Uganda Sanitation for Health Activity (S4H)


Uganda remains one of the world’s poorest countries, with almost a quarter of the population living on less than USD$1.25 a day. Economic and human development in Uganda is inhibited by inadequate sanitary conditions at households, schools, and health centers, which cost the country the equivalent of USD$177 million per year in lost productivity and medical costs, according to The Water and Sanitation Program.

Tetra Tech is on the ground, implementing the U.S. Agency for International Development’s (USAID) Uganda Sanitation for Health (S4H) Activity, which increases household access to sanitation and water services; ensures that key hygiene behaviors are adopted at home, school, and health facilities; and strengthens district governance for sustainable services in 25 districts across Uganda.


Activity Description

In Uganda Tetra Tech is supporting an enabling business environment, investing in product design and supply chain development, and exploring financial instruments to address constraints for households and private investment. Through the S4H Activity, Tetra Tech is working with various stakeholders to develop and implement a national marketing strategy through a collective impact approach aimed at unlocking public, private, and household investment in sanitation products and services.

The S4H Activity aligns with the Government of Uganda’s development priorities to engage communities, local governments, and utilities to expand and improve water supply services. To address water, sanitation, and hygiene (WASH) needs at schools and primary health facilities, the S4H team works with teachers, parents, and student leaders and supports health facility hygiene audits and action planning in all intervention districts. The project also supports the enactment and implementation of national WASH sector guidelines and policy reforms.

Tetra Tech also is auditing 125 health facilities by pursuing feedback from health facilities on community hygiene practices to develop needs-based action plans.

Expected Outcomes

Over the life of the project, the S4H Activity expects to help 750,000 people gain access to basic sanitation and benefit up to 100,000 people with improved service quality from existing improved drinking water sources.


2018 - 2023

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Activity Topics

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