The dynamics and sustainability of communityled total sanitation. Lack of sanitation contributes to about 10% of the global disease burden, causing mainly diarrhoeal diseases. Practical guide to triggering communityled total sanitation clts. Instead, it uses participatory rural appraisal pra tools to help communities recognise the health. Communityled total sanitation clts involves facilitating a process to inspire and empower rural communities to stop open defecation and to build and use latrines, without offering external subsidies to purchase hardware such as pans and pipes. Communityled total sanitation in indonesia water institute. Communityled total sanitation clts is an approach used mainly in developing countries to improve sanitation and hygiene practices in a community. This evaluation focuses on the effectiveness of a communityled total sanitation clts program implemented by the government of mali in small rural communities with poor sanitation coverage, with the technical and financial support of unicef.
What exactly is community led total sanitation clts. Review of the status of communityled sanitation implementation in east asia and pacific, march 20. Establish woreda wash technical team wwtt in all woredas and kebele ignition teams kit, and train volunteer community health promoters vchp in each kebele where at scale program is introduced. To address this issue, one behavioral change approach used is communityled total sanitation clts. Communityled total sanitation clts sswm find tools. Communityled total sanitation clts challenges and opportunities.
Communityled total sanitation clts is an approach which helps rural communities to understand and realise the negative effects of poor sanitation and empowers them to collectively find solutions to their inadequate sanitation situation. Communityled total sanitation clts represents a radical alternative to conventional topdown approaches to sanitation and offers hope of achieving the millennium development goals kar and chambers 2008. It is a relatively novel approach, pioneered by kamal kar in bangladesh in 1999, and has since. Clts is an approach that aims at improving sanitation through community mobilization. While programming in both countries was theoretically sound and grounded in best. In 2000,bangladesh implemented the clts sanitation approach that engaged community members and village leaders. Communityled total sanitation clts represents a radical alternative to conventional topdown approaches to sanitation and offers hope of achieving the. Users are encouraged to use their own best judgments at all times and innovate locally appropriate approaches and tools to achieve and enhance community participation and empowerment leading to total sanitation and beyond. Following the worst drought in 60 years that hit somalia in 2011 with the massive displacement of men, women and children, hussein launched the community total sanitation clts venture in one of the internally displaced persons idp settlements in garowe in february 20. Community led total sanitation clts, the subject of this theme issue, offers much promise in this regard.
It refers to ways of igniting community interest in ending open. Communityled total sanitation clts is a widely used, communitybased approach to tackle open defecation and its healthrelated problems. Communityled total sanitation a criticalperspective june2015. Community led total sanitation in rural areas an approach that works february 2007 field note the water and sanitation program is an international partnership for improving water and sanitation sector policies, practices, and capacities to serve poor people sanitation programs have, for some time now, incorporated the need to raise awareness and.
Traditional sanitation programs usually distribute free or subsidised concrete slabs for toilets. Community led total sanitation clts is a community wide behaviour change approach that mobilizes communities to undertake their own appraisal and analysis of sanitation issues and take their own actions to become open defecation free odf. Pathway to community led total behavior change in hygiene and sanitation. Specifically directing its attempts and energy on children and school. They are facilitated to conduct their own appraisal and analysis and take their own action to become open defecationfree. As a response, the communityled total sanitation clts approach was developed, aiming to create open defecationfree odf communities kar and chambers 2008. Slums in the outskirts of ulaanbaatar in mongolia locations where sources of water get contaminated with human excreta are important points to stop during a defecation area transect and discuss with the community. Key literature communityled total sanitation and schoolled. Communityled total sanitation is an approach used mainly in developing countries to improve sanitation and hygiene practices in a community. Evaluating the impact of community led total sanitation clts. The approach entails the facilitation of sanitation pro. Among the diverse approaches for delivering or implementing sanitation, the communityled total sanitation approach clts has gained immense popularity in recent times. Triggering for hand washing in clts communityled total. The way to achieve this objective is by empowering communities motivated to take collective action.
Baseline and followup data was collected in 2 villages that were triggered with the current methods. Mar 21, 2018 community led total sanitation clts is a widely used, community based approach to tackle open defecation and its healthrelated problems. Community led total sanitation is an approach used mainly in developing countries to improve sanitation and hygiene practices in a community. Clts means community led total sanitation that mobilises communities to completely eliminate open defecation. Local culture embeds behaviour to cleanse and defecate in the irrigation canal as a means. Handbook on communityled total sanitation resources susana. The tssm approach marries the generation of demand both at the household level through sanitation marketing and at the community level through total sanitation.
