Water and sanitation for all in low-income countries.

In Europe, legislation exists to ensure that infrastructure facilities and services are accessible to all. This may not work perfectly, but there is no longer a need to debate the principle of access for all. In low-income countries it is a different story. Improving accessibility to water and sanitation is technically straightforward and low cost. Greater challenges are posed by institutional and social barriers. However, evidence shows that increased advocacy and information, together with training of engineers about inclusive design, can reduce prejudice and increase understanding of different needs and solutions. Drawing on examples from Africa and Asia, this paper describes water and sanitation in low-income countries, explaining the barriers that prevent access for vulnerable users and gives an overview of inclusive design for latrines and water points.