The ODF Malawi 2015 Strategy and National Hand Washing Campaign have contributed to an increased focus on handwashing with soap (HWWS) in Malawi. CLTS is one of the key interventions used for sanitation and hygiene promotion in Malawi, with handwashing (HW) as a key component of ODF status achievement. However, the tools used to trigger for handwashing appear minimal and could therefore be improved upon. This report reviews current methods for triggering for handwashing and CLTS and assess their effectiveness in creating handwashing facilities and increasing the presence of soap. It also suggests areas for improvement and describes new triggering tools that have been piloted and evaluated.