This paper is based on the Knowledge Sharing Forum of the same name. It examines the conditions for success in sanitation programs and strategies that lead to robust implementation in various countries.
- Demand and motivation for safe sanitation must come before physical implementation and continue with support for sustained new practices after construction.
- Supply chain products and services need to meet the generated demand quickly and at affordable costs, matching consumer preferences.
- Systematic program implementation is a key to sustained behavior change, where high priority is given to continuing capacity building through training, visits, and support.
- Committed leadership by government at all levels is key to scaling up the sanitation effort, which may include promotion of leadership at local levels and an institutional structure dedicated to the sanitation campaign.