The LENNS Programme supported by UPenn reaches 8000 households across 38 wards of 10 town panchayats (Peri – Urban) in Pudukkottai and Karur districts of Tamil Nadu to improve health and sanitation of the communities. It promotes 1) Exclusive use of toilet facilities for defecation by all individuals aged five years and older.2) Ownership of durable and improved household toilet facilities; and 3) Routine and frequent cleaning of sanitation facilities (household toilets) through various Social and Behavioural Change Communication (SBCC) activities.