Open defecation rates are declining almost everywhere except Sub-Saharan Africa, where rates are still increasing, however, it is the only resort for about a billion people in the world (UNDESA 2014). A gender-responsive approach to sanitation is required which acknowledges that people's intimate needs are socially intertwined and culturally embedded (Tilley ef al. Such an approach is necessary not only in order to address the specific needs and preferences of women, but to create spaces where taboo personal activities can be carried out without exposure to danger and shame. In most of the world women do not have the same access to toilets as men.