IRIS GROUP, INC.
Community-Led Total Sanitation (CLTS) is a methodology aimed at achieving universal sanitation through community-led initiatives.
2018 · 88 pages

Abstract
CLTS was first introduced in Bangladesh in 2000 and has since been implemented in over 30 countries. The approach focuses on creating a sense of community ownership and responsibility for sanitation, with the goal of achieving Open Defecation Free (ODF) status. CLTS involves a series of community-led activities, including the identification of open defecation areas, the creation of a community-led total sanitation plan, and the implementation of sanitation infrastructure and practices. The approach also emphasizes the importance of social norms and behavior change in achieving universal sanitation. Research has shown that CLTS can be an effective approach to achieving universal sanitation, particularly in low-income countries. A study conducted in Bangladesh found that CLTS led to a significant reduction in open defecation, with 95% of households reporting the use of improved sanitation facilities. Similar results have been reported in other countries, including India and Nepal. However, the effectiveness of CLTS can vary depending on a range of factors, including the quality of implementation, the level of community engagement, and the availability of resources. A study conducted in India found that CLTS was more effective in areas with high levels of community engagement and strong local leadership. CLTS has also been shown to have a range of benefits beyond improved sanitation, including improved health outcomes, increased economic productivity, and enhanced social cohesion. A study conducted in Bangladesh found that CLTS led to a significant reduction in the incidence of diarrhea and other water-borne diseases. Despite its potential benefits, CLTS has faced a number of challenges, including the need for sustained community engagement and the availability of resources. A study conducted in Nepal found that CLTS was more effective in areas with strong local leadership and a high level of community engagement. The CLTS approach has also been adapted and modified in a number of ways, including the incorporation of other sanitation and hygiene interventions, such as sanitation marketing and fecal sludge management. A study conducted in India found that the combination of CLTS and sanitation marketing led to a significant increase in the adoption of improved sanitation facilities. In conclusion, CLTS is a methodology that has shown promise in achieving universal sanitation, particularly in low-income countries. While its effectiveness can vary depending on a range of factors, the approach has been shown to have a range of benefits beyond improved sanitation, including improved health outcomes, increased economic productivity, and enhanced social cohesion. The CLTS approach has also been adapted and modified in a number of ways, including the incorporation of other sanitation and hygiene interventions. Further research is needed to fully understand the potential of CLTS and to identify the key factors that contribute to its success. The CLTS approach has been implemented in a number of countries, including Bangladesh, India, Nepal, and Mozambique. In Bangladesh, CLTS was first introduced in 2000 and has since been implemented in over 30 districts. The approach has been shown to be effective in reducing open defecation and improving sanitation outcomes. In India, CLTS was first introduced in 2008 and has since been implemented in over 20 states. The approach has been shown to be effective in reducing open defecation and improving sanitation outcomes, particularly in rural areas. In Nepal, CLTS was first introduced in 2009 and has since been implemented in over 20 districts. The approach has been shown to be effective in reducing open defecation and improving sanitation outcomes, particularly in rural areas. In Mozambique, CLTS was first introduced in 2011 and has since been implemented in over 10 provinces. The approach has been shown to be effective in reducing open defecation and improving sanitation outcomes, particularly in rural areas.
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USAID DEC