Community-Led Total Sanitation: Conceptual Approach to Intestinal Parasites Control in Rural Areas, Cote d’Ivoire

Abstract

Lack of appropriate sanitation, with poor hygiene and unsafe water, are sources of the spread of diseases. Ongoing efforts to control neglected tropical diseases, including helminth and intestinal protozoan infections, must be maintained and strengthened with new approaches. The aim of this study was to test the adherence of communities to the Community-Led Total Sanitation (CLTS) approach. The study was conducted in three (3) departments in south- central Côte d'Ivoire. In practice, the process of implementing CLTS involves 5 major steps: i) Mapping of defecation areas, ii) Calculating of human fecal matter quantity and medical costs, iii) Walk of shame, iv) Analysis of contamination pathways, v) Community decision making and latrine construction. Overall, latrine coverage and usage rates have increased considerably in the intervention localities. In particular, out of the 26 localities where the CLTS was applied, 11 reached a latrine coverage rate higher than 80%, 6 of which reached a 100% coverage rate. The results of this work should be used to raise awareness in rural communities about the importance of building and using latrines. Furthermore, CLTS implemented on a large scale can contribute to achieving Goal 3 and 6 of the Sustainable Development Goals (SDGs).