Without access to safe and affordable water, hygiene, and sanitation (WASH) facilities, persons with disabilities can suffer health complications, loss of dignity, social isolation, and exclusion from school and other community activities. Although multilateral development banks (MDBs) such as the World Bank and the African Development Bank (AfDB) have worked with the Ugandan government to improve WASH access around the country, the MDBs have not systematically included persons with disabilities in WASH projects nor adequately mitigated the barriers that prevent them from accessing WASH services. To prevent the further marginalization of persons with disabilities in Uganda, MDBs and implementing ministries administering WASH projects must consider the needs of persons with disabilities and facilitate their unencumbered access to WASH services.
In BIC’s experience monitoring WASH projects, a key challenge to accessible WASH services is the lack of disability-friendly design features. For example, the AfDB’s Water Supply and Sanitation Program built water access points with the safety of women and children in mind but failed to consider disability-friendly mechanisms to extract water and safe access for persons with disabilities, especially those using wheelchairs. Due to the intersection of poverty and disability, many persons with disabilities may live in households where they are unable to afford WASH facilities in their homes. Therefore, these inaccessible water access points are particularly problematic as many persons with disabilities continue to lack access to clean water. The project also planned to build disability-friendly public toilets at institutional levels such as schools, health centers, and marketplaces — an important measure to improve the accessibility of public spaces for persons with disabilities. However, the small interior space, lack of handrails, and height of the sanitation facilities made the new facilities inaccessible. While the National Union of Disabled Persons of Uganda (NUDIPU) successfully advocated for these public toilets to be retrofitted with disability supportive devices, these changes only materialized because of a particularly responsive project task team leader. Moving forward, the AfDB and Ugandan implementing ministries need to learn from these oversights and mainstream disability inclusion in WASH projects to prevent this exclusion from occurring in the first place.
Social stigma and institutional and environmental barriers are major challenges to disability mainstreaming in WASH projects. MDBs have a key role in working with implementing ministries to create an enabling environment that supports the inclusion of persons with disabilities in WASH projects. As the World Bank prepared a guidance note on disability inclusive WASH to design and implement inclusive projects, other MDBs like the AfDB should also formulate their own guidance note.
Beyond the creation of an enabling environment, to improve WASH inclusive facilities for persons with disabilities in Uganda, MDBs and implementing ministries should:
Depriving persons with disabilities of access to adequate clean water and accessible sanitation is both a denial of basic human rights of persons with disabilities and an insult to their dignity and self-esteem. MDBs and implementing ministries must work to mainstream disability inclusion across WASH projects in Uganda.