible households were given an invite that assured them of their eligibility Names of the eligible households were also put up in a wall-painting at a prominent place in the village Creating awareness of scheme and eligibility Reducing the Barriers
  • 10. Independent Evaluation Return on investment: Variable (campaign execution) cost/toilet: Public Affairs Foundation [PAF], Bangalore evaluated the campaign on toilet coverage and measured the impact of the Behaviour Change Communication campaign on toilet construction behaviour. They conducted a baseline in December 2013 prior to execution of campaign and an endline survey post-campaign in May 2014. Both studies consisted of detailed household surveys, focus group discussions and interviews with Gram Panchayat officials. The surveys were conducted across 25 GPs in the intervention area and 20 randomly selected GPs in the control area. Target Households - 15037 INR 900/Toilet for the current campaign based on the current endline numbers INR 500/Toilet INR 600/Toilet for an optimized campaign, which is within the allocated budget under Swachh Bharat Mission. at the revised 5% of Rs.12,000/toilet provision for IEC under the Swachh Bharat Mission. ‘Jaldi’ Campaign Roll-out The ‘Jaldi’ campaign was inaugurated on 26th January, 2014. The campaign was rolled out to 25 GPs and covered 119 villages across all 6 taluks of Davangere in one month. Campaign Impact: Key Parameters 93% such as approaching the GP or filling up the application form. across 25 GPs and 119 villages 9.5% in the control villages in the same four-month period 37.6% Took Action Toilets Completed in the intervention villages in the four-month period 31.5% Reach
  • 11. Reflections and Recommendations A. Creating Demand With focused, coherent messag- ing, it is possible to create a surge in demand for toilets in rural India. Two core universal messages that have emerged from the campaign are: Responsibility as an emotional motivator for men - the motivation to provide for the family needs is a more powerful motivator for men (who are the decision makers) vis-a-vis health, which is a rational, less effective motivation. Easy Access to Scheme Providing information regarding the scheme (incentive amount, eligibility and process) to every household and allowing easy access to the scheme can empower more people to utilise the scheme. B. Improving Supply Efficiencies Demand creation required efficient supply processes. Two process improvements that can dramatically improve the campaign outcomes are: Timely Payments Making a time-bound and specific promise on payment of incentive (for instance, 20 days) and ensuring its delivery as promised, can help in subse- quent waves of conversions. Accurate, Dynamic Data Creating a reliable way to collect baseline, progress and end-line data on a real-time basis can help in effective planning, review and evaluation. C. Research Based Campaign Development The Davangere Campaign was based on extensive research with beneficiaries to understand their motivations and barriers for toilet construction. Insights from the research proved crucial in developing relevant, coherent and impactful messages. From our experience, such a research-led communication would be invaluable for achieving the Swachh Bharat Mission objectives.
  • 12. Join Us Contact A complex, large scale problem like open defecation requires the coming together of many individuals and institutions.We are looking at Governments, NGOs, Funders, Academic Institutions, Corporates and interested individuals to develop this campaign further and scale it to different geographies in India. For further details, please get in touch with us. Join us in this mission towards an open defecation free India! info@arghyam.org, www.arghyam.org, Ph : 91-80-41698941/2 www.davanagere.nic.inwww.karnataka.gov.in Funding - Execution, Planning and Management Human Resources, Advisory, Execution and Monitoring www.centreofgravity.inwww.arghyam.org www.pafglobal.org Conception, Funding - Campaign Design and Management Campaign Strategy and Design Campaign Monitoring and Evaluation