Need to elaboration on this

With over 600 million people in India or 53 per cent of Indian households defecating in the open, absence of toilet or latrine is one of the important contributors to malnutrition, a World Bank report has said.

http://www.thehindu.com/sci-tech/health/policy-and-issues/53-pc-of-indian-households-defecate-in-open-world-bank/article5367467.ece