CHILD-SAN: a new disability-inclusive framework for emergency sanitation for children aged five to 11, based on a systematic review of existing guidance

Abstract The specific sanitation needs of children aged five to 11 years old—those too old use small potties, but usually young safely and confidently adult latrines during both the day night, including in this age range with disabilities—have often been overlooked provision emergency sanitation. There are multiple reasons provide specifically for group. They represent a large number beneficiaries; legal principles moral obligations humanitarian actors should drive their inclusion. Failure consider results increased risk injuries, abuse and/or exploitation when using unsuitable locations urinate or defecate, negative health impacts arising from being unable manage personal hygiene. We have critically reviewed existing guidance subsequently presents new disability-inclusive framework: CHILD-SAN. CHILD-SAN is an acronym representing key factors water, hygiene (WASH) sector programmes: c hild participation, h eights, user-fr i endly, l ocation, d écor, s caled-down, ccessibility, mo n itoring evaluation. framework recommends (a) safe meaningful child participation WASH preparedness planning programming as means develop contextually-appropriate facilities, (b) design considerations child-friendly toilets (that is, they meet child), (c) collection sex-, age- disability-disaggregated data against contextually appropriate indicators determine prevalence facilities use. found few examples programmes adhering elements framework, implementation would contribute sector’s aims achieving universal maximising opportunities good health, dignity, comfort safety all.