The term<unk> " became widely used in the water, sanitation, and hygiene (WASH) sector from about 2008 onwards. This was due to the publications by the Joint Monitoring Programme for Water Supply and Sanitation (JMP) and the UN International Year of Sanitation. The JMP is a joint program by WHO and UNICEF that was earlier tasked to monitor the water and sanitation targets of the Millennium development goals (MDGs); it is now tasked to monitor Sustainable Development Goal Number 6. For monitoring of the MDG Number 7, two categories were created: 1) improved sanitation and (2) unimproved sanitation.<unk>  falls into the category of unimproved sanitation. This means that people who practice<unk>  do not have access to improved sanitation. In 2013 World Toilet Day was celebrated as an official UN day for the first time. The term<unk> " was used in high-level speeches, that helped to draw global attention to this issue (for example, in the "call to action" on sanitation issued by the Deputy Secretary-General of the United Nations in March 2013).<unk>  free<unk>  free" (ODF) is a phrase first used in community-led total sanitation (CLTS) programs. ODF has now entered use in other contexts. The original meaning of ODF stated that all community members are using sanitation facilities (such as toilets) instead of going to the<unk>  for defecation. This definition was improved and more criteria were added in some countries that have adopted the CLTS approach in their programs to stop the practice of<unk> . The Indian Ministry of Drinking Water and Sanitation in mid-2015 defined ODF as "the termination of fecal-oral transmission, defined by: # No visible feces found in the environment or village and # Every household as well as public/community institutions using safe technology option for disposal of feces". Here, a "safe technology option" means a toilet that contains feces so that there is no contamination of surface soil, groundwater or surface water; flies or animals do not come in contact with the<unk>  feces; no one handles excreta; there is no smell and there are no visible feces around in the environment. This definition is part of the Swachh Bharat Abhiyan (Clean India Campaign).
Open defecation
Rectal discharge
Obstructed defecation
Fecal incontinence
Rectal pain
Fecal vomiting
Penile discharge
Frequent urination