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    Cover letter

    A RESEARCH STUDY ON COMMUNITY

    PARTICIPATION, AFFORDIBILITY AND WILLINGNESS

    TO PAY IN RURAL SANITATION PROGRAMME TO

    IMPROVE THE HEALTH STATUS

    // Paper name//

    WATER SANITATION IS A TOOL FOR CHANGING

    THE RURAL SYSTEM SCENERIO IN INDIA

    *NAYAN PRAKASH GANDHI, **HEMLATA

    GANDHI

    * [MA (His), DIM, PGD (Cs), ASESI {New Delhi}](MBA+PGPM FINAL SEM)Aspirant POONA SCHOOL OFBUSINESS,

    PUNE(Presented Various Research Paper in, Nat & state Level conf.)

    CONTACTNO:+91-9579659412,[email protected]

    ** DOCTARATE IN MANAGEMENT STUDIES

    DISTRICT PROJECT MANAGER, JHALAWAR (RAJ)

    CONT EMAIL ID: [email protected]

    N.P.GandhiPoona School Of Business,[email protected]

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    Abstract

    Safe drinking water; sanitation and good hygiene are

    fundamental to health, survival, growth and development. Over

    1.1 billion of our fellow citizens do not use drinking water from

    improved sources, while 2.6 billion lack basic sanitation. Safe

    drinking water and basic sanitation are so obviously essential to

    health that they risk being taken for granted. Efforts to prevent

    death from diarrhea or to reduce the burden of such diseases as

    ascaris, hookworm, schistosomiasis and trachoma are doomed

    to failure unless people have access to safe drinking water and

    basic sanitation. Lack of basic sanitation indirectly inhibits the

    learning abilities of millions of school-aged children who are

    infested with intestinal worms transmitted through inadequate

    sanitation facilities and poor hygiene. As India moves into the

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    next millennium it has many things to be proud of. With a

    landmass of 3.29 million square kilometers and a population of

    just over a billion India has enormous natural resources, it also

    has the second largest pool of technical and scientific personnel

    in the world and is one of the fastest growing economies in the

    developing world in terms of its GDP growth.

    In the five decades since independence, India has witnessed a

    significant achievement in many of the millennium development

    goals like reduction of extreme hunger and poverty by increasing

    self-sufficiency in food grains, increased life expectancy,

    sustainable management of its natural resources, rapid expansion

    in the urban, energy and industrial sectors, improved child and

    maternal health, increased universal primary and higher

    education, advancement in the field of science and technology,

    increased access to water and sanitation facilities, increased

    participation of women in social and political arena and above all

    a multicultural and religious vibrant social democracy.

    However India is still far behind other developing nations in terms

    of achievement in some of the very basic social and economic

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    development indicators especially in the rural areas where

    majority of our population lives. 65% of its rural areas are without

    sanitation facilities and large parts of rural India face acute water

    shortage. Some areas are completely deprived of education

    facilities particularly secondary and higher education and drop

    out of children from schools particularly girls is very high. Infant

    and Maternal Mortality rates are very high, and around 0.6-0.7

    million children people majority from the backward castes are

    involved in manual scavenging.

    Concerning to all these important points this paper is all about

    Indias rural sector management and development as per

    important factor that is water sanitation and hygiene practices

    implementation for improvement community participation and

    their health and living standard And also assign that what is major

    challenges behind this and what are the solutions .This paper also

    explores the job opportunity in the social sector concerning to this

    important wide sector which have a still unlimited opportunity in

    our such type of country .

