Sanitation access in the developing country: The impact of human development, income inequality, and economic growth

Sapta Suhardono, Iva Yenis Septiariva, Wisnu Prayogo, I Wayan Koko Suryawan

Abstract

This study aimed to analyze the correlation between human development, income inequality, economic growth, and access to sanitation in Bali, Indonesia. The research used secondary data from the Indonesian Central Bureau of Statistics (BPS) on sanitation access, the Human Development Index (HDI), the Gini Ratio, and Gross Domestic Product (GDP) in Bali Province from 2017 to 2021. Multiple linear regression analysis was conducted to examine the relationship between these variables. The findings of the study showed that HDI has a significant positive correlation with access to sanitation in Bali, while GDP and Gini Ratio have no significant correlations. The results suggested that investing in human development is crucial for improving access to sanitation. Additionally, the study highlighted the importance of addressing income inequality and promoting sustainable economic growth in order to improve sanitation access. These findings will be important input to policy development for improving sanitation access in Bali Province and other developing regions.

Keywords

economic growth, human development, income inequality, sanitation access

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References

[1]Sparrow R, Dartanto T, Hartwig R. Indonesia Under the New Normal: Challenges and the Way Ahead. Bull Indones Econ Stud 2020;56:269–99. https://doi.org/10.1080/00074918.2020.1854079.

[2]Umami A, Sukmana H, Wikurendra EA, Paulik E. A Review on Water Management Issues: Potential and Challenges in Indonesia. Sustain Water Resour Manag 2022;8:63. https://doi.org/10.1007/s40899-022-00648-7.

[3]Afifah T, Nuryetty MT, Cahyorini, Musadad DA, Schlotheuber A, Bergen N, et al. Subnational Regional Inequality in Access to Improved Drinking Water and Sanitation in Indonesia: Results from the 2015 Indonesian National Socioeconomic Survey (SUSENAS). Glob Health Action 2018;11:31–40. https://doi.org/10.1080/16549716.2018.1496972.

[4]Odagiri M, Cronin AA, Thomas A, Kurniawan MA, Zainal M, Setiabudi W, et al. Achieving the Sustainable Development Goals for Water and Sanitation in Indonesia – Results from a Five-Year (2013–2017) Large-Scale Effectiveness Evaluation. Int J Hyg Environ Health 2020;230:113584. https://doi.org/10.1016/j.ijheh.2020.113584.

[5]Dharmayanti I, Tjandrarini DH. Peran Lingkungan dan Individu Terhadap Masalah Diare di Pulau Jawa dan Bali. Jurnal Ekologi Kesehatan 2020;19:84–93. https://doi.org/10.22435/jek.v19i2.3192.

[6]Dwipayanti NMU, Rutherford S, Chu C. Cultural Determinants of Sanitation Uptake and Sustainability: Local Values and Traditional Roles in Rural Bali, Indonesia. Journal of Water, Sanitation and Hygiene for Development 2019;9:438–49. https://doi.org/10.2166/washdev.2019.178.

[7]Thobari JA, Mulyadi AWE, Watts E, Carvalho N, Debellut F, Clark A, et al. Direct and Indirect Costs of Acute Diarrhea in Children Under Five Years of Age in Indonesia: Health Facilities and Community Survey. The Lancet Regional Health–Western Pacific 2022;19.

[8]Kurniawati MR, Astutik E. Socioeconomic Factors Associated with Diarrhea Among Children Under Five Years In Indonesia. Periodic Epidemiology Journal/Jurnal Berkala Epidemiologi 2023;11.

[9]Zerbo A, Castro Delgado R, Arcos González P. Water Sanitation and Hygiene in Sub-Saharan Africa: Coverage, Risks of Diarrheal Diseases, And Urbanization. J Biosaf Biosecur 2021;3:41–5. https://doi.org/10.1016/j.jobb.2021.03.004.

[10]Sin MP, Hasan MZ, Forsberg BC. Change In Economic Burden of Diarrhoea in Children Under-Five in Bangladesh: 2007 Vs. 2018. J Glob Health 2023;13.

[11]Andrés L. The Economic and Health Impacts of Inadequate Sanitation. Oxford Research Encyclopedia of Environmental Science 2021:561.

