Despite the remarkable ODF communities ' achievement  by the Region,ODF communities marginally increased to2019.About half the population triggered have access to latrines. Of the latrines expected to be constructed, 2 households to 1 latrine  was observed  from  2017 to 2021.ODF was declared  in communities with 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 