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Community-Led Total Sanitation

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[[Image:Total_Sanitation.png|thumb|right|200px| Screenshot from the movie [http://www.wateraid.org/uk/about_us/newsroom/6613.asp#watch Ten steps to total sanitation], produced by WaterAid.]]
[[Image:comm led 2.jpg|thumb|right|200px|Community members from a small village in Nepal receive an award for achieving the “open defecation free status” after a successful CLTS Campaign. <br>Photo: [http://www.sswm.info/category/planning-process-tools/programming-and-planning-frameworks/frameworks-and-approaches/sani-1 SSWM]]]
Community-Led Total Sanitation is a way to mobilize a community, with the goal to completely eliminate open defecation in a community area. The community is facilitated to make their own analysis of open defecation and the faecal-oral contamination that it leads to. The aim is to generate a sense of 'shame' and 'disgust' among the members of the community, which mobilizes the community to take their own action to end open defecation, for example through the construction of latrines and changes of sanitation behaviour. Subsidies for hardware are not used.
'Total Sanitation' refers to 100% sanitation coverage in a target area, usually through a combination of awareness raising and affordable sanitation options.
===Advantages===
There are two important realizations which are at the center of the Community-Led Total Sanitation approach. The first is that merely providing toilets does not guarantee their use, and does not automatically result in improved sanitation behaviour. Projects that started with prescribed high sanitation standards and subsidies have often led do uneven adoption, problems with sustainability, and partial use. Using subsidies as an incentive also can lead to a culture of dependence on subsidies.
Community-Led Total Sanitation, if successful, triggers the community's desire to change and stimulates them to act. This leads to better ownership of the solutions, and greater sustainablity.
===Description of the Approach===
A movie of the process by WaterAid describes the process in the following steps<ref>
http://www.wateraid.org/uk/about_us/newsroom/6613.asp#watch Ten steps to total sanitation, animation produced by WaterAid.
* Step 10: The community is awarded defecation free status and a sign is erected at the beginning of the village.
===Potential===
Community-Led Total Sanitation can be very effective in achieving better sanitation and hygiene behaviour. However, the uptake of the approach can be difficult, for example because the shift away from subsidies sometimes requires a different mindset. Good management and support are needed for organizations that support the communities. The approach has both been used by small NGO programmes and by large scale governmental programmes. In some cases, problems with monitoring, mediation and the supply chain exist, and it is unclear which mix of approaches is most effective.
Community-Led Total Sanitation can be a very good starting point for other community action activities, as it mobilizes the community towards common action. As sanitation interventions have immediate health benefits, this demonstrates the power of collective action, which builds confidence in the community to undertake other developmental projects as well.
===Field experiences===
Community-Led Total Sanitation was first pioneered in Bangladesh in 1999 by Kamal Kar (see external links for a list of his articles on the subject), and since then has been widely adopted in that country in in others, particularly in South and Southeast Asia. The approach is also being used in Africa, notably in Uganda and Zambia.<ref>
http://www.ids.ac.uk/ids/bookshop/wp/wp257.pdf Kar, Kamal and Pasteur, Katherine (2005). Subsidy of Self-Respect? Community-Led Total Sanitation. An Update on Recent Developments. IDS Working Paper, 68 pages.
{{RSR_table|1image=project 768.jpg |style1link="width: 70%; text-align: justify; background-colorhttp: //rsr.akvo.org/project/768/ |1project#f5f5f5;" =768 |1project name=Coastal area Water, Sanitation and Hygiene ||[[Image2image=project 533.jpg |2link=http://rsr 768.jpgakvo.org/project/533/ |2project#=533 |thumb2project name=Support on WASH: Miyo woreda |none|200px3image=project 351.jpg |<font size3link="2"><center>Project 768<http://rsr.akvo.org/project/center><351/font>|link3project#=351 |3project name=Cost effective means of financing WASH ||4image=project 387.jpg |4link=http://wwwrsr.akvo.org/project/387/ |4project#=387 |4project name=Upscaling sanitation with community credit ||5image=project 459.jpg |5link=http://rsr.akvo.org/project/768459/]]|5project#=459 |5project name=Upscaling CLTS for Healthy Communities |}}{{RSR_table|'''AKVO RSR Project:''' [1image=project 456.jpg |1link=http://wwwrsr.akvo.org/project/456/ |1project#=456 |1project name=Partnership in WASH services delivery ||2image=project 