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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”
