This review is focused on ‘water and health’ and seeks to share lessons learnt from the Western Sumatra Islands, Indonesia where communities are leading the eradication of open defecation through an approach known as Community Led Total Sanitation (CLTS). With the apparent increasing frequency and intensity of hydro-hazards, hydrological ex-tremes and water-related disasters being witness in the Philippines the presentation will demonstrate that these approaches enable communities to increase resilience and to bet-ter self manage sanitation in the event of natural disasters. The paper will also expand upon how SurfAid International is piloting this approach in the early recovery processes in the aftermath of the M7.6 September 30th West Sumatra Earthquake. The paper will out-line the links between CLTS and how it can positively impact on conflict mitigation and community participation in the management of water resources. The paper is geared at the development practitioners who aim is to improve human lives. It is line with MGD 7. The paper is also useful to other land and water managers as the prescribed process of CLTS is focused on the reduction of bacterial contaminate from diffused point sources through the reduction of open defecation. Lessons from the paper also can also be employed by hazard managers to help better prepare communities to be able to self manage sanitation in emergency responses.
14. Community Led not SurfAid led! We only provide tools and provoke! Individuals who volunteer their time from the community – Natural Leaders
15. Total Sanitation Is only achieved once the burned of sanitation related diseases are minimised. Diarrhoea is the single biggest disease burden from poor sanitation [ODF, Diarrhoea, waster water, composting]
21. 20 million people do not have access to improved sanitation. Economic Impacts of Sanitation in the Philippines, WB An approach that works: CLTS Lessons from Sumatra
27. Step 2 Triggering “ Triggering is based on stimulating a collective sense of disgust and shame among community members as they confront the crude fact about mass open defecation and its negative impacts on the entire community.”
In all my time work in Davao I always worked in the clean side of water, working to maintain quality and diversity, however since going to Indonesia I have gone to the dart side. To look at what we dump into water rather than take out. Sanitation. A cirital use, and one that we all use just about everyday.
So what?
Today we will share lessons from W sumatra
SurfAid are the main proponent behind joining HELP Network
We have only been truly implementing CLTS for less than a year, but it is being observes as one of our most powerful and empowering com-munity based approaches.
Working in remote location SAI provide innovative health tools to unleash NLs to provoke social movements that save lives at scale
Sanitation is the collection, transport, treatment and disposal or reuse of human excreta, domestic wastewater and solid waste, and associated hygiene promotion. the international aid system is overlooking diarrhoea, the second biggest killer of under fives after Acute Respiratory Infections.
According to the CLTS handbook “Triggering is based on stimulating a collective sense of disgust and shame among community members as they confront the crude fact about mass open defecation and its negative impacts on the entire community.” Through repeated field triggering SurfAid has learnt that the key success of triggering lays on a series activity that use PRA approaches and are designed to trigger specific feelings, such as pride, shame, disgust, safety and comfort, worry to get sick. When activities move from one to another, the feelings are also built till it reaches the ‘triggering momentum’ where community has to make a choice to deal with a problem and take action or not.
We have distilled five critical step that can be adapted to every health module rolled out to communities tackling a full range of health issues and unleash NLs to provoke social movements that save lives at scale. Every step Zero subsidy and community led, now that’s high level leverage!
According to the CLTS handbook “Triggering is based on stimulating a collective sense of disgust and shame among community members as they confront the crude fact about mass open defecation and its negative impacts on the entire community.” Through repeated field triggering SurfAid has learnt that the key success of triggering lays on a series activity that use PRA approaches and are designed to trigger specific feelings, such as pride, shame, disgust, safety and comfort, worry to get sick. When activities move from one to another, the feelings are also built till it reaches the ‘triggering momentum’ where community has to make a choice to deal with a problem and take action or not.
Go to more than one site Push the community to go all the way Mark the site with a bright flag Take photos to highlight your interest
Aug 2007 We also had another 7 built in Sirombu, but the follow up was to too week to expect anything like ODF. Teamwork, dedicated facilitation, NLs and intensive follow up are listed in the top five drives in spreading of CLTS