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CLTS Newsletter June 2013

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Welcome to the June 2013 edition of the CLTS Newsletter!

As always, a diverse range of new resources has been added to the website over the last few months- highlights include


Important new research

CLTS in the East Asia and Pacific Region: Progress, Lessons and Directions

Recognizing the potential of CLTS in raising community awareness on sanitation and hygiene, the UNICEF East Asia and Pacific Regional Office, joined by key stakeholders such as World Bank Water and Sanitation Program, WaterAid and Plan International undertook an extensive review of the CLTS implementation across the region last year. The review was undertaken as the first phase of a larger effort to better understand how CLTS implementation is working in the region, why progress differs across and within countries, and what more could be done to support, improve and scale up the use of CLTS approaches to achieve regional sanitation and hygiene objectives. This report provides insights into some the CLTS success factors, and offers recommendations for better strategic planning to support wider and better quality uptake of CLTS in these countries.

Gender based violence and sanitation, hygiene and water

WaterAid and the SHARE Research Consortium are undertaking research to document the connections between gender based violence, water, sanitation and hygiene and to develop practical guidance on what the sector can do better.  A review, analysis and consultation process of existing documentation and practitioners’ experiences in different contexts around the world is underway. If you or your colleagues have experiences and lessons to contribute to this research, you can get in touch at gbv@wateraid.org


New practical manuals from Malawi

How to Trigger for Handwashing with Soap

School-Led Total Sanitation: Guidelines To Accelerate Support for the ODF Malawi 2015 Strategy

Recommendations for Triggering Local Leaders


Upcoming events

The 6th WEDC International Conference is taking place from the 1-5th July 2013 at Egerton University, Nakuru, Kenya. The theme is Delivering Water, Sanitation and Hygiene Services in an Uncertain Environment. There are several CLTS-related sessions in the programme and among the side events. Robert Chambers and Kamal Kar will hold a side event CLTS: taking stock, challenges, innovations, and ways forward  and Kamal Kar will also give a keynote speech. The IDS Knowledge Hub is also organising a One Day CLTS Sharing and Learning workshop on the 30th June in Nakuru, the day before the main WEDC conference starts. If you or your colleagues will be attending the conference, please join us for this opportunity to network, share experiences, challenges, innovations and challenges, and learn from others. If you are interested in attending, please register with your name, title, organisation and country by sending an email to Naomi Vernon N.Vernon@ids.ac.uk

New on the blog

Equity, the politics of monitoring and smart technology

Participants at one of the sessions of the IRC symposium in Addis Ababa The second day of the Monitoring Sustainable WASH Service Delivery Symposium has been really exciting, with a lot of interesting presentations. I want to share here the four ideas that were most appealing to me: The Polictics of Monitoring; Applying an Equity Lens; Heterogeneity in Women's Experience? and The Potential of Using Smartphones in Monitoring Sanitation. Read more

Gender based violence and sanitation, hygiene and water

WSSCC poster: In some countries women risk rape when going to the toilet Globally it is estimated that up to 70% of women will face gender based violence at some point in their lifetime. Gender based violence is a widespread and complex issue rooted in power differences and structural inequality between men and women. So why look at this issue from the perspective of the WASH professional? Read more

Highlights, questions and take-aways from the Pan Africa review meeting

Community member in Chipochongo

I enjoyed this workshop and learnt a lot.  It was great to be a support facilitator and not where the facilitation buck stops. Which was with Sharon Roose and Petra, to whom thanks. Relaxing!

Read more

Impressions from ODF verification in Magwi, South Sudan

ODF sign in Magwi County, South Sudan Last month a team from SNV together with the State Ministry of Physical Infrastructure of Eastern Equatorial State visited Magwi County to conduct an ODF verification for 6 villages. A walk through the villages and interaction with the communities revealed the tremendous transformation that had taken place since the introduction of CLTS. Read more

IRC symposium on Monitoring Sustainable WASH Service Delivery Symposium kicks off in Addis Ababa

Opening session of the IRC symposium Yesterday (9th April 2013), the Monitoring Sustainable WASH Service Delivery Symposium, started in Addis Ababa, Ethiopia. There are 409 participants from different institutions –international NGOs, governments, academia, consultants– involved in the WASH (Water, Sanitation and Hygiene) sector, coming from all over the world. Here, I will just share some of the most enlightening insights of my first day. Read more

Measuring handwashing behaviour change and use(fulness) of M&E data

Participants listening to a presentation at the IRC symposium

The last official day of the symposium brought forth many interesting things to think about.  Some of the key things discussed were various ways of measuring hand washing behaviour and whether the information we collect is actually used. 

