Shocking imagery and cultural sensitivity: a CLTS case study from Madagascar

Approaches addressing widespread open defecation practices in southeast Madagascar must navigate strongly held cultural values, traditions and taboos. In the urban commune of Fort Dauphin, this has resulted in SEED Madagascar’s adoption of a ‘hybrid’ approach to CLTS through Project Malio, a three-year urban sanitation project which seeks to instigate behaviour change by increasing access to improved sanitation in households and schools.