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Uganda loses UGX 389 billion annually due to poor sanitation (World Bank, 2017). Ministry of Health indicates that 75 percent of common ailments in communities are health related and avoidable. Despite the increase of national latrine coverage from 49 percent in 1997 to 79 percent 2018; national hand washing coverage from 14 percent in 2007 to 36 percent in 2018, 10 percent of the population is still using Open Defecation. In Teso, sanitation coverage has increased from 30% to 69%. Teso sub region still faces sanitation and hygiene challenges because they are prone to floods, most communities are returnees from Internally Displaced Persons camps, poor operation and maintenance of facilities, poor sanitation and hygiene seeking behaviors. This necessitates COU-TEDDO to focus on the Water, Sanitation and Hygiene as a strategic area of intervention. Uganda is tending towards elimination or reduction of all forms of open air disposal of sewage, fecal and garbage. COU-TEDDO will pursue the following strategic actions:<\/span><\/p>\n<\/li>\n<\/ul>\n [\/vc_column_text]