Tag Archives: Community-Led Total Sanitation

2016 WEDC conference presentations on CLTS

The 122 presentations from the 2016 WEDC conference are now online at http://wedc.lu/wedc39 and below are titles of presentations on the topic of community-led total sanitation. wedc_moodle

  1. Building ODF communities through effective collaboration with governments
  2. CLTS plus : making CLTS ever more inclusive
  3. CLTS versus other approaches to promote sanitation: rivalry or complementarity?
  4. Community-led total sanitation (CLTS) in fragile contexts: the Somalia case
  5. Partial usage of toilets: a growing problem
  6. Seeking evidence of sustained sanitation successes
  7. Shocking imagery and cultural sensitivity: a CLTS case study from Madagascar
  8. To ODF and beyond: sharing experiences from the Pan African CLTS programme
  9. Using a CLTS approach and/or CLTS tools in urban environments: themes and trends
  10. Who is managing the post-ODF process in the community? A case study of Nambale District in Western Kenya
  11. Good governance for sustainable WASH programming: lessons from two USAID-funded projects

The Dawn of a Sanitation Revolution in India – World Bank

The sanitation campaign in India is helping Rajasthan become a top performing state in ending open defecation. The Chief Minister of Rajasthan declared sanitation as one of the state’s top development priorities, with a target of eliminating open defecation by 2018.

To bring this vision to fruition, an innovative Community Led Total Sanitation Campaign (CLTS) was launched in many districts with the leadership of district collectors.

The approach focuses on crucial issues: Behavior Change and Demand Creation. From Health Centers, to Schools, to door-to-door visits, the message of sanitation and hygiene was effectively communicated.

Health is blooming, one home at a time. One village at a time. And Rajasthan is on course to becoming open defecation free.

Sustainable Sanitation for All: Experiences, challenges, and innovations

Sustainable Sanitation for All: Experiences, challenges, and innovations, June 2016. Practical Action.

Great strides have been made in improving sanitation in many developing countries. Yet, 2.4 billion people worldwide still lack access to adequate sanitation facilities and the poorest and most vulnerable members of society are often not reached and their specific needs are not met. sanitation

Moreover, sustainability is currently one of the key challenges in CLTS and wider WASH practice, subsuming issues such as behaviour change, equity and inclusion, physical sustainability and sanitation marketing, monitoring and verification, engagement of governments, NGOs and donors, particularly after open defecation free (ODF) status is reached, and more.

Achievement of ODF status is now recognised as only the first stage in a long process of change and sanitation improvement, with new challenges emerging every step of the way, such as how to stimulate progress up the sanitation ladder, how to ensure the poorest and marginalised are reached, or how to maintain and embed behaviour change.

There have been several useful studies on sustainability that have highlighted some of these different aspects as well as the complexities involved. This book develops these key themes by exploring current experience, practices, challenges, innovations and insights, as well as identifying a future research agenda and gaps in current knowledge.

Describing the landscape of sustainability of CLTS and sanitation with reference to the Sustainable Development Goals (SDGs) and through examples from Africa and Asia, the book captures a range of experiences and innovations from a broad range of institutions and actors within the WASH sector, and attempts to make recommendations and practical suggestions for policy and practice for practitioners, funders, policy-makers and governments.

Shifting the perspective: how urban CLTS can contribute to achieving universal access to sanitation

Shifting the perspective: how urban CLTS can contribute to achieving universal access to sanitation. Source: CLTS Blog, July 6 2016 |

Author: Sue Cavill

Urban sanitation differs from rural sanitation in many ways however one of the fundamental differences is that in urban areas one group, (usually the wealthy), benefits from the public provision of sanitation at the expense of others  (usually the poor). Poor households in urban areas must often find their own solutions to failures in sanitation services. During a workshop on urban CLTS (U-CLTS) held in Ethiopia and hosted by Plan International, we explored the potential of CLTS to support safely managed, city-wide sanitation. clts

We heard how communities in Ethiopia, Mauritania, India, Madagascar, Kenya and Nepal have participated in the design and management of sanitation services and exerted influence over public and private service providers through a U-CLTS approach. The examples highlighted how the collective nature of sanitation means that community structures, rather than individual choices, are critical to sanitation service delivery. The case studies illustrated how the ‘community-led’ aspect of U-CLTS has resulted in: (1) provision of sanitation facilities to substitute for public/private sanitation providers and to compensate for weak government institutions, (2) collaboration between communities and government to coproduce a range of services across the sanitation chain as well as (3) increasing poor people’s ability to make demands on government for universal access.