Read more

On the ground realities and inclusion

Katharina Welle at the IRC symposium The second day of the WASH M&E Symposium built off the momentum gained from the day before. Many interesting topics were discussed, including how well information gathered from monitoring truly reflects the reality on the ground and the inclusion of equity in our monitoring efforts in order to reach universal access. Both of these presentations encourage practitioners to truly understand the realities of those on the ground. Read more

Post-2015 WASH indicators and highlights of the Symposium

IRC symposium discussion

The third and last day of the Monitoring Sustainable WASH Service Delivery Symposium has also been very interesting. We listened to a couple of new presentations, among which the one about post-2015 indicators was the most appealing to me. In addition, we also had the opportunity to reflect on what we had learnt and the key questions we were taking with us.

Read more

Reflections from the first day of the IRC symposium on Monitoring Sustainable WASH Service Delivery

IRC Symposium opening Over 400 people from 58 countries gathered together in Addis Ababa to begin 3 days of discussions on sustainable WASH M&E. The symposium is hosted by IRC (with support from the Government of Ethiopia, AMCOW, and various organizations) and includes WASH practitioners from government, NGOs, international organizations and academics, among other participants. The vision of the symposium in short is to drive towards "strong national sector monitoring systems that allow for planning and sustaining WASH services". There's a strong push towards government-led monitoring systems and continuous monitoring over time, not only of infrastructure but of the various components of WASH service delivery (e.g. the financing, the cost effectiveness, the behaviour changes). Read more

The potential of WASH in extra household settings:

Lenka Benova presenting on the links between WASH in health centres and maternal health The session on extra-household settings focused on sanitation and hygiene issues beyond the household, eg schools, markets, health facilities, refugee camps, settings with internally displaced people, prisons, and mass gatherings. Read more

Urban CLTS: Establishing roots in Nairobi County

UCLTS Training in Mathare The Urban CLTS programme in Mathare has attracted a lot of interest from other organisations and the government. Since the last training we conducted for the City Council of Nairobi officers there has been tremendous progress in communities. Read more

WASH beyond the household: consequences, monitoring and what about CLTS?

the toilet of the Ethiopian Emperor Haile Selassie at the Ethnographical Museum After three very intense days of Monitoring Sustainable WASH Service Delivery Symposium, there were still several side events on Friday 12th of April. I attended one on monitoring WASH in extra household settings... Read more

News and resources by country


Report from the Training of CLTS Facilitators Workshop in Shakawe, Botswana

Villagers returning from transect walk, carrying shit back to the community meeting

From 12th to 17th November 2012 SAREP (USAID’s Southern Africa Regional Environmental Program) organized a one week Training of CLTS Facilitators Workshop in Shakawe, north western Botswana.  This was the first training workshop to be held on the Community Led Total Sanitation (CLTS) approach in Botswana, and the first experimental use of this approach at the community level in Botswana.

Read more


National ODF certification and celebration in the North Bank Region of the Gambia

Report on progress with CLTS in the North Bank Region of The Gambia, with details of ODF celebrations and the latest numbers.

Download the report

Read more


Volta Region sets March 2014 as ODF date

Ghana's Volta Region has set March 2014 as deadline to eliminate open defecation in the region. Mr Francis Ganyaglo, Deputy Volta Regional Minister, set the target when he addressed the closing session of a training workshop on Community Led Total Sanitation (CLTS) involving over 100 participants comprising environmental health staff, non-governmental organisations, the media and some state institutions.

Read more

District Manual for Managing CLTS in Small Towns

Drawings by  Petra Rohr-Rouendaal and Ato de Graft

The District Manual for Managing CLTS in Small Towns is a guide for district managers and other stakeholders in planning and developing CLTS programs in small towns.

It was developed by the Community Water and Sanitation Agency (CWSA) the Environmental Health and Sanitation Division of the Ministry of Health and the Norther Region Small Towns Water and Sanitation Project (NORST). the NORST project is funded by the Canadian International Development Agency.

