Vol. 2 No. 1 (2026): MAAUN International Journal of Postgraduate studies (MIJPS)
Articles

Impact of Community Led Total Sanitation in Reducing Sanitation Related Diseases in Bakori Local Government Area, Katsina State

Published 03/26/2026

Keywords

  • Community,,
  • Sustainable,,
  • Sanitation,,
  • Bakori,,
  • Promoting.

How to Cite

Idris, I. ., Yaro, N. A., & Yakasai, K. M. (2026). Impact of Community Led Total Sanitation in Reducing Sanitation Related Diseases in Bakori Local Government Area, Katsina State. Journal of Institute of Africa Higher Education Research and Innovation (IAHERI), 2(1), 81–94. https://doi.org/10.59479/jiaheri.v2i1.138

Abstract

This study investigated the attitudes towards and effectiveness of the Community-Led Total Sanitation (CLTS) model in addressing sanitation challenges in Bakori Local Government Area (LGA), Katsina State, Nigeria. Using a mixed-methods approach, 454 respondents participated through structured questionnaires, interviews, and observations. The results revealed that community attitudes towards CLTS were significantly positive, with high agreement on the model's benefits in promoting sanitation, reducing open defecation, and improving community health. Quantitative analysis using t-tests confirmed that both attitudes and perceived effectiveness were statistically significant (p < 0.001). Qualitative insights highlighted the importance of community engagement, behavioural change, and the need for sustainable strategies to overcome financial and infrastructural challenges. While the CLTS model has proven effective, sustaining its outcomes requires financial support, durable latrine construction, continuous monitoring, and integration with broader sanitation initiatives. These findings underscore the critical role of community ownership and targeted support in achieving long-term public health improvements in rural settings.

