01722nas a2200253 4500000000100000008004100001260003200042653001500074653001500089653001400104653000900118653004000127653001700167100001200184700001300196700001200209700001400221700001300235700001000248245010600258300001400364490000700378520108300385 2017 d bPractical Action Publishing10aSanitation10aDisability10aInclusion10aWASH10aSustainable Development Goals (SDG)10aHuman Rights1 aDesai G1 aWilbur J1 aSmith K1 aJensen JN1 aLenker J1 aRam P00aLaddering up? A research framework in sanitation for people with disabilities in low-income settings. a305–3160 v363 a

With a motivation to make progress towards the United Nations Sustainable Development Goal of sanitation for all by 2030, this paper proposes a framework to guide future research and evaluation of sanitation-for-all initiatives. The proposed framework builds upon the social model of disability, emphasizes a human rights perspective regarding sanitation access and use, leverages existing research and case examples, and is based on the need to extend the Joint Monitoring Programme (JMP) sanitation ladder to include ‘equitable sanitation’. The framework includes three mediating factors that influence sanitation access (personal/individual, social, and environmental factors) and one moderating factor (institutional structures), and provides a planning structure for achieving equitable sanitation. The sanitation-for-all framework contributes to previous efforts to broaden and deepen the impacts of the JMP, particularly from a human rights perspective, and holds potential regarding other marginalized populations, such as adolescent girls and older adults.