    N.P.GandhiPoona School Of Business,[email protected]

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    SANITATION: Background

    A direct relationship exists between water, sanitation, health,

    nutrition, and human wellbeing. Consumption of contaminated

    drinking water, improper disposal of human excreta, lack of

    personal and food hygiene, and improper disposal of solid and

    liquid waste have been the major causes of many diseases in

    developing countries like India. Persisting high infant mortality

    rate (IMR. National average -- 69) and high levels of malnutrition

    (national average 41 percent) are also attributed to poor

    sanitation. Increasingly, sanitation is being seen as a major issue

    in environmental protection. Lack of or inadequate sanitation

    impacts on the local economy, productive and school days lost

    due to sickness, the overall quality of life for those living in the

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    vicinity including the general aesthetics and tourism. The

    economic effect on tourism assumes special dimensions in the

    case of India, with its immense size, pluralistic diversity and

    almost limitless tourism potential a vastly improved sanitation

    scenario implies vastly improved tourist volumes and tourism

    revenue inflows, robust contribution to increase in employment

    and opportunities for the private entrepreneurship in the service

    sector Historically, sanitation was a part of town planning even as

    far back as 3000 BC. Well laid out drainage and street system

    during Indus Valley Civilization, Harappa and Mohenjo-Daro

    excavation which became diluted over the ages and by the 20th

    century; disposal of human and animal excreta was left to nature

    in rural areas. In urban areas, sanitation was earlier limited to

    disposal of human excreta by cesspools, open ditches, pit latrines,

    bucket system etc., including the dehumanizing practice of

    removal of night soil by humans hands. Today it connotes a

    comprehensive concept, the lack of which impedes human

    development. More importantly, young children bear a huge part

    of the burden of disease resulting from the lack of hygiene. India,

    for example, still loses between 0.4 to 0.5 million children below

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    about the associated health hazards. As per the latest Census

    data (2001), only 36.4 percent of total population has latrines

    within/attached to their houses. However in rural areas, only 21.9

    percent of population has latrines within/attached to their houses.

    Out of this, only 7.1 percent households have latrines with water

    closets, which are the most sanitized toilets.

    The day every one of us gets a toilet to use, I shall know

    that our country has reached the pinnacle of progress.

    Pt. Jawaharlal Nehru, the first Prime Minister of India

    Water supply and sanitation were added to the national agenda

    during the countrys first five-year plan (1951-56). It was only in

    the early eighties, with the thrust of the International Water and

    Sanitation Decade, that Indias first nationwide programme for

    rural sanitation, the Central Rural Sanitation Programme (CRSP),

    was launched in 1986 in the Ministry of Rural Development with

    the objective of improving the quality of life of rural people and to

    provide privacy and dignity to women. The programme provided

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    large subsidy for construction of sanitary latrines for BPL

    households. It was supply driven, highly subsidized, and gave

    emphasis on a single construction model. Based on

    recommendations of the National Seminar on Rural Sanitation in

    September 1992, the programme was again revised to make it an

    integrated approach for rural sanitation.

    Since its inception and up to the end of the IXth Plan, 9.45 million

    latrines were constructed for rural households under the CRSP as

    well as corresponding State MNP. The total investment made

    under the CRSP was US$ 138 million, and under the State sector

    MNP, US$ 232 million.

    Despite the massive outlays for sanitation the Programme led to

    only a marginal increase in the rural sanitation coverage, with

    meager annual increase in the rural sanitation coverage. This was

    because there was total lack of community participation

    In this traditional, supply driven, subsidy oriented, government

    programme. There was poor utilization of whatever toilets were

    constructed under the Programme due to many reasons i.e. lack

    of awareness, poor construction standards, emphasis on high cost

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    designs, absence of participation of beneficiaries, etc. Most of the

    States could not provide adequate priority to the sanitation

    programme. The CRSP had also neglected school sanitation,

    which is considered as one of the vital components of sanitation.

    CRSP also failed to have linkages with various local institutions

    like ICDS, Mahila Samakhya, women, PRIs, NGOs, research

    institutions, SHGs, etc.

    With the emergence of the above findings the CRSP was

    restructured in 1999 with a provision for phasing out the

    allocation-based component by the end of the IXth Plan i.e. 2001-

    2002 and moving from a project based mode of implementation

    into a peoples campaign towards achieving total sanitation.

    The primary responsibility of providing drinking water facilities in

    the country rests with State Governments. The efforts of State

    Governments are supplemented by Government of India by

    providing financial assistance under the Centrally Sponsored

    Scheme of Accelerated Rural Water Supply Programme (ARWSP).

