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How does Community-Led Total Sanitation (CLTS) promote latrine construction, and can it be improved? A cluster-randomized controlled trial in Ghana

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  • Harter, Miriam
  • Inauen, Jennifer
  • Mosler, Hans-Joachim

Abstract

Open defecation is connected to poor health and child mortality, but billions of people still do not have access to safe sanitation facilities. Community-Led Total Sanitation (CLTS) promotes latrine construction to eradicate open defecation. However, the mechanisms by which CLTS works and how they can be improved remain unknown. The present study is the first to investigate the psychosocial determinants of CLTS in a longitudinal design. Furthermore, we tested whether CLTS can be made more effective by theory- and evidence-based interventions using the risks, attitudes, norms, abilities, and selfregulation (RANAS) model.

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  • Harter, Miriam & Inauen, Jennifer & Mosler, Hans-Joachim, 2020. "How does Community-Led Total Sanitation (CLTS) promote latrine construction, and can it be improved? A cluster-randomized controlled trial in Ghana," Social Science & Medicine, Elsevier, vol. 245(C).
    • Handle: RePEc:eee:socmed:v:245:y:2020:i:c:s0277953619307002
    DOI: 10.1016/j.socscimed.2019.112705
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    References listed on IDEAS

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    5. Tumwebaze, Innocent K. & Mosler, Hans-Joachim, 2015. "Effectiveness of group discussions and commitment in improving cleaning behaviour of shared sanitation users in Kampala, Uganda slums," Social Science & Medicine, Elsevier, vol. 147(C), pages 72-79.
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    1. Alhassan Abdul Mumin & Abdul-Rahim Mohammed & Toyibu Issahaku & Baba Iddrisu Musah, 2024. "How has community-led total sanitation (CLTS) affected open defecation in urban communities in the Tamale Metropolis?," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 26(8), pages 21353-21368, August.
    2. Nguyen, Cuong Viet & Phung, Tung Duc, 2024. "Financial incentives for sanitation take-up: A randomized control trial in rural Vietnam," Journal of Health Economics, Elsevier, vol. 97(C).
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