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Frontiers of CLTS: Innovations and Insights
Practical guidance on new methods, and thinking on broader issues.
Resource library
Resources are listed below chronologically but are also searchable through using the keyword search and the filters in the sidebar, by Topic, Country, Date, Language and Type.
SQUAT Research Brief No. 1: Ending open defecation requires changing minds

Impact of Indian Total Sanitation Campaign on Latrine Coverage and Use: A Cross-Sectional Study in Orissa Three Years following Programme Implementation
Article by Sharmani Barnard, Parimita Routray, Fiona Majorin, Rachel Peletz, Sophie Boisson, Antara Sinha, Thomas Clasen in PLoS ONE 8(8): e71438. doi:10.1371/journal.pone.0071438 based on research on the impact of the Indian Government's Total Sanitation Campaign (TSC) on latrine coverage and use among 20 villages in Orissa.
Challenges of behaviour change in rural north India
Despite large government and NGO programs, despite substantially increased public spending on sanitation, and despite sustained economic growth, open defecation is declining very, very slowly in rural “Hindi heartland” north India. Widespread resistance to using simple latrines in the rural north Indian plains states is a human development crisis and a serious puzzle: this is exactly the place on earth where open defecation is most common and where high population density most raises the human and economic costs of open defecation.
An investigation of the effects of a hand washing intervention on health outcomes and school absence using a randomised trial in Indian urban communities
This research study aimed to evaluate how an intervention, which combined hand washing promotion aimed at 5-year-olds with provision of free soap, affected illnesses among the children and their families and children’s school absenteeism. The study monitored illnesses, including diarrhoea and acute respiratory infections (ARIs), school absences and soap consumption for 41 weeks in 70 low-income communities in Mumbai, India. It showed that direct-contact hand washing interventions aimed at younger school-aged children can affect the health of the whole family.
Are children in West Bengal shorter than children in Bangladesh?
Children in West Bengal and Bangladesh are presumed to share the same distribution of genetic height potential. In West Bengal they are richer, on average, and are therefore slightly taller. However, when wealth is held constant, children in Bangladesh are taller. This gap can be fully accounted for by differences in open defecation, and especially by open defecation in combination with differences in women’s status and maternal nutrition.