Stakeholder perceptions, challenges, and sustainable solutions for achieving safely managed sanitation in Kazakhstan: a case study from a cold region

ABSTRACT In this paper, we present survey results from 30 sanitation stakeholders across the public and private sectors, professional associations, non-governmental organisations (NGOs), and households in the two coldest cities of Kazakhstan. The objectives were to identify the perceived sanitation challenges, document innovative, and traditional solutions employed by the stakeholders to manage sanitation challenges during the cold season, and to propose initiatives and policy interventions to alleviate pressing sanitation issues. Commonly encountered problems included improper installation of septic tanks (e.g. above the frost line) by non-professionals and the difficulty of households to access latrines during heavy snowfall events. Ninety-three percent of respondents expressed that foul odours and sewage overflows were their primary concerns, with only 7% reporting health impacts as a primary concern. There were significant differences in the viewpoints of the respondents regarding the extent of sanitation infrastructure maintenance or upgrades needed in the two cities, suggesting regional differences across the country rather than a uniform national situation. In the context of Kazakhstan, local NGOs were identified as playing a key role in engaging with households to co-devise affordable and sustainable sanitation solutions that are suitable for cold regions, which can then be communicated to other sanitation stakeholders, including the public sector.