In this IDS Working Paper, Robert Chambers (CLTS Knowledge Hub, IDS) and Gregor von Medeazza (UNICEF) argue for a more inclusive framework for thinking about and dealing with undernutrition. One concept is FTIs (faecally-transmitted infections). This is designed to avoid the reductionisms of faecal-oral infections, waterborne diseases, and the focus on the diarrhoeas to the neglect of less dramatic and less measurable FTIs especially environmental enteropathy. A second concept is the 5 As – availability and access which both have oral associations, and absorption, antibodies and allopath
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.
Participatory Learning and Action Notes Issue 61 focuses on Community-led Total Sanitation in Africa.
Kamal Kar’s Trainers’ Training Guide on Community-Led Total Sanitation (CLTS), published by the Water Supply and Sanitation Collaborative Council (WSSCC).
This In Focus Policy Briefing asks how we can maximise the great potential for transforming rural sanitation that CLTS offers.
Robert Chambers (March 2009)
Hands of majority of motivators in Fatehgarh Saheb rise to a question – ‘how many of you have taken shit in your hands?’
It is surprising. Hands rise without hesitation, with pride though. One would expect hands rise to holding a sweet in hand, their child in arms, or a precious thing, may be. But shit?
Asked don’t they feel the disgust, they reply in negative. They say that this way, they are able to explain most convincingly the relation between shit, flies and food. A sarpanch (village headman) seconds this – he says people get moved by this the most.
Monitoring is always an important part of the development process, especially in CLTS. What are the factors and milestones we discuss when it comes to improving Water, Sanitation and Hygiene? We discuss Open Defecation Free status (ODF). We discuss uptake of handwashing with soap. We also discuss the construction of latrines. All of these factors can be indicators that will point to improved sanitation standards and the potential reduction of diarrheal disease. But how can we monitor and evaluate these indicators in a regular, timely, and accurate way?