Abstract:
Even though global sanitation access is improving, safe fecal waste management is becoming a
rising challenge. Pakistan is considered the 5th most populous country in the world with an
estimated population of 238.18 million. The goal of this study was to evaluate the current need
for fecal sludge management (FSM) in Pakistan. It is essential to contact those in charge of
looking after sanitation in different cities of Pakistan as well as the local population which is directly
affected by it. This study was conducted to get a firsthand view of the sanitation situation in
Pakistan. Primary data was collected using a Target Sanitation Survey Form distributed online to
the general public. Key Informant Interviews with officials in charge of sanitation in various cities
were conducted. Secondary data collection entails gathering information from reports, articles, or
other reliable written sources, which was done through a desktop study. Three main cities of
Pakistan i.e. Islamabad, Karachi, and Lahore were selected for the sanitation situation
assessment. Karachi and Lahore are provincial capitals whereas Islamabad is the capital of
Pakistan. In Pakistan, there is a rapid increase in the development and use of onsite sanitation
systems since 2000 under the Millennium Development Goals (MDGs). To evaluate the current
situational assessment in three major cities of Pakistan, two tools were used, a Shift flow diagram
(SFDs) and Modified Service Delivery Assessment (SDA). Shit flow diagrams depict the physical
flow of excreta through the city. It analyzes the fate of all wastewater produced. Modified Service
Delivery Assessment concerned with reasons for the situation of sanitation. It can be concluded
that FSM should be included in the National Sanitation Policy for due attention. The government's
budget should be significantly increased and to achieve safe fecal waste management, future
sanitation investments must include fecal sludge management strategies. People in these cities
should have access to basic sanitation at least, whether onsite or off-site sanitation. Furthermore,
to serve the increasing population, the current sewerage network must be extended. Collection
efforts must be made to end open defecation. Attention must be given to the construction of new
treatment plants to treat wastewater and fecal sludge. Existing treatment plants should be
rehabilitated and run at maximum capacity. Media, curriculum, and civil society must all work
together to raise awareness about this issue. Community-led Total Sanitation (CLTS) and PublicPrivate-Partnership (PPP) models must be implemented.