462.jpg |2link=http://rsr.akvo.org/project/768462/ Coastal area Water, Sanitation and Hygiene]|2project#=462 |2project name=Northern Region WASH Programme |The |3image=project will provide communication support (planning, producing materials, support 386.jpg |3link=http://rsr.akvo.org/project/386/ |3project#=386 |3project name=Scaling-up using CLTS in dissemination) to field partners towards effective communication to reach target population with Water, Sanitation and Hygiene Education messages and improve WASH practices in the target areas.Kenya ||}  {4image=project 789.jpg |style4link="widthhttp: 70%; text//rsr.akvo.org/project/789/ |4project#=789 |4project name=MWA-alignLAP: justify; background-color<br>Colombia ||5image=project 600.jpg |5link=http: //rsr.akvo.org/project/600/ |5project#f5f5f5;" =600 |5project name=Community-led WASH and Safe Motherhood |}}{{RSR_table|[[Image1image=project 361.png |1link=http://rsr 533.jpgakvo.org//project/361/ |thumb1project#=361 |none1project name=Improving Communal Health Through WASH |200px|<font size2image="2"><center>Project 533</center></font>project 810.png |link2link=http://wwwrsr.akvo.org/rsr/project/533810/]]|2project#=810 |2project name=Improved Water Sanitation and Hygiene ||'''AKVO RSR Project:''' [3image=project 488.png |3link=http://wwwrsr.akvo.org/rsr/project/533488/ Support on |3project#=488 |3project name=Community-based WASH of communities Project in Miyo woreda]Nepal |The |4image=project 922.png |4link=http://rsr.akvo.org/project/922/ |4project#=922 |4project name is Local Capacity Building Support on =WaterAid Rural <br>WASH Practices of Pastoral Communities in Miyo with the Project ||5image=project budget of 74,561933.21 (53,303png |5link=http://rsr.20 and 21258 Euro to be raised from RAIN and ICCO)akvo. It has a total beneficiaries of 3168 (1528 F) people residing in target kebeles of Miyo Woreda. It has org/project period of one year, July 2012 - February 2013./933/ |5project#=933 |5project name=Accelerating Sanitation and Water for All 1 ||}}
{|style="width: 70%; text-align: justify; background-color: #f5f5f5;" |[[Image:rsr 351.jpg|thumb|none|200px|<font size="2"br><center>Project 351</center></font>|link=http://www.akvo.org/rsr/project/351/]]|'''AKVO RSR Project:''' [http://www.akvo.org/rsr/project/351/ Cost effective means of financing WASH]Wuzda have considered water as a right for every person to access as a basic necessity. The Tamale rural has attracted 8.13% for a population of 61,175. Although Tamale is a metropolitan area but it has almost the same features as many districts in the region. Many districts in the region by coverage have attracted up to between 37% -94% water sanitation and hygiene facilities. Therefore we need to plan with the Tamale metropolitan Assembly to serve the deprived communities. |}
===Links===
* [http://www.indiawaterportal.org/articles/tribals-jharkhand-plan-water-security Tribals in Jharkhand plan for water security]. To let people make their own decisions and to understand that the best solution doesn't always work are two big lessons that have come from meetings with Jharkhand's tribals.
* [http://www.pseau.org/outils/biblio/index.php?vue_pgm_o_tout=1&tri1=titre&pgmpseau_id=37&l=fr&langue=en&operateur_titre_contenant=%2B&motclef%5B%5D=129&vuepp=3&autosubmit=1 Répertoire des outils pédagogiques Eau, assainissement & Coopération]. Social sustainability tools for WASH, includes gender topics. French and English versions.
{|style|* [http://www.pseau.org/outils/biblio/index.php?d=2756&l="width: 70fr&vue_pgm_o_tout=1&motclef%5B%; text-align: justify; background-color: #f5f5f5;" 5D=129&tri1=titre Affiches de sensibilisation Hygiène et Assainissement de Tessaoua]|[[Image:rsr 387pseau.jpgorg 3.png|thumbcenter|none|200px|<font size="2"><center>Project 387</center></font>50px|link=http://www.akvopseau.org/rsroutils/project/387biblio/index.php?d=2756&l=fr&vue_pgm_o_tout=1&motclef%5B%5D=129&tri1=titre]]|'''AKVO RSR Project:''' -|* [http://www.akvopseau.org/rsroutils/projectbiblio/387/ Upscaling sanitation with community creditindex.php?d=3272&l=fr&vue_pgm_o_tout=1&motclef%5B%5D=129&tri1=titre Avec l'eau, l'hygiène c'est simple!]This project will be implemented by INTAGRAD in 20 communities the Nanumba South and Nanumba North districts in the Northern Region of Ghana|[[Image:pseau.org 4. Key words arepng|center|50px|link=http: Direct service delivery, Credit delivery, stakeholder collaboration, and local level advocacy activities//www.pseau. This project also serves to further pilot, optimize and upscale an innovative financial mechanism, in which credits for household latrines are organized through a community based approach involving banksorg/outils/biblio/index.php?d=3272&l=fr&vue_pgm_o_tout=1&motclef%5B%5D=129&tri1=titre]]
|}
* Stefanie Keller, [http://www.sswm.info/category/planning-process-tools/programming-and-planning-frameworks/frameworks-and-approaches/sani-1 Community-Led Total Sanitation]. SSWM.
