This community-led total sanitation (CLTS) blog outlines progress on CLTS in Kenya, noting the difference in approach in Ghana and Ethiopia, and highlights the new approaches taken by some disabled people, working towards the goal of making Kenya open defecation free (ODF)
Community – led sanitation often neglects the poorest and most disadvantaged people in society as they are often unable to participate. This paper looked at the experiences of three CLTS communities in Bangladesh. It found that a well being ranking, amongst other things, should be used to help identify vulnerable members in the community and that vulnerable people themselves strongly believe in the power of CLTS to improve their livelihoods and their importance in the participation of CLTS activities. Furthermore, vulnerable people are motivated to move up the sanitation ladder and most households have made improvements to their latrine. Finally, the installation of toilet seats on latrines to aid disabled people has in some cases decreased the sanitation independence of other household members
"This report provided results of a study of living conditions among people with functional limitation in Mozambique. Two comparative studies of different indicators of living conditions were carried out. These studies include: (i) a comparative study of households with and without family member(s) with functional limitation and (ii) a comparative study of individuals with and without functional limitation. In addition, a detailed study that specifically addresses the situation of individuals with functional limitation was also conducted"
This report is a synthesis of three individual country studies on Community-led Total Sanitation (CLTS) activities in WaterAid programmes in Bangladesh, Nepal and Nigeria. The studies examined whether CLTS had led to sustainable and equitable sanitation behaviour change. The study explored whether achieving open-defecation-free (ODF) status is a necessary but not sufficient condition for the entire community to use and maintain hygienic latrines in the long-term. Also, where possible, the study explored the additional factors that enhance the probability that ODF status will translate into entrenched behaviour change, as well as the capacity of communities to move onwards up the ‘sanitation ladder’
Using a rights-based approach, this project sought to develop the capacity of poor and marginalised groups in South and South-East Asia both to influence practice and policy, and for information exchange and skills transfer by health and development agencies. The project focused on four main themes: training, advocacy, communication and networking, and the lessons learned from it are set out in the report
Since establishing a programme in Nigeria in 1995, WANG and partners have tried several approaches to promoting sanitation which have not yielded sustainable changes. In its attempt to seek a more sustainable methodology, WANG initiated the pilot testing of the Community Led Total Sanitation (CLTS) approach which aimed to facilitate a participatory process of empowering local communities to improve their sanitation situation. This evaluation report assesses the efficiency, effectiveness and relevance of the CLTS programme, and recommends ways of improving and scaling up the programme in Nigeria. The evaluation provides wide ranging evidence that that CLTS is an effective approach to establishing hygiene and sanitation practice in Nigeria, but the effectiveness varied depending on certain conditions which will need to be taken into consideration when scaling up the initiative
This report presents the findings of a study about the livelihoods of people with disability in Zambia using both individual data and data from household surveys with and without people with disabilities. The report, one of a series of regional research reports to establish baseline data on living conditions among people in Southern Africa, looks at the fields of health, employment, education, living conditions and services for people with disabilities
"This is an empirical cross-disability study among successful persons with hearing, visual and motor impairments. It tries to explore the threads of resilience which may be attributed to personal as well as environmental factors within the Ethiopian context. As it is the first attempt in the country, it is presumed to bring a fresh insight in the field and serve as a basis future intervention and research endeavour"
Chapter 5 from the book "Disability in Ethiopia: Issues, Insights and Implications" by Tirussew Teferra
Overall, young people today are better off than previous generations, but many are still severely hindered by a lack of education, poverty, health risks, unemployment and the impact of conflict. The World Youth Report 2003 provides an overview of the global situation of young people. The first ten chapters focus on the priority areas of education, employment, extreme poverty, health issues, the environment, drugs, delinquency, leisure time, the situation of girls and young women, and youth participation in decision-making as identified by the World Programme of Action for Youth (WPAY) adopted by the General Assembly in 1995. The remaining five chapters address some of the newer issues that were later identified as additional priorities for youth and were adopted by the United Nations Economic and Social Council (ECOSOC) in 2003
Can people remain healthy in a world that is sick? Many ecological disasters can be directly traced to careless exploitation of the environment, with human beings as first perpetrator and then victim. Our health closely mirrors the health of our surroundings: this is the basis of the Ecohealth approach. It recognizes the links between humans and their biophysical, social, and economic environments, and that these links are reflected in the population's state of health. This is a new area of research, requiring input from scientists, community and interest groups, and decision-makers. This book describes this new approach, providing lessons and recommendations from various IDRC-supported research activities. It demonstrates how decision-makers, in particular, can use the ecohealth approach to formulate policies and solutions that are both immediately visible and sustainable over the long term
for a WASH programme to be inclusive, it has to respond to the local context. This factsheet provides a checklist of some of the issues to take into account to make WASH programmes more inclusive
Source e-bulletin on Disability and Inclusion