Community Led Total Sanitation (CLTS) is the method adopted by the Kenyan Government for expanding sanitation coverage. CARE Kenya – within the Kenya RAPID program – has been assigned 65 villages outside of Garissa town, to support the implementation of the CLTS method, and ultimately support the achievement of Open Defecation Free (ODF) villages. CARE essentially allocates the per diem and transport of local County Public Health Officers (CPHOs), who are responsible for carrying out the CLTS method in the community: pre-triggering, triggering and (some) post-triggering follow-up. To date CARE has supported the triggering of six villages, and “re-energizing” five villages and none have made significant progress toward full sanitation coverage. In the 582 villages where UNICEF is supporting CLTS rollout, 27 have been certified ODF and another 130 are nearly there (claimed or verified). In Sept 2018, CARE conducted a study on CLTS and sanitation to understand barriers to latrine construction and delays in ODF achievement. [13 pages]