References

  1. Adzimah, I. (2022). Factors Affecting the Implementation of Community–Led Total Sanitation in Central Region, Ghana (Doctoral dissertation, University of Cape Coast).
  2. Ali, M., & Shahreen, T. (2024). Hygiene Promotion Interventions and Their Effectiveness in Protecting Public Health in Rohingya Refugee Settlements in Bangladesh.
  3. Alum, E. U., Obeagu, E. I., & Ugwu, O. P. C. (2024). Enhancing quality water, good sanitation, and proper hygiene is the panacea to diarrhea control and the attainment of some related sustainable development goals: A review. Medicine, 103(38), e39578.
  4. Anas, A. P. (2020). Contribution of community–led total sanitation (clts) in reducing sanitation related diseases in the Kumbungu District (Doctoral dissertation).
  5. Anderson, D. M. (2021). Implementation and Adaptation in Rural Water, Sanitation, and Hygiene Programs (Doctoral dissertation, The University of North Carolina at Chapel Hill).
  6. Andrés, L., Joseph, G., & Rana, S. (2021). The economic and health impacts of inadequate sanitation. In Oxford research encyclopedia of environmental science.
  7. Aondoakaa, S. C. (2019). Investigating the impacts of pit latrines on groundwater quality in Benue State, Nigeria (Doctoral dissertation, University of Nottingham).
  8. Asantewaa-Tannor, P., Emuze, F., & Das, D. K. (2024). Is community-led total sanitation programme ending open defecation? A sustainability perspective from stakeholders in Ghana. Proceedings of the Institution of Civil Engineers.
  9. Asmally, R., Imam, A. M., Eissa, A. A., Saeed, A., Mohamed, A. A. B., Abdalla, E., Esmaeel, M. A. M., Elbashir, M., Elbadawi, M. H., Omer, M., Eltayeb, R., Mohammed, R., Abdalhamed, T., & Merghani, T. (2025). Water, Sanitation and Hygiene in a Conflict Area: A Cross-Sectional Study in South Kordofan, Sudan. Journal of Epidemiology and Global Health, 15(1). https://doi.org/10.1007/s44197-025-00347-4.
  10. Ayadi, P. A., & Rotowa, O. O. (2020). Spatial Heterogeneity in Open Defecation Practice in Residential Zones of Akure, Nigeria. International Journal of Environmental Planning and Management, 6(3), 81-93.
  11. Ayamga, M. (2022). Assessment Of Community-Led Total Sanitation Towards Open Defecation Free Communities In Bawku West District Of The Upper East Region, Ghana (Doctoral dissertation).
  12. Bankole, A. O., James, A. O., Odjegba, E. E., Bankole, A. R., Emmanuel, B. I., Fiore, F. A., ... & Moruzzi, R. (2023). Factors affecting sanitation coverage in three income levels and potential toward achieving SDG 6.2. Water Policy, 25(2), 146-176.
  13. Bappa, M., Akowe, J., & Omejeh, T. E. (2025). The Role of Interagency Collaboration in the Control of Open Defecation in Kogi State.
  14. Barrington, D., Sindall, R., Chinyama, A., Morse, T., Sule, M., Beale, J., ... & Evans, B. E. (2024). The persistence of failure in water, sanitation and hygiene programming.
  15. Belay, D. G., Asratie, M. H., Aragaw, F. M., Tsega, N. T., Endalew, M., & Gashaw, M. (2022). Open defecation practice and its determinants among households in sub-Saharan Africa: pooled prevalence and multilevel analysis of 33 sub-Saharan Africa countries demographic and health survey. Tropical Medicine and Health, 50(1), 28.
  16. Biswas, S., De, I., Mudra, G., & Gupta, D. (2024). Toilet Adoption in Rural India: Social Norms and Behavioural Changes. Taylor & Francis.
  17. Cagnet, D. L. (2022). Facilitators to becoming and remaining open defecation free in Uganda: Implications for community-led total sanitation programming.
  18. Danjin, M. & Sawyerr, H. O. (2019). The challenge of open defaecation (OD) and community-led total sanitation (CLTS) in Nigeria – A Review.
  19. Davies, K., Panulo, M., MacLeod, C., Wilbur, J., Morse, T., Chidziwisano, K., & Dreibelbis, R. (2024). Inclusion of persons living with disabilities in a district-wide sanitation programme: A cross-sectional study in rural Malawi. PLOS global public health, 4(8), e0003005.
  20. Delaire, C., Kisiangani, J., Stuart, K., Antwi-Agyei, P., Khush, R., & Peletz, R. (2022). Can open-defecation free (ODF) communities be sustained? A cross-sectional study in rural Ghana. PLoS One, 17(1), e0261674.
  21. Eneh, S., Onukansi, F., Anokwuru, C., Ikhuoria, O., Edeh, G., Obiekwe, S., ... & Okpara, C. (2024). Cholera outbreak trends in Nigeria: policy recommendations and innovative approaches to prevention and treatment. Frontiers in Public Health, 12, 1464361.
  22. Fagunwa, O. E., Mthiyane, T., Fagunwa, A., Olayemi, K. I., Alozie, A., Onyeaka, H., ... & Ojo, A. (2025). Priority regions for eliminating open defecation in Africa: implications for antimicrobial resistance. Environment, Development and Sustainability, 27(1), 2675-2699.
  23. Ficek, F., & Novotný, J. (2019). Comprehending practitioners’ assessments of community-led total sanitation. Health Promotion International, 34(6), e129-e138.
  24. Galmogle, Y., Kirimi, L. M., Mburugu, K. N., & Eliud, G. K. (2024). Influence of Social and Cultural Factors on Adoption of Community-Led Total Sanitation in Laisamis Sub-County, Marsabit County, Kenya.
  25. Kouassi, H. A. A., Andrianisa, H. A., Traoré, M. B., Sossou, S. K., Nguematio, R. M., Ymélé, S. S. S., & Ahossouhe, M. S. (2023). Review of the slippage factors from open defecation-free (ODF) status towards open defecation (OD) after the Community-Led Total Sanitation (CLTS) approach implementation. International journal of hygiene and environmental health, 250, 114160.
  26. Kouassi, H. A. A., Andrianisa, H. A., Traoré, M. B., Sossou, S. K., Nguematio, R. M., & Djambou, M. D. (2023). Acceptance factors for the social norms promoted by the community-led total sanitation (CLTS) approach in the rural areas: case study of the central-western region of Burkina Faso. Sustainability, 15(15), 11945.
