Video link: not for the queasy of stomach.
David Kuria runs EcoTact Limited, an organization with a groundbreaking approach to a difficult issue. In many poor parts of Africa, basic sanitation is nonexistent, and open sewers drain untreated waste directly into the water supply, causing 80% of the disease.
Kuria quotes Gandhi: "Sanitation is more important than independence," adding, "We want to do a social transformation, where people don't think this is a toilet, where they think a toilet is a dirty place. So for us to change that community and social mentality of a toilet, then we want to put in more activities in the toilet. Then they start interacting with the facility not as a toilet, but more of a community convenient point."
Amenities include a small kiosk with snacks and personal items for sale. Kenyan comedian Makhoha Keya even worked up an act to make learning about basic sanitation entertaining. Ecotact provides safe drinking water at no cost, and the toilet usage fee is about five cents a day, usually recouped through fewer doctor visits and lost days of work.