    ARWSP has been under implementation since 1972-73. In 1986,

    the National Drinking Water Mission, renamed as Rajiv Gandhi

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    National Drinking Water Mission in 1991, was launched and

    further in 1999, the Department of Drinking Water Supply was

    created, to provide a renewed focus with mission approach to

    implement programmes for rural drinking water supply.

    Reforms in sanitation along with water supply thus started to gain

    in strength from the middle of 1999 onwards. While the low

    subsidy policy met with initial resistance, gradually, there is

    growing acceptance among implementers and local communities.

    The Bharat Nirman Programme was another important step to

    taken towards building up a strong Rural India by strengthening

    the infrastructure in six areas viz. Housing, Roads, Electrification,

    Communication(Telephone), Drinking Water and Irrigation, with

    the help of a plan to be implemented in four years, from 2005-06

    to 2008-09.

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    The sanitation movement got a boost with the advent of the Total

    Sanitation Campaign in the country. The Total Sanitation

    campaign was launched in April 1999, advocating of a shift from a

    high subsidy to a low subsidy regime, a greater household

    involvement and demand responsiveness, and providing for the

    promotion of a range of toilet options to promote increased

    affordability.

    The TSC gives emphasis on Information, Education and

    Communication (IEC) for demand generation of sanitation

    facilities, providing for stronger back up systems such as trained

    masons and building materials through rural sanitary marts and

    production centers and including a thrust on school sanitation as

    N.P.GandhiPoona School Of Business,[email protected]

    Why should our cities and villages be unclean and

    unhygienic? Can this not be changed visibly by changing the

    habits and mindset of each one of us? Shouldnt citizens

    themselves initiate a drive for water conservation, energy

    conservation, and conservation of our precious cultural

    heritage?

    Atal Behari Vajpayee

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    an entry point for encouraging wider acceptance of sanitation by

    rural masses as key strategies. It also lays emphasis on school

    sanitation and hygiene education for bringing about attitudinal

    and behavioral changes for relevant sanitation and hygiene

    practices from a young age.

    With the scaling up of TSC combined with higher resource

    allocation, the programme implementation has improved

    substantially leading to construction of household latrines in more

    than 21.7 million rural households. There has been a considerable

    increase in the construction of household toilets under TSC and

    the corresponding increase in the sanitation coverage.

    Corresponding to the increase in adoption of IHHLs, there has

    been substantial increase in the rural sanitation coverage from

    22% in 2001 to about 44% in 2007 which is a good jump.

    Compared to average annual growth rate of only 1 percent during

    1981-2001, the average growth rate is more than 3 percent in

    first five years of the current decade. However growth rate in the

    2006-07 has been more than 6 percent which is quite

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    encouraging and gives the confidence of achieving 100%

    coverage by 2012.

    Although the TSC was launched in 1999, the pace of progress has

    been gradual. Rural sanitation being a State subject, it is

    necessary that State Governments accord high priority to the

    programme. Though most States have included TSC in their

    programmes, financial allocations for sanitation often are not

    adequate due to lack of priority attached to the programme which

    often takes a back seat to water which is a more politically

    important area The states where high priority is attached, good

    results are coming.

    The second reason has been less emphasis on Capacity building

    and IEC activities with inadequate capacity building at the cutting

    edge level for implementing a demand driven project -giving

    emphasis on social mobilization and IEC. The implementation

    machinery at the field level, which is quite familiar with working of

    the supply driven, target oriented schemes of the government

    need to be sensitized further to the challenges of this demand

    driven approach. For this change of attitude and ways of

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    functioning of the persons responsible for the implementation of

    the scheme is needed. Management of this change in approach

    requires more attention.

