Kenya Malawi Uganda Ghana Niger Zambia Ethiopia issues MOHPHS has to do CLTS. This means lots of pressure; facilitation is minimal Personal in Plan Kenya to support CLTS on the group- e.g. currently only one person at Plan Kenya focusing on CLTS Potential CLTS project participants’ expectation for hardware support from the project emanating from their previous experiences of hardware projects implemented by Plan Sierra Leone. Managing such expectation remains a challenge during triggering. organizations hijacking the programme Lack of between the different organizations and government Harmonizing CLTS programme Staffing from Plan Ghana- high turnover of staff Implementation Of CLTS in area Which have subsidised latrines; pressure to start activities because of the delay (April 2011); choice of first communities as part of TOT training in precipitation Stakeholder dependency on Plan to support pre-trigger exercise and inadequate sustainability approach of champion facilitators a)Health Extension Program Supervisors force Health Extension Workers to trigger villages without keenly doing pre-triggering issues b)Scattered communities Triggering Allowance issues as different organizations provide different “promises” (a form of subside) Community members who have witnessed CLTS triggering processes in communities do share the process involved beforehand and this has negatively affected the shame and disgust that ignite them into action. It only Creating real ownership- so not community ownership but individual behaviour change CLTS and resources required- CLTS is low cost but this does not mean no costs Mixed approaches (e.g. PHAST) being used in the villages Subside issue from other programmes Scaling up the quality of facilitators Resources for doing CLTS (e.g. petrol to go to villages) Relaxation of engoueent in some communities; Persistence of the susidy idea; Communities found hope to obtain from Plan new investments after CLTS project Implementation; Stakeholder dependency on Plan support (stationery, allowances and transport) and inadequate sustainability approach of champion facilitators a)Poor quality of triggering leading to poor quality ODF b)Lack of potable water in the communities
created a false enthusiasm to construct latrines. issues Quality assurance issues Maintaining ODF Documenting what we have- capturing our experiences Recording of information by illiterate natural leaders/project volunteers during post triggering monitoring visits as well as documentation of learning and experiences remain a huge challenge. Maintaining the sanitary condition of latrines after four months of ODF still remain an issue because in some instances when the thatch dried up they are not being replaced early enough unless being reminded to do so. Also when the soap finishes in the latrines they are Construction of latrines- season variation Communities are taking a lot of time to reach ODF; Little commitment of some strategic partners for CLTS; Persistence of mixed approach in the same area; Support the Lateral Diffusion of CLTS and exchange visits; Involvement of children (School governments); The use of versus Inadequate follow-ups, absence of trained District Joint Monitoring Programme teams, inadequate documentation of CLTS activities a) Other work loads for HEWs has resulted in poor post triggering follow up & support b) Huge budgetary need for verification at scale. b) Lack integration and supervision by health offices .