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The National Sanitation Programme in Lesotho : how political leadership achieved long-term results : Programme national d'assainissement au Lesotho: Comment un leadership du gouvernement permet d'obtenir des resultats a long terme (Francês)

Sound principles for sanitation policies and programs have been discussed and documented for years, but there are very few countries that have actually put them into practice at a national scale. Lesotho is one such example: its national program dates back twenty years but is not well known outside the country. The program shows how determined government leadership, limited subsidies and private sector capability can lead to large increases in national sanitation coverage (from approximately 20% to approximately 53% of the population in twenty years). Its goal is to reduce morbidity and mortality attributable to diseases associated with poor sanitation through health and hygiene promotion and the promotion of the construction of ventilated improved pit (VIP) latrines, and evidence shows that this goal is indeed being achieved. The national sanitation program is subdivided into urban and rural programs, implemented on a district basis. The three outstanding features of the program are: it is a permanent and budgeted part of the government's work, independent of external support agencies; its financing rules are clear, including zero direct subsidies for building individual household latrines; householders directly employ private-sector latrine builders, while the government concentrates on promotion and training. The Lesotho program has been successful in addressing sanitation holistically at a national level, both in the urban centers and in the rural villages. There are, however, still two issues that require solution, namely helping the poorest people and emptying the full VIP latrine pits.


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    Programme national d'assainissement au Lesotho: Comment un leadership du gouvernement permet d'obtenir des resultats a long terme

  • Palavras-chave

    Political leadership; Subsidies; Sanitation services; Hygiene; Health promotion; Ventilated improved pit latrines; Mortality rates; Private sector participation; waste disposal; Household wastes; Institutional arrangements; Traditional technology; Technological innovations; Community participation; User participation; Government role; Government commitments



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