Sustainability of latrines is a key issue in CLTS. Sandy or rocky soils, seasonal flooding and termites can present challenges to communities who have taken sanitation into their own hands as a result of CLTS and are building latrines. The CLTS Handbook identifies the need for participatory design approaches during follow-up sessions with triggered communities. Sanitation marketing programmes have also applied participatory design through engaging users and sanitation suppliers to create innovative sanitation technologies.
Sanitation and Hygiene in Africa: Where do We Stand? (IWA Publishing 2013, eds Piers Cross and Yolande Coombes) takes stock of progress made by African countries through the AfricaSan process since 2008 and the progress needed to meet the MDG on sanitation by 2015 and beyond. This book addresses priorities which have been identified by African countries as the key elements which need to be addressed in order to accelerate progress.
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.