Read more

Facilitator’s Manual for Small Towns CLTS Field Work

CLTS mapping

The Facilitator’s Manual for Small Towns CLTS Field Work is a guide for field workers who are promoting sanitation improvements at community and household levels, using the CLTS approach applied to the small towns context.

The manual is based on information drawn from:

a) Final Report – “Community Led Total Sanitation in Small Towns: A Pilot Project in the Northern Region of Ghana” (Cowater International)

Read more

Open Defecation still a problem in the Volta Region

Chiefs, the media, religious and civil society organisations in the Volta Region have been called to join forces using religious norms to wash the incidence of Open Defecation (OD) in the region. About 50 percent of the population of the region was said to engage in the practice, with 31 percent doing so daily, Mr Ben Arthur, Executive Secretary of the Coalition of Non Governmental Organisation in Water and Sanitation (CONIWAS) observed at a workshop.

Read more

Kpale-Xorse commended for halting open defecation

The Ministry of Local Government and Rural Development has commended Kpale-Xorse for being the first Open Defecation Free (ODF) community in the Ho Municipal area."Indeed you are a good example for other rural communities in Ghana to emulate in addressing their own sanitation challenges," a citation accompanying a certificate and plaque read. The award was presented to representatives of Kpale-Xorse at a workshop held in Ho as part of the Government of Ghana and United Nations Children's Fund (UNICEF) Water and Sanitation and Hygiene (WASH) Programme.

Read more

Community leaders urged to support drive to stop open defecation

Mr Richard Ahiagbede, Ho Municipal Health Officer has asked chiefs and opinion leaders in 16 communities in the Municipal area to co-operate in the drive to stop open defecation.
Mr Ahiagbede was speaking at a start-up workshop on Water and Sanitation and Health (WASH) Programme of the Ghana Government and the United Nations Children's Fund (UNICEF). The Programme, initiated in 2012, seeks to among others, encourage Community Led Total Sanitation (CLTS) drive against Open Defecation in rural communities.

Read more

Natural Leaders, Health Assistants and Community Leaders tasked with leading communities towards ODF

The National Coordinator in charge of Community Led Total Sanitation for the Ghana WASH Project, Dominic Kwame Dapaah, has charged Natural Leaders in the Aowin and Suaman Districts to ensure that members in their communities respond spontaneously to triggering exercises in ensuring that immediate actions are taken to stop open defecation.

Read more


No more shit, please!

This film is about the unfolding story of CLTS in Guna, India against the  backdrop of the Government of India's national Total Sanitation Campaign (TSC) which has now been replaced by the Nirmal Bharat Abhiyan (NBA). These programmes have been implemented in Madhya Pradesh since 2003 but despite 2 million US$ having been spent, by 2011, there were still no ODF villages. However, with recent CLTS efforts, 35 villages (home to around 12,000 people) became ODF between December 2011 and December 2012.

This film was produced by Knowledge Links with support from IDS (April 2013).

Read more

Report from the National Workshop on Community-Led Approach in the context of Nirmal Bharat Abhiyan (NBA) in India

Participants at the Nainital workshop

This report presents the main discussions, conclusions and recommendations of the National Workshop on Community-Led Approach in the Context of Nirmal Bharat Abhiyan held at the Uttarakhand Academy of Administration, Nainital on April 16 to 18 2013.  The workshop was convened by the Key Resource Centre in collaboration with the Water Supply and Sanitation Collaborative Council (WSSCC) and supported by the Government of India and Institute of Development Studies, with facilitation support by Knowledge Links and input from the CLTS Foundation.

Read more

Nainital Statement from the National Workshop on Community-led Approach in the context of Nirmal Bharat Abhiyan (NBA)

group photo of Nainital workshop participants

This statement presents the main conclusions and recommendations from the National Workshop on Community-Led Approaches to Sanitation in the context of Nirmal Bharat Abhiyan held at the Uttarakhand Academy of Administration, Nainital from the 16th to 18th April 2013.

Read more

National workshop on CLTS approaches in India

The Key Resource Centre at Uttarakahnd Academy of Administration is organizing the national workshop on Community-Led approaches in collaboration with WSSCC with the support of Ministry of Drinking Water & sanitation, Government of India. 

