Presently most people drink unsafe water from creeks, rivers and open wells as most of the hand pumps have been destroyed. SOLIDARITE and CARITAS with funding from UNHCR, ECHO and DFID are involved in construction and rehabilitation of wells and installation of hand pumps and sanitation, while ERS with support from UNICEF are providing water and sanitation facilities to schools in Harper District.

DRC has got funding from ECHO to implement water and sanitation activities as well. Proper waste disposal is lacking and people in the County defecate in the bush and on the beach. The County has had high incidences of acute watery diarrhea outbreaks especially during the rainy season.

From data consolidated by the Water and Sanitation Sector Working Group, there are about 265 wells, creating access to clean drinking water to about 66,250 people. However, whether all of them are currently functioning, is not known. There are about 1,056 family latrines and 37 institutional latrines completed, but it is difficult to tell whether all of them are being appropriately used. The sector is currently looking for ways to verify the functionality and usage of the completed water and sanitation facilities in the county.