| Literature DB >> 31783524 |
Zachary Burt1, Rachel Sklar2, Ashley Murray3.
Abstract
Kigali, Rwanda lacks a centralized sewer system, which leaves residents to choose between on-site options; the majority of residents in informal settlements use pit latrines as their primary form of sanitation. When their pits fill, the pits are either sealed, or emptied; emptying is often done by hand and then dumped in the environment, putting the residents and the broader population at risk of infectious disease outbreaks. In this paper, we used revealed and stated preference models to: (1) estimate the demand curve for improved emptying services; and, (2) evaluate household preferences and the willingness to pay (WTP) for different attributes of improved emptying services. We also quantify the costs of improved service delivery at different scales of production. The study included 1167 households from Kigali, Rwanda across 30 geographic clusters. Our results show that, at a price of US$79 per pit, 15% of all the pits would be emptied by improved emptying services, roughly the current rate of manual emptying. Grouping empties by neighborhood and ensuring that each truck services an average of four households per day could reduce the production costs to US$44 per empty, ensuring full cost coverage at that price. At a lower price of US$24, we estimate that the sealing of pits might be fully eliminated, with full coverage of improved emptying services for all pits; this would require a relatively small subsidy of US$20 per empty. Our results show that households had strong preferences for fecal sludge (FS) treatment, formalized services (which include worker protections), and distant disposal. The results from the study indicate a few key policies and operational strategies that can be used for maximizing the inclusion of low-income households in safely managed sanitation services, while also incorporating household preferences and participation.Entities:
Keywords: FSM; cost of service; fecal sludge management; formalization; informal settlements; on-site sanitation; pit latrines; sanitation; willingness to pay
Mesh:
Year: 2019 PMID: 31783524 PMCID: PMC6926954 DOI: 10.3390/ijerph16234738
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Observed prices for Fecal Sludge (FS) collection services in informal settlements of low-income countries.
| Source | Location | Emptying | Price per Empty |
|---|---|---|---|
| van Dijk M.P. et al. 2014 [ | Dar Es Salaam, Tanzania | Manual | US$31.76–US$44.46 |
| Mechanized | US$63.52–US$76.22 | ||
| Murungi C, van Dijk MP 2014 [ | Kampala, Uganda | Manual | US$11.88–US$39.61 |
| Mechanized | US$19.81–US$59.42 | ||
| Isunju JB, et al. 2013 [ | Kampala, Uganda | Manual | US$8.5–US$17.2 |
| Mechanized | US$25.7–US$42.9 | ||
| Frenoux & Tsitsikalis, 2015 [ | Phnom Penh, Cambodia | Manual | US$25–US$30 |
| Mechanized | US$30–US$50 |
Estimates from the research literature of willingness to pay (WTP) for FS collection in low-income countries.
| Source | Location | Unit | Price per Unit |
|---|---|---|---|
| Balasubramanya et al., 2017 [ | Bhaluka, Bangladesh | Entire Pit | US$6 |
| Frenoux & Tsitsikalis, 2015 [ | Phnom Penh, Cambodia | m3 | US$7 |
| Jenkins, Cumming, & Cairncross, 2015 [ | Dar Es Salaam, Tanzania | 300 liters | US$26 |
| Harder, Sajise, & Galing, 2013 [ | Dagupan, Phillipines | per month | US$0.90 |
Prices were expressed on the coupons as per liter and per 2000 liters (as an example total price per empty). Prices presented here per 1200 liters (1200 liters was the average empty volume during the study).
| Price Version | Single Empty Price | Group Discount | Group Empty Price | Single Empty Price | Group Discount | Group Empty Price |
|---|---|---|---|---|---|---|
| 1 | 24 | 6 | 18 | 26.67 | 6.67 | 20.00 |
| 2 | 24 | 12 | 12 | 26.67 | 13.33 | 13.33 |
| 3 | 36 | 6 | 30 | 40.00 | 6.67 | 33.33 |
| 4 | 36 | 12 | 24 | 40.00 | 13.33 | 26.67 |
| 5 | 48 | 6 | 42 | 53.33 | 6.67 | 46.67 |
| 6 | 48 | 12 | 36 | 53.33 | 13.33 | 40.00 |
| 7 | 60 | 6 | 54 | 66.67 | 6.67 | 60.00 |
| 8 | 60 | 12 | 48 | 66.67 | 13.33 | 53.33 |
| 9 | 72 | 6 | 66 | 80.00 | 6.67 | 73.33 |
| 10 | 72 | 12 | 60 | 80.00 | 13.33 | 66.67 |
| 11 | 84 | 6 | 78 | 93.33 | 6.67 | 86.67 |
| 12 | 84 | 12 | 72 | 93.33 | 13.33 | 80.00 |
Attributes and discrete choice options used in the follow-up WTP surveys. Each attribute had two service levels that were associated with it, as listed below, with the exception of price, which had six levels.
