Vita Elysia, Ake Wihadanto


Aim: The objective of this paper is to review the impact of poor sanitation on global tourism development. Methodology and Results: The majority of the data for this study was sourced from World Development Indicators (WDI) dataset for more than 200 countries in 2014 from the World Bank. A regression analysis was applied to analyze the impact of access to improved sanitation on tourism development by using some indicators such as the number of tourist arrivals, the proportion of the population using improved sanitation facilities, and the proportion of the population using improved water facilities. The study found that the relationship between the proportion of the population using improved sanitation facilities and the number of tourist arrivals is significant. Poor sanitation has been shown to have huge negative impacts on public health and the economy. In terms of the economic impacts, the lack of access to improved sanitation causes economic losses related to the direct costs of treating sanitation-related diseases and the indirect cost of lost income through reduced productivity. Conclusion, significance, and impact study: Access to basic sanitation facilities is regarded as one of the aspects that should be considered to support the tourism industry, particularly in developing countries. This study suggests that providing sanitation is the best investment for promoting tourism. Decision-makers should act now, and in a concerted way, to provide adequate sanitation services and at the same time sustaining tourism growth as an essential aspect of a country’s economy.


sanitation; tourism; global; review

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ADB (2014) Economic Costs of Inadequate Water and Sanitation. South Tarawa, Kiribati. Pacific St. Mandaluyong City, Philippines: Asian Development Bank.

Ali, Q. et al. (2018) ‘Dynamics between financial development, tourism, sanitation, renewable energy, trade and total reserves in 19 Asia cooperation dialogue members’, Journal of Cleaner Production. Elsevier Ltd. doi: 10.1016/j.jclepro.2018.01.066.

Bartram, J. (2008) Sanitation generates economic benefits sanitation is an investment with high economic returns. Geneva. Available at: fact-sheet_economic benefits.pdf.

Boschi-Pinto, C., Velebit, L. and Shibuya, K. (2008) ‘Estimating child mortality due to diarrhoea in developing countries’, Bulletin of the World Health Organization, 86(9), pp. 710–717. doi: 10.2471/BLT.07.050054.

Campbell, S. J. et al. (2014) ‘Water, Sanitation, and Hygiene (WASH): A Critical Component for Sustainable Soil-Transmitted Helminth and Schistosomiasis Control’, PLoS Neglected Tropical Diseases, 8(4), p. e2651. doi: 10.1371/journal.pntd.0002651.

Diez, D. and Cetinkaya-Runde, M. (2015) OpenIntro Statistics. Third Edit.

Esrey, S. A. et al. (1991) ‘Effects of improved water supply and sanitation on’, WHO Bulletin OMS, 69(5), pp. 609–621.

Frone, S. M. and Frone, D. F. (2013) ‘Sustainable tourism and water supply and sanitation development in Romania’, Journal of Tourism and Hospitality Management, 1(3), pp. 140–153.

Granados, C. and Sánchez, F. (2014) ‘Water Reforms, Decentralization and Child Mortality in Colombia, 1990-2005’, World Development, 53, pp. 68–79. doi: 10.1016/j.worlddev.2013.01.007.

Hall, C. M., Timothy, D. J. and Timothy, D. (eds) (2003) Safety and Security in Tourism: Relationships, Management, and Marketing. New York and London: Routledge Taylor & Francis Group.

Hutton, G. et al. (2007) Economic Impacts of Sanitation in Southeast Asia Summary.

Hutton, G. and Haller, L. (2004) Evaluation of the Costs and Benefits of Water and Sanitation Improvements at the Global Level, World Health Organization. Available at:

Hutton, G., Haller, L. and Bartram, J. (2007) ‘Global cost-benefit analysis of water supply and sanitation interventions’, Journal of Water and Health, 5(4), pp. 481–501. doi: 10.2166/wh.2007.009.

Komarulzaman, A., Smits, J. and de Jong, E. (2017) ‘Clean water, sanitation and diarrhoea in Indonesia: Effects of household and community factors’, Global Public Health. Taylor & Francis, 12(9), pp. 1141–1155. doi: 10.1080/17441692.2015.1127985.