[12]Rosilawati Y, Mulawarman K, Sofyan N, Mulyantari E. The Role of Local Balinese Culture Amongst Sustainable Communities in Preservation Efforts of Ayung River. International Journal of Sustainable Society 2020;12:93–110.

[13]Mulatya DM, Ochieng C. Disease Burden and Risk Factors of Diarrhoea in Children Under Five Years: Evidence from Kenya’s Demographic Health Survey 2014. International Journal of Infectious Diseases 2020;93:359–66.

[14]Orieno OH, Ndubuisi NL, Eyo-Udo NL, Ilojianya VI, Biu PW. Sustainability In Project Management: A Comprehensive Review. World Journal of Advanced Research and Reviews 2024;21:656–77.

[15]Vardopoulos I, Tsilika E, Sarantakou E, Zorpas AA, Salvati L, Tsartas P. An Integrated SWOT-PESTLE-AHP Model Assessing Sustainability In Adaptive Reuse Projects. Applied Sciences 2021;11:7134.

[16]Suryawan IWK, Sianipar IMJ, Lee C-H. Reshaping Marine Debris Management Post-COVID-19: Integrating Adaptive Attributes for Enhanced Community Engagement. Ocean Coast Manag 2024;253:107149. https://doi.org/10.1016/j.ocecoaman.2024.107149.

[17]Suryawan IWK, Lee C-H. Community Preferences in Carbon Reduction: Unveiling the Importance of Adaptive Capacity for Solid Waste Management. Ecol Indic 2023;157:111226. https://doi.org/10.1016/j.ecolind.2023.111226.

[18]Hicks DA. The Inequality-Adjusted Human Development Index: A Constructive Proposal. World Dev 1997;25:1283–98. https://doi.org/10.1016/S0305-750X(97)00034-X.

[19]Dasic B, Devic Z, Denic N, Zlatkovic D, Ilic ID, Cao Y, et al. Human Development Index in A Context of Human Development: Review on The Western Balkans Countries. Brain Behav 2020;10. https://doi.org/10.1002/brb3.1755.

[20]Anvari RD, Norouzi D. The Impact of E-commerce and R&D on Economic Development in Some Selected Countries. Procedia Soc Behav Sci 2016;229:354–62. https://doi.org/10.1016/j.sbspro.2016.07.146.

[21]Berik G. Measuring What Matters and Guiding Policy: An Evaluation of The Genuine Progress Indicator. Int Labour Rev 2020;159:71–94. https://doi.org/10.1111/ilr.12153.

[22]Gayawan E, Somo-Aina O, Kuti O. Analysis of The Space-Time Trends in Open Defecation in Nigeria. Environmental Science and Pollution Research 2023;30:68524–35. https://doi.org/10.1007/s11356-023-26161-8.

[23]La Patilaiya H, Nurhidayanti Ishak S. Behavioral Determinants of Open Defecation Free to Families in Soligi Village. International Journal of Health and Pharmaceutical (IJHP) 2022;3:101–7. https://doi.org/10.51601/ijhp.v3i1.121.

[24]Hutton G, Chase C. The Knowledge Base for Achieving the Sustainable Development Goal Targets on Water Supply, Sanitation and Hygiene. Int J Environ Res Public Health 2016;13:536. https://doi.org/10.3390/ijerph13060536.

[25]Willetts J, Mills F, Al’Afghani M. Sustaining Community-Scale Sanitation Services: Co-Management by Local Government and Low-Income Communities in Indonesia. Front Environ Sci 2020;8:98.

[26]Milan BF. Clean Water and Sanitation for All: Interactions with Other Sustainable Development Goals. Sustain Water Resour Manag 2017;3:479–89. https://doi.org/10.1007/s40899-017-0117-4.

[27]Daniel D, Al Djono TP, Iswarani WP. Factors Related to The Functionality of Community-Based Rural Water Supply and Sanitation Program in Indonesia. Geography and Sustainability 2023;4:29–38. https://doi.org/10.1016/j.geosus.2022.12.002.

