“…For example, sanitation failure has been attributed to supply-driven approaches (Starkl et al, 2013), lack of maintenance (Katukiza et al, 2010), faulty designs (Sujaritpong and Nitivattananon, 2009), high operation and maintenance (O&M) costs (Cronin et al, 2014), lack of ongoing support (Eales et al, 2013), lack of user acceptance (Bao et al, 2013), inadequate technical knowledge (Kaminsky and Javernick-Will, 2012), or inappropriate technologies (Murphy et al, 2009). However, persistent sanitation failure suggests that these factors may not fully explain the causes of failure and/or these factors could be better addressed in the sanitation sector.…”