Azafady UK’s three-year sanitation and hygiene initiative, Project Malio, has recently reached its halfway point promoting sustained behavior change and latrine use in the coastal town of Fort Dauphin, southeast Madagascar. Using an adapted version of the Community Led Total Sanitation (CLTS) methodology, Project Malio aims to eliminate – or at the very least significantly reduce – open defecation in Fort Dauphin by working with households, schools, communities and local government.