Read more

The long and short of open defecation

There is statistical data to show that the height of Indian children is correlated to their and their neighbourhood’s access to toilets.

You can learn a lot from measuring children’s height. How tall a child has grown by the time she is a few years old is one of the most important indicators of her well-being. This is not because height is important in itself, but because height reflects a child’s early-life health, absorbed nutrition and experience of disease.

Read more


Papsigro- the supporter of ODF Grobogan in 2014

Ceremony of the declaration of 100 ODF Villages in Grobogan District

This booklet developed by Plan Indonesia contains the story about a sanitation entrepreneur in Grobogan, Indonesia.

View the booklet

in Bahasa

in English

Read more


Review and reflection meetings to enhance scalability and sustainability

One pager on review and reflection meetings that bring together different stakeholders to enhance scalability and sustainability in Kenya.

Read more

Field learning journey to Nambale ODF District

In early May 2013, a team of 39 Public health workers, Provincial administrators, Community health Extension Workers, Natural Leaders, Community Health Workers and Plan Kenya staff from Kilifi and Kwale Programme Units visited Nambale ODF District. The purpose of the visit was to learn about the experiences, challenges, strategies and practices that helped Nambale to become ODF.

Read about the learning visit


Read more

CLTS training in South Turkana

Mapping during a CLTS training in Turkana

Plan Kenya has been providing consultancy services in CLTS training to a number of partners who are implementing WASH activities both at national and regional levels. As part of this , from 10th -14th December, 2012 a five day CLTS training workshop was organized, targeting the frontline staff (Public Health Officers and Community Health Workers - CHWs) who work at level one in Katilu Division, Turkana South District.  CLTS was introduced in the wider Turkana County by Government of Kenya/UNICEF WASH programme which also targeted another 20 counties in Kenya.

Read more


Kiribati’s North Tarawa declared first open defecation free island in the Pacific

North Tarawa in Kiribati is the first island in the Pacific to be declared open defecation free, thanks to the “Kiriwatsan I Project”. The Ministry of Public Works is implementing this project with technical support from UNICEF and funding from the European Union.

Read more about the success of Tarawa

Read more


CLTS starts in Bomi, Liberia

CLTS triggering in Bomi, Liberia

Short write up about a week-long CLTS training workshop in the capital of Bomi County; Tubmanberg, Western Liberia.

Read about the training and the ooutcomes of the triggering that was part of it.


Read more

Liberia: Bomi citizens vow to end open defecation

Between the 18th-24th March 2013 Plan Liberia conducted a CLTS training workshop in Tubmanburg, Bomi County, with participants vowing to end open defecation by adhering to the Open Defecation Free (ODF) community campaign by June of this year. The workshop brought together six communities in Bomi County: Vorkor Town, Sayjillum, Domagbamatina, Jimmy Town, Sawmill and Mana Gbokai communities. The training was also attended by the Government of Liberia (GoL) through the Ministry of Health and Social Welfare, local staff and partners of Plan-Liberia.

Read more


CLTS in Beandry, Madagascar

Azafady's Project Magnampy focuses on sanitation and potable water provision, leading communities to implement their own sanitation solutions and to secure safe water sources, drawing on the Community-Led Total Sanitation (CLTS) methodology to facilitate sustained change.

Azafady's agents triggered CLTS in six hamlets across the fokontany of Beandry, in September 2011. 12 months later a total of 101 latrines had been constructed using only locally available materials and are in use by 223 households containing 1,038 people -- 100% of the total population.

Read more


Using Micro Finance and Village Savings and Loans Schemes in CLTS

One pager on involving Micro Finance institutions and Village Savings and Loans Schemes in CLTS based on the Malawian experience.

Read more

ODF Verification and Celebration: Process Options, Tools, Ideas

Inspecting a community latrine in Malawi

Presentation on processes, tools and innovative ideas for ODF verification and celebration given by Ashley Meek, Engineers Without Borders Canada at the ODF Malawi Annual Review meeting (20-21 March 2013).

Download the presentation

Look at the ODF verification form

Read more

ODF Malawi Annual Review (March 2013)

Handwashing in Chipochongo

Summary report from the ODF Malawi annual review (March 2013), with updated statistics, and reflections on challenges, sharing of innovations and solutions, as well as useful guidance and resources for CLTS in Malawi.

