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Water, Sanitation & Hygiene

From Haiti to Indonesia: What’s Different, What’s New in CLTS Implementation?

CLTS Learning Series: Lessons from CLTS Implementation in Seven Countries

In an unprecedented multi-country study, using rigorous research design and independent data collection and evaluation, Plan International USA and the Water Institute at the University of North Carolina at Chapel Hill (UNC) are releasing new findings and results about rural sanitation behavior change processes using the Community-led Total Sanitation (CLTS) approach.

This seven country evaluation of case studies presents common features of CLTS implementation, identifies bottlenecks and enabling conditions, and shares lessons relevant to scaling-up CLTS. The research in question identifies implications for practice and delivers policy recommendations across a range of country contexts, including Haiti, Uganda, Niger, Cambodia, Lao PDR, Nepal, and Indonesia. Long-form, individual country reports are complemented by a case study meta-analysis, as well as a briefing paper for rapid review of key insights.

Part of a Bill & Melinda Gates Foundation sponsored applied research project, more findings from the ‘Testing CLTS Approaches for Scalability’ project can be found at:

Download the Learning Brief

Download the Full Report

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