Approximately, 2.5 billion people lack access to improved sanitation globally, where out of this figure, 597 million people reside in India, translating into 40% of Indians lacking access to improved sanitation . This hinders the track towards sustainable development in four key areas: 
        
  
    | Public    Health 
          Lack of access to    clean drinking water and inadequate sanitation have globally contributed to    88% deaths from diarrheal diseases.  
        In India, an estimate of 62 million    children are stunted resulting from chronic malnutrition due to lack of    access to improved sanitation.    
        India is associated with the second    highest death rate for children (under 5 years) due to poor sanitation.  | Gender    Aspects  
          Inequitable access to sanitation    facilities for women and girls leading to health burdens and high crime    rates. 
 
High percentage of health disorders due    to lack of and unclean toilet facilities, lack of privacy, open defecation    and long waiting time.  
        In India, girls lose    approximately 20% of school days due to sanitation related reasons such as    lack of toilet facilities at their school or lack of awareness on how to deal    with menstruation.  | 
  
    | Environmental    Impacts
 
          Existing cities in India do not have    sanitation infrastructure to cater to the waste being produced, leading to    contamination of the environment 
        No existing system for safe disposal of    waste Reduced ecosystem services and    depreciation of land value.  
        In all cities there is no system for conveyance    and safe disposal of this waste   | Economic    Impacts
 
          India suffers from great economic    impact, with US $106.7 billion (2015) in terms of total cost for inadequate    sanitation. 
 
According to Indian Ministy of Health    and Family Welfare, an estimate of 12 billion IN is spent annually on poor    sanitationOut of this, 70% of this is mostly    health related costs.   | 
