Abstract: Background: Diarrhoea is among the leading causes of morbidity and mortality in children under five years in Kenya. Poor sanitation practices considerably contribute to the disease burden. In Tharaka Nithi County, the reported cases of diarrhoea remain significantly high despite the roll out of Community Health Strategy interventions in 2006. The Kenya’s Community Health strategy is an approach of Healthcare service provision where individual households and communities are empowered to take a leading role in disease prevention and control initiatives.