This document discusses the challenge of improving access to sanitation in rural West Bengal. It provides data showing that about half of rural households still lack access to toilets. It analyzes toilet access levels by district, identifying the lowest, middle, and highest performing areas. The document outlines a strategy to achieve an open defecation free status in 1077 villages by 2016 through focused interventions, community involvement, and behavior change communication campaigns using the character Meena. It emphasizes that the goal is not just toilet construction but ensuring sustainable use through community ownership, monitoring, and involvement in the sanitation process.