The Testing CLTS Approaches for Scalability project is a four year, sanitation focused, operational research project carried out by UNC and Plan that aims to advance rural sanitation efforts by improving the cost-effectiveness and scalability of the CLTS approach, with a particular focus on the role of local actors. In Ghana, the project assesses the effectiveness of increasing the capacity of local actors (natural leaders), thereby enabling them to carry out post-triggering activities and reduce their dependency on local non-governmental organizations for follow-up. This implementation narrative and video accordingly reflect this process and introduce project team analysis of factors that enabled and constrained implementation.