World Bank2016-08-022016-08-022016-03-29https://hdl.handle.net/10986/24749This report summarizes the results, lessons and recommendations to the Government of Lao PDR from two Technical Assistance projects (TA) “Supporting Demand Creation for Sanitation through Community Led Total Sanitation” and “Sanitation Marketing in Lao PDR” carried out by the World Bank’s Water and Sanitation Program between October 2012 and December 2015. The development objective of the TAs was to increase improved sanitation and hygiene practices and change community behavior to achieve Open Defecation Free (ODF) status at the village level. This report documents the results and lessons learned from the TA program that includes experiences both from government-led rural sanitation service delivery within two provinces in Southern Lao PDR (Champasak and Sekong) , as well as from national-level engagement to strengthen systems, tools and capacity building approaches for scaling-up rural sanitation service delivery. The report makes recommendations to government on how - with the support of development partners – the effectiveness and scale of rural sanitation services can be increased to achieve sustainable sanitation outcomes for the rural population of Lao PDR. It also proposes recommendations for the engagement of the World Bank Water Practice in the sector in support of rural sanitation service delivery, aligned with lending operations,notably the Poverty Reduction Fund (PRF3) and the Health Governance and Nutrition Development Project (HGNDP). In addition a number of important learnings at implementation level are highlighted, so that operational processes can be improved to make last-mile delivery more effective and efficient.en-USCC BY 3.0 IGOSANITATIONWASTESOCIAL MOBILIZATIONRISKSVILLAGE LEADERSLATRINE USEHOUSEHOLD OUTPUTVILLAGESENTERPRISE DEVELOPMENTPEOPLEREMOTE REGIONSSANITATION SERVICEVILLAGEINFORMATION SYSTEMINCOMEPREVENTIONLATRINENEEDS ASSESSMENTWATER SUPPLYHEALTHNATIONAL POVERTYSAFE WATERSANITATION PROJECTSENVIRONMENTAL HEALTHRURAL POORRURAL POPULATIONSANITATION PROMOTIONCONFLICTRURAL WATERSOAPINTERNATIONAL BANKSAFE DISPOSALPUBLIC HEALTHRURAL CONSUMERSHYGIENE PRACTICESPOVERTY REDUCTIONKNOWLEDGEMICRO FINANCE INSTITUTIONCOMMUNITY DEVELOPMENTSAVINGSTECHNICAL ASSISTANCERURAL HOUSEHOLDSHYGIENE BEHAVIORSINTERVENTIONPOOR HOUSEHOLDRURAL WATER SUPPLYWATER TREATMENTRURAL CONSUMERPOOR DISTRICTSROLE OF WATERTRANSFERSHEALTH MANAGEMENTMARKETINGPOOR RURAL HOUSEHOLDSMICRO FINANCESAFE WATER SUPPLYRURAL VILLAGESSOCIAL DEVELOPMENTCASH TRANSFERSTOILETSSANITATION ACTIVITIESFINANCEHEALTH PROMOTIONTOTAL SANITATIONPOSTERSNUTRITIONAL STATUSSOCIAL MARKETINGGRANTHUMAN CAPITALRURAL POOR HOUSEHOLDSPOVERTY ERADICATIONRURAL COMMUNITIESWORKERSBASIC HYGIENESURVEILLANCEFLUSH TOILETSRURAL SANITATIONBANKRURAL FAMILIESWATER SANITATIONHYGIENE PROMOTIONHYGIENERURAL POVERTYURBAN AREASHOUSEHOLDPROMOTIONAL MATERIALSSANITATION SECTORENTERPRISEAGRICULTURAL LANDDECISION MAKINGMALNUTRITIONRURALINSTITUTIONAL CAPACITYCOMMUNITY DEMANDNUTRITIONPUBLIC WORKSWORKSHOPSHANDWASHINGRURAL MARKETSSUPPLY CHAINSANITATION INTERVENTIONSWEIGHTTARGETINGECONOMIC DEVELOPMENTCHILDRENSANITATION SERVICESDRINKING WATERINVESTMENTPOVERTYRURAL AREASCLEAN WATERLATRINE CONSTRUCTIONVILLAGE BANKINSTITUTIONALIZATIONSANITATION COVERAGERURAL DISTRICTSPOORSTRATEGYFAMILIESSANITATION SERVICE DELIVERYRURAL SANITATION COVERAGESAFETYHEALTH AND HYGIENERURAL DEVELOPMENTREMOTE AREASIMPLEMENTATIONBEHAVIOR CHANGECLEANLINESSGUARANTEEDEVELOPMENT BANKHYGIENE ISSUESNURSINGINEQUALITYSANITATION SITUATIONSANITATION FACILITIESMFIPOOR HOUSEHOLDSReportWorld Bank10.1596/24749