Sierra Leone Impact evaluation of Community Led Total Sanitation (CLTS) approach (2008- 2015)

The companies SaafConsult BV and 4G consite s.r.o. present the Evaluation Report (ER) for the impact evaluation of Community-Led Total Sanitation approach in Sierra Leone Country Program (2008 - 2015). Major recommendations: 1. (CLTS related): Intervene beyond CLTS particularly with more focus on hygiene promotion and education – continuing integration of Community Health Clubs but with more focus on hygiene education using approaches like PHAST (Participatory Hygiene and Sanitation Transformation). 2. (CLTS related): Study carefully the piloted sanitation intervention particularly of its approach (local construction) and suitability for the local condition and appropriate with more technologies for the communities to choose - including VIP, double pit/compost latrines, pour flush, etc. 3. (CLTS related): Provide intermediary solution to CLTS ODF communities to enable them sustain ODF by provision of communal latrines/latrines in public buildings and space (health centres, mosques/churches, markets, town meeting places etc.). 4. (CLTS related): Analyse options for capitalizing community savings (VSL) by depositing funds in banking institutions in Sierra Leone. 5. (CLTS related): Monitor rate of CLTS latrines/toilets which collapsed or are not used in ODF declared communities to inform where intervention is needed to sustain benefits of ODF and avoid massive return to OD. 6. (GOAL processes and mechanism): Incorporate government structures on district level directly in the design and delivery of future interventions including budgetary provisions stating concrete responsibilities, target indicators to be met and institutional building measures to be reached in order to attain results foreseen. 7. (Systemic): Delink future CLTS interventions from subsidy led organizations by either placing CLTS directly on government structures or creating a joint organization/department to promote CLTS exclusively. 8. (Systemic): Develop for all interventions an exit strategy (at least a phasing out plan) indicating main government organizations/structures which will guarantee sustainment of results after project completion including strategy of ramping up financial and human resources to do so. 9. (Systemic): Reflect formally experience from CLTS in Public Health Ordinance revision exercise carried currently by MoHS (Ministry of Health and Sanitation).