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Community-led total sanitation (CLTS) is a programme that works to empower a community to change their behaviour in regards to sanitation. This demand based approach focuses on stopping open defecation and the safe disposal of excreta, waste water, and solid waste. CLTS was implemented in 20 villages in Burkina Faso, resulting in raised awareness on sanitation issues, empowerment of the community, behaviour change, and open defecation free communities.