title: Chiengi District, Zambia Open Defecation Free After 1 Year of Community-Led Total Sanitation.
abstract: Nearly one quarter of Zambians lack access to sanitation facilities. In rural communities, the government of Zambia adopted community-led total sanitation (CLTS) to address this problem. One year after the implementation of a mobile-to-web monitored CLTS intervention, Chiengi District, Zambia, was verified as open defecation free with complete 100% coverage of household-level latrines. Chiefs and traditional leaders led the achievement. Impacts on individual health are yet to be measured in a robust way.
authors.affiliation: Akros, Lusaka, Zambia.
authors.forename: Rabson
authors.initials: R
authors.lastname: Zimba
authors.affiliation: Ministry of Local Government and Housing, Lusaka, Zambia.
authors.forename: Vernon
authors.initials: V
authors.lastname: Ngulube
authors.affiliation: Ministry of Local Government and Housing, Lusaka, Zambia.
authors.forename: Chinyama
authors.initials: C
authors.lastname: Lukama
authors.affiliation: Ministry of Local Government and Housing, Lusaka, Zambia.
authors.forename: Abel
authors.initials: A
authors.lastname: Manangi
authors.affiliation: Akros, Lusaka, Zambia.
authors.forename: Amy
authors.initials: A
authors.lastname: Tiwari
authors.affiliation: United Nations Children's Emergency Fund Water and Sanitation Unit, Lusaka, Zambia.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Osbert
authors.affiliation: United Nations Children's Emergency Fund Water and Sanitation Unit, Lusaka, Zambia.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Hoehne
authors.affiliation: Ministry of Local Government and Housing, Lusaka, Zambia.
authors.forename: Sarah
authors.initials: S
authors.lastname: Muleya
authors.affiliation: Ministry of Local Government and Housing, Lusaka, Zambia.
authors.forename: Leonard
authors.initials: L
authors.lastname: Mukosha
authors.affiliation: Ministry of Local Government and Housing, Lusaka, Zambia.
authors.forename: Philippa
authors.initials: P
authors.lastname: Crooks
authors.affiliation: Ministry of Local Government and Housing, Lusaka, Zambia.
authors.forename: Cade
authors.initials: C
authors.lastname: Chikobo
authors.affiliation: Akros, Lusaka, Zambia. University of Montana School of Public and Community Health, Missoula, Montana.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Winters
authors.affiliation: Akros, Lusaka, Zambia. Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York. dalarsen@syr.edu.
authors.forename: David A
authors.initials: DA
authors.lastname: Larsen
mesh_terms: D003672:Defecation; D005191:Family Characteristics; D006801:Humans; D012111:Residence Characteristics; D012424:Rural Population; D012499:Sanitation / Q000379:methods*; D014038:Toilet Facilities / Q000706:statistics & numerical data*; D015024:Zambia