Community-Led Total Sanitation (CLTS) has been adopted by Ghana as a rural sanitation strategy after several pilot projects. A few years into its implementation, the Northern Regions Small Towns (NORST) Water and Sanitation project, funded by the Canadian International Development Agency, started a pilot project seeking to test the viability of CLTS in small towns. The project selected two communities, Bincheratanga and Karaga in the Nanumba North and Karaga districts respectively. This report is meant to share the outcomes of the pilot and lessons learnt.

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