Read the complete article.


Improving CLTS targeting: Evidence from Nigeria

Improving CLTS targeting: Evidence from Nigeria, 2016. 

Co-authored by WaterAid and EDePo at IFS: Laura Abramovsky, Britta Augsburg, Erin Flynn, Francisco Oteiza.

CLTS works with an entire community to identify the negative effects of poor sanitation, especially the practice of open defecation, and empowers them to collectively find solutions. CLTS is understood to be more suitable for small, rural and homogeneous communities, however it is still considered an appropriate solution for more urbanised areas.

In this brief, we provide quantitative evidence to support this conjecture and bring forward a simple rule of thumb that allows more efficient programme targeting. We suggest that using this information can improve the targeting of CLTS in Nigeria, and possibly other countries, freeing up scarce resources to identify and test complementary sanitation approaches suitable for more urbanised communities.


Sanitation in Bangladesh: Revolution, Evolution, and New Challenges

Sanitation in Bangladesh: Revolution, Evolution, and New Challenges, 2016. CLTS Knowledge Hub Learning Paper.

Author: Dr Suzanne Hanchett.

Our 2015 discussions with people at all levels of Bangladesh society reveal both pride in sanitation achievements and concern about meeting future challenges. A combination of approaches – subsidies, non-subsidies, micro-credit, sanitation market improvements, programming at various scales, motivating of individuals and groups – has resulted in a majority of households’ using latrines rather than defecating openly.

Policy documents have created frameworks to guide activities in diverse areas. Issues such as quality, faecal sludge removal, and appropriate subsidies for very poor households remain, however. Hard-to-reach geographical areas lag behind the rest of the country. As Professor Mujibur Rahman’s 2009 overview pointed out, failing to address these challenges will threaten the sustainability of achievements.

Unique characteristics of the Bangladesh sanitation situation include the focus on its local government institution (the union), its long history of NGO-sponsored community mobilisation, and its high population density. Donor involvement has been a regular feature of the sanitation scene for more than three decades. It is a relatively small country, the size of only one of India’s states. All of these special conditions and characteristics have supported its achievements to date.

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Teachers and Sanitation Promotion: An Assessment of Community Led Total Sanitation in Ethiopia

Teachers and Sanitation Promotion: An Assessment of Community Led Total Sanitation in Ethiopia. Env Sci Tech, May 2016.

Authors: Jonny Crocker, Abiyot Geremew, Fisseha Atalie, Messele Yetie, and Jamie Bartram

Community-led total sanitation (CLTS) is a participatory approach to addressing open defecation that has demonstrated success in previous studies, yet there is no research on how implementation arrangements and context change effectiveness. We used a quasi-experimental study design to compare two interventions in Ethiopia: conventional CLTS in which health workers and local leaders provided facilitation and an alternative approach in which teachers provided facilitation.

In 2012, Plan International Ethiopia trained teachers from 111 villages and health workers and leaders from 54 villages in CLTS facilitation. The trained facilitators then implemented CLTS in their respective villages
for a year. Latrine ownership, use, and quality were measured with household surveys.

Differences between interventions were explored using surveys and interviews. The decrease in open defecation associated with teacher-facilitated CLTS was 8.2 percentage points smaller than for conventional CLTS (p = 0.048). Teachers had competing responsibilities and initially lacked support from local leaders, which may have lessened their success.

Teachers may be more appropriate for a supporting rather than leading role in sanitation promotion because they did demonstrate ability and engagement. Open defecation decreased by 15.3 percentage points overall but did not change where baseline open defecation was below 30%.

Ownership of a latrine with stable flooring increased by 8.7 percentage points overall. Improved latrine ownership did not change during the intervention. CLTS is most appropriate where open defecation is high because there were no significant changes in sanitation practices or latrine upgrades where baseline open defecation was low