The WASH sector is focusing upon the 2030 global ambition of achieving universal access to adequate and equitable sanitation and hygiene for all by 2030. But the needs of transgender people, however, have so far been neglected: ‘the use of public bathrooms, which are often sex -segregated, has been associated with exclusion, denial of access, verbal harassment, physical abuse and sometimes even the arrest of transgender and intersex individuals’ - Catarina de Albuquerque.

This short policy brief reports on a research project that identified ways of improving enforcement of by-laws requiring urban landlords to provide acceptable sanitation facilities for their tenants. In Ga West, as in other Ghanaian municipalities, by-laws requiring landlords to provide adequate sanitation exist but are rarely enforced.

Community-Led Total Sanitation (CLTS) has been implemented in Cambodia since 2005 as a means of improving sanitation and hygiene practices in rural communities, and mobilising them to achieve open defecation free (ODF) status. In CLTS, children are often encouraged to be change agents to help influence their family and community to improve sanitation and hygiene behaviors. However, some strategies may pose a risk to child safety.