Pan american health organization paho hygiene promotion. This is an integrated approach to achieving and sustaining open defecation free odf status. However, few impact evaluations of communitybased sanitation interventions have been conducted so far. Urban communityled total sanitation is potentially an important piece of a bigger puzzle. This report of a study commissioned by the institute of development studies on the community led total sanitation clts site presents the findings of the survey that was conducted in himachal pradesh to assess the progress made by the state in rural sanitation, in the context. During hips six years, the project pioneered its atscale approach in ethiopia and madagascar.
Preparing for communityled total behavior change in hygiene. It is now applied in an estimated 66 countries worldwide, and many countries have adopted this approach as their main strategy for scaling up rural sanitation coverage. Communityled total sanitation clts is quickly taking the international development global aid world by storm. Communityled total sanitation implementation in zambia led to improvements in access to improved sanitation facilities, reduced open defecation, and better handwashing practices. This handbook in nepali version has been found to be quite useful and popular in communities. These have been in bangladesh, india, cambodia, indonesia, mongolia, nepal, china and pakistan in asia. Urban community led total sanitation is potentially an important piece of a bigger puzzle. His venture recruited and trained 60 communitybased hygiene promoters on participatory hygiene and community led. Abstract community led total sanitation system clts is the approach to society for hygiene and sanitation behavior change through triggering. Impact evaluation of communityled total sanitation clts.
This handbook on community led total sanitation clts, produced in collaboration with the institute of development studies ids in the uk, is aimed at enabling communities to analyse their sanitation conditions and collectively understand the impact of open defecation on public health and their environment. Communityled total sanitation tasked with ending open. Communityled total sanitation clts facilitator manual. Pathway to communityled total behavior change in hygiene and sanitation. While programming in both countries was theoretically sound and.
Sep 29, 2015 this learning brief shares key findings from a case study of community led total sanitation clts implementation in plan international indonesia program areas, focusing on the roles and responsibilities of local actors. The clts approach which has been successfully implemented in bangladesh is one which facilitates a process of empowering local communities to stop open defecation and to build and use latrines without support of any external hardware subsidy. The basic assumption is that no human being can stay unmoved once they have learned. How does communityled total sanitation clts affect latrine. It focuses on spontaneous and longlasting behavior change of an entire community. There is a growing recognition that this approach, referred to as communityled total sanitation clts, may help with the reduction of open defecation practices. Social sustainability seven steps to community led total. Survey of recent sanitation achievement in himachal pradesh authored by.
The community led total sanitation toolkit is one of the support manuals developed for the rural water supply, sanitation and hygiene programme in the solomon islands. Although clts has been shown to be successful in previous studies, little is known about how clts works. The term triggering is central to the clts process. Analysis of behavioral change techniques in communityled. N in the past, government agencies have typically built sanitation infrastructure, but sanitation professionals are now concentrating on helping people to improve their own sanitation and to change their behaviour. Community led total sanitation is based on stimulating a collective sense of disgust and shame among community members as they confront the crude facts about mass open defecation and its negative impacts on the entire community. Pdf improving sanitation and hygiene through community.
Total sanitation focuses on stopping open defecation and moving to hygienic sanitation at the village or community level. Kenya initiated the open defecation free odf rural kenya campaign in may 2011, adopting community led sanitation clts as the core strategy to achieve the objective. Handbook on communityled total sanitation resources. Feb 02, 2018 community led total sanitation clts is a widely applied rural behavior change approach for ending open defecation. Communityled total sanitation tasked with ending open defecation in developing countries, open defecation is a major cause of diarrheal diseases, child. Clts is now being promoted in 50 countries across asia, africa and latin america. Communityled total sanitation, behavior change communication, and sanitation marketing to generate sanitation demand and strengthen the supply of sanitation products and services, leading to improved health for people in rural areas. Communityled total sanitation clts does it really work. Communityled total sanitation, open defecation free status. Communityled total sanitation, open defecation free status, and ebola virus disease in lofa county, liberia jean meyer capps 1, haron njiru2, and pieter devries3 1jean capps associates, takoma park, maryland, usa 2haron njiru consulting, nairobi, kenya 3global communities, silver spring, maryland, usa the ebola virus disease evd epidemic entered liberia through lofa county in. We used a crosssectional case study to identify personal, physical, and social context factors and psychosocial determinants from the risks. According to the institute of development studies it is now being used in more than 50 countries, of which at least 15 have made clts official national policy. It is a relatively novel approach, pioneered by kamal kar in. The dynamics and sustainability of communityled total.
