This document outlines a course on Community-Led Total Sanitation (CLTS). It discusses using CLTS to facilitate practical and clinical field attachments. The key principles of CLTS are outlined, including facilitating communities to confront open defecation issues themselves rather than teaching solutions, focusing on collective public health over individual subsidies, and communities taking self-help action without external pressure or standardized designs. The document provides context, assessments, and outlines for using CLTS to structure hands-on fieldwork and community engagement experiences.

1. CMH 204:
PRACTICAL & CLINICAL FIELD
ATTACHMENT USING CLTS
APPROACH
KWARA STATE UNIVERSITY
MALETE.
LECTURER: MS OLULEGAN

2. REVIEW OF
LAST
WEEK’S
WORK
…

3. CLASS ASSESSMENT
DEFINE “CLTS”.
LIST 4 [FOUR] OF THE
FACILITATION
ENHANCEMENT
FACTORS

4. CMH 204
BREATHING
TASK

5. “Happiness doesn't result
from what we get, but from
what we give.” ― Ben
Carson

6. “You give but little when you
give of your possessions. It
is when you give of yourself
that you truly give.” ― Kahlil
Gibran

7. CMH 204
COURSE OUTLINE

8. COURSE OUTLINE
Introduction to CLTS
terminology
Workshop Structure
Training and Learning Activities
and Exercises
Preparing for the Real-life
Triggering

9. COURSE OUTLINE
Community Hands-on Fieldwork
Processing and Reporting
Participants’ Experiences
Communities’ Presentation and
Feedback

10. Discuss …
“Sanitation projects that are
better adapted to local
conditions have a higher
potential for long term
functionality and use”

11. FACTS
2,500,000,000 people
will defecate in the
open or in unsanitary
facilities TODAY!
-WHO/UNICEF 2012

12. FACTS
Open defecation increases
the incidence of diarrhoea
and other diseases, which
kills 1,500,000 children
every year
-UN-Water 2008

14. CMH 204
CORE PRINCIPLES OF CLTS

15. FOCUS ON THE COLLECTIVE
CLTS has a public good
perspective of sanitation. until OD
is fully eradicated, it's ill effect will
affect the whole community.
Instead of counting toilets, ODF
communities are a measure of
success

16. NO SUBSIDY
No individual household subsidies
should be used. Communities
install their own latrines or toilets
with their own resources. Those
who are better-off help those who
are too weak or poor to help
themselves.

17. NO SUBSIDY
The government or
agencies are NOT
exempted from financially
and institutionally
supporting sanitation
interventions.

18. FACILITATION, NOT TEACHING
Teaching or preaching about
sanitation does not work.
Instead hands-off triggering
facilitates the communities to
confront their sanitary reality and
conduct their own analysis of
open defecation.

19. FACILITATION, NOT TEACHING
No standardized top-down
designs are prescribed, but
people innovate and decide
for themselves, thus
avoiding problems of
absorbability.

20. COMMUNITY SELF-HELP ACTION
The community is the one who
leads the process, and no
external pressure is made in
order to put them into action.
Once ignited, information and
encouragement can be
provided.

21. WHY CLTS?
UNIQUENESS OF THE APPROACH &
RELATIONSHIP WITH PRACTICAL
AND FIELD ATTACHMENT