Amelia Lyons

Amelia with children during CLTS training

A word of caution to readers: in this entry, I talk in some detail about “open defecation” so parts of this blog may not be for the squeamish!

This week Action Against Hunger/ACF has been hosting a week-long workshop on Community-Led Total Sanitation (CLTS) for staff and local government. CLTS is a method developed to address poor sanitation, specifically targeted at ending open defecation. The method was developed in 1999 by Dr. Kamal Kar in Bangladesh, as a hands-off intervention to trigger communities’ disgust and action through understanding the harm open defecation causes in their water sources, food, and villages. (Lack of adequate sanitation is a leading killer worldwide). It has since been implemented in countries throughout the world, including Uganda and other east African countries.

We hired an external consultant to come and facilitate the training, and 26 of us met in Lira, northern Uganda. The first two days introduced us all to CLTS – what it is, where and when it was developed and the fundamentals of the approach. Ultimately, CLTS is about facilitating a process and allowing a community to develop its own disgust around open defecation. On the third day of the workshop we travelled to two villages in Otuke District: Ogor and Atat.

Amelia Lyons

About a month ago, our head of region in northern Uganda finished his contract and left the country. When he left, I was asked to be the acting head of base until the position was filled. While the job involves much more administration than I would like, I am fast learning the new role, and more importantly, I’m getting a much more comprehensive view of all of the ACF programs and interventions than I did when I was solely doing water, sanitation, and hygiene work.

This week I was asked to join the food security team in the purchase of land for a planned satellite collection warehouse for local farmers’ associations.The activities include providing local farmer groups with market information, training on post-harvest handling, and access to satellite storage facilities to help bring crops to market. We had travelled to Akago village in Nwoya District to meet with the community for the purchase of land to construct one of these satellite collection points. I should have known better, but I came expecting a quick, one-hour turnover. After measuring the plot, arguing about the size/corners/distance from the road, then finally reading, translating and signing the contract, the whole day was gone.

Amelia Lyons

Northern Uganda has a long history of violence, with civil war paralyzing the region for the better part of thirty years. A fragile stability has only recently taken hold, with families beginning to move out of the displacement camps and back home. Many people return to their villages – which have experienced years or even decades of neglect – only to find no available safe water, compound the various challenges already faced by these subsistence farmers.

Access to water, sanitation and hygiene (WASH) is critical to ensuring the health of families, and particularly young children in the region. As the WASH program manager in Gulu, Uganda, I manage a team of 20 staff members. We drill new boreholes, rehabilitate old boreholes, protect springs from surface contamination and promote hygiene at the community level, including construction of latrines and other sanitation facilities.

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About the authors

Lucy Ellis is head of base in Kisangani, Democratic Republic of Congo, where Action Against Hunger has run life-saving programs since 1997. Lucy is from New Zealand and has worked and volunteered previously in Senegal, Vanuatu and Thailand in many capacities, including logistics, project coordination, communications and refugee support.


Amelia Lyons is working as the water, sanitation and hygiene programme manager in post-conflict northern Uganda, where years of civil unrest displaced nearly two million people. In the humanitarian field for four years, Amelia has worked on water and sanitation projects in Uganda, Nepal and Mexico.

Ashley Sarangi is the country director for eastern Democratic Republic of Congo, a volatile area that is home to several armed groups and has suffered from repeated violent conflicts over the last 15 years. A humanitarian worker since 2004, Ashley has spent more than three years in eastern DR Congo and has also managed humanitarian projects in Chad, Haiti, Ethiopia, Pakistan, and Indonesia.

Rachel Eichholz is a food security & livelihoods programme manager in Malualkon, southern Sudan, where she manages programmes in northern Bahr el Ghazal state. An Atlanta native, she has lived and worked in the Czech Republic, The Netherlands, and the United States.

Emily Sloane is a food security and livelihoods programme manager in eastern Democratic Republic of Congo. Emily is based in a small market town on the north-western shore of Lake Kivu. Before this foray into the humanitarian world, Emily pursued a decade-long stream of positions throughout North America, Burkina Faso and France, collecting skills in ox driving, environmental education, trail building, teaching, native plant propagation and natural resource project management.

George Petropoulos is country director in Pakistan, where Action Against Hunger launched its first humanitarian intervention in 1979 for Afghan refugees crossing into the country. George is from Greece, and his career in policy and humanitarian work has taken him to Africa and the Middle East.


Rachel Roseberry is the Food Security and Livelihoods Program Manager in Karamoja, Uganda, a relatively insecure region that is known for its semi-arid climate and cattle raiding. Rachel’s background is in natural resource management; she has worked in that capacity in Tajikistan, Indonesia, Canada, and now Uganda.


Bob Bongomin, born in Gulu, northern Uganda, is in his sixth year with Action Against Hunger. He currently manages ACF’s emergency water, sanitation & hygiene program in the Khyber Paktunkhwa province of Pakistan, where thousands of people have been affected by unprecedented flooding.


Eric Rheinstein is the Water, Sanitation, and Hygiene Program Manager for Action Against Hunger in Walikale, eastern Democratic Republic of Congo. He has worked with Action Against Hunger, various NGOs, and as a Peace Corps Volunteer in Burundi, Azerbaijan, Bosnia, Albania, northern Uganda, and Chad.


Keira Lowther is Action Against Hunger’s Head of Community Capacity Building in Swaziland. A paediatric nurse specialising in HIV and public health nutrition, she has worked in paediatric wards in east and central London and with Action Against Hunger in Chad, China and Swaziland.


Rupert Leighton is the Country Director for Action Against Hunger in Zimbabwe. He has more than 15 years humanitarian experience in countries including Cambodia, Myanmar, El Salvador and Angola.

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