Download the report

Read more

Malawi's strategy for becoming ODF by 2015

Chief of Chipochongo village with ODF certificate

Leaflet that outlines Malawi’s Strategy for Becoming Open Defecation Free (ODF) by 2015.

Download the leaflet

Read more

Recommendations for Triggering Local Leaders

Community members

Reaching each and every village in Malawi with a CLTS triggering, and sufficient follow-up support cis could take many years, and a lot of resources. So, the ODF Malawi by 2015 National Strategy has suggested some additional ways to promote the concept of “ODF”. What if religious leaders (pastors, church elders, priests, imams, etc.) traditional leaders (village heads, group village heads, traditional authori-ties and chiefs) or other local leaders (VDCs, ADCs, SMCs, etc.) could be effectively encouraged to promote ODF?

Read more

School-Led Total Sanitation: Guidelines To Accelerate Support for the ODF Malawi 2015 Strategy

Children in Jimu village, Malawi

Guidelines for how to promote School-led Total Sanitation and thereby accelerate the achievement of the Malawi ODF strategy.

Download the SLTS guidelines.

Read more

How to Trigger for Handwashing with Soap

This guide outlines several practical tools which can be used as part of CLTS in order to trigger realization among communities of the importance of handwashing with soap, as well as eliminating open defecation. Read more


Access to sanitation still a luxury for the very few

About 20 communities in Tillabéri, west Niger, have been declared open defecation-free zones as across the country, very few people have access to proper sanitation. The communities were part of a Community Led Total Sanitation (CLTS) project, launched in September 2010 in 32 villages in the region by the local office of Plan International.

Read more

La cérémonie de certification FDAL: une fête déclencheuse

ODF celebration in Niger

La cérémonie de certification constitue une suite logique de l’évaluation la mise en œuvre de l’approche Assainissement Total Piloté par la Communauté (ATPC) au niveau des communautés cibles. Au Niger les évaluations jusque là effectuées dans les zones où la mise en œuvre est appuyée par l’UNICEF se sont faites sur la base d’un document consensuel qui prend en compte les éléments suivants :  

Read more


How to reduce childhood diarrhoea

As the globe commemorates World Environment Day, the United Nations Children’s Fund, UNICEF, has said that reduction in open defecation will significantly reduce diarrhoea cases in children under five by 90 per cent. UNICEF had in its 2012 report revealed that an estimated 34 million Nigerians practice open defecation and ranked the country amongst top five countries in the world with largest number of people defecating in the open.

Read more in the Vanguard, 6th June 2013

Read more

Shun open defecation, Ogun rural dwellers urged

Rural dwellers across Ogun State have been enjoined to shun open defecation and endeavour to construct latrines for appropriate disposal of their feaces. Permanent Secretary, Ministry of Rural Development in the state, Mrs Olayinka Kukoyi gave this charge at a training programme for facilitators on the Community-Led-Total sanitation (CLTs) Approaches, an initiative of the Federal and state governments. Represented by the Programme Manager, Rural Water and Sanitation Agency (RUWATSAN), Mr Olatokunbo Sonde, Mrs.

Read more

Aregbesola’s wife warns Fulani communities against open defecation

Wife of the Osun State governor, Mrs. Sherifat Aregbesola has warned Fulani communities  in the state against open defecation practices, saying such  practice was inimical to healthy living and growth in the society. Addressing Fulani residents in Gaatepatan  in Ejigbo Local Government Area of Osun State, during a one-day sensitisation meeting, Mrs.

Read more

Sierra Leone

Langurama Chiefdom attains ODF status (Sierra Leone)

The Kenema District Health Superintendent in the Ministry of Health and Sanitation, Mr. Orlai Sankoh stated that Langurama Chiefdom is the first and only Chiefdom in Kenema that has attained Open Defecation Free (ODF) status in Sierra Leone. He made this statement during the ODF celebrations organized by GOAL Sierra Leone last weekend.

Read more in Awareness Times, 3rd April 2013

Read more

Solomon Islands

Communities Collaborate to Improve Sanitation

The Solomon Islands Ministry of Health, UNICEF and NGOs participated in a recent workshop on  Community Led Total Sanitation (CTLS).

