The Royal Government of Bhutan and in particular, the Ministry of Health (MoH) has been concerned with the high prevalence of sanitation and hygiene-related diseases. This was largely due to low coverage of hygienic pour-flush toilets; high prevalence of inferior quality pit toilets (without slab/cover) which were unsanitary and unhygienic; and households without toilets. The Bhutan Multiple Indicator Survey (BMIS) in 2010 reported that only 58% of the overall population lived in households with access to improved sanitation facilities. By area, it is 77.9% for urban households and 51% for rural households. Also, UNICEF and WHO’s Progress on Drinking Water and Sanitation 2012, reported rural households with access to hygienic toilets at 54%. As per the Annual Health Bulletin, households without toilets (open defection) have consistently remained at about 4% since 2010 for a decade and now hovers around 2%.
Gyaltshen, S. (2022). ACCELERATION TOWARDS OPEN DEFECTION FREE (ODF) BHUTAN AND 100 % ACCESS TO POUR FLUSH TOILETS UNICEF
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Bhutan
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