Communityled total sanitation and hygiene cltsh training. Community led total sanitation clts represents a radical alternative to conventional topdown approaches to sanitation and offers hope of achieving the millennium development goals kar and chambers 2008. Community led total sanitation is one of such approaches. Community led total sanitation clts involves facilitating a process to inspire and empower rural communities to stop open defecation and to build and use latrines, without offering external subsidies to purchase hardware such as pans and pipes. Communityled total sanitation clts has been adopted in mali to scaleup sanitation in rural areas and accelerate progress towards the mdg target on sustainable access to basic sanitation.
Local governments and other agencies perform a facilitating role. Practical guide to triggering community led total sanitation clts. Clts is focused on igniting a change in sanitation behaviour rather than constructing toilets. This handbook has been developed from experiences with community led total sanitation clts since december 1999. It is an integrated approach that focuses on achieving and sustaining open defecation free odf status. Preparing for communityled total behavior change in. However the implementation of clts experienced some constraints as happened in the village of sujung, banten. As part of the nl capacity development process, a technical team composed of plan ghana, the. Political commitment to cltsh is reflected in a standardized national implementation. It offers a set of approaches, tools and tactics for practitioners to move towards safely managed sanitation services. By february 2014, 98 of 115 clts communities had been certified as open defecation free odf, meaning they. Clts has proven effective in various settings and contexts, enabling communities to set their own goals and fulfill them with minimal external financial inputs.
This handbook will increase understanding of the facts and processes. The current practice of triggering for hand washing was observed to assess their effectiveness in facilitating the construction of hwf and presence of soap by the hwf. What is community led total sanitation clts top things. Communityled total sanitation, open defecation free. Communityled total sanitation clts is a widely applied rural behavior change approach for ending open defecation. Also it is a valuable tool to create demand for sanitation services in communities. Communityled total sanitation clts is a communitywide behaviour change approach that mobilizes communities to undertake their own appraisal and analysis of sanitation issues and take their own actions to become open defecation free odf. To address this issue, one behavioral change approach used is community led total sanitation clts. Communityled total sanitation clts is a promising approach that seeks to raise awareness of the faecaloral contamination route, and capitalises on human emotions of disgust and shame to bring about communitywide change in defecation practices, the ultimate. It will be used to guide sanitation facilitators, and others working with villages, to trigger village action on taking control of sanitation and hygiene within their villages. Unlike most approaches to sanitation, clts does not offer subsidies for communities to build latrines. The communityled total sanitation toolkit is one of the support manuals developed for the rural water supply, sanitation and hygiene programme in the solomon islands. What is community led total sanitation clts top things to.
The book provides examples of towns and cities in africa, south asia and southeast asia which have used these approaches. Sanitation marketing communityled total sanitation. This handbook on community led total sanitation clts, produced in collaboration with the institute of development studies ids in the uk, is aimed at enabling communities to analyse their sanitation conditions and collectively understand the impact of. Key literature communityled total sanitation and school. Review is available at conformant html version of this. Evaluating the impact of community led total sanitation. Community led total sanitation the resolution project. How does communityled total sanitation clts affect. The government reached its goal of 100 percent sanitation in 2010.
Communityled total sanitation clts is a communicationsbased approach that aims to achieve open defecationfree status for whole communities rather than helping individual households to acquire toilets. Communityled total sanitation in rural areas an approach that works february 2007 field note the water and sanitation program is an international partnership for improving water and sanitation sector policies, practices, and capacities to serve poor people sanitation programs have, for some time now, incorporated the need to raise awareness and. Findings from an implementation case study learning brief september 29, 2015 download the learning brief pdf, 760kb, 4 pp. Water,sanitation and hygiene sanitation and hygiene promotion programming guidance sanitation and hygiene promotion programming guidance isbn 92 4 159303 2 this document was jointly produced by the following organisations. Communityled total sanitation in rural areas an approach. It is also the skilfulness of the facilitator to clearly explain that this exercise is not an outsiders attempt to stop open defecation but for the insiders to analyse and take their own decisions. This study presents the results of a randomized controlled trial for studying the. Impact evaluation of communityled total sanitation clts in. Community led total sanitation clts is an approach used mainly in developing countries to improve sanitation and hygiene practices in a community. This handbook has been developed from experiences with communityled total sanitation clts since december 1999. We used a crosssectional case study to identify personal, physical, and social context factors and psychosocial determinants from the risks, attitudes.
159 346 1141 599 1464 1083 920 626 126 777 56 764 1061 1321 94 1003 638 869 298 1222 477 1226 1204 532 428 936 79 1310 1228 1376 1467 136 1036 1088 1319 411 1468 908 153 1409