122. Global Delivery Initiative – Know-How that Works: How to Scale Up Rural Sanitation Service Delivery in Indonesia

How did Indonesia provide 25 million rural people with access to improved sanitation in the last decade? Was its paradigm shift—from subsidizing the purchase of latrines to changing people’s behavior—responsible for its success? This case study tracks how the government and development partners introduced community-led total sanitation (CLTS) and developed total sanitation and sanitation marketing (TSSM). It identifies key delivery challenges implementers faced and analyzes the decisions and actions they took to help overcome many of them. This case study presents contextual conditions, traces the implementation process, states lessons learned, and shows how the case study informs the science of delivery. This case is about improving citizen outcomes. The government and its partners focused on achieving benefits, gaining support by publicizing successes, and then scaling up. As a result of this shift in paradigm, 25 million people gained access to improved sanitation in rural Indonesia in the last decade. The change improved health outcomes, including the reduction of diarrheal and parasitic diseases, and enhanced the overall quality of life for Indonesia’s rural citizens. (Link)


Glavey, S.; Haas, O. 2015. Global Delivery Initiative – Know-How that Works: How to Scale Up Rural Sanitation Service Delivery in Indonesia. The World Bank. 23 p.

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