Community Led Total Sanitation A critical perspective June Michelle Kooy Senior Lecturer, IWSG

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Community Led Total Sanitation A critical perspective June 2015 Michelle Kooy Senior Lecturer, IWSG

Global politics of sanitation How does politics & power shape how we define sanitation, access to sanitation, and thinking on who should provide?

Learning objectives 1. Describe the latest shift in sanitation approaches and the envisioned roles for society, state, and market. 2. Explain the emergence and dominance of the new grassroots approach through global politics. 3. Identify the alignment between grassroots ideology and global neoliberal processes within CLTS. Global politics Grassroots

Lecture units Unit 1 politics & power Unit 2 the origin of CLTS Unit 3 the successes of CLTS Unit 4 explaining the success

What is sanitation?

What is access to sanitation?

Who should provide access to sanitation? The State Community Market

2.5 billion people roughly 37 per cent of the world s population lack access MDG 2015 target will not be met until 2026

Politics & Power Politics is about relationships involving power how it is used how it influences behaviours how it influences decision making processes Politics is about who gets what, when, how

How politics has shaped our ideas on sanitation: WHAT should be provided (access/technology; software/hardware) WHO should provide, HOW it should be provided, WHO gets to decide?

Community Led Total Sanitation

Questions What are the key characteristics of this approach to sanitation? What are the values behind this approach? WHAT should be provided (access/technology; software/hardware) WHO should provide, HOW it should be provided, WHO gets to decide?

CLTS Zero subsidy Grassroots, demand led Triggering > disgust, shame Originated for rural areas

Scaling up Grassroots approach that has caught like wildfire 56+ countries worldwide Adopted as rural sanitation strategy in 20+ countries Championed by key leaders/donors: World Bank, UNICEF, WHO, WaterAid, PLAN International

Emergence of CLTS failures of previous sector approaches Failure to reach 2015 MDGs Need for innovative approaches > social motivation

Shifts: Sanitation sector reforms 1. Infrastructure only, top down, government led (1970-80s) 2. Mix between hardware + software add-on afterwards (1980-90 s) 3. Software only, demand driven, zero subsidy (CLTS)

The success of CLTS What are the indicators of success? Success of the policy vs. success of the implementation?

CLTS and increased access Lack of monitoring and evaluation data Triggered vs. ODF vs. Improved access Moving past ODF towards improved access Household investments Tracking progress: long term sustainability

Sustainability? 2013 research by Plan International Ethiopia, Kenya, Sierra Leone and Uganda 4960 households in 116 villages where CLTS had been triggered 2 year before Over 90% slippage rate, if a wider set of criteria for ODF qualification was included: lid over the latrine squat hole, having hand washing facilities with water and soap or soapsubstitute. http://www.communityledtotalsanitation.org/resource/odf-sustainability-study-plan

CLTS and social equity Social exclusion blame and shame... marginalizing those who are already poorest in the community Community rights vs. Individual rights

The success of CLTS Successful uptake of the model # of countries adopting this approach global dominance Cost effective approach Large numbers: ability to reach MDGs

But also. How can we explain the success of CLTS by looking at how it aligns with neoliberal processes and ideology? (global politics)

WHAT should be provided WHO should provide HOW it should be provided WHO gets to decide?

WHAT should be provided -software/awareness programs -access to markets WHO should provide -community + market HOW it should be provided -decentralization (demand led) -commercialization WHO gets to decide? -donors, global actors, or community?

Does a community led approach need to be only CLTS? Does the government have a responsibility towards those who can not afford to move up the sanitation ladder?

Neoliberal processes Decentralization self-help; devolution from the state responsibilities to be filled by community + private-sector Commercialization of sanitation Entrepreneurs Marketing approaches

Alignment CLTS Grassroots orgins CLTS Global model Government No subsidy Regulation Coordination between actors Global processes Decentralization Society Self- led Self-financed Demand oriented Responsible for their own development Decentralization Market? Providers of services, at cost Commercialization

Communities are responsible for their own development..and they should pay for it

Learning objectives 1. Describe the latest shift in sanitation approaches and the envisioned roles for society, state, and market. 2. Explain the emergence and dominance of the new grassroots approach through global politics. 3. Identify the alignment between grassroots ideology and global neoliberal processes within CLTS. Global politics Grassroots

Resources CLTS Knowledge Hub: www.communityledtotalsanitation.org Bartram, J, Charles, K, Evans, B, O`Hanlon, L, Pedley, S. Commentary on community led total sanitation and human rights: should the right to community wide health be won at the cost of individual rights? J Water Health 2012, 10:499 503. doi: 10.2166/wh.2012.205. Galvin Mary. Talking shit: is Community Led Total Sanitation a radical and revolutionary approach to sanitation?. WIREs Water 2015, 2: 9-20. doi: 10.1002/wat2.1055 Mehta and Movik (2012) Shit Matters: The Potentials of CLTS. Practical Action

Poo Party https://www.youtube.com/watch?v=_pj4l 7C2twI

UNICEF India: Take the Poo to the Loo the goal of the campaign is to encourage people particularly adolescents and community leaders to push for change by taking action in their communities. It s a matter of dignity and a matter of empowerment of the people, UNICEF hopes India can follow the examples set by neighboring countries. In 2000, Bangladesh implemented the CLTS sanitation approach that engaged community members and village leaders. The government reached its goal of 100 percent sanitation in 2010, five years ahead of schedule. https://news.vice.com/article/unicef-is-inviting-india-to-a-poo-party

MDG Goal 7 (MDG7) Target 10 halve by 2015 the proportion of people without sustainable access to safe drinking water and basic sanitation. Joint Monitoring Program (UNICEF/WHO) Basic sanitation is improved sanitation facilities that ensure hygienic separation of human excreta from human contact. They include: Flush or pour-flush toilet/latrine to a piped sewer system, a septic tank or a pit latrine. Ventilated improved pit latrine Pit latrine with slab. Composting toilet.