The document summarizes an action research project that tested ecological sanitation options suitable for difficult areas in Bangladesh. 11 low-cost sanitation options were developed and 107 latrines were piloted. The options were tested in various difficult terrain types. Pathogen tests of composted waste found no pathogenic organisms, though parasites were found if not properly dried. The top performing options included fixed chambers with plastic fiber or modified eco pans. The research demonstrated potential for ecological sanitation in difficult areas but identified challenges around proper waste handling, land scarcity, and menstrual hygiene. Continued development, testing and monitoring were recommended.