Sub-Saharan Africa has pronounced wet and dry seasons making access to water challenging. Issues include availability, accessibility and potability. Water access is a critical issue. Women frequently walk for hours to retrieve water needed to sustain their families. Water scarcity not only influences herding, agriculture and family life but also influences public health in simple yet profound ways. For example, Nurse Martha recognizes that illnesses, especially enteric diseases, parasites and diarrhea increase toward the end of the dry season. This results because water needed for handwashing is absent. Illnesses effect school attendances and child mortality rates. These effects ripple through whole communities and highlight the difficulties in accessing health care. It is a significant challenge to health care providers. KHCI is working to improve water infrastructure programs to help combat water scarcity and water borne illnesses.