  27. Kumar, G. M., Chaturvedi, P., Rao, A. K., Vyas, M., Sethi, V. A., Swathi, B., & Jabbar, K. A. (2023). Flowing futures: innovations in WASH for sustainable water, sanitation, and hygiene. In E3S Web of Conferences (Vol. 453, p. 01040). EDP Sciences.
  28. Mariwah, S., Drangert, J. O., & Adams, E. A. (2022). The potential of composting toilets in addressing the challenges of faecal sludge management in community-led total sanitation (CLTS). Global Public Health, 17(12), 3802-3814.
  29. Mbemba, E. B. (2022). The influence of social networks on behavioral change and promotion of basic sanitation services in Mzimba, Malawi (Doctoral dissertation, Mzuzu University).
  30. Mebrahtom, S., Worku, A., & Gage, D. J. (2022). The risk of water, sanitation and hygiene on diarrhea-related infant mortality in eastern Ethiopia: a population-based nested case-control. BMC Public Health, 22(1), 343.
  31. Mittal, P., & Bansal, R. (2024). Issues and challenges in community engagement. Community Engagement for Sustainable Practices in Higher Education: From Awareness to Action, 211-224.
  32. Mohetaer, Y., Han, C., Meng, L., Shangguan, Y., & Liu, P. (2025). From Flush to Fulfillment: Unveiling the Influence of Upgraded Sanitation on Subjective Well-Being. Social Indicators Research, 1-36.
  33. Mwatsahu, F. G. (2022). Effectiveness of Community-Led Total Sanitation Activities on Selected Health Outcomes among Children Aged Below Five Years in Kinango Sub-County, Kwale County, Kenya (Doctoral dissertation, JKUAT-COHES).
  34. Nelson, S., Drabarek, D., Jenkins, A., Negin, J., & Abimbola, S. (2021). How community participation in water and sanitation interventions impacts human health, WASH infrastructure and service longevity in low-income and middle-income countries: a realist review. BMJ open, 11(12), e053320.
  35. Odagiri, M., Cronin, A. A., Thomas, A., Kurniawan, M. A., Zainal, M., Setiabudi, W., ... & Pronyk, P. (2020). Achieving the Sustainable Development Goals for water and sanitation in Indonesia–Results from a five-year (2013–2017) large-scale effectiveness evaluation. International Journal of Hygiene and Environmental Health, 230, 113584.
  36. Ongere, I. (2020). An Assessment of Strategies to Sustain Beneficiaries’ Livelihoods by Adventist Centre at Kibagare Slum, Nairobi, County, Kenya (Doctoral dissertation, Egerton University).
  37. Onifade, A. M. (2024). Wastewater infrastructure in Nigeria and the USA: A tale of two nations and their pathway to sustainable development. International Journal of Multidisciplinary Research and Growth Evaluation, 5(4), 179-84.
  38. Radin, M. A. (2024). Understanding the Costs and Benefits of Community-Led Total Sanitation in Eliminating Open Defecation (Doctoral dissertation, The University of North Carolina at Chapel Hill).
  39. Saleem, M., Burdett, T., & Heaslip, V. (2019). Health and social impacts of open defecation on women: a systematic review. BMC public health, 19, 1-12.
  40. Seth, P., & Pingali, P. (2025). Addressing information and credit barriers to making India open defecation free and improving child health: Evidence from a cluster randomized trial in rural India. Plos one, 20(2), e0318198.
  41. Setty, K., Cronk, R., George, S., Anderson, D., O’Flaherty, G., & Bartram, J. (2019). Adapting translational research methods to water, sanitation, and hygiene. International journal of environmental research and public health, 16(20), 4049.
  42. Silveira, M. R. da, Santos, G. B. dos, Faria, G. F., Mendes, S. N. T., & Machado, A. V. M. (2025). Sanitation Challenges in the Complexo da Maré. RGSA: Revista de Gestão Social e Ambiental, 19(1), e010879. https://doi.org/10.24857/rgsa.v19n1-081.
  43. Sullamo, A. E., Mekonnen, E. A., & Mihirete, D. M. (2023). Teacher Educators' Views Vis-à-Vis Their Practices on Facilitating Learning to Teach. Pedagogical Research, 8(4).
  44. Syam, D. M., & Bungawati, A. (2024). The effectiveness of community-led total sanitation cadre intervention in improving stunting knowledge and behavior. Healthcare in Low-resource Settings.
  45. Tchouchu, E., & Ahenkan, A. (2023). Towards a successful implementation of environmental sanitation policy in Ghana: An assessment of key impeding factors. Heliyon, 9(3).
  46. Ukpabi, M. C. (2024). The Consequences of Open Defecation Practice in South East, Nigeria. African Journal of Social and Behavioural Sciences, 14(6).
  47. Utami, U., & Pujihastuti, A. (2025). Improving Health Administration Capacity and Community Nutrition Education to Mitigate the Risk of Environmentally-Based Diseases. Sustainable Applied Modification Evidence Community.
  48. Velleman, Y., Blair, L., Fleming, F., & Fenwick, A. (2023). Water-, Sanitation-, and Hygiene-Related Diseases. In Infectious Diseases (pp. 189-219). New York, NY: Springer US.
  49. Venis, R. A. (2023). Behavior change in water, sanitation, and hygiene: a 100-year perspective. International Studies Perspectives, 24(2), 169-188.
  50. Wasonga, J., Miyamichi, K., Hitachi, M., Ozaki, R., Karama, M., Hirayama, K., & Kaneko, S. (2023). Effects of community-led total sanitation (CLTS) boosting and household factors on latrine ownership in Siaya County, Kenya. International Journal of Environmental Research and Public Health, 20(18), 6781.
  51. Weststrate, J., Dijkstra, G., Eshuis, J., Gianoli, A., & Rusca, M. (2019). The sustainable development goal on water and sanitation: learning from the millennium development goals. Social Indicators Research, 143, 795-810.
  52. Zuin, V., Delaire, C., Peletz, R., Cock-Esteb, A., Khush, R., & Albert, J. (2019). Policy diffusion in the rural sanitation sector: lessons from Community-Led Total Sanitation (CLTS). World Development, 124, 104643.