1. MINISTRY OF HEALTH AND SANITATION
PARTNERS MEETING ON IMPROVING CLTS (+)
IN SIERRA LEONE
THURSDAY 28TH APRIL,2016
PRESENTED BY: DORIS BAH
NATIONAL WASH COORDINATOR-ENVIRONMENTAL HEALTH DIRECTORTE

2. APROACH OF CLTS SUMMARY APPROACH Community visitation
Community meeting
Community planning
Community actions
Community appraisal
Community declaration
Community monitoring and follow up?????

3. SUMMARY CHALLENGES OF CLTS
Co-existence of Subsidies
Sustainability of sanitation infrastructures.
Sustainability of hygiene behavior change
Monitoring and follow up of ODF WASH activities at district/ chiefdom/ community levels.
Lack of adequate skilled staff to facilitate effective CLTS.
Appropriate technologies for all communities
Having CLTs at scale and climbing sanitation ladder
Lack of national approved CLTS guidelines

4. Way forward/recommendations to Sustain CLTS Benefits
Approved national CLTS guidelines
Sanitation stock taking forum
Scale up to cover entire country
Long term investment on behavior change communication in ODF communities.
Mainstreaming sanitation monitoring and follow ups into WASH line ministries routine monitoring activities district / chiefdom/ communities levels

5. Current Measures to Sustain and improve on CLTS
Political will (Presidential Post Ebola recovery-10-24mths)
Current Arrangement/Prospect for Sustenance of Programme Benefits
Sanitation marketing and appropriate technologies
Consistent behaviour change promotion by natural leaders and other health care workers (CHWS).
Communities monitoring / follow ups and reprimands in ODF communities

6. QUESTIONS FOR DISCUSSIONS
What is our perception of CLTS
What have we captured from CLTS
What do we think we can include to improve on CLTS(+)
Do we All see the need for a National CLTS Guidelines.
What is it we all can do together for a holistic framework and a roadmap in addressing a sustainable CLTS?

7. THANK YOU FOR YOUR ATTENTION
DISCUSSION ON THE WAY FORWARD