The Open Defecation Free (ODF) Malawi 2015 Strategy and National Hand Washing Campaign have been contributing to an increased focus on hand washing with soap (HWWS) in Malawi. Some studies estimate that washing hands with soap can reduce diarrhoeal disease rates by up to 50% and respiratory disease rates by up to 25%. Since Community Led Total Sanitation (CLTS) is the key intervention for sanitation and hygiene promotion in Malawi, it provides an excellent opportunity to facilitate hand washing behaviour change.
The Lukenya Notes are a collection of experiences and key recommendations from the IDS meeting of CLTS practitioners held in Lukenya, Nairobi in July 2011, immediately after the AfricaSan3 meeting. The aim of the workshop was to focus on the key challenges we all face in taking CLTS to scale. Insights, case studies and options are clustered by themes which emerged from workshop brainstorming.
This paper draws on the extensive involvement of Kamal Kar with the spread of CLTS in Africa to describe the early stages of the process, to elaborate on its developments and to outline insights into the circumstances and features which have facilitated its rapid spread. Taking a broadly comparative approach which draws on the somewhat earlier experience of the spread of CLTS in Asia, it identifies aspects of the institutionalisation process and circumstances, including key individuals, that have contributed to the success of the approach in Africa.
Participatory Learning and Action Notes Issue 61 focuses on Community-led Total Sanitation in Africa.