In Ethiopia, rural communities often lack adequate sanitation facilities, leading to poor hygiene practices and increased risk of waterborne diseases. A participatory approach involving community members to design and implement the sanitation facilities, followed by monitoring and evaluation through surveys and hygiene education workshops. The combined use of improved pit latrines and handwashing stations has proven effective in promoting better hygiene practices, thereby improving health outcomes and reducing infection rates among rural communities in Ethiopia. Implementing similar integrated sanitation solutions should be prioritised to address the urgent need for sustainable sanitation facilities in Ethiopian rural areas.