Evaluating the Process, Costs, and Outcomes of Engaging Natural Leaders and Teachers in Community-Led Total Sanitation

Sanitation is a global priority: 1 billion people lack access to any sanitation facility and practice open defecation, which contributes to child mortality, stunting, and decreased school attendance. Community‐led total sanitation (CLTS) is a sanitation promotion approach implemented in over 50 countries, in which a facilitator visits a village, and “triggers” a collective desire to eliminate open defecation (OD). Implementing CLTS has challenges: it requires frequent follow‐up visits by facilitators, depends on collective action by communities, and the costs are not well understood. I conducted an operational research project collaboratively with Plan International to investigate the role of CLTS in addressing global sanitation challenges, and how to optimize implementation.

Evaluating the Process, Costs, and Outcomes of Engaging Natural Leaders and Teachers in Community-Led Total Sanitation. J. Crocker. 2016. [Dissertation]. The University of North Carolina at Chapel Hill. https://cdr.lib.unc.edu/concern/dissertations/c534fp67b?locale=en