The six day event was the first of its kind in Solomon Islands using the concept of community-led development to improve health through safe and sustainable sanitation. Dr. Kamal Kar, founder of the CLTS Foundation, conducted the CLTS Training of Trainers workshop. He encouraged the participants to work together to support the elimination of open defecation in communities in the Solomon Islands.

Read more

South Sudan

ODF Verification in Western Equatoria State

Inspecting a household latrine and handwashing station

CLTS was introduced in Western Equatoria State state in October 2011 through a training facilitated by Plan International and sponsored by UNICEF. A number of organizations send representatives to participate in the training. In October 2012 fourteen villages  underwent Open Defecation Free (ODF) verification. These are villages that had been facilitated by one of UNICEF’s partners, Intersos. 10 of the villages had claimed to have attained ODF status and this provided a rationale for conducting the verification.

Read more

Improving sanitation in Northern Bahr Gazel State with CLTS

CLTS latrine

Tearfund started to work in Aweil Centre County, one of the five counties in Northern Bahr State in April 2011 implementing an integrated programme of water, hygiene and sanitation (WASH) and food security projects. The projects are aimed at supporting   the resettling   of returnees and the internally displaced people in the state.  The second phase of the project started in April 2012 and will come to a close by the end of March 2013; the main approach for sanitation improvement especially at household level has been community-led total sanitation (CLTS).

Read more

CLTS gains momentum in Yambio

Verification visit to a latrine

CLTS continued to gain momentum when the second Open Defecation Free celebration was held in the Republic of South Sudan in Kasia village in Yambio county on 27th November 2012. The colourful event brought together 4 villages which had been declared ODF in October this year.

Read more about the celebrations in Yambio

Read more

Adiem Celebrates ODF with Pomp and Dance

Girl in South Sudan demonstrates handwashing

There was pomp and dance on 1st November 2012, when Adiem village held the first ever Open Defecation Free (ODF) celebration in South Sudan. The occasion was well attended by the local community, the ACTED staff, and the State government officials led by the Minister for Health Hon. Dr. Ang’ui Mayuot.

Read more about Adiem's ODF celebrations

Read more


Report from a training of trainers workshop in Karatu, Tanzania


Plan Kenya has been providing CLTS capacity support to interested partners to accelerate rural sanitation in and outside Kenya. As a part of this initiative, a five day training of trainers (ToT) was conducted for Catholic Relief Services (CRS) from 18th -22nd March, 2013 in Karatu, Tanzania.

Read more


Elevating the profile of sanitation in Ngora District, Uganda

Uganda joined the rest of the world in commemorating sanitation week in March 2013. On the 19th March 2013 the annual event was held in Ngora district. Plan Uganda and other partners supported the Ministry of Health and the district in organizing an event with the theme 'Open Defecation is a shame, use a latrine'. Read an article about the celebrations and activities that took place to mark this day.

Read more


UNICEF Zambia CLTS Newsletter March to May 2013

young girl demonstrating handwashing with a tippy tap in Zambia

WASH newsletter produced by UNICEF Zambia and the Ministry of Local Government and Housing, featuring articles on Sanitation Marketing in Zambia, the District Total Sanitation Plan, a case study on Oyera village and an interview with a CLTS champion.

Download the March to May 2013 edition of the newsletter

Read more

Schools to be used as pioneers of good sanitation program

Schools have been identified as being the key components that could boost the campaign for Total Sanitation for Mkushi district in Zambia. National Trainer for CLTS, Moses Mutoka issued this statement to ZANIS when he facilitated for the School Led Total Sanitation (SLTS) program at Mkushi’s Council Motel.

Read more

Australian support helps to transform lives in Zambia

Australian and national NGOs are working together to improve access to sanitation through the use of CLTS and other participatory methodologies. 

Read more in allAfrica.com, 5th April 2013

Read more

Other news and resources

Call for Information and Participation: Water, Sanitation and Hygiene and Gender Based Violence

WaterAid is creating a practitioner’s best practice resource to help reduce gender based violence (GBV) related to sanitation, hygiene and water (WASH) in development, humanitarian and transitional contexts. The team is interested to be in contact with any organisation or individual who has material or experience to contribute to the resource; and/or may be interested to co-publish the outputs.

