USHA Sustainability Study of Sanitation Outcomes in ODF Villages in Uganda

Between 2018 and 2023, the USAID Uganda Sanitation for Health Activity (USHA) was implemented in predominantly rural locations in 20 districts across Central, Eastern and Northern Uganda. USHA developed market-based sanitation approaches to encourage household investment in basic (and safely managed) sanitation services while also supporting the priorities of the Uganda Ministry of Health to achieve verified open defecation free (ODF) communities and encourage good hand hygiene.

The aim of the study was to examine the sustainability of sanitation and hygiene outcomes in selected ODF villages at least 12 months after ODF verification, with a particular focus on:

1. Sustained use of improved basic toilets and the sustained practice of hand hygiene in Market-Based Sanitation Implementation Approach ODF villages; and
2. Sustained use of all toilet types and the sustained practice of hand hygiene in Community-Led Total Sanitation with Quality (CLTS+) ODF villages.

Related Resources:

• How Does Sanitation Marketing Impact Decision-Making?
• Women Sanitation Champions in Northern Uganda: Taking Sanitation Matters into Our Own Hands
• Harnessing the Private Sector to Improve Household Sanitation