“…A prominent approach within this strategy was the Ethiopian adaptation of Community-Led Total Sanitation and Hygiene, building upon the Community-Led Total Sanitation (CLTS) approach ( Crocker et al ., 2017 ; Novotný et al, 2018a ). However, the increased latrine coverage often compromised quality, using low-cost, locally available materials, resulting in sustainability issues, collapses, and a resurgence of open defecation ( Abebe and Tucho, 2020 ; UNICEF, 2020 ; Novotný and Mamo, 2022 ; Kouassi et al ., 2023 ). Research indicates that relying solely on the CLTS approach may not be sufficient for achieving hygienic sanitation ( Cavill et al , 2015 ; Crocker et al ., 2017 ; Novotný et al, 2018b ; Ficek and Novotný, 2019 ).…”