In Tanzanian schools, the ratio of pupils per improved school latrine varies from less than 20 to more than 200 per latrine drop hole or no latrines at all. A recent school WASH mapping exercise in 16 districts conducted by MoHSW indicates that only 2% of schools with hand washing facilities have soap and only 8% have functional hand-washing facilities with water. This situation is partly attributed to the fact that S&H in Tanzania has suffered much neglect. Communities lacks access to sanitation product and services in rural areas, and enterprenurs haven’t been exposed to sanitation as a business they can invest in. Many households lacks demand to improve their sanitation facilities. Studies indicates lack of suficient massons/artisans capable of constructing improved latrines. The situation was worse in the three Districts of Chamwino, Bahi and Kongwa of which UMATA program had to be implemented in these disticts considered to be affected with poverty and low sanitation compared with others in the country. Same districts are among the bottom twenty districts with high under five mortality rate in the country. Community in these districts suffers from poor sanitation, hygiene and unsafe water supply related diseases causing high mortality for under five children.