The prevalence of water-related diseases is exacerbated by a lack of knowledge combined with a lack of proper hygiene and sanitation services. Open defecation is a common practice in most of the Mbio village community. The District Health Officials indicated that the sanitation (latrine) coverage is just 15% in the Tinto Municipality. In the targeted Mbio village community, the average sanitation coverage is 05%. This implies that 95% of the population defecate in open fields. Currently, solid waste, liquid waste and hand washing facilities coverage of the community is 03% but those facilities are seasonal and they are not properly used.