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Open defecation is the human practice of defecating outside ("in the open") rather than into a toilet. People may choose fields, bushes, forests, ditches, streets, canals, or other open spaces for defecation. They do so either because they do not have a toilet readily accessible or due to archaic traditional cultural practices.[2] The practice is common where sanitation infrastructure and services are not available. Even if toilets are available, behavior change efforts may still be needed to promote the use of toilets. 'Open defecation free' (ODF) is a term used to describe communities that have shifted to using toilets instead of open defecation. This can happen, for example, after community-led total sanitation programs have been implemented.
Open defecation can pollute the environment and cause health problems and diseases. High levels of open defecation are linked to high child mortality, poor nutrition, poverty, and large disparities between rich and poor.[3]: 11 Ending open defecation is an indicator being used to measure progress towards the Sustainable Development Goal Number 6. Extreme poverty and lack of sanitation are statistically linked. Therefore, eliminating open defecation is thought to be an important part of the effort to eliminate poverty.[4]
In 2022, 420 million people (5.25% of the global population) were practicing open defecation, a significant decline from about 1.31 billion (21.42%) in 2000, representing a reduction of 890 million people or 16.17% points over 22 years. Of those practicing open defecation, 275 million (65.6%) were living in just seven countries.[5] In India, for example, the number had decreased by 62%, from 776 million (73%) in 2000 to 157 million (11%) in 2022, showcasing the country’s significant efforts to achieve Sustainable Development Goals by 2030.[6] However, despite the progress, India still had the largest number of people practicing open defecation, followed by Nigeria and Pakistan.[7]
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