CLTS focuses on trigger commitment to ending open defecation. But what do you do when communities practice fixed point defecation, yet almost NONE of it is hygienic and it leaks into the environment??This paper will first generally describe the USAID WASHplus/Bangladesh activity, and continue to highlight some of the innovative behaviour change approaches we are applying to a particularly challenging area of Southwestern Bangladesh. Our approach to increasing the practice of WASH behaviours is both theory-based and grounded in established best practice, and focuses on making change possible and sustainable by addressing both essential ‘supply’ of key WASH products and negotiating a menu of “small doable actions” that are both feasible and effective for resource constrained households
