A Dissertation Submitted in the Partial Fulfilment of the Requirement for
Award of the Degree of Masters of Science in Health Monitoring and Evaluation
(MSc. HME) of Mzumbe University
Most of the diseases which affect the community are caused by poor sanitation.
Improper hand washing or not washing hands after using a latrine, open defecation
are the factors which contribute to the transmission of diarrhoea diseases. In order to
prevent diseases resulting from unimproved sanitation, in 2011, the Ministry of
Health, Community Development, Gender, Elderly and Children (MoHCDEC)
introduced the programme to assist the community to increase the coverage of
improved latrine and hand washing facilities by 50%. This evaluation study was
conducted to assess the implementation of community led total sanitation
programme in Njombe district council under the dimensions of knowledge of the
community on Sanitation programme, identifying the households with improved
latrine after the implementation of the CLTS programme, implementation of
Sanitation programme and examining the progress, shortcomings, challenges and the
lesson learnt of Sanitation programme. The evaluation adopted cross-sectional study
design. Both quantitative and qualitative data were collected from 272 households in
three wards using questionnaire, observational checklist and interview guide. The
study revealed that CLTS programme has successively scaled up the coverage of
improved latrine from 3% before implementation to 98.7% after implementing the
programme. Moreover, the findings showed that households with functional hand
washing facilities has increased up to 68% compared with the previous during
baseline survey which was 3%. This study showed that implementation of CLTS
programme in Njombe district council has brought high coverage of improved
latrine and hand washing facilities among the community. Community led total
Sanitation can be well implemented using available resources found in the
programme area taking into consideration that proper triggering is well conducted.
Njombe district council should continue to strengthen CLTS programme so that to
attain the declaration of open defecation free (ODF)