by Laurie Markle, Abel Maganani, Oswell Katooka et al.
PLoS Negl Trop Dis 11(1): e0005131 – Published: January 12, 2017
Many cases of diarrhea in developing countries can be prevented through access to sanitation and water. Initially taking flight in Asia, the Community-Led Total Sanitation (CLTS) approach was a novel shift in sanitation and hygiene improvement interventions from providing individual, household latrine subsidies to propelling subsidy-free, community-driven behaviour change. An innovative service delivery and monitoring system dubbed “CLTS M2W” uses mobile phones, automated data feedback loops, and engagement of traditional leaders to provide communities with the ability to clearly see their progress towards sanitation goals. CLTS M2W paved the way for unprecedented CLTS uptake in Zambia, facilitating the creation of over 1,500,000 new users of sanitation in 18 months. In short, CLTS creates the demand, and CLTS M2W creates the critical transparency necessary to drive sustained behaviour change.