The main cause of diseases in the district is related to the poor sanitary condition throughout the District. In terms of sanitation facilities, 89.5% have no toilet facilities and "go on free range". 10.5% have traditional pit toilets, 5.3% use public KVIP, 2.0% use flushed toilet and 0.9% use bucket or pan latrine. In total 9.3% of the people have access to safe excrete disposal facilities, X- which corresponds with 3.5% of the population covered, by the baseline survey (1999 Sept.).

Below is a table showing existing toilet facilities in the district.

Water

According to the Baseline Survey of 1999, only 33% and 40% of the population have access to safe drinking water in the dry and rainy seasons respectively. The main water sources especially in the dry season are pond/dugout/dams. Other sources include streams and rivers, and rain water during the rainy season. About 70.3% and 62.6% (during dry and rainy seasons respectively) do have access to safe drinking water within a distance of 500 metres. This state of affairs coupled with poor sanitation, have very serious implications for the health of the people in the district.