Community-Led Total Sanitation: A Mixed-Methods Systematic Review of Evidence and Its Quality.

ABSTRACT: BACKGROUND:Community-led total sanitation (CLTS) is a widely applied rural behavior change approach for ending open defecation. However, evidence of its impact is unclear. OBJECTIVES:We conducted a systematic review of journal-published and gray literature to a) assess evidence quality, b) summarize CLTS impacts, and c) identify factors affecting implementation and effectiveness. METHODS:Eligible studies were systematically screened and selected for analysis from searches of seven databases and 16 websites. We developed a framework to appraise literature quality. We qualitatively analyzed factors enabling or constraining CLTS, and summarized results from quantitative evaluations. DISCUSSION:We included 200 studies (14 quantitative evaluations, 29 qualitative studies, and 157 case studies).

SUBMITTER: Venkataramanan V 

PROVIDER: S-EPMC6066338 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature