Community-Led Total Sanitation (CLTS) and School-Led Total Sanitation (SLTS) are both included as part of the Pakistan Approach to Total Sanitation (PATS), national guidelines promoting five different total sanitation models. Component Sharing, Sanitation Marketing and Disaster Response are also endorsed. CLTS was first introduced in 2004 at a national level workshop held in Bhurban when the approach was discussed and experience from other Asian countries was shared. It was then piloted by the Integrated Regional Support Programme (IRSP) with the support of UNICEF.

Several organisations, such as Plan Pakistan, WaterAid and Muslim Aid, have since integrated it as part of their strategy.

CLTS has been morphed and changed, departing from what some might describe as the traditional approach. This new form has been designed and used by UNICEF and its implementing partners in 2011-2012 as part of its “Up-scaling Rural Sanitation in Flood Affected District (RuSFAD)” project. It has also been used since 2013 as part of “Sanitation Programme at Scale in Pakistan (SPSP)”. It has been reported that these two programmes alone have helped more than 5 million people achieve ODF status.

Changes that have been made by UNICEF include:

• CLTS has been combined with other approaches such as Sanitation Marketing
• There is a daylong pre-triggering social analysis the day before triggering
• Smart, targeted support has been given to the most vulnerable through a voucher system
• Third party monitors monitor the quality of the process as well as outcomes.

(February 2015)