Home›Open Questions›Does Community-Led Total Sanitation produce durable behavior change, or does open-defecation-free status commonly slip?Open QuestionsDoes Community-Led Total Sanitation produce durable behavior change, or does open-defecation-free status commonly slip?Citation FormatsGeneral ReferenceGeneral Reference Citation TextHealth and Wellness Atlas. "Does Community-Led Total Sanitation produce durable behavior change, or does open-defecation-free status commonly slip?." Accessed August 30, 2026. https://health.interactiveatlas.org/open-questions-index/clts-durable-behavior-change-or-slippage.Copy General ReferenceAPA StyleAPA Style Citation TextHealth and Wellness Atlas. (n.d.). Does Community-Led Total Sanitation produce durable behavior change, or does open-defecation-free status commonly slip?. Retrieved August 30, 2026, from https://health.interactiveatlas.org/open-questions-index/clts-durable-behavior-change-or-slippageCopy APA StyleBibTeXBibTeX Citation Text@misc{healthandwellnessatlas-does-community-led-total-sanitation-prod, author = {Health and Wellness Atlas}, title = {Does Community-Led Total Sanitation produce durable behavior change, or does open-defecation-free status commonly slip?}, year = {2026}, url = {https://health.interactiveatlas.org/open-questions-index/clts-durable-behavior-change-or-slippage}, note = {Accessed August 30, 2026} }Copy BibTeXReference and ClassificationDevelopingFactsOpen QuestionCross-Tradition ConnectionsSourcesComments (0)Reader Challenges (0 open reader challenges)FactsOpen QuestionQuestion StatusWell-attestedOpen 1Open QuestionA systematic review of 200 studies concluded the evidence base on CLTS effectiveness is still weak, with little monitoring or evaluation of impacts despite large international funders backing the approach. A 2013 study of 116 African villages declared open defecation free after CLTS found that, using broader criteria, an overall slippage rate of 92 percent had occurred, and a 2018 study found little evidence for sustained sanitation behavior change as a result of CLTS.What would resolve this Long-term, controlled follow-up studies tracking latrine use, sustained open-defecation-free status and health outcomes several years after a community's CLTS trigger event, rather than short-term post-triggering counts alone.OpenPublic health and development economics, through long-term randomized or controlled evaluation.Wikipedia: Community-led Total SanitationCross-Tradition ConnectionsQuestion OnCommunity-Led Total Sanitation, Practices Well-attested Source Wikipedia: Community-led Total Sanitationtier 2Sources1. Wikipedia: Community-led Total Sanitationtier 2WikipediaEffectiveness section / Challenges and Difficulties sectionQuote, Effectiveness section / Challenges and Difficulties sectionA systematic review of 200 studies concluded in 2018 that the evidence base on CLTS effectiveness is still weak.View the Source1. Wikipedia: Community-led Total Sanitationtier 2WikipediaChallenges and Difficulties sectionQuote, Challenges and Difficulties sectionA study in 2018 found little evidence for sustained sanitation behavior change as a result of CLTS.View the Source1. Wikipedia: Community-led Total Sanitationtier 2WikipediaEffectiveness sectionQuote, Effectiveness sectionIt found that there was little monitoring or evaluation of the impacts of CLTS, even though large international organizations were involved in funding the process.View the Source1. Wikipedia: Community-led Total Sanitationtier 2WikipediaQuestion On: Community-Led Total SanitationView the SourceComments (0)No comments yet. Be the first to share a thought.Sign in to join the discussion.Reader Challenges (0 open reader challenges)No disputes yet. Spotted an error or a better source? Open the first one.Sign in to dispute this or suggest a correction.View At A Past YearThe atlas records no dated fact of its own for this entry, so there is no other year to choose.Show This Year