| Categorical Attributes and Levels | ||
|---|---|---|
| Discrete choice “0” | Discrete choice “1” | |
| Pit fullness | Emptied before completely full, group discount applied | Emptied only when completely full, no group discount applied |
| Formality of services | Services provided by ‘builders’ (informal day laborers) using buckets and shovels | Services provided by a branded, registered business, with workers wearing uniforms and using protective gear |
| Speed of response | Empty performed within three weeks of request | Empty performed within one week of request |
| Distance of Disposal | Sludge is disposed inside of your cell 1, but outside of your household’s compound | Sludge is disposed outside of your cell2, in an open, public area in Kigali |
| Treatment | Sludge is not treated before disposal (treatment is a process that removes all smells and pathogens) | Sludge is treated before disposal (treatment is a process that removes all smells and pathogens) |
| Prices | ||
| Volumetric Prices | 15, 20, 30, 40, 50, 60 (RwF/Liter) | |
| Volumetric Group Discounts | 5, 10 (RwF/Liter) | |
| Flat fees | 20k, 40k, 45k, 60k, 80k, 90k,100k, 120k (RwF/empty) | |
1 Cells are the smallest geographically denominated government administration unit. In Kigali they are roughly the size of an urban neighborhood.
Cost categories for both the Flatbed Truck and Exhauster Truck scenarios.
| Cost Type | Cost Categories | Flatbed Truck Costs | Exhauster Truck Costs |
|---|---|---|---|
| Opex | Maintenance and Consumables | Emptying equipment maintenance, replacing safety gear, cleaning/disinfecting equipment, storage depot | Emptying equipment maintenance, replacing safety gear, cleaning/disinfecting equipment, storage depot, truck maintenance |
| Transportation | Flatbed truck rental, dumping fees | Fuel, dumping fees | |
| Labor | Collection crew | Collection crew, truck driver | |
| Overhead | Capital | eVac pumps, trash removal tools, personal protective equipment | eVac pumps, trash removal tools, personal protective equipment, exhauster truck |
| Rent | Office space, field depots | Office space, field depots | |
| Office Supplies | Stationary, internet | Stationary, internet | |
| Labor | Office Staff | Office Staff | |
| Advertising and Marketing | Printed marketing materials, radio advertisements, sales commissions, weekly text messages | Printed marketing materials, radio advertisements, sales commissions |
Market Analysis: summary statistics from survey data regarding pits, pit maintenance practices, and costs.
| Survey Variable | Mean | 95% CI | N |
|---|---|---|---|
| Household Size | 6.1 | ±0.46 | 125 |
| Residence time (years) | 17.8 | ±2.89 | 110 |
| Frequency of filling (years) | 8.7 | ±0.85 | 266 |
| Age of Latrine (years) | 10.1 | ±1.87 | 94 |
| Household responsible for pit maintenance | 64% | ±2.9% | 1078 |
| Pit was full before | 43% | ±3.1% | 976 |
| Pit has been emptied before | 12% | ±5.6% | 131 |
| Cost of sealing (all types) (US$) | 109 | ±51.3 | 15 |
| Cost of emptying (US$) | 52 | ±14.0 | 35 |
| Cost of solid waste collection (US$/Month) | 2 | ±0.3 | 115 |
Figure 1Market analysis regarding pit fullness, pit maintenance practices, and customer satisfaction: (a) the service provider who emptied the pit, among households that had emptied their pit in the past; (b) the relative fullness of pits, as reported by households; (c) customer satisfaction, among households that have emptied or sealed in the past; (d) pit maintenance practices, among households that had a full pit in the past; and, (e) FS disposal practices, among households that had emptied in the past.
