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The benefits of conventional rural sanitation programming and service delivery are often not spread equally, and risk leaving disadvantaged groups behind. Greater attention needs to be paid to these groups to achieve adequate and equitable access to sanitation for all, and an end to open defecation.

This issue of the Sanitation Learning Hub's Frontiers of Sanitation (the second in a two-part series) examines support mechanisms designed to help disadvantaged groups access and use hygienic toilets as part of efforts to drive more equitable rural sanitation outcomes. It covers the latest thinking on the opportunities and challenges of support mechanisms, and explores what works remains to be done.

The issue uses a broad definition of ‘support’ for creating equitable outcomes. Although financial and physical subsidies often come to mind, a broader practical understanding of support needs to encompass both ‘hardware’ mechanisms and ‘software’ approaches, as well as various combinations of the two.

Translations in Portuguese, French and Khmer are available via the Sanitation Learning Hub website. 

The ‘Sustainable Total Sanitation (STS) Nigeria project –implementation, learning, research, and influence on practice and policy’, funded by the Bill & Melinda Gates Foundation, aimed to improve the effectiveness, efficiency, inclusion and sustainability of total sanitation approaches for the poor and underserved in Ekiti and Enugu States in Nigeria, and contribute to wider national and regional good practice.

Sanitation Marketing, also known as ‘SanMark’, is an emerging field that combines social and commercial marketing approaches to scale up demand and supply of improved sanitation facilities. It involves a more comprehensive demand and supply strengthening strategy drawing on social and commercial marketing as well as behaviour change communication approaches.

As part of the Sustainable Total Sanitation (STS) project, WaterAid Nigeria, in collaboration with community members in two states (Enugu and Ekiti)developed an affordable, accessible and durable sanitation product named the Water Easy Toilet (WET).

The project also aimed to generate learning on another sanitation approach –  Community-led Total Sanitation (CLTS). CLTS is one popular approach to increasing sanitation coverage. CLTS works with an entire community to identify the negative effects of poor sanitation, especially the practice of open defecation, and empowers them to collectively find solutions.

Please note, there is a French translation and a Portuguese translation available.

SDG 6.2 calls for sustainable sanitation for all before 2030. Yet over 2 billion people still lack access to basic sanitation facilities. Ensuring good sanitation and hygiene practices for everybody means ending open defecation, tackling existing challenges with access and use, and ensuring all sanitation facilities are safely managed.

Climate change is an added complexity in an already challenging landscape – it exacerbates these challenges and has cascading effects on health and livelihoods. Climate change impacts disproportionately affect already disadvantaged and marginalised groups, jeopardising efforts to Leave No One Behind in the drive for sanitation and hygiene for all. There is a real risk that progress made in improving rural sanitation access and coverage will slow, or even reverse.

The global sanitation sector has taken initial steps to incorporate responses to climate change into rural sanitation programming and services. However, much of the discussion has focused on technological improvements.

There is limited actionable guidance on how the rural sanitation and hygiene sector can make systemic changes through planning and implementing project delivery, enabling demand, changing behaviour, addressing social norms, monitoring and evaluation, and more at the local level. Furthermore, the voices of vulnerable people, households, and communities who are at the forefront of experiencing climate change impacts on sanitation are largely absent in existing discussions.

This publication aims to address these gaps in rural sanitation and hygiene thinking through:

• unpacking the reasons behind the limited progress towards addressing climate change in the sanitation and hygiene sector;
• exploring climate impacts on rural sanitation and hygiene practices;
• placing people, households, and communities at the centre of programming using participatory methods for learning; and
• providing actionable ideas to integrate climate thinking and learning into rural sanitation and hygiene programming at the household and community level.

Rural sanitation practitioners already consider many types of risk in the design and implementation of programmes. This publication supports rural practitioners in civil society and government to add a climate lens to existing programmes. It provides the sector with a menu of options and ideas from a climate change perspective. It is not a prescriptive list or a ‘one size fits all’ approach.

Practitioners can draw on various ideas and parts of this guidance and modify them to suit specific programmatic and regional contexts. The quotes included are from interviews with sanitation and hygiene practitioners. They describe their experience with programming in contexts increasingly challenged by climate related concerns.

The Sanitation Learning Hub's Frontiers of Sanitation series provides practical, evidence-based guidance and recommendations on essential emerging issues and approaches to programming and learning.

The sanitation and hygiene (S&H) situation in most of West Africa is considered to be a cause for concern, despite the efforts and the large campaign towards Sustainable Development Goal (SDG) 6.2.

This rapid desk-based study focused on local governments, given their increasing importance in ensuring improved access to Sanitation & Hygiene (S&H) in West Africa, and across the world.

It was conducted to identify local governments that could be considered champions in the West African region and that demonstrated strong leadership in S&H; to understand why they have prioritised S&H, the support they received, the stakeholders, the management of inequalities, and the gaps in sub-national governments’ efforts regarding S&H prioritisation.

This is part of the Sanitation Learning Hub’s Learning Brief series.

This publication is also available in French.