Total Sanitation_Julia Rosenbaum

To reduce diarrheal disease, we need to get FECES out of the

environment... Out of water, off hands, out of the food we eat

... Break the cycle of ‘oral-fecal’ contamination...

Drinking Water Gets Contaminated .. at the point of collection

Handling and Storage

Transport

Drinking Water Gets Contaminated during ...

Reducing Diarrhea Requires Getting Feces Out of the

Environment...

How can we break the cycle??

Community led Total Sanitation

Paradigm shift

• Behavior change NOT toilet construction

• Address the collective NOT individuals

• Ignition for community action NOT upfront

hardware subsidy without demand

Community led Total Sanitation

Source: WSP, 2007. An approach that works, Field Notes, February. 10

Communities are “ignited”

Commit to total latrine coverage Each & every member of the community will have toilet (and handwashing station) & stop open defecation. The community supports and enforces

Tools/Steps Community Led Total Sanitation

CLTS

Transect Walk

Mapping of Defecation Areas

–Calculating the amount to feces produced (week, month and annually, etc.) to illustrate the

magnitude of the sanitation problem.

–One ‘evacuation’ = 100 grams

–Number of evacuations a day

–Volume of feces per person/day

– Number of people in room

Shit calculation

Flow Diagram

– Volume of feces a day, a week, a year

–? WHERE DOES IT ALL GO????

–Calculating the amount to feces produced (week, month and annually, etc.) to illustrate the

magnitude of the sanitation problem.

–One ‘evacuation’ = 100 grams

–Number of evacuations a day

–Volume of feces per person/day

– Number of people in room

Shit calculation

Flow Diagram

– Volume of feces a day, a week, a year

–? WHERE DOES IT ALL GO????

Glass water exercise

What is Acceptable?

Issues

• Quality of latrines

– Meeting minimum standards

– Moving up the sanitation ladder

• Handwashing

• Need for follow up and interpersonal communication

• Pairing with market-based approaches

• Financing

“Total Sanitation” with additional focus on the ‘supply side”

Contact Information

Julia Rosenbaum jrosenbaum@fhi360.org