Thirty percent of Ethiopia’s disease burden is attributable to poor sanitation and 23% of under-five mortality is due to diarrhea[1]. Poor sanitation costs ETB 13.5 B. (2.1% of GDP) each year while only 18% of the kebeles are open defecation free.[2] In order to improve sanitation outcomes, our interventions empower, facilitate, and advocate for communities so that households can construct and utilize their own sanitation facilities.