{|style="width: 70%; text-align: justify; background-color: #f5f5f5;" |[*[Image:rsr 459.jpg|thumb|none|200px|<font size="2"><center>Project 459</center></font>|link=http://www.akvocommunityledtotalsanitation.org/rsrpage/project/459/]]|'''AKVO RSR Project:''' [http://www.akvo.org/rsr/project/459/ Upscaling CLTS for Healthy Communitiesabout-site Community Led Total Sanitation]The project seeks to provide women, girls and basic schools within communities in the Karaga District with good drinking water through rainwater harvesting, improvement of conventional sources and sanitation services and information. Capacity trainings are also targeted at the women to demystify construction processes to increase participation of the women with construction and repair to make outcomes more sustainable.|}
 {|style="width: 70%; text-align: justify; background-color: #f5f5f5;" |[*[Image:rsr 456.jpg|thumb|none|200px|<font size="2"><center>Project 456</center></font>|link=httphttps://www.akvoids.org/rsr/project/456/]]|'''AKVO RSR Project:''' [http://www.akvoac.orguk/rsrprojects/project/456/ Partnership in WASH services delivery]This project increases access going-to and use of sustainable water, sanitation and hygiene services in 10 communities in -scale-the Central Gonja District -potential-of Northern region. The strategy is a programmatic approach involving several partners, including the public and private sectors. The 'FIETS' principle is the guiding principle to ensure sustainability of all interventions. Focus will also be on institutional water and sanitation, and at the -community level - environmental sanitation.|}  {|style="width: 70%; textled-align: justify; backgroundtotal-color: #f5f5f5;" |[[Image:rsr 462.jpg|thumb|none|200px|<font size="2"><center>Project 462</center></font>|link=http://www.akvo.org/rsr/project/462/]]|'''AKVO RSR Project:''' [http://www.akvo.org/rsr/project/462/ Northern Region WASH Programme]The Northern Region Water, Sanitation and Hygiene (WASH) Programme is 5-year rolling project using a programmatic approach. It aims to empower communities in the Northern region of Ghana to assert their rights to WASH in order to increase access to WASH facilities and services. It is being implemented by a consortium of 5 NGOs (Simli AiD, Presby Water Project, AFORD Fdn, GYAM and NewEnergy) and mainly supported by SIMAVI under the Dutch WASH Alliance (DWA) framework. It is in its 2nd year of implementation.|} ==External links==*[http:sanitation//www.livelihoods.org/hot_topics/CLTS.html Community-Led Total Sanitation. Livelihoods connect website. Contains many links] *[http://www.livelihoods.org/lessons/project_summaries/san2_projsum.html Going to Scale? The potential of Community-Led Total Sanitation].
*[http://www.communityledtotalsanitation.org/page/clts-approach Community-Led Total Sanitation Website]
*[http://wwwesa.ircun.nlorg/iys/docs/pagesan_lib_docs/25696 Scaling%20Up%20Rural%20Saniltation.pdf Scaling-Up Rural sanitation: total sanitation approach no ‘magic bullet’ for Sanitation in South Asia]. IRC news itemLessons Learned from Bangladesh, with link to study] *[http://wwwIndia, and Pakistan.plan-internationalWSP.org/resources/publications/health/clts_handbook/ Handbook on Community-Led Total SanitationMay 2005. Plan International (2008)]
*[http://www.wateraidcommunityledtotalsanitation.org/uksites/about_uscommunityledtotalsanitation.org/newsroomfiles/6613cltshandbook.asp#watch Ten steps to total sanitation, animation produced by WaterAid.] The movie is available pdf Handbook on [http://www.youtube.com/watch?v=sUFe3DBlXhA YouTubeCommunity-Led Total Sanitation], and can be [http://www.wateraid.org/other/video/sanitationanimationPlan International (2008).avi downloaded]
*[http://www.ids.acwateraid.org/uk/ids/bookshopabout_us/wpnewsroom/wp1846613.pdf Karasp#watch Ten steps to total sanitation], Kamal (2003)animation produced by WaterAid. Subsidy or Self-respect? Participatory Total Community Sanitation in BangladeshThe movie is available on [http://www. IDS Working Paper, 50 pagesyoutube.com/watch?v=sUFe3DBlXhA YouTube].
*[http://www.livelihoodsids.orgac.uk/ids/hot_topicsbookshop/docswp/CLTS_update06wp184.pdf Kar, Kamal and Bongartz, Petra (20062003) 'Update on Some Recent Developments in Community. Subsidy or Self-Led respect? Participatory Total Community Sanitation', Update paper on in Bangladesh]. IDS Working Paper 257, Brighton: Institute of Development Studies]50 pages.
* Kar, Kamal and Bongartz, Petra (2006). [http://www.communityledtotalsanitation.org/sites/communityledtotalsanitation.org/files/CLTS_update_for_WP257_0.pdf Update on Some Recent Developments in Community-Led Total Sanitation', Update paper on IDS Working Paper 257], Brighton: Institute of Development Studies.
===References===
<references />
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