According to Water and Sanitation Programme (WSP) of the World Bank and Kenya’s National Ministry of Health state of the sanitation data for Nakuru County 2014, only 41.3% is improved sanitation, 35.3 % comprise shared sanitation facilities, 23.3 % is unimproved sanitation. Open Defecation (OD) is rated at 2.8 % in the County. Going forward, the main intervention goal by department of Health in Nakuru County with her partners is to redress unimproved and OD levels (26.1 %) to acceptable levels of improved sanitation in the County.
Nakuru County loses Ksh. 978 million each year due to poor sanitation. This includes loses due to access time, premature death, healthcare costs and productivity. This estimate does not include some costs that could be significant (such as water pollution and tourism) and is therefore is likely to under-estimate the true cost of poor sanitation. The Constitution in Article 42 and 43 (b) guarantees every person the right to a clean and healthy environment and to a reasonable standards of sanitation respectively. Universal access to improved sanitation yields maximum health, social and economic benefits.