Post-ODF follow up is central to sustaining ODF status, and needs to be integrated into CLTS programming from the outset. This paper explores who is to carry out these activities and how they might be motivated and financed. It argues for the importance of identifying existing administrative and social structures prior to implementation. Looking at reasons for success in Nambale sub-county, Kenya, which was declared ODF in 2012, the paper discusses the role of Community Health Workers (CHWs) who, under the Kenyan Community Health Strategy Approach (CHSA) have an expanded remit that includes CLTS, in follow up and in reaching the poorest and most marginalised in communities.

Download this paper by Elizabeth Wamera which was presented at the 39th International WEDC Conference in Kumasi, Ghana in July 2016.