Global sustainable
development goals call for universal access
to safely managed sanitation by 2030. Here, we demonstrate methods
to estimate the financial requirements for meeting this commitment
in urban settings of low-income countries. Our methods considered
two financial requirements: (i) the subsidies needed to bridge the
gap between the willingness-to-pay of low-income households and actual
market prices of toilets and emptying services and (ii) the amounts
needed to expand the municipal waste management infrastructure for
unserved populations. We applied our methods in five cities–
Kisumu, Malindi, Nakuru in Kenya; Kumasi in Ghana; and Rangpur in
Bangladesh and compared three to five sanitation approaches in each
city. We collected detailed cost data on the sanitation infrastructure,
products, and services from 76 key informants across the five cities,
and we surveyed a total of 2381 low-income households to estimate
willingness-to-pay. We found that the total financial requirements
for achieving universal sanitation in the next 10 years and their
breakdown between household subsidies and municipal infrastructure
varied greatly between sanitation approaches. Across our study cities,
sewerage was the costliest approach (total financial requirements
of 16–24 USD/person/year), followed by container-based sanitation
(10–17 USD/person/year), onsite sanitation (2–14 USD/person/year),
and mini-sewers connecting several toilets to communal septic tanks
(3–5 USD/person/year). Further applications of our methods
can guide sanitation planning in other cities.