This blog was originally published on the IDinsight website.
Market-based sanitation (MBS) has a demonstrated evidence base in parts of South and Southeast Asia. iDE’s work in Cambodia and Bangladesh has shown that supporting local entrepreneurs to design, produce, and sell affordable sanitation products can durably improve household sanitation at the national scale, reaching hundreds of thousands to millions of households. Applications of MBS in sub-Saharan Africa have, however, generally achieved more modest results closer to thousands or tens of thousands of households. This is partly because some of the conditions that support scaling in Asia, such as high rural population density and dense supply networks, are less common in rural African settings.
In 2024, CARE, iDE, and IDinsight came together to design and test an MBS model that could be refined and eventually scaled across multiple geographies in Africa. The partnership was built on two premises: 1) A lean, contextually adapted version of iDE’s proven MBS approach could grow more quickly if it is grounded in existing local institutions, particularly grassroots savings groups offering small loans, and 2) CARE’s government relationships, WASH systems-strengthening work, and Savings Group networks could provide the institutional and financial scaffolding required for MBS to succeed in African market environments.
The key question was: where do the right conditions for scaling MBS exist? This is not unique to MBS or sanitation. Anyone working to scale a program confronts it, because a model that succeeds in one place can falter in another when the enabling conditions are absent. In this blog post, we share how we identified the right place to pilot our model for scale, narrowing from four candidate countries to a specific set of rural districts, along with the three lessons that emerged along the way.
Lesson 1: Let evidence, not convenience, guide site selection
When choosing where to pilot a new model, the temptation is to default to where partners already work, where relationships are warmest, or where funding is easiest to secure. Operational presence speeds implementation and reduces risk. But on its own, it is a poor guide to where a model meant to scale should be tested. A pilot run under convenient circumstances may say little about whether the model works anywhere else. Our recommendation is to use operational presence as a filter to narrow the scope of your search, but ultimately rely on evidence to choose the site.
In our case, we narrowed our search to the four countries where CARE and iDE already worked: Ethiopia, Kenya, Mozambique, and Zambia. We then assessed each country against the enabling environment conditions an MBS model would need to scale: policy and governance, market and business conditions, household demand and purchasing power, and the operational readiness of implementing partners. For this, we referred to national WASH policies, World Bank governance and ease-of-doing-business indicators, WHO/UNICEF Joint Monitoring Programme and Demographic and Health Surveys data on sanitation and financial inclusion, and internal assessments of country-team capacity.
Why this matters
Choosing the site this way meant that whatever the pilot eventually showed, the result would say something about the model, not just about the place we tested it. This is essential when the goal is scale. A model is only worth scaling if it works beyond a single context. The pilot must therefore test the model itself under conditions representative of where it would eventually need to work.