Describe the major environmental sanitation problems in rural India.

Environmental sanitation envisages promotion of health of the community by providing clean environment and breaking the cycle of disease. It depends on various factors that include hygiene status of the people, types of resources available, innovative and appropriate technologies according to the requirement of the community, socioeconomic development of the country, cultural factors related to environmental sanitation, political commitment, capacity building of the concerned sectors, social factors including behavioral pattern of the community, legislative measures adopted, and others. India is still lagging far behind many countries in the field of environmental sanitation. The unsanitary conditions are appalling in India and need a great sanitary awakening similar to what took place in London in the mid-19th century.Improvement in sanitation requires newer strategies and targeted interventions with follow-up evaluation.The need of the hour is to identify the existing system of environmental sanitation with respect to its structure and functioning and to prioritize the control strategies according to the need of the country. These priorities are particularly important because of issue of water constraints, environment-related health problems, rapid population growth, inequitable distribution of water resources, issues related to administrative problems, urbanization and industrialization, migration of population, and rapid economic growth. As per estimates, inadequate sanitation cost India almost $54 billion or 6.4% of the country's GDP in ______ ________ __________ ________ ____ ________ _____ ___ __________.
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