The Struggle of Ending Open Defecation in Adadama, Cross River State


A community-led sanitation approach ended the practice of open defecation, a major cause of water pollution and stomach diseases. The program educated people to change social norms and laws requiring every household to own a toilet and punishing those who defecated in the river with a substantial fine were critical to its effectiveness. The community drove the program, with widespread adoption made easier by the benefits like fewer flies and less stomach illnesses. Low budget toilets, requiring only labor to dig a hole and resources available in the bush, were constructed so that everyone could afford it.

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