August 2019

Policy Diffusion in the Rural Sanitation Sector: Lessons from Community-Led Total Sanitation (CLTS)

Zuin, V., Delaire, C., Peletz, R., Cock-Esteb, A., Khush, R., Albert, J. (2019). Policy Diffusion in the Rural Sanitation Sector: Lessons from Community-Let Total Sanitation (CLTS). World Development. 124: 104643: doi.org/10.1016/j.worlddev.2019.104643

ABSTRACT

Worldwide, 892 million people practice open defecation, most of whom live in rural areas of South Asia and Sub-Saharan Africa. Community-Led Total Sanitation (CLTS) is the most widely deployed approach to generate demand for, and use of sanitation facilities. CLTS relies on behavioral change and community self-enforcement to end open defecation. Since its genesis in Bangladesh in 1999, CLTS has spread to approximately 60 countries, mostly in Asia and Africa, and is employed by the majority of development organizations operating in rural sanitation.

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