The document discusses the challenges of sustaining Open Defecation Free (ODF) status in villages across India, emphasizing the need for continuous community engagement and proper maintenance of sanitation facilities. To address these issues, an innovative 'ODF Clinic' initiative has been launched in Uttar Pradesh, involving collaboration among health departments and local governance to ensure ongoing support and education. Orientation sessions have been conducted to prepare local officials for the implementation of this initiative in various districts.

1. Open defecation Free ( ODF) Clinic : an Innovative approach for ODF-S
An Introduction:
We aware that the most important objective of the SBM ( Gramin) is achievement &
sustainability of ODF Status. Now villages, GP, block, districts & state are now becoming ODF
but still its sustainability is a major challenges.
ODF Sustainability means
 Maintaining the ODF status of the Villages, GPs, Blocks & districts over a continued
period of time
 Ensuring continuous usage of toilet & practice of safe & hygienic behaviours by the
community
 Continued functionality of the assets created under SBM
 Decentralized operation & maintenance arrangements for assets
And the major key issues in context of ODF sustainability is
 Continued usages of toilets by all
 Lack of toilet /Inappropriate technology
 Operation & maintenance
 Persistent Community engagement
 Availability of water for the use of toilet
 Focus on other hygienic behaviour
So to address the all key issues & maintain the sustainability it is very important that
community has a platform where all these issues solved by the Govt officers, Pradhan ,
Swachhagarhis & Nigrani Samiti.
To ensure the community engagement to address all key issues solution under UNICEF
Programme “ Accelerating ODF in five district of Uttar Pradesh “ Plan International has
initiated a very innovative approach “ ODF Clinic” i.e. a convergent action of Health, ICDS,
Panchayati Raj department under the supervision of district magistrate in Bhadhoi &
Sonbhadra.
In mirzapur Swachhata Clinic was already launched before 3 month now our team pushing
district administration for its implementation. With our support ODF clinic roaster is now
prepared in Mirzapur & Bhadhoi & in Sonbhadra it is now under process.
In bhadhoi we have facilitated one day orientation of ADOs & BC on ODF Clinic for their
understanding on it because on grassroots they have to implement it.

2. Lauching of ODF Clinic at Sonbhadra & Bhadhoi
Figure 1ODF clinic launched by DM, CDO & DPRO at Sonbhadra
Figure 2ODF clinic launced by DM, CDO at Bhadhoi

3. Block level orientation at Bhadhoi
Figure 3District Level Orientation on ODF Clinc at Bhadhoi in presence of CDO, DRPO, DPC by UNICEF & Plan International
Consultant

4. Media Coverage :