Achieving Safely Managed Sanitation in Riverine and Island Communities in Sierra Leone

<table><tr><td><p dir="ltr">It is estimated that over one million preventable deaths occur each year caused by diarrhoeal diseases due to unsafe sanitation, hygiene and drinking water. In Sierra Leone, access to sanitation is the 8th lowest in any country worldwide. In rural areas only an estimated 37.9 per cent use an improve sanitation facility and 26 per cent practice open defecation, contributing to multiple health, economic and social challenges. This <i>SLH Learning Brief</i> shares findings from research undertaken with Welthungerhilfe in remote riverine and island communities in Bonthe District, a district that has double the national open defecation rate and distinct physical and social conditions that challenge the achievement and sustainability of sanitation services.</p><p dir="ltr">Using a range of participatory research methods, the research engaged participants within communities, district and national government stakeholders and market actors to explore the current state of sanitation infrastructure and use, identifying barriers people are facing to adoption and their knowledge, awareness and cost of different sanitation options in the market. The learning brief also presents new ideas, opportunities and recommendations proposed by stakeholders to improve access through improving infrastructure, reducing costs, data and evidence needed and ongoing community and meso-level engagement in these challenging contexts.</p></td></tr></table><p></p>