    Some of the other challenges are existence of state level high

    subsidy schemes in many states, provision of low cost and region

    specific technological options, Quality of construction, usage and

    operation and maintenance of the sanitation facilities and

    Convergence with various other departments at National, State,

    district and grassroots level

    Relevance of Water AND Sanitation [MAJOR CHALLENGE

    FOR INDIA]

    India cannot achieve real development if majority of its people

    particularly live in an unhealthy and unclean surroundings due to

    lack of access to safe water and sanitation. Poor water and

    sanitation facilities have many other serious repercussions. A

    direct link exists between water, sanitation and, health and

    nutrition and human well being .Consumption of contaminated

    drinking water, improper disposal of human excreta, lack of

    personal and food hygiene and improper disposal of solid and

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    liquid waste have been major causes of many diseases in India

    and it is estimated that around 30 million people suffer from

    water related illnesses. Children particularly girls and women are

    the most affected.

    Despite significant investments over the last 20 years, India still

    faces the most daunting sanitation challenge than any other

    country in South Asia. According to an estimate, India stands

    second among the worst places in the world for sanitation after

    China. Government figure claims that India is all set to achieve

    MDG target but still a vast majority of unserved population is poor

    rural inhabitants. The rapid urbanization is putting a strain on

    already stressed urban sanitation systems in India. Slums are

    very rarely connected to citys sanitation infrastructure and the

    sanitation situation is deplorable. Effective implementation of

    sanitation schemes, increased civil societys participation,

    enhancing financial allocation and monitoring progress and

    effective targeting seems to be the key to achieve total sanitation

    in India.

    Sanitation: A Global Crisis

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    Sanitation is in crisis. 2.6 billion People worldwide - 40% of the

    worlds population - does not have a toilet. Yet, despite the fact

    that 5,000 children die every day from diarrheal diseases, there

    has been no political action on the issue.

    Sanitation is the most neglected and most off-track of the UN

    Millennium Development Goals' targets.

    Sanitation is vital for poverty reduction. There is compelling

    evidence that sanitation brings the single greatest return on

    investment of any development intervention

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    IN.P.GandhiPoona School Of Business,[email protected]

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    IN.P.GandhiPoona School Of Business,[email protected]

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    In the developing world, the costs of not investing in sanitation

    and water are huge - infant deaths, lost work days, and missed

    school days are estimated to have an economic cost of around

    N.P.GandhiPoona School Of Business,[email protected]

    LACK OF

    SANITATION

    SPREAD OF DISEASES

    ILL HEALTH /

    EXPENDITURE ON

    MEDICINE

    LOW INCOME / LESS EXPENDITURE ON

    NUTRITION, SANITATION AND EDUCATION

    VICIOUS

    POVERTY

    CYCLE

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    $38 billion per year, with sanitation accounting for 92% of this

    value.

    India stands second among the worst places in the world for

    sanitation as a total number of people lacking access to sanitation

    after China. Other south Asian countries are Bangladesh (4th rank

    - total population lacking access to sanitation is 84,912,000) and

    Pakistan (7th rank - total population lacking access to sanitation is

    63,468,000).

    Drinking Water:

    Fresh water is a finite and valuable resource, essential to sustain

    life, development and the environment. Water is a precious

    resource and vital for life. Access to a safe and affordable water

    supply of drinking water is universally recognized as a basic

    human need for the present and a pre-condition for the

    development and care of the next. Water shortage, poor quality,

    or unreliable supplies have profound effects on peoples well

    being.

    Providing water alone is not enough, it should be safe and

    constant efforts are required to ensure its quality. Water quality

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    affects human health. Coupled with unsanitary conditions and

    lack of good hygiene practices, water can be accountable for

    various diseases like, ascaris, hookworm, trachoma, cholera,

    typhoid, diarrhea, jaundice etc. Thus, there are significant health

    associated benefits from improvements in water supply. Improved

    access safe water supply is an essential ingredient in facilitating

    the socio-economic development of rural communities.

    Though it has been established that the government makes

    efforts to provide safe water to the people, improper distribution,

    and the lack of proper maintenance and improper installation of

    hand pumps have made them defunct or not suitable for drinking

    purpose.

