This note summarises the potentials and limitations of using a CLTS approach in peri-urban and urban environments. It identifies the actions needed to take the approach to scale. It is one output from a workshop convened by the CLTS Knowledge Hub at the Institute of Development Studies, and Plan International Ethiopia in Addis Abba between June 13th-15th 2016. A more detailed report can be found on the CLTS Knowledge Hub website.
Over the past few years, the Sanitation Learning Hub, in collaboration with the Government of India, Praxis, WSSCC and WaterAid India, have been developing Rapid Action Learning approaches. Multiple approaches have been trialled, with flexible formats, but the essential criteria is that learning is timely, relevant and actionable.
These learning approaches are the focus of the latest edition of the Frontiers of Sanitation series. This Frontiers explains the advantages and disadvantages of the approaches trialled and sets out a challenge to those working in the water, sanitation and hygiene sector to:
- Reflect on what, for you, constitutes rigour.
- Adopt and adapt approaches to fit your context and needs.
- Develop your own approaches.
- Record your experiences and lessons learnt.
- Take the time to share your experiences with us. (Email the Hub on SLH@ids.ac.uk)
To commemorate and reflect on the publication, the Hub sat down with colleagues and partners WaterAid India and WSSCC to discuss lessons learned and the future of Rapid Action Learning. You can watch these five short videos in the playlist below.
How do you think we learn best? What barriers do you see and experience that make it more difficult for us to learn? And what steps should we be taking to reduce the barriers and improve how we learn more effectively?
This Sanitation Learning Hub Learning Paper summarises the key learning from a rapid topic exploration on ‘Learning in the Sanitation and Hygiene Sector’.
The study looked at how people in the WASH sector learn, the processes utilised and what works best, as well as the barriers and challenges to learning. It looks at learning from communities and peer-to-peer and how the learning gets translated into action at scale.
This paper shares the lessons from sector and associated actors working in low- and middle-income contexts around the world and makes recommendation on how to strengthen learning and sharing processes, as well as building capacities and confidence for learning, with the ultimate aim of turning that learning into action at scale. A shorter learning brief accompanies this paper.
Opening the Doors to the Hidden WASH Needs of Women from the Onset of the Perimenopause in Urban Ghana
Recent debates on ensuring equity and inclusion in sanitation and hygiene provision in the Global South have begun to explore the needs of excluded groups of individuals. Yet, the sanitation and hygiene needs of perimenopausal (PM) women, who are making the transition to menopause, are neglected.
This study explores this new field of research and aims to provide recommendations to meet the sanitation and hygiene needs of PM women. Opening the doors to these needs warrants the use of adaptive, participative, feminist methodologies, placing PM women at the centre of the study to enable them to share their experiences. This research uses a six-stage case study methodology: a literature review, a phenomenological review, research design, case study selection, data collection, and data analysis.
This research identified several sanitation and hygiene needs as crucial to PM women’s health. This research concludes that the hidden sanitation and hygiene needs of PM women require participatory techniques to reveal them. Relationships with certain people allow PM women to discuss and meet the sanitation and hygiene needs to a degree. PM symptoms vary in nature, between women and day to day. This research demonstrates that the sanitation and hygiene sector needs to become more attentive to bathing and laundry issues overall, learning from the needs of PM women.
With PhotoVoice research participants can express themselves in a visual medium instead of using words, which is beneficial for those who can’t communicate their WASH needs as easily or find it difficult to speak about taboo issues.
This Sanitation Learning Hub Learning Paper explores the potential of an innovative participatory visual method known as PhotoVoice to help to achieve universal access to water, sanitation and hygiene (WASH) by 2030. The paper outlines what PhotoVoice is, and shares learning relating to its use in the WASH sector around the world for research, programming and advocacy.
It draws on lessons learned from these experiences to show how PhotoVoice can be used for learning in WASH, how it can be used with other methodologies to explore topics which are neglected or taboo, and the benefits and drawbacks of PhotoVoice to consider. It includes practical recommendations for using PhotoVoice in WASH and the ethical considerations to make when it is used. The paper reflects on how PhotoVoice is important for exploring new frontiers in WASH, and can help us gain a deeper understanding into how people experience, interpret and respond to their realities.
This paper explores the idea of learning from failure in the sanitation sector. The recent trend of ‘admitting failure’ in aid and development forces sanitation practitioners, researchers and policymakers to ask if we can and should address failure more openly in order to improve our work.
