Despite  the remarkable  ODF communities' achievement  by the Region, ODF communities marginally increased to 2019.About half the population triggered  have access to latrines. Of the latrines expected to be constructed,2 household to 1 latrine  was observed from 2017 to2021.ODF was declared in communities within 16 MDAs.We reccomend  the Ministry  of Sanitation and Water Resources to support the full  implementation  of CLTS Programme in the Central Region  to promote health and sanitation 