Community-led Total Sanitation (CLTS) represents a revolution in the fight to end open defecation, with large-scale programs in place and embedded in national policy in dozens of countries. In their Handbook on Community-Led Total Sanitation, Kar and Chambers (2008) identified an array of variables thought to make program success more or less likely.
This Sunday, November 19, let’s take some time to reflect. For billions in the developing world proper sanitation can mean the difference between education and ignorance, health and illness, prosperity and poverty. But 2.5 billion people still don’t have access to a toilet, and 11 percent of the world’s population still defecates in the open.
The Prime Minister of India launched the Swachh Bharat (Clean India) Mission on October 2, 2014, to improve the level of sanitation and cleanliness by October 2, 2019, marking the 150th birthday of Mahatma Gandhi. Swachh Bharat has two components: Swachh Bharat Mission (Gramin) for rural areas and the Swachh Bharat Mission (Urban) for urban areas. To date, this campaign has rallied all corners of Indian society toward its ambitious sanitation goals, including enlisting Bollywood stars and prominent athletes to create awareness.
In the center of Simaye village in Mali’s Mopti Region, men, women, and children gather under a large tree to listen. Two USAID-trained facilitators discuss the health challenges facing the village. Only three latrines serve many families, so more than half of the people are practicing open defecation; the water point no longer functions, so most families are pulling dirty water from the river; many of the infants and young children are not benefitting from exclusive breastfeeding or a diversified diet, so they are malnourished.
The CLTS process has reached a point in its implementation through SAREP that we are now able to introduce monitoring, evaluation (M&E) and ODF verification and Certification processes into the training. This toolkit and manual contains all forms and materials that are need for a CLTS monitoring team to be established in communities.
Sikasso Region is one of the most affected regions by malnutrition in Mali. According to the Standardized Monitoring and Assessment of Relief and Transitions Survey in 2016, 30.2 percent of children under 5 years of age are stunted. Causes of malnutrition in Sikasso are due to suboptimal nutrition and health behavior, limited access to high nutrient foods, and poor access to health, water and sanitation services.
Su-SWASTHA operates in the Mid-Western Region where socio-economic development lags far behind. In 2009, there was an extensive cholera epidemic in the Mid- and Far Western Regions which claimed the lives of more than 300 people and drew attention to the urgent need for improvements of WASH conditions. Despite the fact that young children are more susceptible to diarrheal disease caused by unclean water as well as poor sanitation and hygiene practices, school sanitation continues to be an underfunded sector in Nepal.
The project operates in Nepal’s Far-Western Region, where low access to water and sanitation facilities contributes to decreased socioeconomic development. In 2009, a cholera epidemic in the Farand Mid-Western regions claimed over 300 lives, spurring an increased focus on WASH in these areas. USAID/Nepal’s SAFE-WASH II project is designed to prevent such outbreaks and not only increase accessibility to water, sanitation, and hygiene facilities but to also ensure it reaches the most vulnerable communities.