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BILL & MELINDA GATES FOUNDATION WASH AID PRIORITIES: DISTRIBUTION OF AID COMMITMENTS (2010–2012) LEAST DEVELOPED COUNTRY OTHER LOW INCOME LOWER MIDDLE INCOME UPPER MIDDLE INCOME 19% 33% 5% 43% BY INCOME GROUP The Bill & Melinda Gates Foundation’s Water, Sanitation & Hygiene program focuses on developing innovative approaches and technologies that can lead to radical and sustainable improvements in sanitation in the developing world. This includes issues across the entire sanitation service chain, including waste containment (toilets), emptying (of pits and septic tanks), transportation (to sewage treatment facilities), waste treatment, and disposal/reuse. BMGF also seeks to support cross-sectorial work in an effort to enhance impact across various health and development programs at the foundation. Examples of joint grants include instances where WASH program goals complement the goals of other foundation programs such as Maternal, Neonatal & Child Health; Vaccine Delivery, and Enteric and Diarrheal Disease. Specific Targets Investments target South Asia and Sub-Saharan Africa, where the burden of inadequate sanitation is greatest. AID POLICY FOR WASH BMGF supports innovations that can be most immediately valuable in densely populated areas, therefore a majority of BMGF investments aim to improve urban sanitation. Priorities include developing non-sewered sanitation approaches, identifying new delivery models, and advocating for public policies that support improved sanitation in densely populated areas. BMGF focuses funding in five complementary areas: transformative technologies, urban sanitation markets, building demand for sanitation, policy and advocacy, and monitoring and evaluation. BMGF has specific programs that address fecal sludge management in both formal and informal urban settings. ASPECTS OF WASH AID/TARGETS Through support for the Government of Senegal’s urban sanitation priorities, the Sanitation Office introduced an innovative approach (a call in centre that matches demand to supply) to increase competition among septic tank emptying operators, thus reducing the cost born by households. While the program is still on-going, early findings suggest that it is possible to use market mechanisms, and not rely exclusively on regulation, to drive down prices for sanitation services. EXAMPLES OF SUCCESS BY MDG REGION NORTHERN AFRICA WESTERN ASIA SOUTH-EASTERN ASIA SUB-SAHARAN AFRICA OCEANIA SOUTHERN ASIA NOT APPLICABLE LATIN AMERICA AND CARIBBEAN CAUCASUS AND CENTRAL ASIA EASTERN ASIA DEVELOPED COUNTRIES <1% 0% 6% 23% 0% <1% 32% 0% 0% NOTE: AN ADDITIONAL 39% OF BILL AND MELINDA GATES FOUNDATION SANITATION AND WATER ODA IS TARGETED TO SECTOR OR MULTI-COUNTRY PROGRAMMES 0% Source: OECD-CRS, 2014 EXTERNAL SUPPORT AGENCY HIGHLIGHTS Source: OECD-CRS, 2014 http://www.who.int/water_sanitation_health/glaas/en/

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BILL & MELINDA GATESFOUNDATION

WASH AID PRIORITIES: DISTRIBUTION OF AID COMMITMENTS (2010–2012)

least developed country

other low income

lower middle income

upper middle income

19%

33%

5%

43%

by income group

The Bill & Melinda Gates Foundation’s Water, Sanitation & Hygiene program focuses on developing innovative approaches and technologies that can lead to radical and sustainable improvements in sanitation in the developing world. This includes issues across the entire sanitation service chain, including waste containment (toilets), emptying (of pits and septic tanks), transportation (to sewage treatment facilities), waste treatment, and disposal/reuse.

BMGF also seeks to support cross-sectorial work in an effort to enhance impact across various health and development programs at the foundation. Examples of joint grants include instances where WASH program goals complement the goals of other foundation programs such as Maternal, Neonatal & Child Health; Vaccine Delivery, and Enteric and Diarrheal Disease.

Specific TargetsInvestments target South Asia and Sub-Saharan Africa, where the burden of inadequate sanitation is greatest.

AID POLICY FOR WASH

BMGF supports innovations that can be most immediately valuable in densely populated areas, therefore a majority of BMGF investments aim to improve urban sanitation. Priorities include developing non-sewered sanitation approaches, identifying new delivery models, and advocating for public policies that support improved sanitation in densely populated areas.

BMGF focuses funding in five complementary areas: transformative technologies, urban sanitation markets, building demand for sanitation, policy and advocacy, and monitoring and evaluation. BMGF has specific programs that address fecal sludge management in both formal and informal urban settings.

ASPECTS OF WASH AID/TARGETS

Through support for the Government of Senegal’s urban sanitation priorities, the Sanitation Office introduced an innovative approach (a call in centre that matches demand to supply) to increase competition among septic tank emptying operators, thus reducing the cost born by households. While the program is still on-going, early findings suggest that it is possible to use market mechanisms, and not rely exclusively on regulation, to drive down prices for sanitation services.

EXAMPLES OF SUCCESS

by mdg region

northern africa western asia

south-eastern asia

sub-saharan africa oceania

southern asia not applicable

latin america and caribbean caucasus and central asia

eastern asia developed countries

<1%

0%

6%

23%

0%

<1%

32%

0%0%

note: an additional 39% of bill and melinda gates foundation sanitation and water oda is targeted to sector or multi-country programmes

0%

Source: OECD-CRS, 2014

EXTERNAL S U P P O R T A G E N C Y H

IGH

LIG

HT

S

Source: OECD-CRS, 2014

http://www.who.int/water_sanitation_health/glaas/en/

20

stephanie drozer

associate program officer global policy & advocacy seattle, wa, 98102

usacontact

deta

ils email: [email protected]

tel: +1 206 770 2456

FUTURE OUTLOOK

The Bill and Melinda Gates Foundation committed to spend US$400 million on WASH from 2010 to 2015, with approximately 90% dedicated to sanitation. Spending is on track to meet this target. Although the Foundation reviews program strategies on an annual basis, there is no planned increase or decrease in focus of WASH investments at this time.

ALIGNMENT AND HARMONISATION

grant vs loan

100% Grants.

ACCOUNTABILITY

ReportingBMGF reports WASH aid activities and financial flows to the OECD and to the U.S. government.

FOCUS ON EQUITY

BMGF’s WASH program focuses on improving sanitation solutions for the poor, including ethnically disadvantaged groups and women and girls.

OPERATIONAL EFFICIENCY

BMGF’s strong focus on results and sharing of lessons learned ensures efficiency of its operations. Disbursements and outputs generally meet or exceed set targets.

140

120

100

80

60

40

commitment

disbursement

44 42

2010

65

2011

118

82

2012

90

0

Source: OECD-CRS, 2014

wash aid commitments and disbursements, constant 2011 (us$ million)

average commitment

average disbursement

Source: OECD-CRS, 2014

ten highest wash aid recipients, ranked by average commitments, 2010–2012 (us$ million)

|20

|0

|5

|10

|15

17

India

Bilateral, unspecified

Bangladesh

Kenya

South of Sahara, regional

Senegal

Africa, regional

Vietnam

Cambodia

Nigeria

1510

9

1

5

2

95

8

53

42

21

3

2

Most of BMGF programs are delivered through NGOs and academic institutions and are of less than three years duration.

PREDICTABILITY

3

1

Developed and coordinated by the Water, Sanitation, Hygiene and Health (WSH) Unit at the World Health Organization (WHO) in preparation for the Sanitation and Water for All (SWA) High-Level Meeting (HLM), April 2014.

Results contained in this ‘ESA Highlights’ have been compiled by the GLAAS External Support Agency (ESA) Focal Point and the GLAAS Team using data from the Organisation for Economic Development and Cooperation (OECD) Creditor Reporting System (CRS)1, estimates and text provided in the responses to the GLAAS 2013/2014 ESA survey, and interviews conducted with ESA representatives at World Water Week in Stockholm, September 2013.

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.1 OECD-CRS (2014) online database available: http://stats.oecd.org/

14%

86%

basic systems

large systems

other

BASIC VS. LARGE SYSTEMS (2010–2012) NEW VS. EXISTING SERVICES (2012) WATER VS. SANITATION (2012)

[ No disaggregated data available. ]

Source: OECD-CRS, 2014

2%

98%

drinking water

sanitation

Source: OECD-CRS, 2014

note:67% of aid is disaggregated between sanitation and water

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