[28]Daniel D, Prawira J, Al Djono TP, Subandriyo S, Rezagama A, Purwanto A. A System Dynamics Model of the Community-Based Rural Drinking Water Supply Program (PAMSIMAS) in Indonesia. Water (Basel) 2021;13:507. https://doi.org/10.3390/w13040507.

[29]Clasen T, Smith KR. Let the “A” in WASH Stand for Air: Integrating Research and Interventions to Improve Household Air Pollution (HAP) and Water, Sanitation and Hygiene (WaSH) in Low-Income Settings. Environ Health Perspect 2019;127. https://doi.org/10.1289/EHP4752.

[30]Metwally AM, Saad A, Ibrahim NA, Emam HM, El-Etreby LA. Monitoring Progress of The Role of Integration of Environmental Health Education with Water and Sanitation Services in Changing Community Behaviours. Int J Environ Health Res 2007;17:61–74. https://doi.org/10.1080/09603120600937856.

[31]Schertenleib R. From Conventional to Advanced Environmental Sanitation. Water Science and Technology 2005;51:7–14. https://doi.org/10.2166/wst.2005.0345.

[32]Suryawan IWK, Lee C-H. Citizens’ Willingness to Pay for Adaptive Municipal Solid Waste Management Services in Jakarta, Indonesia. Sustain Cities Soc 2023;97:104765. https://doi.org/10.1016/j.scs.2023.104765.

[33]Anderson DM, Cronk R, Fejfar D, Pak E, Cawley M, Bartram J. Safe Healthcare Facilities: A Systematic Review on the Costs of Establishing and Maintaining Environmental Health in Facilities in Low- and Middle-Income Countries. Int J Environ Res Public Health 2021;18:817. https://doi.org/10.3390/ijerph18020817.

[34]He Z, Bishwajit G, Zou D, Yaya S, Cheng Z, Zhou Y. Burden of Common Childhood Diseases in Relation to Improved Water, Sanitation, and Hygiene (WASH) among Nigerian Children. Int J Environ Res Public Health 2018;15:1241. https://doi.org/10.3390/ijerph15061241.

[35]Suryawan I, Septiariva IY, Sari MM, Ramadan BS, Suhardono S, Sianipar IMJ, et al. Acceptance of Waste to Energy Technology by Local Residents of Jakarta City, Indonesia to Achieve Sustainable Clean and Environmentally Friendly Energy. Journal of Sustainable Development of Energy, Water and Environment Systems 2023;11:1–17.

[36]Sutrisno AD, Chen Y-J, Suryawan IWK, Lee C-H. Establishing Integrative Framework for Sustainable Reef Conservation in Karimunjawa National Park, Indonesia. Water (Basel) 2023;15:1784. https://doi.org/10.3390/w15091784.

[37]Land KC. The Human Development Index: Objective Approaches (2). Global Handbook of Quality of Life, Dordrecht: Springer Netherlands; 2015, p. 133–57. https://doi.org/10.1007/978-94-017-9178-6_7.

[38]Herrera S, Ouedraogo A. Efficiency of Public Spending in Education, Health, And Infrastructure: An International Benchmarking Exercise. World Bank Policy Research Working Paper 2018.

[39]Gaies B. Reassessing the Impact of Health Expenditure on Income Growth in The Face of The Global Sanitary Crisis: The Case of Developing Countries. The European Journal of Health Economics 2022;23:1415–36. https://doi.org/10.1007/s10198-022-01433-1.

[40]Badan Pusat Statistik Provinsi Bali. Provinsi Bali Dalam Angka 2022 2022.

[41]Peraturan Daerah Provinsi Bali. Peraturan Daerah Provinsi Bali Nomor 2 Tahun 2023 Tentang Rencana Tata Ruang Wilayah Provinsi Bali Tahun 2023-2043 2023.

[42]Reig-Martínez E. Social and Economic Wellbeing in Europe and the Mediterranean Basin: Building an Enlarged Human Development Indicator. Soc Indic Res 2013;111:527–47. https://doi.org/10.1007/s11205-012-0018-8.

[43]Zahra SA. Analysis on the Management of Waste Domestic System in Populous Neighborhoods. E3S Web Conf 2018;74.

