Bethany Lomas

Using practical triggering tools to promote handwashing in Madagascar

Studies show that handwashing with soap can reduce the risk of contracting diarrhoea by up to 47%. In Fort Dauphin, a small town in the South East of Madagascar, poor hygiene practices and widespread open defecation has had serious consequences for a population struggling with diarrhoea and malnutrition. Poverty and poor infrastructure means that the overwhelming majority of residents do not have in-house water connections. Water must bought by the bucket, at public water points throughout the town. With water such a scarce resource, handwashing is not always seen as a primary concern.

Public toilets: a viable interim solution? Reflections from the 39th WEDC conference

The WHO/UNICEF joint monitoring programme defines improved sanitation as access to individual household toilets. This ultimate goal advocates for every family to access and maintain their own latrine - providing the dignity, safety and convenience of not having to share. However, in many urban areas issues of land ownership, space and a lack of infrastructure make this an impossible aim. Although CLTS has been very successful in creating the demand for sanitation, we must look further to viable and sustainable solutions in urban settings which can respond to these challenges.

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