According to the 2010 Joint MonitoringProgram (JMP) update household access to sanitationfacilities has increased faster in rural Rwanda than in anyother country in Sub-Saharan Africa. Almost four millionpeople gained access to improved sanitation between 1990 and2008. 54 percent of the population currently has access toimproved sanitation, up from a baseline of 23 percent in1990. Most of this progress has been with householdsupgrading 'unimproved' latrines to improvedhygienic ones. While the greatest gains have been in ruralareas, improvements in urban sanitation are notable ascoverage has increased despite tremendous growth in theurban population. The analysis in the report is structuredaround these four phases of development, and seeks toidentify factors, including the enabling policies,institutions, sector initiatives, and cultural aspects thathelp explain how Rwanda has made progress towards thesanitation Millennium Development Goal (MDG). While it isclear that the specific context that characterizes Rwanda isunique, the report will share some conclusions fromRwanda's experience for other countries to consider.