The CLTS Knowledge Hub has changed to The Sanitation Learning Hub and we have a new website https://sanitationlearninghub.org/. Please visit us here - it would be great to stay in contact.

The CLTS Knowledge Hub website is no longer being updated you can access timely, relevant and action-orientated sanitation and hygiene resources and information at the new site.


Limited services? The role of shared sanitation in the 2030 Agenda for Sustainable Development

Target 6.2 of the Sustainable Development Goals calls for universal access to sanitation by 2030. The associated indicator is the population using ‘safely managed’ sanitation services. Shared sanitation is classified as a ‘limited’ sanitation service and some donors and governments are reluctant to invest in it, as it will not count towards achieving target 6.2. This could result in poor citizens in dense slums being left out of any sanitation improvements, while efforts are diverted towards better-off areas where achieving ‘safely managed’ sanitation is easier.

Date: 13 July 2017

Associations between Household Latrines and the Prevalence of Diarrhea in Idiofa, Democratic Republic of the Congo: A Cross-Sectional Study

Despite the importance of sanitation, few studies have assessed the effects of latrines on the health outcomes of children under 5 years of age. This study assessed the relations between latrine coverage and the prevalence of diarrhea in children under 4 years of age. It analyzed the baseline data obtained as part of a longitudinal survey targeting 720 households in Idiofa, Bandundu, Democratic Republic of the Congo.

Date: 13 July 2017

Assessment of the Acceptability and Feasibility of Child Potties for Safe Child Feces Disposal in Rural Bangladesh

Indiscriminate defecation among young children and the unsafe disposal of their feces increases fecal contamination in the household environment and the risk of diarrheal disease transmission. Improved sanitary technology for children too young to use a latrine may facilitate safe feces disposal and reduce fecal contamination in the household environment.

(Faruqe Hussain, Stephen P. Luby, Leanne Unicomb, Elli Leontsini, Tania Naushin,  Audrey J. Buckland, and Peter J. Winch in  American Journal of Tropical Medicine and Hygiene, 19th June 2017)

Date: 13 July 2017

The true costs of participatory sanitation: Evidence from community-led total sanitation studies in Ghana and Ethiopia

Evidence on sanitation and hygiene program costs is used for many purposes. The few studies that report costs use top-down costing methods that are inaccurate and inappropriate. Community-led total sanitation (CLTS) is a participatory behavior-change approach that presents difficulties for cost analysis. We used implementation tracking and bottom-up, activity-based costing to assess the process, program costs, and local investments for four CLTS interventions in Ghana and Ethiopia. Data collection included implementation checklists, surveys, and financial records review.

Date: 13 July 2017

WHO/UNICEF Joint Monitoring Programme 2017 report

The WHO/UNICEF JMP has published its first report of the SDG period, Progress on drinking water, sanitation and hygiene: 2017 update and SDG baselines. The report introduces and defines the new indicators of safely managed drinking water and sanitation services. Estimates of safely managed drinking water services, the indicator for SDG target 6.1, are presented for 96 countries, while estimates are provided for safely managed sanitation services (target 6.2) for 84 countries.

Date: 13 July 2017

Handwashing in 51 Countries: Analysis of Proxy Measures of Handwashing Behavior

In 2009, a common set of questions addressing handwashing behavior was introduced into nationally representative Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS), providing large amounts of comparable data from numerous countries worldwide. The objective of this analysis is to describe global handwashing patterns using two proxy indicators for handwashing behavior from 51 DHS and MICS surveys conducted in 2010–2013: availability of soap anywhere in the dwelling and access to a handwashing place with soap and water.

Date: 27 June 2017

The impact of sanitation on infectious disease and nutritional status: A systematic review and meta-analysis

Sanitation aims to sequester human feces and prevent exposure to fecal pathogens. More than 2.4 billion people worldwide lack access to improved sanitation facilities and almost one billion practice open defecation. This study by Freeman et al undertook systematic reviews and meta-analyses to compile the most recent evidence on the impact of sanitation on diarrhea, soil-transmitted helminth (STH) infections, trachoma, schistosomiasis, and nutritional status assessed using anthropometry.

Date: 22 June 2017

An individual-level meta-analysis assessing the impact of community-level sanitation access on child stunting, anemia, and diarrhea

A lack of access to sanitation is an important risk factor child health, facilitating fecal-oral transmission of pathogens including soil-transmitted helminthes and various causes of diarrheal disease. This study by David A. Larsen, Thomas Grisham, Erik Slawsky and Lutchmie Narine conducted a meta-analysis of cross-sectional surveys to determine the impact that community-level sanitation access has on child health for children with and without household sanitation access.

Date: 22 June 2017

Menstrual Hygiene Management Impacts Girls’ School Experience in the Bolivian Amazon

The purpose of this study on menstrual hygiene management (MHM) in the Beni department of Bolivia was
to better understand the challenges girls face due to menstruation; describe factors which influence girls’
experiences during menstruation; and present recommendations to create a supportive school environment
for adolescent girls in Bolivia.

Date: 22 May 2017


Subscribe to RSS - Research