Community-led total sanitation(CLTS)implementation in West Mamprusi Municipal Assembly in Ghana.What do communities think eleven years on?  

作　　者：Elijah Adam Emmanuel Badu 

机构地区：[1]School of Media,Creative and Social Inquiry,Curtin University,Bentley,Western Australia,Australia [2]School of Population Health,Curtin University,Bentley,Western Australia,Australia

出　　处：《Global Health Journal》2024年第2期67-73,共7页全球健康杂志（英文）

摘　　要：Objective Access to improved sanitation is a fundamental human right and an important aspect of Public Health.However,an estimated thousands of people in Ghana especially,the West Mamprusi Municipal Assembly(WMMA)still have no access to adequate toilet facilities.This has brought untold health repercussions to the inhabitants,the community,and the environment at large.To address this menace,the community-led total sanitation(CLTS)was implemented.This study aimed to assess communities’perspectives on the implementation of CLTS and to understand the factors influencing its success and failures.Methods A mixed-method approach involving sequential qualitative and quantitative methods was employed in this study.Participants for the quantitative study were randomly selected and surveyed using questionnaires.The qualitative study employed focus group discussion involving purposively sampled participants including assembly members,opinion leaders,and assembly staff.Results The CLTS program in WMMA realized an apparent use of construction and proper use of household latrines leading to a reduction of open defecation free(ODF)and two communities achieving sanitized status in the history of the study area,enabling the training of latrine artisans and natural leaders to facilitate the CLTS expansion and sustainability,improved sanitation and hygiene,strengthened the enforcement of community rules and regulations and many others.Conclusion The CLTS program has received more widespread acceptance in the study area than the previous government policy of constructing public toilets,which was greeted with massive failures due to poor implementation.To ensure that gains achieved through CLTS implementation are sustained longer,it is recommended that chiefs and opinion leaders should be involved in the CLTS programs to ensure checks and enforcement.The entrenchment of bylaws and more education to address enduring myths and misconceptions will sustain the program.Subsidies in the form of sanitation loans for latrine construction m

关 键 词：Community-led total sanitation(CLTS) Community development Ghana SANITATION 

分 类 号：R195[医药卫生—卫生统计学]