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CLTS-plus: Value-added sanitation programming.

Abstract

Community-led total sanitation (CLTS) is an innovative programmatic approach to rural sanitation that emerged in the early 21st century. Pioneered in Bangladesh in 1999, CLTS spread quickly throughout Asia and Africa and is now the predominant approach of both government and nongovernment development partners in an estimated 661 countries to increase adoption of fixed-point defecation in rural areas.

The WASHplus project supports healthy households and communities by creating and delivering interventions that lead to improvements in water, sanitation, and hygiene (WASH) and household air pollution (HAP). This multi-year project (2010-2016), funded through USAID’s Bureau for Global Health and led by FHI 360 in partnership with CARE and Winrock International, uses at-scale programming approaches to reduce diarrheal diseases and acute respiratory infections, the two top killers of children under age 5 globally.

Many countries have made CLTS the centerpiece of their national sanitation strategy and track progress toward open defecation free (ODF) communities as well as individual household coverage of latrines. This Learning Brief describes the different components WASHplus uses when implementing CLTS activities and illustrates how and why they have been applied to CLTS in various country programs.

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Report