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An untold story of policy failure: the Total Sanitation Campaign in India

机译:政策失败的不为人知的故事:印度的全面卫生运动

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The Total Sanitation Campaign (TSC) was a community-led, people-centred, demand-driven and incentive-based programme ideal to address India's rural sanitation crisis, or so it seemed. But policy failed to translate into practice and outcomes were remarkably poor. In the 2011 census data showed 31% sanitation coverage in 2011 (up from 22% in 2001), far from the 68% reported by the Government. The decade has witnessed progress slowing down and the number of rural households without latrines increasing by 8.3 million. This article draws on evidence from two coordinated studies in four Indian states. It aims to explore the dichotomy of TSC policy and practice, its causes, and the potential of the new sanitation campaign, the Nirmal Bharat Abhiyan (NBA). The study found that TSC implementation was unaligned with the programme's guiding principles. In reality the TSC was government-led, infrastructure-centred, subsidy-based and supply-led, leading to poor outcomes. The reasons behind the theory-practice gap include low political priority; flawed monitoring; distorting accountability and career incentives; technocratic and paternalistic inertia; and corruption. In the new NBA, despite promising changes such as a stronger demand creation focus, key issues hampering implementation remain ignored. It is thus doomed to fail, burdened by known past hurdles.
机译:全面卫生运动(TSC)是一个社区主导,以人为本,以需求为导向,基于激励的计划,是解决印度农村卫生危机的理想之选。但是政策未能转化为实践,结果非常差。在2011年的人口普查数据中,2011年的卫生设施覆盖率为31%(2001年为22%),远非政府报告的68%。十年来,进展缓慢,没有厕所的农村家庭数量增加了830万。本文借鉴了印度四个州的两项协调研究的证据。它旨在探索TSC政策和实践的二分法,其成因以及新的卫生运动Nirmal Bharat Abhiyan(NBA)的潜力。研究发现,TSC的实施不符合该计划的指导原则。实际上,TSC是政府主导,以基础设施为中心,以补贴为基础,以供应为主导的,导致结果不佳。理论与实践之间存在差距的原因包括政治优先级低;有缺陷的监控;扭曲问责制和职业动机;技术官僚和家长式的惯性;和腐败。在新的NBA中,尽管发生了令人鼓舞的变化,例如更加着重需求创建重点,但是阻碍实施的关键问题仍然被忽略。因此,它注定要失败,并要承受过去已知的障碍。

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