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In 2008 SNV Netherlands Development Organisation introduced Community Led Total Sanitation (CLTS) to Vietnam. SNV quickly learned that CLTS alone was not enough to achieve Sustainable Sanitation and Hygiene for All. Together with local partners in Vietnam and across 17 districts within 5 countries in Asia, SNV tested a more integrated approach, and the promising results of their work are presented in a recently published paper: “Sustainable Sanitation and Hygiene for All -A sector development approach for Vietnam”.

The proven Sustainable Sanitation and Hygiene for All (SSH4A) approach integrates best practice in: sanitation demand creation; strengthening of sanitation markets; hygiene behavioural change communication (BCC); and strengthening governance, with special focus on gender and social inclusion. It is based on SNV and the International Water and Sanitation Centres (IRC) experience and expertise in institutionalising such practises at different levels of government and society and has been adapted and updated based on the experience of implementation.

Sustainable-Sanitation-and-Hygiene-for-All aims to facilitate the Government of Vietnam’s Ministry of Health development of the WASH sector. SNV is uniquely positioned to provide advisory services to the Ministry, as they seek to engage multiple stakeholders in a large scale effort to improve rural sanitation and hygiene to levels that match the modern country that Vietnam has become.

The essential characteristics of the Sustainable Sanitation and Hygiene for All approach are described in that paper. They include:

1. An integrated service delivery model, including professional learning

2. A sustainable sector as the long-term goal

3. Thorough, participatory and context specific preparation

4. Interlinked impact and capacity development targets

5. Combination of public services and market orientation

6. Attributing sector-functions to multiple stakeholders

This document has been produce in the hope that that it will contribute to bringing various stakeholders, including development partners, together on a joint path of working and learning to achieve Sustainable Sanitation and Hygiene for All in Vietnam.

The document is available at SNV’s website:

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