[44]Sari MM, Septiariva IY, Istanabi T, Suhardono S, Sianipar IMJ, Tehupeiory A, et al. Comparison of Solid Waste Generation During and Before Pandemic Covid-19 in Indonesia Border Island (Riau Islands Province, Indonesia). Ecological Engineering and Environmental Technology 2023;24:251–60. https://doi.org/10.12912/27197050/157170.

[45]Foster T, Falletta J, Amin N, Rahman M, Liu P, Raj S, et al. Modelling Faecal Pathogen Flows and Health Risks in Urban Bangladesh: Implications for Sanitation Decision Making. International Journal of Hygiene and Environmental Health 2021;233:113669. https://doi.org/https://doi.org/10.1016/j.ijheh.2020.113669.

[46]Paul B, Jean Simon D, Kiragu A, Généus W, Emmanuel E. Socio-Economic and Demographic Factors Influencing Open Defecation in Haiti: A Cross-Sectional Study. BMC Public Health 2022;22:2156. https://doi.org/10.1186/s12889-022-14619-2.

[47]Kancherla V, Roos N, Walani SR. Relationship Between Achieving Sustainable Development Goals and Promoting Optimal Care and Prevention of Birth Defects Globally. Birth Defects Research 2022;114:773–84. https://doi.org/https://doi.org/10.1002/bdr2.2055.

[48]Yue S, Shen Y, Yuan J. Sustainable Total Factor Productivity Growth For 55 States: An Application of The New Malmquist Index Considering Ecological Footprint and Human Development Index. Resources, Conservation and Recycling 2019;146:475–83. https://doi.org/https://doi.org/10.1016/j.resconrec.2019.03.035.

[49]Hickel J. The Sustainable Development Index: Measuring the Ecological Efficiency of Human Development in The Anthropocene. Ecological Economics 2020;167:106331. https://doi.org/https://doi.org/10.1016/j.ecolecon.2019.05.011.

[50]O’Neill BC, Jiang L, KC S, Fuchs R, Pachauri S, Laidlaw EK, et al. The Effect of Education on Determinants of Climate Change Risks. Nature Sustainability 2020;3:520–8. https://doi.org/10.1038/s41893-020-0512-y.

[51]Vilar-Compte M, Burrola-Méndez S, Lozano-Marrufo A, Ferré-Eguiluz I, Flores D, Gaitán-Rossi P, et al. Urban Poverty and Nutrition Challenges Associated with Accessibility to A Healthy Diet: A Global Systematic Literature Review. International Journal for Equity in Health 2021;20:40. https://doi.org/10.1186/s12939-020-01330-0.

[52]Clark H, Coll-Seck AM, Banerjee A, Peterson S, Dalglish SL, Ameratunga S, et al. A Future for The World’s Children? A WHO–UNICEF–Lancet Commission. The Lancet 2020;395:605–58. https://doi.org/10.1016/S0140-6736(19)32540-1.

[53]Grönwall J, Danert K. Regarding Groundwater and Drinking Water Access through A Human Rights Lens: Self-Supply as A Norm. Water 2020;12. https://doi.org/10.3390/w12020419.

[54]Wang C, Lim MK, Zhang X, Zhao L, Lee PT-W. Railway and Road Infrastructure in The Belt and Road Initiative Countries: Estimating the Impact of Transport Infrastructure on Economic Growth. Transportation Research Part A: Policy and Practice 2020;134:288–307. https://doi.org/https://doi.org/10.1016/j.tra.2020.02.009.

[55]Cui S, Wang Z. The Impact and Transmission Mechanisms of Financial Agglomeration on Eco-Efficiency: Evidence from The Organization for Economic Co-Operation and Development Economies. Journal of Cleaner Production 2023;392:136219. https://doi.org/https://doi.org/10.1016/j.jclepro.2023.136219.

[56]Chatterjee B, Karandikar RL, Mande SC. The Mortality Due To COVID-19 In Different Nations Is Associated with The Demographic Character of Nations and The Prevalence of Autoimmunity. MedRxiv 2020: https://doi.org/10.1101/2020.07.31.20165696.

