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Plan Vietnam has implemented the model of Community Led Total Sanitation (CLTS) across 4 provinces including Ha Giang, Quang Tri, Quang Binh and Kon Tum. In order to achieve and then sustain the community Open Defecation Free (ODF) status and hygiene behaviour, hand-washing campaigns and sanitation clubs in schools have been set up as an important part of the action.

Hand washing was rarely practiced by ethnic minority groups in rural regions but since the communities have been educated on the topic it has become a part of daily life. The prevalence of diseases has been reduced with the improved hygiene conditions brought about by the change in lifestyle.