1. To reduce diarrheal disease, we need to get FECES out of the
environment... Out of water, off hands, out of the food we eat
... Break the cycle of ‘oral-fecal’ contamination...
9. Paradigm shift
• Behavior change NOT toilet construction
• Address the collective NOT individuals
• Ignition for community action NOT upfront
hardware subsidy without demand
10. Community led Total
Sanitation
Source: WSP, 2007. An approach that works, Field Notes, February.
10
Communities are “ignited”
Commit to total latrine coverage
Each & every member of the community will have toilet
(and handwashing station) & stop open defecation.
The community supports and enforces
14. –Calculating the amount to feces
produced (week, month and
annually, etc.) to illustrate the
magnitude of the sanitation problem.
–One ‘evacuation’ = 100 grams
–Number of evacuations a day
–Volume of feces per person/day
– Number of people in room
Shit calculation
Flow Diagram
– Volume of feces a day, a week, a year
–? WHERE DOES IT ALL GO????
15. –Calculating the amount to feces
produced (week, month and
annually, etc.) to illustrate the
magnitude of the sanitation problem.
–One ‘evacuation’ = 100 grams
–Number of evacuations a day
–Volume of feces per person/day
– Number of people in room
Shit calculation
Flow Diagram
– Volume of feces a day, a week, a year
–? WHERE DOES IT ALL GO????
18. Issues
• Quality of latrines
– Meeting minimum standards
– Moving up the sanitation ladder
• Handwashing
• Need for follow up and interpersonal communication
• Pairing with market-based approaches
• Financing
