1. Community Led Approaches to Sanitation

2. 2.5 billion people lack sanitation

4. Urban-Rural disparities

5. Disparities by Wealth Quintiles

6. Summary Of the 1.5 billion people in South Asia:
502 M already use improved sanitation
155 M currently use a shared source
756 M still practice open defecation as their only option
Open defecation is declining as a percentage but remains almost constant in terms of numbers

7. Community Led Total Sanitation
Based on PRA
So similar in some ways to SARAR and PHAST

8. Community Analyze their sanitation conditions
Collectively internalize the terrible impact
Systematic triggering
No hardware subsidy
Hands off approach

9. Collective local action to trigger ODF status
Shock, Disgust and Shame

10. Target community not household
Sustainability still unproven
Quality an issue

11. CATS
Based less on a dogmatic approach
More on applied principles

12. Principles Community (includes schools) centered No household subsidy
Multiple triggers
Shame
Health
Economics
Pride
Pressure
Force

13. Hygiene

14. Improving sanitation coverage with equity Trends in reduction of open defecation by wealth quintiles Bangladesh
Poorest nd rd th Richest
Open defecation
Any sanitation facility
Source: DHS 2000 and MICS 2006