In order to achieve universal safely managed sanitation across Africa by 2030 the scale and pace will need to increase drastically. This edition of Frontiers of CLTS draws on the discussions held across two regional Africa events in 2018, highlighting the challenges faced by programme implementers (both government and non-government staff) at different levels in relation to the Ngor Commitments and the achievement of universal access to safely managed sanitation. A range of initiatives are presented that show promise in addressing these challenges, along with recommended priority actions. Download here