They support women to access better employment opportunities and reduce social and intergenerational inequalities by making extra -familial care available and affordable for lower-income and disadvantaged households. In order to reap the 'double dividend' in terms of women's economic empowerment and child health and education, the ways in which services are delivered is fundamental. As with water, poorer and rural households are much less likely than wealthier and urban households to have access to improved sanitation.