text: Rural areas with low population density may not need formal FSM services if the local practice is to cover and rebuild latrines when they fill up. However, if this is not possible, rural areas often lack treatment facilities within a reasonable (say 30 minutes drive) distance; are difficult for tankers to access and often have limited demand for emptying making transport and treatment uneconomic, and unaffordable for most people. Therefore, options such as relocating latrines on-site, double (alternating) pit or Arborloo toilets could be considered. Also sharing decentralized FSM services and sludge treatment between nearby villages, or direct safe removal burial of waste could be considered and organized.