This paper published by the Water for People describes Sanitation as a Business, an innovative approach to operation and maintainance challenges in household sanitation improvements, by describing the case of the implementation of the approach in the context of Malawi, by Water for People. The paper argues that programs that build latrines have consistently struggled to have impact or reach scale, and have often distorted the market environment in ways that have undermined future sanitation development.
The paper emphasises the relevance of this approach in the context of developing countries such as India by stating that the world would not be able to achieve even half of the Millennium Development Goals for sanitation at current rates of installation and consequently is projected to miss the sanitation MDG by more than 700 million people. Among the twenty two percent of those without access to improved sanitation, the greatest challenge remains in Asia and India in particular.
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This discussion paper by the 
