Eliminating open defecation is increasingly seen as a key health outcome, with links to reduced stunting, improved educational and positive health outcomes for children. In Sub Saharan Africa, over 35 countries are implementing some form of CLTS, ranging from TATS in Tanzania to CLTSH in Ethiopia. Since the introduction of CLTS in 2005 in the region, rapid scale-up has been achieved with suggested numbers of ODF communities in the range of 30,000 affecting over 15 million people in Sub-Saharan Africa.
The Lancet Series on Childhood Pneumonia and Diarrhoea, led by Aga Khan University, Pakistan, provides evidence for integrated control efforts for childhood pneumonia and diarrhoea. The first paper assesses the global burden of these two illnesses, comparing and contrasting them, and includes new estimates of severe disease and updated mortality estimates for 2011. Findings from the second paper show that a set of highly cost-effective interventions can prevent most diarrhoea deaths and nearly two thirds of pneumonia deaths by 2025, if delivered at scale.
WaterAid is creating a practitioner’s best practice resource to help reduce gender based violence (GBV) related to sanitation, hygiene and water (WASH) in development, humanitarian and transitional contexts. The team is interested to be in contact with any organisation or individual who has material or experience to contribute to the resource; and/or may be interested to co-publish the outputs.
There is statistical data to show that the height of Indian children is correlated to their and their neighbourhood’s access to toilets.
You can learn a lot from measuring children’s height. How tall a child has grown by the time she is a few years old is one of the most important indicators of her well-being. This is not because height is important in itself, but because height reflects a child’s early-life health, absorbed nutrition and experience of disease.
Powerpoint presentation on the CLTS impact study being carried out in Mali, giving information on the background, purpose, baseline and learning so far. The research is being funded by the Bill and Melinda Gates Foundation and conducted as a research collaboration of the Center for Distributive, Labor and Social Studies (CEDLAS) of Argentina (Universidad Nacional de La Plata), UNICEF and the PEP Research Network.
‘Shit’ is a highly sensitive, almost taboo topic across all cultures. Circumventing this sensitivity has contributed to the failure of many programmes aiming to prevent the practice of Open Defecation (OD). The Community-Led Total Sanitation (CLTS) approach is, however, more successful. This article asserts that this can be attributed to the emphasis placed on the ‘power of shit’ and more significantly the disciplinary action of the ‘disgust’ it elicits.
Over the last 30 years, most rural sanitation interventions have had pockets of success, but were small in scale. Learning how to expand on the successes of these small-scale projects to increase access at large scale has been an enduring challenge.
It is widely accepted that India’s “Total Sanitation Campaign has been a failure”.
In 2001 rural sanitation coverage was 22%. In 2011, ten years of Total Sanitation Campaign (TSC) later, the Government of India claimed that coverage was 68%. But recent Census data revealed that real coverage was only 31%. This means that less than one in five toilets reportedly constructed is in place.
A child’s height is one of the most important indicators of her well-being. Height reflects the accumulated total of early-life health and diseases. Because problems that prevent children from growing tall also prevent them from growing into healthy, productive, smart adults, height predicts adult economic outcomes.