Indonesia's Total Sanitation and Sanitation Marketing Program
2016
This case study describes the implementation of a sanitation program to eliminate open defecation and reduce diarrheal disease in Indonesia. As of 2005, an estimated 27 percent of Indonesians, including 37 percent in rural areas, practiced open defecation. In late 2003, Indonesia field staff from the World Bank’s Water and Sanitation Program (WSP) identified one potential solution to the sanitation crisis: Community-Led Total Sanitation (CLTS), a new approach focused on self-motivated, community-level behavior change that increases demand for good sanitation and changes social norms. This case describes the implementation and scale-up, impact, and costs of the CLTS approach, which was used along with sanitation marketing, development of an enabling environment, and routine monitoring for Open Defecation-Free (ODF) status.
This case study is part of Millions Saved: New Cases of Proven Success in Global Health, a collection of case studies produced by the Center for Global Development that profiles 18 remarkable cases in which large-scale efforts to improve health in low- and middle-income countries succeeded, and 4 examples of promising interventions that fell short of their health targets when scaled-up in real world conditions. The cases featured on the website are shortened versions of the respective book chapters in the print edition.
Indonesia's Total Sanitation and Sanitation Marketing Program
Source:
Glassman A, Temin M. Indonesia’s Total Sanitation and Sanitation Marketing Program. Millions Saved: New Cases of Proven Success in Global Health. Center for Global Development 2016. http://millionssaved.cgdev.org/case-studies/indonesias-total-sanitation-and-sanitation-marketing-program.