|
Introduction Traditionally, in Bangladeshi villages when people wanted to go to the toilet they went behind bushes, in fields, ponds or on riversides. It was considered acceptable for men to defecate in the open anytime, but women could only relieve themselves in the early morning or after dark without embarrassment. Children could go anywhere as their wastes were considered harmless! This open defecation means humans, animals and insects transfer millions of viruses, bacteria, and parasites to people's food and water causing illness and death.

Community-Led Total Sanitation (CLTS)
Since 2000, Village Education Resource Centre and Water Aid Bangladesh have been helping to make big changes in toileting habits through a Community-Led Total Sanitation program. Facilitators would walk around the village with community members, introducing them to the health and environmental dangers of fields being used as toilets. They visited regular toileting sites and broke down social taboos by talking openly about faeces, or ‘poo'. There was usually plenty of laughter. Together, they drew diagrams showing that after rain faeces could flow from open sites into ponds, canals and wells, and eventually onto cooking utensils after washing, as well as onto food itself through flies. With shame and disgust they realised that they had probably been regularly eating their own – and other people's – faeces.
After one such introduction the villagers of Mosmoil in northern Bangladesh quickly decided to adopt 100% sanitation. It was time, they said, to end the age-old practice of open defecation. They learnt how to make a latrine which confined excreta and prevented faeces contaminating surrounding areas. Within a short time every household in the village had such a sanitary latrine. Villagers pledged to always use their latrines instead of going to the toilet in open areas, and to wash their hands straight afterwards.
The villagers soon noticed that these health measures saved them time and money. Clean fields meant growing rice and collecting fuel were more enjoyable tasks and children had more space to play. Women also appreciated the convenience and safety of being able to go to the toilet whenever they needed to.
At school children learnt about washing hands and the need for all people to use the latrines. They took action with a public shaming campaign. They kept watch, and used flags naming the adults who were still going to the toilet in public areas to embarrass them and encourage them to change their toileting habits.

Mosmoil villagers built a sanitary latrine on a site that was once the defecation field. ‘People understood they could no longer defecate in the open without the fear of getting caught. Eventually this practice among the people stopped,' says Zafiruddin Shah, an early convert and keen campaigner for community-led total sanitation.
Shafiul Azam Ahmed/AusAID

Benefits to the community The benefits of being known as a “100% open defecation free area” village attracted positive attention and neighbouring villages quickly followed. It took only 6 months, rather than 17 months in announcing those neighbouring villages were also open defecation free areas. Soon officials from other parts of Bangladesh and other countries such as India , Pakistan and Indonesia visited to learn about the rapid improvements. The villagers felt surprised but proud.
Over time the people have dug new pits or gone for improved models when their latrines are full, further evidence of the sustainability of the program and commitment to preserving a sanitary environment. Taking control of their lives has lead to other changes. Some people are now able to earn a living from making and selling low cost latrine components, such as concrete rings for lining pits and plastic pipes.

Achieving goals
In 2004, the Government of Bangladesh earmarked 20 per cent of the annual development budget to promote sanitation awareness. In three years the sanitation coverage in Bangladesh surged from 33 per cent of households to over 70 per cent. This achievement is much higher than that required to reach the sanitation target of the Millennium Development Goals.
Sharing their knowledge of the community-led total sanitation program is connecting communities throughout South Asia
Major source:http://www.ausaid.gov.au/publications/focus/sep06/focus_sep06_18.pdf
|