This report summarizes the results,lessons and recommendations to the Government of Lao PDRfrom two Technical Assistance projects (TA) “SupportingDemand Creation for Sanitation through Community Led TotalSanitation” and “Sanitation Marketing in Lao PDR” carriedout by the World Bank’s Water and Sanitation Program betweenOctober 2012 and December 2015. The development objective ofthe TAs was to increase improved sanitation and hygienepractices and change community behavior to achieve OpenDefecation Free (ODF) status at the village level. Thisreport documents the results and lessons learned from the TAprogram that includes experiences both from government-ledrural sanitation service delivery within two provinces inSouthern Lao PDR (Champasak and Sekong) , as well as fromnational-level engagement to strengthen systems, tools andcapacity building approaches for scaling-up rural sanitationservice delivery. The report makes recommendations togovernment on how - with the support of development partners– the effectiveness and scale of rural sanitation servicescan be increased to achieve sustainable sanitation outcomesfor the rural population of Lao PDR. It also proposesrecommendations for the engagement of the World Bank WaterPractice in the sector in support of rural sanitationservice delivery, aligned with lending operations,notablythe Poverty Reduction Fund (PRF3) and the Health Governanceand Nutrition Development Project (HGNDP). In addition anumber of important learnings at implementation level arehighlighted, so that operational processes can be improvedto make last-mile delivery more effective and efficient.
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