Teachers and sanitation promotion: an assessment of community-led total sanitation in Ethiopia

Community-led total sanitation (CLTS) is a participatory approach for reducing open defecation, with some studies showing it has been successful. However, there is no research on how implementation context changes effectiveness. We compared two interventions in Ethiopia: conventional CLTS in which health workers and local leaders provided facilitation, and an alternative in which teachers provided facilitation. The decrease in open defecation associated with teacher-facilitated CLTS was 8.2 percentage points less than for conventional CLTS. Thus teachers may be more appropriate for a supporting, rather than leading, role in CLTS promotion.

Teachers and sanitation promotion: an assessment of community-led total sanitation in Ethiopia. Jonny Crocker, Abiyot Geremew, Fisseha Atalie, Messele Yetie, and Jamie Bartram. 2016. Environmental Science & Technology 50(12): 6517-6525. doi:10.1021/acs.est.6b01021.