Total Sanitation_Julia Rosenbaum
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  • 1. To reduce diarrheal disease, we need to get FECES out of theenvironment... Out of water, off hands, out of the food we eat... Break the cycle of ‘oral-fecal’ contamination...
  • 2. Drinking Water Gets Contaminated ..at the point of collection
  • 3. Handling and StorageTransportDrinking Water Gets Contaminated during ...
  • 4. Reducing DiarrheaRequires GettingFeces Out of theEnvironment...How can webreak the cycle??
  • 5. Community led Total Sanitation
  • 6. Paradigm shift• Behavior change NOT toilet construction• Address the collective NOT individuals• Ignition for community action NOT upfronthardware subsidy without demand
  • 7. Community led TotalSanitationSource: WSP, 2007. An approach that works, Field Notes, February.10Communities are “ignited”Commit to total latrine coverageEach & every member of the community will have toilet(and handwashing station) & stop open defecation.The community supports and enforces
  • 8. Tools/StepsCommunity LedTotal SanitationCLTS
  • 9. Transect Walk
  • 10. Mapping ofDefecation Areas
  • 11. –Calculating the amount to fecesproduced (week, month andannually, etc.) to illustrate themagnitude of the sanitation problem.–One ‘evacuation’ = 100 grams–Number of evacuations a day–Volume of feces per person/day– Number of people in roomShit calculationFlow Diagram– Volume of feces a day, a week, a year–? WHERE DOES IT ALL GO????
  • 12. –Calculating the amount to fecesproduced (week, month andannually, etc.) to illustrate themagnitude of the sanitation problem.–One ‘evacuation’ = 100 grams–Number of evacuations a day–Volume of feces per person/day– Number of people in roomShit calculationFlow Diagram– Volume of feces a day, a week, a year–? WHERE DOES IT ALL GO????
  • 13. Glass water exercise
  • 14. What is Acceptable?
  • 15. 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
  • 16. “Total Sanitation” with additionalfocus on the ‘supply side”
  • 17. Contact InformationJulia Rosenbaumjrosenbaum@fhi360.org