Read more

WHO/UNICEF: New plan to address pneumonia and diarrhoea could save 2 million children a year

WHO and UNICEF launched a new Global Action Plan on the 12th April 2013 with the aim of saving up to 2 million children every year from deaths caused by pneumonia and diarrhoea, some of the leading killers of children under five globally.  The Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea calls for closer integration of efforts to prevent and treat these two diseases and sets ambitious targets to reduce mortality rates and raise levels of children’s access to life-saving interventions.

Read more

Childhood Pneumonia and Diarrhoea (Lancet Series)

The Lancet Series on Childhood Pneumonia and Diarrhoea, led by Aga Khan University, Pakistan, provides evidence for integrated control efforts for childhood pneumonia and diarrhoea. The first paper assesses the global burden of these two illnesses, comparing and contrasting them, and includes new estimates of severe disease and updated mortality estimates for 2011. Findings from the second paper show that a set of highly cost-effective interventions can prevent most diarrhoea deaths and nearly two thirds of pneumonia deaths by 2025, if delivered at scale.

Read more

CLTS in the East Asia and Pacific Region: Progress, Lessons and Directions

Children in Yar Gyi Daw Village, Myanmar, confirm that they now have a toilet at home

A review of the status of community-led sanitation implementation in East Asia and Pacific. Commissioned by UNICEF, Plan, WaterAid and WSP, this report has been produced based on experiences and lessons on the implementation of Community-Led Total Sanitation (CLTS) from Cambodia, China, DPR Korea, Indonesia, Kiribati, Lao PDR, Mongolia, Myanmar,Philippines, Papua New Guinea, Solomon Islands, Timor-Leste, Vanuatu, and Viet Nam.

Read more

Developing and Monitoring Protocol for the Elimination of Open Defecation in Sub-Saharan Africa

Members of Kabengele Village in Zambia decide it's time to stop open defecation

Eliminating open defecation is increasingly seen as a key health outcome, with links to reduced stunting, improved educational and positive health outcomes for children. In Sub Saharan Africa, over 35 countries are implementing some form of CLTS, ranging from TATS in Tanzania to CLTSH in Ethiopia. Since the introduction of CLTS in 2005 in the region, rapid scale-up has been achieved with suggested numbers of ODF communities in the range of 30,000 affecting over 15 million people in Sub-Saharan Africa.

Read more

Evidence Paper on Water, Sanitation and Hygiene (DFID)

cover DFID Evidence Paper

This WASH evidence paper aims to provide an accessible guide to existing evidence including a conceptual framework for understanding how WASH impacts on health and well-being and a description of methods used for ascertaining the health, economic and social impacts of WASH. The paper was commissioned by the DFID Water and Sanitation (WASH) and Research and Evidence Division (RED) teams and undertaken by the DFID-funded Sanitation and Hygiene Applied Research for Equity (SHARE) research programme consortium.

Read more

Making Connections: Women, Sanitation and Health

Woman in Malawi with her latrine and handwashing station

The "Making connections: Women, sanitation and health" event took place on 29th April 2013, attracting around 200 attendees from theWASH, gender and health sectors. Diverse representatives from each sector presented and debated critical issues linking gender, sanitation and health including violence against women and girls, maternal health and menstrual hygiene.

Read more

Natural Leaders' Networks

One pager on how Natural Leaders' Networks can help with CLTS follow up, scale and sustainability with examples from Ethiopia and Sierra Leone.

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Reporting back from the IRC Symposium on Monitoring Sustainable WASH Service Delivery

From the 9th to the 12th April 2013, IRC hosted a symposium on Monitoring Sustainable WASH Service Delivery in Addis Ababa, Ethiopia. More than 400 participants from international institutions and NGOs (46%) and from (African) governments (25%), as well as a smaller presence of multilateral agencies, academics and consultants, attended the event. The aim of the symposium was to

Read more

Sustainable sub and super-structures

building a strong superstructure from bricks, Malawi

One pager on local solutions that address the issue of collapsing latrines and offer sustainable super and sub-structures for latrines by Mary Namwebe (Plan Uganda), Chingati Banda (Plan Malawi) and Seth Asomaning (Plan Ghana).

Read more