The ends may justify the means, but let's be clear - in rural India, extremes of coercion are being used to encourage toilet use Robert Chambers recently wrote that community-led total sanitation is leading to a development revolution, especially in south Asia. I agree with his assessment of sanitation's importance. In practice, however, the success of community-led efforts often hinges on the use of outright coercion. In my experience, the measures...

When we hear the word innovation, we often think of new technologies or silver bullet solutions — like hydrogen fuel cells or a cure for cancer. To be sure, breakthroughs are vital: antibiotics and vaccines, for example, transformed global health. But as we’ve argued in Fixes, some of the greatest advances come from taking old ideas or technologies and making them accessible to millions of people who are underserved. One area...