Langford, M. and Russell, A. F. S. (2017) The Human Right to Water. Theory, Practice, and Prospects, Cambridge University Press. doi: 10.1017/9780511862601.

Mara, D. D. (2003) ‘Water, sanitation and hygiene for the health of developing nations’, Public Health, 117(6), pp. 452–456. doi: 10.1016/S0033-3506(03)00143-4.

Mensah, J. and Enu-Kwesi, F. (2018) ‘Implications of environmental sanitation management for sustainable livelihoods in the catchment area of Benya Lagoon in Ghana’, Journal of Integrative Environmental Sciences. Taylor & Francis, 16(1), pp. 23–43. doi: 10.1080/1943815x.2018.1554591.

Van Minh, H. and Hung, N. V. (2011) ‘Economic Aspects of Sanitation in Developing Countries’, Environmental Health Insights, 5, p. EHI.S8199. doi: 10.4137/ehi.s8199.

Musavengane, R., Siakwah, P. and Leonard, L. (2020) ‘The nexus between tourism and urban risk : Towards inclusive , safe , resilient and sustainable outdoor tourism in African cities’, Journal of Outdoor Recreation and Tourism. Elsevier Ltd, 29(August 2019), p. 100254. doi: 10.1016/j.jort.2019.100254.

Patunru, A. A. (2015) ‘Access to safe drinking water and sanitation in Indonesia’, Asia and the Pacific Policy Studies, 2(2), pp. 234–244. doi: 10.1002/app5.81.

Qureshi, M. I. et al. (2017) ‘Dynamic linkages between sustainable tourism, energy, health and wealth: Evidence from top 80 international tourist destination cities in 37 countries’, Journal of Cleaner Production. Elsevier B.V., 158, pp. 143–155. doi: 10.1016/j.jclepro.2017.05.001.

Santana, G. (2003) ‘Crisis Management and Tourism: Beyond the Rhetoric’, Journal of Travel & Tourism Marketing, 15.

United Nations World Tourism Agency (2020) No Title. Available at:

WHO-UNICEF (2010) Drinking Water and Sanitation Progress 2010.

WHO (2012) Global Costs And Benefits Of Drinking-Water Supply and Sanitation Interventions To Reach The MDG Target And Universal Coverage, World Health Organization Press. Geneva. doi: WHO/HSE/WSH/12.01.

WHO (2019) Sanitation: Key facts. Geneva, Switzerland. Available at:

WHO (World Health Organization); UNICEF (United Nations International Children’s Emergency Fund) (2015) ‘2015 Update and MDG Assessment’, World Health Organization, p. 90. doi: 10.1007/s13398-014-0173-7.2.

Winters, M. S., Karim, A. G. and Martawardaya, B. (2014) ‘Public service provision under conditions of insufficient citizen demand: Insights from the urban sanitation sector in indonesia’, World Development. Elsevier Ltd, 60, pp. 31–42. doi: 10.1016/j.worlddev.2014.03.017.

Wolf, J. et al. (2019) ‘A Faecal Contamination Index for interpreting heterogeneous diarrhoea impacts of water, sanitation and hygiene interventions and overall, regional and country estimates of community sanitation coverage with a focus on low- and middle-income countries’, International Journal of Hygiene and Environmental Health. Elsevier, 222(2), pp. 270–282. doi: 10.1016/j.ijheh.2018.11.005.

Wright, J., Gundry, S. and Conroy, R. (2004) ‘Household drinking water in developing countries: A systematic review of microbiological contamination between source and point-of-use’, Tropical Medicine and International Health, 9(1), pp. 106–117. doi: 10.1046/j.1365-3156.2003.01160.x.

Zhou, X. et al. (2018) ‘Review of global sanitation development’, Environment International. Elsevier, 120(July 2018), pp. 246–261. doi: 10.1016/j.envint.2018.07.047.



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