Community Led Approaches to Sanitation

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Community Led Approaches to Sanitation
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2.5 billion people lack sanitation
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(No Transcript)
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Urban-Rural disparities
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Disparities by Wealth Quintiles
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Summary

• Of the 1.5 billion people in South Asia
• 502 M already use improved sanitation
• 155 M currently use a shared source
• 756 M still practice open defecation as their
  only option
• Open defecation is declining as a percentage but
  remains almost constant in terms of numbers

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Community Led Total Sanitation

• Based on PRA
• So similar in some ways to SARAR and PHAST

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• Community Analyze their sanitation conditions
• Collectively internalize the terrible impact
• Systematic triggering
• No hardware subsidy
• Hands off approach

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• Collective local action to trigger ODF status
• Shock, Disgust and Shame

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• Target community not household
• Sustainability still unproven
• Quality an issue

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CATS

• Based less on a dogmatic approach
• More on applied principles

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Principles

• Community (includes schools) centered
• No household subsidy
• Multiple triggers
• Shame
• Health
• Economics
• Pride
• Pressure
• Force

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• Hygiene

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Improving sanitation coverage with equityTrends
in reduction of open defecation by wealth
quintilesBangladesh 2000 - 2006
Poorest 2nd
3rd 4th Richest
Open defecation Any sanitation facility

• Source DHS 2000 and MICS 2006