Cost of delivering pit-emptying services using a rented, flatbed truck. The truck used during the trial has the capacity to hold 100 barrels (5000 liters), sufficient volume to handle up to two typical household empties.
| Cost of Service—Rented, Flatbed Truck | 1 Pit/Day | 2 Pits/Day |
|---|---|---|
| Truck Rental (including fuel and driver) | US$54.00 | US$27.00 |
| Emptying staff | US$21.00 | US$10.00 |
| Sales Commission | US$1.80 | US$1.80 |
| Maintenance and Consumables | US$4.70 | US$2.40 |
| Dumping Fee | US$5.50 | US$2.80 |
| Total Opex per Empty | US$87.00 | US$44.00 |
| Amortized Capital Costs (Emptying equipment) | US$3.20 | US$1.60 |
| Management staff | US$52.00 | US$26.00 |
| Advertising | US$41.00 | US$21.00 |
| Rent and office supplies | US$7.30 | US$3.60 |
| Total Overhead per Empty | US$104.00 | US$52.00 |
| Total Costs per Empty | US$191.00 | US$96.00 |
Cost of pit-latrine emptying services delivered using an operator owned truck. The exhauster truck has the capacity of 10 m3, sufficient volume to handle up to four typical household empties.
| Cost of Service—Owned, Exhauster Truck | 2 Pits/Day | 3 Pits/Day | 4 Pits/Day |
|---|---|---|---|
| Fuel | US$17.00 | US$11.00 | US$8.30 |
| Emptying staff (including driver) | US$16.00 | US$21.00 | US$14.00 |
| Sales Commission | US$1.80 | US$1.80 | US$1.80 |
| Maintenance and Consumables | US$12.00 | US$8.00 | US$6.00 |
| Dumping Fee | US$3.00 | US$2.00 | US$1.50 |
| Total Opex per Empty | US$50.00 | US$44.00 | US$32.00 |
| Amortized Capital Costs (Truck and Equipment) | US$8.90 | US$5.90 | US$4.40 |
| Management staff | US$26.00 | US$17.00 | US$13.00 |
| Advertising | US$21.00 | US$14.00 | US$10.00 |
| Rent and office supplies | US$3.60 | US$2.40 | US$1.80 |
| Total Overhead per Empty | US$60.00 | US$39.00 | US$29.00 |
| Total Costs per Empty | US$110.00 | US$83.00 | US$61.00 |
Logistic regression results of revealed preference analysis. Dependent variable dichotomous (requested an empty = 1, no request = 0). Households were given coupons with randomly assigned volumetric prices. ‘Household responsible’ implies that households were fully or partially responsible for costs associated with pit maintenance (as opposed to the landlord having full responsibility).
| HH Characteristic | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 |
|---|---|---|---|---|---|
| Dependent variable: | |||||
| Any Empty | Group Empty | Any Empty | Any Empty | Group Empty | |
| Individual Price per empty (US$) | −0.036 *** (0.008) | −0.036 *** (0.011) | −0.035 *** (0.008) | −0.038 *** (0.009) | −0.041 *** (0.014) |
| Group Discount per empty (US$) | 0.103 * (0.056) | 0.084 ** (0.041) | 0.070 (0.044) | 0.067 (0.066) | |
| Household Responsible | 0.714 ** (0.328) | 0.545 (0.525) | |||
| Pit Full and Almost Full | 1.399 *** (0.303) | 2.128 *** (0.519) | |||
| Constant | −1.321 *** (0.338) | −3.214 *** (0.837) | −2.853 *** (0.660) | −2.820 *** (0.679) | −4.368 *** (1.126) |
| Observations | 1176 | 1176 | 1078 | 1156 | 1065 |
| AIC | 447.195 | 275.133 | 412.195 | 364.585 | 186.890 |
* p < 0.1; ** p < 0.05; *** p < 0.01.
Figure 2Graphical comparison of Model 1 (a), Model 3 (b) and Model 4 (c), with 95% confidence intervals.
Demand forecasts are for some key price levels, using Model 1. Demand forecasts were made in order to show the confidence intervals on demand for any type of request, whether individual or group services were requested (see supplementary materials Table S4 for forecasts of group empty requests).
| Price (US$) | Demand Forecast | (95% CI) |
|---|---|---|
| 115.8 | 0.4% | (0.03–4%) |
| 79.0 | 1.5% | (0.21–9%) |
| 44.8 | 5.0% | (1.28–17%) |
| 24.2 | 10.0% | (3.69–24%) |
Model 9 is a multinomial logit model. Prices included in the model were US$ per empty, as calculated by an average empty of 1200 L.
| Name | Model 9 |
|---|---|
| Price per empty | −0.013 *** |
| Branded, worker protections | 84.3 *** |
| Distant Disposal | 89.7 *** |
| Empty when full | 5.62 |
| Faster Response | 16.2 |
| Flat Fee Charged | −48.1 *** |
| Sealed | 152 *** |
| Treated | 136 *** |
*** p < 0.01.