Dhaka, the 7-mile radius city is the 4th least liveable in the world. In fact this is an improvement, and one of the reasons is that Bangladesh has, officially, almost ended open defecation
Dhaka officially has 122 public toilets, but in reality, many of them are not functional or being used for other purposes. Most cafes or food courts do not own toilet facilities in Dhaka city which makes matters worse. For its 20 million inhabitants this is insufficient, and when there is no other option, the men usually relieve themselves on open spaces. For women, that is not an option. People who are always on the road (drivers or rickshaw pullers) are often left without an option as they must keep track of their vehicles. Others cities like Chittagong have similar problems. With a population of over 2.5 million, it has 43 public toilets with not a single toilet for females.
The health impact of this is observed in the long run. Holding on till you find a suitable place to urinate or defecate can cause severe damage to the bladder, bowel and kidney. It also has other health implications for women, such as
urinary and reproductive tract infections.