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CLTS Early Lessons from  The Western Sumatran Islands   MULTI-USES OF RIVER BASINS:Tools to Harmonize Conflicting Interests, Davao City November 2009
Did you know ,[object Object],[object Object],[object Object]
Who suffers? ,[object Object],[object Object],[object Object],[object Object]
How?
CLTS Community Led Total Sanitation
Summary ,[object Object],[object Object],[object Object],[object Object]
Water and health ,[object Object],[object Object],[object Object]
Sanitation: A high impact intervention ,[object Object],[object Object],[object Object],[object Object]
West Sumatra Islands Basin ,[object Object],[object Object],[object Object],[object Object]
West Sumatra Islands ,[object Object]
 
SurfAid International ,[object Object],[object Object],[object Object]
CL  TS
Community Led not SurfAid led!  We only provide tools and provoke! Individuals who volunteer their time  from the community – Natural Leaders
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]
Community Led Total Sanitation (CLTS) ,[object Object],[object Object]
Behavior not hardware ,[object Object],[object Object],[object Object],[object Object]
Diarrhea prevalence v’s latrine usage
History ,[object Object],[object Object],[object Object],[object Object]
MDGs Seriously off track
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
Sumatran Islands Context ,[object Object],[object Object],[object Object],[object Object]
CLTS PROCESS As refined by team SAI
5 major steps  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Step 1. Prepare
Outside In (Before Day 1) ,[object Object],[object Object],[object Object],Outcomes behaviours actions barriers Causes
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.”
Team Huddle And action
 
Step 2. Ice breaker
 
Step 3. Discussion Who actually has a latrine here?
Step 4. Mapping
Step 4. Mapping
 
Step 5. Walk of Shame
 
 
 
 
Step 6. Discussion  Amount of defeaction the village can produce Observe! Who is really engaged!? Who is contributing!?
 
 
Step 7. Clean water drink And then not so clean…
 
 
 
 
 
 
 
First person to decide & act…
Village commitments
Results to Date CLTS ,[object Object],[object Object],[object Object],[object Object]
Latrine built
 
 
 
 
 
 
Human impact
Challenges ,[object Object],[object Object]
Pig pen
Pig pen
Pig pen 3
Pig pen4
Conclusion and Recommendations
Conclusion ,[object Object],[object Object],[object Object],[object Object]
Recommendations ,[object Object],[object Object],[object Object]
 
 
 
Questions?

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Help Davao: SurfAid International early results from CLTS in Nias, Indonesia

Editor's Notes

  1. 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.
  2. So what?
  3. Today we will share lessons from W sumatra
  4. SurfAid are the main proponent behind joining HELP Network
  5. 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.
  6. Working in remote location SAI provide innovative health tools to unleash NLs to provoke social movements that save lives at scale
  7. 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.
  8. 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.
  9. 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!
  10. 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.
  11. 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
  12. 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