Systems Map
Toilet as sociotechnical system for social impact (hygiene, sanitation).
Green for= Technical  Purple= Social
   This is a system map of toilets as it is used to reflect the social impact of toilets around the world. The map above and our analysis on this website illustrate the toilets' impact to societies. Unfortunately, not all countries have proper sanitation facilities (toilets). According to the World Health Organization’s 2019 report, 2 billion people do not have proper sanitation facilities (WHO, 2019) Of these people, 673 million defecate in the open areas (behind bushes or on the ground/soil) (WHO, 2019) At least ten percent of the world population uses food irrigated by wastewater (WHO, 2019)Poor sanitation causes deaths annually and is a major reason for several diseases. Additionally, it contributes to malnutrition, which not only impacts developing countries but also developed countries (WHO, 2019)

   After searching for toilets around the world, the research found that toilets play a fundamental role in a society, including:

1.
Increasing the sanitation, hygiene, and clean water

2.
Limiting the spread of highly contagious diseases and children's death rate.

3.
Allowing cities to grow beyond a certain population.

4.
Helping public health today to keep higher standards than in the past.

5.
Processing wastewater to save biochemical energy.

6.
Lack of easily accessible toilets can lead to violence and physical/sexual assault against women and reduce girls attendance in schools.

7.
Creating a whole new profession called plumbers and its associated industry.

Creating a whole new profession called plumbers and its associated industry.

   The politics of wastewater governance, toilets, and access to sanitation all have political dimensions. Some politicians in third-world countries use the promise of access to toilets as a crucial component of their political campaigns and public policy agenda. Even if we have the technical capabilities to increase access to toilets, lavatories and sanitation infrastructure, often, we see a lack of progress because institutional, cultural, behavioral and societal barriers have been erected through time. In light of this, behavioral determinants of sanitation governance are complex and multicausal and have multiple effects.

   As an international team, this study focused on the different types of toilets that people in China, Paraguay, Saudi Arabia, and Turkey use. This system maps above illustrates different toilet types (flush/sit/wall-hung/high-tank, squat, urine, and catholes) that different socioeconomic classes use. The study indicates that poor people and the lower middle class generally have squat toilets and catholes (which is a common thing to dig a hole on the soil in lower-income communities in Paraguay) to defecate and urinate. While it is possible to see a few lower quality sit toilets (or so called flushed toilets) around the world, it is less likely that it is accessible to all communities. This leads to poor hygiene, and ultimately to diseases, such as cholera diarrhoea, dysentery, hepatitis A, typhoid and polio. On the other hand, rich and high middle class use higher quality toilets, such as flush toilets. These flush toilets include heated seats, remote control that helps to function the device or censors that help to raise the toilet lid or flush. Some countries also have a bidet as a part of flush toilets. While bidet/bidet shower is used for religious practices in muslim countries like Saudi Arabia and Turkey, it is seen as a luxury and used by high-income communities for some third-world countries like Paraguay. The systems map shows the standard flush toilets’ function to reflect upon how hygiene and sanitation is provided in those communities. It is clear that proper sanitation facilities are helpful to reduce any infection or disease that causes a person and even a child’s life. In order to keep our people safe and healthy, developing and developed countries need resources and funds for creating sustainable and economically affordable sanitation facilities and a proper distribution system. While there are some projects that scientists work on to establish a standard sustainable toilet, there needs to be investors like Bill Gates to fund and support these projects/systems.

   After seeing the differences that a toilet makes to a society, as the The Toilet team, we came to the conclusion that a high technology flush toilet (a sit toilet) is necessary. Considering the analysis of four countries' toilets, we propose an universal toilet that advances the Bill & Melinda Gates Foundations’ toilet project, which is a sustainable and water efficient toilet. The universal toilet needs to have an additional bidet/nozzle/faucet (which increases personal hygiene and would not exclude any cultural or religious practices), heated seats (which will ease the way the defecate for elderly and people with illness), and remote control for accessibility. The toilet needs to be gender neutral. Please see our universal toilet page