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. 2016 Oct 5;95(4):925-927.
doi: 10.4269/ajtmh.16-0210. Epub 2016 Jul 11.

Chiengi District, Zambia Open Defecation Free After 1 Year of Community-Led Total Sanitation

Rabson Zimba  1 , Vernon Ngulube  2 , Chinyama Lukama  2 , Abel Manangi  2 , Amy Tiwari  1 , Nicolas Osbert  3 , Alexandra Hoehne  3 , Sarah Muleya  2 , Leonard Mukosha  2 , Philippa Crooks  2 , Cade Chikobo  2 , Benjamin Winters  4 , David A Larsen  5
Affiliations

Chiengi District, Zambia Open Defecation Free After 1 Year of Community-Led Total Sanitation

Rabson Zimba et al. Am J Trop Med Hyg. .

Abstract

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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Figures

Figure 1.
Figure 1.
Chiengi district is one of the most remote districts in Zambia lying > 400 km from the capital city of Lusaka, Zambia. It lies on the shore of Lake Mweru and is characterized by water-logged sandy soils.
Figure 2.
Figure 2.
Only 12% of households in Chiengi District had access to a latrine when the community-led total sanitation intervention first started. Within a year, access to sanitation increased to 100% of households. Latrine collapses during the rainy season and construction of new housing units led to decreased coverage in April 2015, but full coverage quickly rebounded.
See this image and copyright information in PMC

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