A toilet in Pune Mental Hospital, India. With only 25 working toilets for 1,850 patients, open defecation was the norm when Human Rights Watch visited in 2013 prior to renovations to its sanitation system.

A toilet in Pune Mental Hospital, India. With only 25 working toilets for 1,850 patients, open defecation was the norm when Human Rights Watch visited in 2013 prior to renovations to its sanitation system. 

© 2013 Shantha Rau Barriga/Human Rights Watch