Prior studies have identified several aspects of Community-led Total Sanitation (CLTS) program implementation as crucial to both achieve and sustain open defecation free (ODF) communities: (i) the involvement of community leaders, (ii) intensity and duration of follow-up, and (iii) support to poor households, including financial support (Crocker et al., 2016; Tiwari et al., 2017; USAID, 2018; Venkataramanan et al., 2018). USAID/WASHPaLS conducted qualitative research in 15 villages in the Northern Region of Ghana to better understand how community implementation strategies influence sanitation outcomes.
Key Takeaways:
We found that high latrine coverage and consistent use were more common when: