by Amy J Pickering, Habiba Djebbari, Carolina Lopez et al.
The Lance global Health, Volume 3, No. 11, e701–e711, November 2015
Community-led total sanitation (CLTS) uses participatory approaches to mobilise communities to build their own toilets and stop open defecation. The aim of this study was to undertake the first randomised trial of CLTS to assess its effect on child health in Koulikoro, Mali. The authors conclude that in villages that received a behavioural sanitation intervention with no monetary subsidies, diarrhoeal prevalence remained similar to control villages. However, access to toilets substantially increased and child growth improved, particularly in children <2 years. CLTS might have prevented growth faltering through pathways other than reducing diarrhoea.