This document discusses sanitation challenges in difficult environments and potential solutions. It notes that over 16 million people in Indonesia, Cambodia, Lao PDR and the Philippines live in areas that make conventional sanitation difficult, such as along rivers, coasts, swamps or flood plains. Common sanitation issues in these areas include poor sanitation infrastructure, low sanitation priority from communities and governments, and higher costs for solutions. The document reviews some existing sanitation options for different challenging area types and emphasizes the need for tailored solutions, community understanding, and monitoring to disseminate effective approaches.
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