Research conducted in rural Bangladesh in Union Parishads that were declared 100% open defecation free almost five years ago shows that 90% of households in the areas studied have sustained use of a latrine that adequately confines feces. A new Research Brief from WSP discusses factors associated with this outcome, including a shift in social norms away from open defecation to using a latrine; on-going sanitation programming that reinforces latrine use; and easy access to private sector sanitation providers. In addition, a comparative analysis of four programmatic approaches used to reach 100% sanitation coverage and cessation of open defecation revealed little variation in sustained outcomes.

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