This report by the World Bank Institute describes the Kerala Rural Water Supply and Sanitation Project and the efforts made by the Government of India to revolutionise sanitation services in the state of Kerala, with the aim of improving public health. Earlier experience had shown that significant governance problems had hindered water and sanitation reforms in local and national programmes in the state.
Challenges to reform included a lack of accountability and transparency, corruption, which made sanitation and hygiene problems more difficult to solve and accelerated the spread of infectious diseases throughout densely populated Kerala. It was also found that corruption affected all the sections of the population, particularly the poor and the marginalised. Read More