    It has been found that people frequently dip their fingers in water

    vessels as they removed a glass of water. Without proper hand

    washing this will contaminate drinking water. (Unwashed) water

    vessels are frequently dipped into storage tanks to retrieve water.

    In the home, pots are usually kept on the floor, uncovered. As

    chlorination is not uniform, it is very likely that drinking water is

    thus rendered unfit for consumption.

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    It has been mostly seen that people usually take water from the

    pots through cups or glasses by dipping their hands into the water

    vessel. This action lets the bacteria and other infection enter the

    water and pollute it. This action and the drinking of the water in

    this fashion mostly affect the children and suffer from water

    borne diseases.

    With the TSC program implemented in the district through IEC

    and social communication and marketing many adopted safe

    methods of handling of drinking water. Many of them have started

    using the long handle ladle for drinking water purpose.

    This data

    has been

    tabulated

    taking into

    considering the 480 families of all the six villages of the three

    blocks. It has been seen that though large number have the long

    handle ladle at home they are using while taking water from the

    pots.

    N.P.GandhiPoona School Of Business,[email protected]

    Use of Long Handle Ladle

    V1 V2 V3 V4 V5 V6

    69 67 63 64 63 41

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    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    V 1 V 2 V 3 V 4 V 5 V 6

    U s e o f L o n g H a n d

    V

    V

    V

    V

    V

    V

    Most of the storage of the water is on the ground itself. The

    household mostly the women bring water from a distant source or

    water tank and store the water in an earthen pot or bucket. In

    most of the families it has been seen the water brought from the

    source are generally uncovered and kept at the floor or on the

    ground itself. Thus the drinking gets contaminated from the

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    source itself to the storage place due to improper method of

    storage.

    Some of the families having water connection take water directly

    from the source itself. During the survey it has also seen that in

    79 families they keep the drinking water pots/buckets on a raised

    platform. Keeping water on the raised platform decreases the

    incidence of contamination of the water.

    It has been seen that in Rajasthan water is a scarce resource

    familys use water very carefully. Storing water for drinking for

    many days also increases the incidence of contamination.

    Storage of Water

    N.P.GandhiPoona School Of Business,[email protected]

    Table 17

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    On

    Ground

    Above

    platform

    Direct from

    Source Others

    310 79 51 40

    Water Storage

    0

    50

    100

    150

    200

    250300

    350

    On Ground Above

    platform

    Direct f rom

    Source

    Others

    On Ground

    Above platform

    Direct f rom Sou

    Others

    In most of the families it has been seen that they take water from

    the wells home itself. Though water from wells is not hygienic

    they use it. 195 families use water from hand pump to be used in

    drinking and other purpose. 57 families use tap water in their

    household.

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    From the analysis it was seen that HH taking water from a safe

    source were less influenced by water borne diseases rather than

    families with unsafe drinking water source.

    Water

    Availability

    Well Tap HP

    228 57 195

    Water Availability

    47%

    12%

    41%

    Well

    TapHP

    N.P.GandhiPoona School Of Business,[email protected]

    Table 18

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    Action on Sanitation

    Sanitation action should start simultaneously with the most

    disadvantaged and marginalized as well as with those who

    exercise influence on others in the community

    Established demand factors (not the assumption that one low

    cost size fits all) are the engines for sanitation action.

    Awareness about the link between and sanitation and health is

    needed to stimulate sanitation demand in most communities,

    where the concern is for personal dignity and safety.

    Hygiene education that can stimulate demands by awareness of

    the link between sanitation and health.

    Sanitation solutions that are location- specific, founded by local

    needs/conditions/resources and capacities.

    Institutional encouragement and protection of the role of women

    needs to be established.

    A strong convergence between all the functions, departments,

    sectors and networks that impinge on sanitation. This should

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    include networking with other development sectors and self-help

    activities.

    Technologies for sanitation that are demand responsive, gender

    sensitive, child friendly and supported by local knowledge and

    resources.

    Water supply issues needs to be addressed with all technical

    innovations.

