Only 31.6 percent of Bihar households have sanitary toilets, well behind the national average of 45.3 percent. In addition, the recent Swachhta status survey has revealed that close to
72.9 percent of rural households in Bihar do not use toilets. Not just individual household latrines, the state also lags behind in community toilet presence and usage. While the national average for community toilet use stands at 80 percent, Bihar records a paltry 44 percent in addition to its poor household toilet statistics. Rigid notions of purity and lack of water are cited as the major reasons for poor household latrine usage.