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WORKING PAPER 298 IDS_Master Logo Taking Community-Led Total Sanitation to Scale: Movement, Spread and Adaptation Andrew Deak February 2008 IDS_Master Logo_Minimum Size X X Minimum Size Minimum Size X : 15mm X : 15mm About IDS The Institute of Development Studies is one of the world's leading organisations for research, teaching and communications on international development. Founded in 1966, the Institute enjoys an international reputation based on the quality of its work and the rigour with which it applies academic skills to real world challenges. Its purpose is to understand and explain the world, and to try to change it – to influence as well as to inform. IDS hosts five dynamic research programmes, five popular postgraduate courses, and a family of world- class web-based knowledge services. These three spheres are integrated in a unique combination – as a development knowledge hub, IDS is connected into and is a convenor of networks throughout the world. 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IDS WORKING PAPER 298 IDS WORKING PAPER 298 Taking Community-Led Total Sanitation to Scale: Movement, Spread and Adaptation Andrew Deak February 2008 Institute of Development Studies at the University of Sussex Brighton BN1 9RE UK 01 IDS WORKING PAPER 298 Taking Community-Led Total Sanitation to Scale: Movement, Spread and Adaptation Andrew Deak IDS Working Paper 298 First published by the Institute of Development Studies in February 2008 © Institute of Development Studies 2008 ISBN 978 1 85864 677 4 A catalogue record for this publication is available from the British Library. All rights reserved. Reproduction, copy, transmission, or translation of any part of this publication may be made only under the following conditions: G with the prior permission of the publisher; or G with a licence from the Copyright Licensing Agency Ltd., 90 Tottenham Court Road, London W1P 9HE, UK, or from another national licensing agency; or G under the terms set out below. 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Printed by RPM Print & Design, Chichester UK IDS is a charitable company limited by guarantee and registered in England (No. 877338). 02 IDS WORKING PAPER 298 Taking Community-Led Total Sanitation to Scale: Movement, Spread and Adaptation Andrew Deak Summary When a practice becomes widespread enough, then it has ‘gone to scale’. But increasing the intensity and spread of a particular practice is not a linear or obvious endeavour. The paper proposes that going to scale is multi-dimensional and complex. It focuses on Community-led Total Sanitation (CLTS): an innovation in participatory methodology, as well as a unique approach to sanitation. While CLTS has followed both vertical and horizontal trajectories, with quantitative, political, functional and organisational scaling-up, its general movements are best described as ‘spread and adaptation’. The paper describes how CLTS offers important lessons to understand spread which is critical for scaling up in an effective way. CLTS shows how increased scale entails both wide-scale coverage, with pertinent adaptations to local contexts. The main argument is that spread and adaptation are important aspects of scaling up, which is often neglected in the literature. After a brief overview of CLTS, the paper reviews the literature on scaling-up and extracts the useful points relevant to CLTS, and highlights the gaps in the literature around self-spreading movements. A number of case studies of innovative methods or approaches that have been successfully scaled-up are then considered: PRA, Reflect, Community Integrated Pest Management and System of Rice Intensification. The author then maps out CLTS experience, outlining the various ways in which CLTS has spread. After considering the various forms of spread, the ‘spatial strategy’ employed by CARE Bangladesh is given specific attention. The paper then discusses how CLTS and other participatory approaches challenge dominant thinking around community developing by critically examining the World Bank’s discourse around Community-based/driven development. The final section offers concluding remarks regarding how to better understand scaling-up and spread. Keywords: CLTS, sanitation, scaling-up, spread, participatory methods, community- based development, community-driven development 03 IDS WORKING PAPER 298 Andrew Deak is an Independent Research Consultant, formerly based at the Institute of Development Studies (IDS) at the University of Sussex, where he completed a Masters degree. He has also been involved with a number of other initiatives at the IDS, including: Facilitating Learning for Social Change and Learning (FLASC) and Learning and Teaching for Transformation (LTT). He is now continuing his education in Montreal, Canada. 04 IDS WORKING PAPER 298 Contents Summary, keywords 3 Author note 4 Acknowledgements 7 List of acronyms 8 1 Introduction 9 2 CLTS: a new innovation in the participation movement, a revolutionary way of doing sanitation 10 3 Overview of literature on ‘scaling-up ’ 12 3.1 Background to scaling-up 13 3.2 Other schools of thought 16 3.3 This idea of a self-spread, and the possibility of a movement 18 3.4 Lessons from the scaling-up literature 19 3.5 Gaps in the scaling up literature 19 4 Other experiences: Participatory Rural Appraisals, Reflect, Community Integrated Pest Management and System of Rice Intensification 20 4.1 Participatory Rural Appraisals (PRA) 20 4.2 Reflect 21 4.3 System of Rice Intensification (SRI) 24 4.4 Community integrated pest management 25 4.5 Overall lessons from the case studies 26 5 CLTS as a new innovation 27 5.1 CLTS as a case experience for spreading an innovative, participatory methodology 27 5.2 Factors in in-country spread 27 5.2.1 Organisations committed to CLTS 27 5.2.2 Champions able to resist institutional pressures 29 5.3 Factors in international spread 29 5.3.1 Support for the principal innovator 29 5.3.2 Transfers of champions within organisations 29 5.3.3 International exposure visits 29 5.3.4 International meetings and hands-on training workshops 30 5.3.5 Dissemination through publications, website and networking 30 5.4 Opposing entrenched tendencies: obstacles on the way ‘up’ 30 05 IDS WORKING PAPER 298 5.4.1 Professional commitments, mindsets and incentives 31 5.4.2 Bureaucratic: top-down targets and pressures to disburse 31 5.4.3 Diverse views of core assumptions 31 5.4.4 Bandwagon effect 32 5.4.5 Early innovator reputation versus quality 32 5.4.6 Funding, power relations, and myth 33 5.4.7 Philanthropic reflexes 33 5.4.8 Failures to ignite 33 5.5 CARE Bangladesh: an example of including a strategy for horizontal and political scaling-up within CLTS process 34 6 Situating the spread of CLTS within the broader discourse on community development 35 6.1 Overview of CBD/CDD discourse 35 6.2 Challenges to scaling-up CBD/CDD 36 6.3 Evaluations of CBD/CDD to date 37 6.4 Calling the CBD/CDD model into question 38 7 Conclusion: focusing on spread 40 References 42 Figure Figure 3.1 Definitions of scaling up 17 Tables Table 1.1 Countries where CLTS has been implemented 9 Table 5.1 Forms and trajectories of spread 28 06 IDS WORKING PAPER 298 Acknowledgements Andrew Deak is an Independent Research Consultant, formerly based at the Institute of Development Studies (IDS). This paper was written to provide some initial thinking on scaling up for the DFID funded research project at IDS on Community-led Total Sanitation (CLTS): Going to Scale? The paper was conceived in consultation with Lyla Mehta and Robert Chambers, and I was grateful to receive important inputs from Kamal Kar and Petra Bongartz. Peter Ryan and John Gaventa provided excellent comments for improvement. Many examples on CLTS are based on personal communications from Kamal Kar, Robert Chambers and Lyla Mehta based on their field experiences. The usual disclaimers apply. 07 IDS WORKING PAPER 298 Acronyms AKRSP Aga Khan Rural Support Programme (Pakistan) CBD Community-Based Development CDD Community-Driven Development CIAT Centro Internacional de Agricultura Tropical/ International Centre for Tropical Agriculture CIIFAD Cornell International Institute for Food, Agriculture