    Financial mechanisms for sanitation those are easily accessible to

    women, communities and households, respecting demand factors

    and encouraging innovation and demonstration.

    School sanitation as a major catalyst for community awareness

    and action. It is a sector with its own special needs and

    opportunities.

    O & M recognized as a capacity and function on which

    sustainability depends.

    M&E indicators developed to track sanitation not only in physical

    terms but in terms of empowerment, capacity- building and

    changes in health.

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    A sound data base created for the sector that can ensure better

    choices and decisions.

    Entrepreneurship and the private sector recognized as important

    keys to accelerated sanitation.

    Communication skills developed and shared to encourage and

    sustain changes in attitudes and behaviors

    Recognize communication for behavior change as the essential

    catalyst for sanitation action and build communication capacity at

    the grassroots.

    Village to village women to women communication is essential for

    taking successful demonstrations to scale. There are excellent

    examples now available of what women can and have achieved.

    Authorities and NGOs/CSOs/CBOs need to facilitate these contacts

    for mutual learning. Developing communications skills within

    CSOs/NGOs and among the communities they serve.

    Media supports are essential in taking the sanitation message into

    every sector of public life.

    Media outreach for public awareness

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    Inadequate Progress in This Major Issue: Factors

    Lack of adequate dissemination of appropriate technology.

    Lack of political will and administrative support for the

    sanitation programme

    Lack of awareness among the people, particularly those in

    the rural areas, about the need of sanitation and its health

    consequences.

    Health sector`s inadequate involvement and lack of required

    advocacy on its part

    Failure to develop a demand driven approach with needed

    participation of the people at the grassroots level

    Low prestige and recognition

    Poor institutional framework

    Inadequate and poorly-used resources

    In appropriate approaches

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    Failure to accept the disadvantages of conventional excreta

    management systems

    Neglect of consumer preferences

    Ineffective promotion and low public awareness

    Lowest priority given to women and children

    Cultural taboo and beliefs

    RECOMMENDATION FOR OVERCOME THIS PROBLEM:

    Administration Sanctions and implementation

    Huge financial support

    Corporate bodys participation should be increase

    Technical support should be increase

    Local politicians should be participate

    Women candidates participation should be increase

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    Government should be actively supported and timely evaluate the

    project

    Media and impressive personality should be enter for awareness

    ORGANIZATION INVOLVED IN THIS SECTOR

    Water Aid India

    DDWS-GoI

    Arghyam

    SULABH INTERNATIONAL SOCIAL SERVICE ORG.

    WWF

    ASIAN WATER

    And many non government organizations are present in this

    sector where a social science graduate or civil eng. Graduate or

    management graduate can start their career in this prestigious

    mobilization sector.

    AS a

    Project coordinator[at various senior level position]

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    Training coordinator

    programme manager

    Project in charge

    Sr. supervisor

    Administrator

    Sr. accountant

    Entrepreneur

    CONCLUSION:

    Infect there is no doubt that water sanitation and hygiene

    practices are essential for not only for rural areas development

    also for increase their status in the society and improvement their

    standard by going on further progress which would be better for

    himself and their society and at last for Indian sector

    development and proper management of socio eco resources

    which would be better for not only the progress as per their living

    standard but also useful for their employability , heath standard,

    social standard . by this there is no doubt to say that sanitation is

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    a key for Indian rural development in social, educational,

    employment, health, economically concern which will show in

    current and future trends of Rural management.

    References

    [1]Central Bureau of Health Intelligence, Ministry of Health and

    Family Welfare, 1998-99

    [2]WHO and UNICEF year book, 2000

    [3]Meeting the MDG drinking Water and Sanitation. The urban and

    rural challenge of the decade.

    [4]Guideline to Central Rural Sanitation Programme (CRSP)

    [6]Annual Report (1999-2000). Ministry of Rural Development,

    New Delhi, 2000

    [7] Scribd.com

    N.P.GandhiPoona School Of Business,[email protected]

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    N.P.GandhiPoona School Of Business,[email protected]

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