Social health and economics of CLTS (Burkina Faso)

The purpose of this study is to highlight the quantitative and qualitative contribution of Community-Led Total Sanitation (CLTS)to these socio-sanitary and economic changes in term of hygiene and sanitation inside ODF communities. To achieve the objectives of the study, social, economic and health data were collected from households and reference persons in the health districts of Léo, Sapouy, Gourma and Kompienga. After processing and analysing this data, it appears that CLTS contributed to a latrine coverage of 95% in the villages of the centre west and 69% in the villages of the East. Diarrhoea decreased by 40% and intestinal parasitosis decreased by 43% after the deployment of CLTS in all these villages. The number of consultations related to these diseases has also reduced by 57% in all these villages. CLTS has also contributed to changing social norms in hygiene and sanitation, strengthening social cohesion and saving at least 50% on household health expenditure. In view of all the evidences from the study, CLTS is recommended as an entry approach for sanitation programs in Burkina Faso. However, a number of aspects need to be improved for the acceleration of scaling up the end of open defecation at the national level.