The ideas in this paper developed from discussions at a workshop on ‘learning from failure’ convened by the UK Sanitation Community of Practice (SanCoP) designed to kickstart this debate. We first discuss the concept of failure itself and identify different approaches to learning from failure relating to sanitation.
These include acknowledging past failures in order to learn and adapt, and planning for ‘safe’ future failures through deliberate experimentation and innovation. We also argue that a series of further steps are required: understanding relevant previous approaches to learning from failure in the sector; recognising different types of failure; seeking different actors’ perspectives on failure; and framing the debate about failure constructively rather than negatively.
In the second part of the paper we examine different practical examples of how actors in the sanitation sector have tried to learn from failure, to assess how this happened and what changes resulted. In the final section of the paper we conclude with suggestions for how individuals and organisations working in sanitation and international development more widely can learn from failure. We also propose SanCoP itself as one example of a ‘safe space’ in which people can meet to discuss and learn from failure.
As a sector, we want to be better at reaching the unreached and not only ensure that the rights of people who may be disadvantaged are met, but also make better use of their skills, knowledge and contributions as part of sanitation programmes globally.
A well-facilitated Community-Led Total Sanitation (CLTS) programme that proactively considers and involves disadvantaged people has been shown to have many benefits. Absence of such programmes can often have negative impacts and make it difficult to sustain open defecation free status.
This issue of the Sanitation Learning Hub's Frontiers of Sanitation looks at who should be considered potentially disadvantaged, how they can effectively participate, and how to address diverse needs in order to make processes and outcomes sustainable and inclusive. Using a range of examples from Global Sanitation Fund programmes that were part of a recent study on equality and non-discrimination, it explores the challenges that may occur and concludes with suggested good practices that can strengthen processes to the benefit of all.
Support Mechanisms to Strengthen Equality and Non-Discrimination (EQND) in Rural Sanitation (Part 2 of 2)
Looking at 50 programmes that used support mechanisms, this rapid review emphasises the importance of monitoring, evaluating and knowledge-sharing processes in building an evidence base for facilitating equitable rural sanitation outcomes.
The benefits of conventional rural sanitation programming and service delivery are often not spread equally, and risk leaving disadvantaged groups behind. Greater attention needs to be paid to these groups to achieve adequate and equitable access to sanitation for all, and an end to open defecation.
This issue of the Sanitation Learning Hub's Frontiers of Sanitation (the second in a two-part series) examines support mechanisms designed to help disadvantaged groups access and use hygienic toilets as part of efforts to drive more equitable rural sanitation outcomes. It covers the latest thinking on the opportunities and challenges of support mechanisms, and explores what works remains to be done.
The issue uses a broad definition of ‘support’ for creating equitable outcomes. Although financial and physical subsidies often come to mind, a broader practical understanding of support needs to encompass both ‘hardware’ mechanisms and ‘software’ approaches, as well as various combinations of the two.
This resource includes six examples of where slippage has occurred and what has been done to reverse it. It aims to lay the groundwork for more systematic learning among practitioners.
There is widespread recognition that slippage of open defecation free (ODF) status is a challenge to sustainability across many programmes and contexts. Much has been written about how Community-led Total Sanitation (CLTS) and other sanitation programmes can be set up for sustainability in order to prevent slippage from happening but there is little documented evidence on how slippage can be reversed.
This edition of the Sanitation Learning Hub Frontiers of Sanitation examines what can be done if slippage has already happened. This resource has two parts – the first looks at how slippage is defined, presents a framework for identifying slippage patterns, and revisits the factors known to contribute to slippage. The second section provides six case examples of field experience of slippage and the actions taken to reverse it. It is hoped that this review lays the groundwork for more systematic learning and sharing on slippage to inform current and future programming and practice.
The challenges faced in sanitation and hygiene programmes are numerous and complex. Failures are inevitable. From our experience of working on rapid action learning and research in this sector we have found that when mistakes are shared they are usually those which were uncontrollable and unanticipated i.e. somebody else’s fault.
In this perspectives piece, Jamie Myers and Naomi Vernon from the Sanitation Learning Hub propose a typology of failure alongside criteria for research and learning processes that prioritises timeliness, relevance and actionability. They argue that these can be used together to identify and reflect on failures (and successes) quickly. They provide some practical suggestion for different stakeholders to support a shift towards a more open and reflexive sector, where all types of failures can be shared broadly.
