Nyando district in Nyanza province is one of the districts selected as a pilot area for CLTS implementation in Kenya. Whilst the area previously suffered frequent deadly cholera outbreaks, CLTS has now brought positive changes for the health of the communities in Nyando. However, like elsewhere, sustainability of ODF can be put to the test by challenges such as heavy rains and flooding.

Read this case study by Lillian Mbeki who manages the CLTS hub in the Ministry of Public Health and Sanitation in Kenya, about her visit to Nyando and what she found out.