This study aims to offer evidence that
urban sanitation in large West African cities faces specific
issues linked to urban setting, housing development and
urban en... Show More +vironment, and to the development of water services.
These issues are acutely perceived by urban households and
largely shape their demand for sanitation, whereas the
available supply offers unsatisfactory or unaffordable
solutions. The two operations in review showed that public
sanitation (or water and sanitation) utilities, when
supported by a strong political will and with the assistance
of a variety of actors, may, to a large extent, fill the gap
between supply and demand, provided that they adopt adequate
and efficient implementation arrangements in a participatory
approach. As importantly, both operations showed that
cost-effectiveness and equity considerations justify
substantial subsidies for household facilities, which can be
sustained by internal resources and external assistance.
Structure of this report: section one review the trends of
the urban sanitation market in West Africa and the rationale
for public interventions in sanitation. Section two
summarizes the main design features of the two operations.
Section three assesses the operations' performances, in
terms of outcome, efficiency and equity as well as their
sustainability and replicability. Show Less -