In 2020, WSSCC’s India Support Unit (now UNOPS) piloted a new participatory approach called Community Leave No One Behind (CLNOB) to support the Swachh Bharat Mission Grameen (SBM-G) Phase II. This Sanitation Learning Hub learning brief outlines the purpose of CLNOB, the actions generated by the pilot and our reflections of the CLNOB approach.
The pilot took place in five districts in India (Mirzapur in Uttar Pradesh, Ranchi in Jharkhand, Kamrup in Assam, South 24 Paragnas in West Bengal and Purnea in Bihar). A Prerak (facilitator) was appointed in each district to support this process and work within villages at community level. The Sanitation Learning Hub supported an accompanying learning component of the pilot, facilitating learning sessions between the preraks and the development of a Handbook based on the experience.
This learning brief outlines the purpose of CLNOB, the actions generated by the pilot and our reflections of the CLNOB approach. The CLNOB Handbook, a handbook on Community Leave No One Behind, accompanies this Learning Brief. CLNOB was designed to ensure a participatory method to enable sustained access to safely managed sanitation facilities for people who have been ‘left behind’ or left out of the first phase of India’s national sanitation campaign.
Comprehensive Social Protection Programming: What is the Potential for Improving Sanitation Outcomes?
Millions of people around the world do not have access to adequate sanitation facilities, undermining progress towards Sustainable Development Goal 6.2 that calls for adequate and equitable sanitation for all.
Efforts to improve sanitation outcomes have been rapidly accelerated in the past decade alongside an expansion of different financial incentives or subsidies to promote access to services and motivate sanitation behaviour. In parallel, social protection has become part and parcel of development policy, with many low- and middle-income countries now offering some form of cash transfers to those most vulnerable. Comprehensive interventions that couple financial transfers with complementary support such as behaviour change communication, training, or coaching have also grown increasingly popular.
Despite similarities between water, sanitation, and hygiene (WASH) subsidy schemes and social protection interventions, these policy areas have largely developed in silos and limited cross-sectoral learning has taken place. This paper begins to fill this knowledge gap by assessing the potential for comprehensive social protection in addressing sanitation outcomes and drawing out policy implications for the social protection and WASH communities. It does so by focusing on a social protection programme in the context of extreme poverty in rural Haiti.
Accessible Sanitation in the Workplace – Important Considerations for Disability-Inclusive Employment in Nigeria and Bangladesh
This paper explores the relationship between accessible sanitation and disability-inclusive employment in Bangladesh and Nigeria.
Both countries have sanitation and hygiene challenges as well as disability-inclusive employment challenges, but the existing evidence on the intersection of these issues that is focused on Nigeria and Bangladesh is extremely limited. Building on the literature where this complex issue is addressed, this paper presents the findings of a qualitative pilot study undertaken in Nigeria and Bangladesh. It focuses on the need for toilets at work that are easy for people with disabilities to use in poor countries.
These are sometimes called accessible toilets. Accessible sanitation is not regarded as a challenge that must be addressed by people with disabilities themselves, but as a challenge that must be addressed by many people working together – including governments, employers, and the community.
Exploring the Intersection of Sanitation, Hygiene, Water, and Health in Pastoralist Communities in Northern Tanzania
This paper explores access to water, sanitation, and health in pastoral communities in northern Tanzania.
It argues that the concept of gender, used on its own, is not enough to understand the complexities of sanitation, hygiene, water, and health. It explores pastoralists’ views and perspectives on what is ‘clean’, ‘safe’, and ‘healthy’, and their need to access water and create sanitary arrangements that work for them, given the absence of state provision of modern water, sanitation, and hygiene (WASH) infrastructure.
Although Tanzania is committed to enhancing its citizens’ access to WASH services, pastoral sanitation and hygiene tend to be overlooked and little attention is paid to complex ways in which access to ‘clean’ water and ‘adequate sanitation’ is structured in these communities. This paper offers an intersectional analysis of water and sanitation needs, showing how structural discrimination in the form of a lack of appropriate infrastructure, a range of sociocultural norms and values, and individual stratifiers interact to influence the sanitation and health needs of pastoralist men, women, boys, and girls.