Inaccessible clean adequate water and proper sanitation continue to disproportionately affect communities in Mathare and its environs. At least 15 people are treated of cholera every day, while 200 people are infected with typhoid. Women and girls bear the brunt burden of collecting water as well as managing it for domestic use. Water bought from kiosks and buzzer tanks is contaminated and adds the weight of living for the low-income earners. In Mathare, flying toilets and hanging latrines remain, emptying human waste into Mathare River. Toilets for pay go for 5Kshs for a single use which is way expensive. Sewerage lines are mostly blocked, while clean water pipes leak, children play on the contaminated ground, homes are built on the shaky river barks that has been remained a death trap during floods. Clean accessible water and proper sanitation are significant for reduction of poverty hence sustainable development. Our work is to create a balance between man -made and natural. We engage in a variety of activities with Mathare communities to change the narrative “slums affect the environment insensitively.”.