<p>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</p>