The main cause of diseases in the district is related to the poor sanitary aifeati©ft throughout the District. In terms of sanitation facilities, 89.5% have no toilet facilities and "go on free range". 10.5% have traditional pit toilets, 5.3% use public KVIP, 2.0% use flushed toilet and 0.9% use  bucket or pan latrine. In total 9.3% of the people have access to safe excrete disposal facilities, X- which corresponds with 3.5% of the population covered, by the baseline survey (1999 Sept.).
Below is a table showing existing toilet facilities in the district.

	Toilet facilities	Total	%	Functioning	%	Not functioning	%
	later	13	12.8	13	15.9	-	-
	Tank	22	21.6	14	17	8	40
	Water closet	32	31.4	32	39	-	-
	Mozambican latrine	12	11.8	11	13.4	1	5
	Pit latrine	0	9.8	5	6.1	5	25

Water
According to the Baseline Survey of 1999, only 33% and 40% of the population have access to safe drinking water in the dry and rainy seasons respectively. The main water sources especially in the dry season are pond/dugout/dams. Other sources include streams and rivers, and rain water during the rainy season. About 70.3% and 62.6% (during dry and rainy season ti respectively) do have access to safe drinking water within a distance of 500 metres. This state of affairs coupled with poor sanitation, have very serious implications for the health of the people in the district.