Changes

The sanitation ladder was originally a tool that developed from participatory approaches such as Participatory Rural Appraisal (PRA) and Participatory Hygiene and Sanitation Transformation (PHAST). The ladder aimed at providing community members with a visual guide to different sanitation options, providing information on a range of factors (e.g. cost, convenience, upgradeability etc.) in order to facilitate household and communal sanitation planning and decision making. These ladders are still in use in some areas. The ladders which developed in this way are centred on particular latrine/ toilet technologies, appropriate to the given context, with advancement up the ladder generally accompanied by a more complex technology, theoretically providing improved service. While serving as a basis for communal decision-making, these ladders tend to have an aspirational character - that households or communities, once on the ladder, would seek to move up the ladder, according to their means.<br/>

==== Role of the sanitation ladder in WASH monitoring ====