Nkairowauni Primary School depended on a water pan 1 km away which dried up during the dry season and was often polluted by livestock. Children walked long distances to fetch water often arriving late or missing lessons. The community faced similar challenges with no improved water source nearby. The school had inadequate toilets with damaged infrastructure and no provision for menstrual and hand hygiene. Less than 5% of the households in the villages surrounding the schools had toilets and none of the households had provisions for handwashing.