So, national governments are NOT making sanitation a priority? I'm shocked, honestly!

@AnishaShankar @stevenSugden - is the answer in a more market-led approach?

Great point @Anisha Shankar - we want toilets to be sexy enough that people want to buy them. It is important to do market assessments to ensure the products match not only the needs but what the customers desire as well.

A question from Pragya Lamsal: Can we create pressure on national govt through universal instruments to construct toilets in public places?

Here's a way to drive creation of toilets and sewers - money! www.trust.org

"Kenya has 47 counties and none can boast of having an effective sewer system. But by looking at the sewer problem as an income opportunity, county governments could perhaps tackle a myriad of issues at once.

Nairobi County, for instance, has some of the oldest sewer works in the country. Overflows, burst pipes, and illegal sewer diversion for agricultural irrigation are among the problems faced.

So what is preventing more county governments from initiating such inventive projects to tackle sewer problems and energy shortages? Previously, red tape and vested interests made sure that such projects never got off the ground. But now that county governments are required to raise some of their budget locally, they are being forced to look for new ways to solve problems in their areas, and keep voters happy.

The sewage biogas project could help, in terms of environmental and health policies but also the income that county governments could earn. Also this would attract the investment needed to modernize the sewer systems in the country, and allow farmers to use treated sewage as fertilizer, going a long toward helping domestic food production lower input costs."

Question from @SaleemZeal: Inadequate access to toilets in Pakistan in particular and South Asia in general worsens alarmingly during times of climate-induced disasters like floods. This hurts gains in MDGs particularly the health and environmental sustainability. What efforts can the government in South Asian countries take to make climate-resilient toilet networks, particularly in rural areas?

@johnwsauer that is a great point on accountability - currently there is very little accountability. We need to create accountability mechanisms into a program design.