The present report spotlights the major
challenges and the opportunities that lie ahead in fecal
sludge management and summarizes the findings from four case
studies that describe the current and potential market for
sludge removal, collection, and disposal in peri-urban
areas. These areas, inhabited by a variety of ethnic,
religious, and cultural groups, typically struggle with high
population density, insufficient land use planning, high
citizen insecurity, and low coverage with basic services.
The report demonstrates how technical, financial,
environmental, social, regulatory, political, and
institutional factors interact to create supply and demand
in four markets where coverage with sanitary sewerage
services is below the regional average, namely: Santa Cruz
(Bolivia), Guatemala City (Guatemala), Tegucigalpa
(Honduras), and Managua (Nicaragua).