This issue updates the May 2013 Weekly on CLTS with more recent reports and other resources. Included are presentations from a sanitation workshop in Benin, reviews of CLTS successes and shortcomings, a UNICEF overview of CLTS in Asia and the Pacific, a video on school-led total sanitation in Nepal, among others.
Testing CLTS Approaches for Scalability: Systematic Literature Review (Grey Literature), 2012. V Venkataramanan. (Full text)
This study presents findings from a systematic literature review on the effectiveness and impact of CLTS programs. This document was prepared by The Water Institute at UNC for Plan International USA as part of the project Testing CLTS Approaches for Scalability, funded by the Bill & Melinda Gates Foundation.
Community-Led Total Sanitation in Africa: Helpdesk Report, 2013. Health & Education Advice & Resource Team (HEART). (Full text)
Decreases in diarrhea, cholera, and skin infections were the main health outcomes reported in this study. However, methodological weaknesses, including the lack of clarity around the proportions of the population exposed before and after implementation of CLTS to these conditions, made it challenging to determine the quality of the evidence presented.
The Cost of a Knowledge Silo: A Systematic Re-Review of Water, Sanitation and Hygiene Interventions, 2013. M Loevinsohn. (Full text)
The health impacts of CLTS have yet to be comprehensively assessed, although it is evident that people realize a range of benefits such as dignity, privacy, security—especially for women—and a clean environment, which they may value more than protection from infection.