Ukususela ngo-2013 iithoyilethi zomngxuma bezisetyenziswa ngabantu abaqikelelwa kwi-1.77 bhiliyoni. Oku ubukhulu becala kwenzeka kumazwe asakhasayo kwakunye nasemaphandleni nakwimimandla esentlango. Ngo-2011 abantu abamalunga ne- 2.5 bhiliyoni bebengenazo iithoyiethi ezifanelekileyo yaye abaybhiliyoni enye baye babhenela ekuzithumeni kwiindawo ezivulekileyo kufutshane nalapho bahlala khona. KumaZantsi Asia kunye neAfrika EkuMazantsi eSahara ngabona bangakwaziyo ukuba neethoyilethi. Kumazwe asakhasayo ixabiso lethoyilethi eqhelekileyo yomngxuma liphakathi kwe-25 ne-60 USD. Iindleko eziqhubekayo zokuyilondoloza ziphakathi kwe-1.5 ne-4 USD mntu ngamnye ngonyaka zinto ezo zingasoloko zithathelwa ngqalelo. Kwezinye iinxalenye zamaphandle aseIndiya iphulo le ""No Toilet, No Bride"" liye lasetyenziselwa ukukhuthaza iithoyilethi ngokukhuthaza amabhinqa ukuba angavumi ukutshata namadoda angenazo iithoyilethi.