In Mali WASHplus uses community-led total sanitation (CLTS) “plus” to spur construction of improved latrines with hand washing stations in 18 communes within three health districts in the Mopti Region. The plus component includes training local masons in advance of triggering to assist households to construct latrines through the promotion of low-cost yet robust latrine models that can withstand the rocky, high water table, or sandy conditions found in participating communities. CLTS triggering is now complete in all 180 communities in the region, resulting in 4,930 public commitments to build latrines. By late March, monitoring visits in 30 of these villages recorded 945 new latrines constructed and 557 rehabilitated, more than 95 percent of which now include hand washing stations. Local masons have begun to cut large sheets of rock into latrine slabs, which fit the Joint Monitoring Programme definition of a hygienic sanitation platform. Latrines are being constructed without the use of cement or any other nonlocal building material. Other local adaptations observed include a machinist’s design of a clever hand washing station made of iron rebar that has separate pedestals for a water dispenser and a washbowl to catch the rinse water.