It is believed that in just one day, around 200 million work hours are spent by women across the world collecting water for their families. Further, a World Bank study shows that women’s participation in water and sanitation issues determined their effectiveness. A woman named Ruby living in an informal settlement in Bangladesh's capital city Dhaka describes her situation to Water Aid America: “Hanging latrines feed straight into a garbage-filled ditch in the middle of the slum. Five thousand households live here with no clean water and no sanitation. … We get fevers, coughs and terrible diarrhea and there are no healthcare facilities that we can use.” Ruby has to walk 20 minutes to a water pump, then wait at least two hours to get the water.