The World Bank administered Water andSanitation Program (WSP) recently passed the mid-point ofthe four-year timeframe for its Global Scaling up SanitationProject (TSSM). TSSM tests proven and promisingCommunity-Led Total Sanitation (CLTS) approaches to createcommunity-wide demand for stopping open defecation andimproving sanitation. It is coupled with the use ofsanitation marketing techniques to further strengthen thedemand for sanitation at the household level and improve thesupply of affordable sanitation-related goods and servicesproduced by the local private sector for the rural poor. Thereport reviews the role of local government in these areasin the context of the management models that TSSM is usingin all three countries. While there are variations in themodels that reflect the country contexts, all threecountries have placed local governments at the center of theimplementation arrangements. In all three countries, theroles and responsibilities of the districts are carried outat three levels of local government, district, sub-district,and village. The study concludes that the model of workingthrough local governments with the support of resourceagencies, national or regional non- governmentalorganizations (NGOs), to build the capacity of localgovernment, is fundamentally sound.