Globally, 946 million people still open defecate (9 out of 10 live in rural areas), 2.4 billion people lack access to basic sanitation (7 out of 10 in rural areas), 663 million lack access to basic water sources, and diarrhea is the second leading cause of death in children under five much of which is preventable by clean water and sanitation (WHO/UNICEF JMP, 2015; WHO, 2017). Sanitation is one of the most important aspects of community well-being because it protects human health, extends life spans, and is documented to provide benefits to the economy. Sanitation (e.g. toilets, latrines, mechanized wastewater treatment) is currently deployed as a way to contain and/or treat human excreta (and in some cases grey water) to protect human health and the environment including water bodies that are sources for drinking water. Therefore the 2015 United Nation’s (UN) Sustainable Development Goal (SDG) 6 for 2030 aims to achieve equitable access to safely managed water and adequate sanitation for all and end open defecation.