Volume 95, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Nearly one quarter of Zambians lack access to sanitation facilities. In rural communities, the government of Zambia adopted community-led total sanitation (CLTS) to address this problem. One year after the implementation of a mobile-to-web monitored CLTS intervention, Chiengi District, Zambia, was verified as open defecation free with complete 100% coverage of household-level latrines. Chiefs and traditional leaders led the achievement. Impacts on individual health are yet to be measured in a robust way.


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  1. Mara D, Lane J, Scott B, Trouba D, , 2010. Sanitation and health. PLoS Med 7: e1000363.[Crossref] [Google Scholar]
  2. Merchant AT, Jones C, Kiure A, Kupka R, Fitzmaurice G, Herrera MG, Fawzi WW, , 2003. Water and sanitation associated with improved child growth. Eur J Clin Nutr 57: 15621568.[Crossref] [Google Scholar]
  3. Sommer M, Kjellén M, Pensulo C, , 2013. Girls' and women's unmet needs for menstrual hygiene management (MHM): the interactions between MHM and sanitation systems in low-income countries. J Water Sanit Hyg Dev 3: 283297.[Crossref] [Google Scholar]
  4. Sommer M, Sahin M, , 2013. Overcoming the taboo: advancing the global agenda for menstrual hygiene management for schoolgirls. Am J Public Health 103: 15561559. Available at: http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301374.[Crossref] [Google Scholar]
  5. Central Statistical Office (CSO) [Zambia], Ministry of Health (MOH) [Zambia], and ICF International, 2014. Zambia Demographic and Health Survey 2013–14. Rockville, Maryland: Central Statistical Office, Ministry of Health, and ICF International. [Google Scholar]
  6. Brandberg B, , 1997. Latrine Building: A Handbook for Implementing the SanPlat System. London, United Kingdom: Intermediate Technology Publications Ltd (ITP).[Crossref] [Google Scholar]
  7. Sigler R, Mahmoudi L, Graham JP, , 2014. Analysis of behavioral change techniques in community-led total sanitation programs. Health Promot Int 30: 1628.[Crossref] [Google Scholar]
  8. Lawrence JJ, Yeboah-Antwi K, Biemba G, Ram PK, Osbert N, Sabin LL, Hamer DH, , 2016. Beliefs, behaviors, and perceptions of community-led total sanitation and their relation to improved sanitation in rural Zambia. Am J Trop Med Hyg 94: 553562.[Crossref] [Google Scholar]
  9. Pickering AJ, Djebbari H, Lopez C, Coulibaly M, Alzua ML, , 2015. Effect of a community-led sanitation intervention on child diarrhoea and child growth in rural Mali: a cluster-randomised controlled trial. Lancet Glob Health 3: e701e711.[Crossref] [Google Scholar]

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  • Received : 15 Mar 2016
  • Accepted : 31 May 2016
  • Published online : 05 Oct 2016

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