Moving beyond sanitation's diarrhoea fixation

1on the eff ectiveness of a rural sanitation programme on diarrhoea, soiltransmitted helminth infection, and child malnutrition in India (November, 2014, p e645). We don’t deny the usefulness of this study or its results. Rather it reaffirms something we know from field experience. Toilets are one part of the complex solution to the problem of diarrhoea and malnutrition. The history of work on sanitation has informed us that toilets alone are not the answer, and our sanitation programmes have inadequately addressed this gap. We write this letter having learned through a recent community-based qualitative study 2 that access to