Sustaining Latrine Coverage and Use: A Study of Community-Led Total Sanitation Programs in Northern Ghana
Prior studies have identified several aspects of Community-led Total Sanitation (CLTS) program implementation as crucial to both achieve and sustain open defecation free (ODF) communities: (i) the involvement of community leaders, (ii) intensity and duration of follow-up, and (iii) support to poor households, including financial support (Crocker et al., 2016; Tiwari et al., 2017; USAID, 2018; Venkataramanan et al., 2018). USAID/WASHPaLS conducted qualitative research in 15 villages in the Northern Region of Ghana to better understand how community implementation strategies influence sanitation outcomes.
We found that high latrine coverage and consistent use were more common when:
- Natural leaders and/or traditional leaders were active post-triggering and remained active after the declaration of ODF status
- Neighbors provided support for latrine construction.
- CLTS facilitators continued to be engaged post-triggering.
- Women were engaged during triggering and participated as natural leaders.