GOAL, in partnership with the Kenema District Health Management Team is undertaking an IrishAid funded pilot project on Community Health Clubs. The Clubs aim to provide a community platform where topics such as WASH, communicable diseases, nutrition, and reproductive/maternal and child health can be covered. The behaviour change activities are being delivered at community level by Community Health Workers, and this is complimented by club savings and loans schemes, and sanitation marketing. The approach to sanitation and hygiene builds on some of the methods of CLTS, and could be described as ‘CLTS+’.… Read More


Significant progress has been made in rural sanitation in Sierra Leone in recent years using Community Led Total Sanitation (CLTS). However studies have indicated that toilet usage may not be sustained over time, as the toilets made from local materials may quickly fall into disrepair. The Ministry of Health & Sanitation, together with the International NGO Goal has piloted Sanitation Marketing in a rural area in the east of the country, to promote more durable sanitation products through developing the customer base, product range and private sector supply. This video summarises the approach and lessons learned from this initial pilot in the sector.… Read More


This manual was designed by the Ministry of Health and Sanitation (MoHS), UNICEF and GOAL to help support Natural Leaders during the pre-triggering, triggering and follow-up of CLTS communities. The manual gives simple examples of how to carry out each stage of CLTS.… Read More