[57]Rasul G, Nepal AK, Hussain A, Maharjan A, Joshi S, Lama A, et al. Socio-Economic Implications of COVID-19 Pandemic in South Asia: Emerging Risks and Growing Challenges. Frontiers in Sociology 2021;6.

[58]Indrawati SM, Kuncoro A. Improving Competitiveness Through Vocational and Higher Education: Indonesia’s Vision for Human Capital Development In 2019–2024. Bulletin of Indonesian Economic Studies 2021;57:29–59. https://doi.org/10.1080/00074918.2021.1909692.

[59]Mookodi L. Decomposition Analysis of The Gini Coefficient of Consumer Expenditures in Botswana. Development Southern Africa 2021;38:622–42. https://doi.org/10.1080/0376835X.2021.1912587.

[60]Khan MS, Siddique AB. Spatial Analysis of Regional and Income Inequality in the United States. Economies 2021;9. https://doi.org/10.3390/economies9040159.

[61]Vogel J, Steinberger JK, O’Neill DW, Lamb WF, Krishnakumar J. Socio-Economic Conditions for Satisfying Human Needs at Low Energy Use: An International Analysis of Social Provisioning. Global Environmental Change 2021;69:102287. https://doi.org/https://doi.org/10.1016/j.gloenvcha.2021.102287.

[62]Roitman S, Recio RB. Understanding Indonesia’s Gated Communities and Their Relationship with Inequality. Hous Stud 2020;35:795–819. https://doi.org/10.1080/02673037.2019.1636002.

[63]Yolanda Y. Analysis of Factors Affecting Inflation and its Impact on Human Development Index and Poverty in Indonesia. European Research Studies Journal 2017;XX:38–56.

[64]Bieth RCE. The Influence of Gross Domestic Product and Human Development Index on CO2 Emissions. IOP Conference Series: Earth and Environmental Science 2021;1808:95–108. https://doi.org/10.1088/1742-6596/1808/1/012034.

[65]Wiriana IG dan INK. Analisis Faktor-Faktor yang Mempengaruhi Kesejahteraan Masyarakat di Kabupaten/Kota Provinsi Bali Tahun 2012 - 2018. E-Jurnal EP Unud 2018;9[5]:1051–81.

[66]Wei K, Yao S, Liu A. Foreign Direct Investment and Regional Inequality in China. Review of Development Economics 2009;13:778–91. https://doi.org/https://doi.org/10.1111/j.1467-9361.2009.00516.x.

[67]Yustisia K, Rudy P, Reagan B. Adaptation Strategy of Tourism Industry Stakeholders During the COVID-19 Pandemic: A Case Study in Indonesia. The Journal of Asian Finance, Economics and Business 2021;8:213–23. https://doi.org/10.13106/JAFEB.2021.VOL8.NO4.0213.

[68]Suryawan IWK, Rahman A, Lim J, Helmy Q. Environmental Impact of Municipal Wastewater Management Based on Analysis of Life Cycle Assessment in Denpasar City. Desalination and Water Treatment 2021;244:55–62. https://doi.org/10.5004/dwt.2021.27957.

[69]Pratowo NI. Analisis Faktor-Faktor yang Berpengaruh terhadap Indeks Pembangunan Manusia. Studi Ekonomi Indonesia 2013:15–31.

[70]Oka IK, Yasa A. Pengaruh Pertumbuhan Ekonomi dan Disparitas Pendapatan Antardaerah Terhadap Kesejahteraan Masyarakat Provinsi Bali. JEKT 2012;8.

[71]Nurlaili UR. Faktor-Faktor yang Mempengaruhi Pendapatan Per-Kapita di 34 Provinsi Indonesia. Jurnal Ekonomi 2018;1:45.

[72]Headey D, Palloni G. Water, Sanitation, and Child Health: Evidence from Subnational Panel Data in 59 Countries. Demography 2019;56:729–52. https://doi.org/10.1007/s13524-019-00760-y.

[73]Heller L. Water and Sanitation Policies in Brazil: Historical Inequalities and Institutional Change. Water and Sanitation Services: Public Policy and Management 2009:321–37.

DOI: https://doi.org/10.20961/region.v19i2.83327

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