Skip to content Skip to cookie consent
Tearfund home
Donate

From dirt and disease to health and happiness

How one community was totally transformed through improved hygiene, sanitation and biblical training.

Written by Rachel Stevens | 12 Nov 2026

A group of people clapping, mostly women in vibrant patterned clothing and headscarves. A man in a pink shirt claps alongside them. Behind them is a brick building with arched windows and green trees.

The community in Mutaho sings and dances to welcome visitors; they now enjoy improved health and happiness following Tearfund’s Transforming Communities training. Credit: Rachel Stevens/Tearfund

Mutaho village in Burundi used to be an unhealthy community, often prone to preventable sickness. Open defecation was once widely practised, and pigs roamed freely. The village suffered from frequent outbreaks of diseases, including worms and cholera. This was made worse by animals and people living in the same homes.

'People didn't have toilets – just a hole in the ground with planks of wood on top, surrounded by rubbish,' says Nzeyimana, a local church leader. 'They shared their homes with animals, and there was no hygiene in the house. Many people suffered from diseases because of malnutrition. Families often spent all of their money in hospitals and not on improving their homes. Because there wasn't enough food in the house, students dropped out of school.'

Following Tearfund's initial Transforming Communities training, villagers started constructing pens for their animals. They also built toilets, though initial attempts were inadequate – the pits were not dug deep enough and were covered by wooden logs that people could fall through. The toilets were covered only by banana-leaf walls, and no roofs, which offered no privacy.

This situation changed after the communities received further Community-Led Total Sanitation training from Tearfund's partner Fraternite Evangelique Du Christ En Afrique Au Burundi/Evangelical Brotherhood of Christ in Africa in Burundi (FECABU).

Learning better hygiene from the Bible

'When Tearfund and FECABU started, they emphasised the Bible, and we understood that everything based on the Bible is very important. What God does is powerful and lasting. The Transforming Communities facilitators showed us how God cared for the children of Israel in Deuteronomy 23:12–14, where the Lord instructed that everyone should carry a spade so that when they need the toilet, they can dig a hole and cover the excrement.

'We gathered as church leaders, and when we looked at our community, access to hygiene was very bad because many people used to go to the bushes. We saw that this was causing diseases. As church and community leaders, we took a stand to help church members build proper toilets. We started by digging a pit one metre deep, and later dug at least 10 to 12 metres. We covered them so no flies could enter, and provided water and soap for handwashing.

'Transformation began, and diseases diminished. Children's health improved, and the number of malnourished people was reduced. We used to give them food, but then taught them how to produce food for themselves, as well as how and when to wash hands – after using the toilet, before preparing food and before breastfeeding.

'People began constructing pens for their animals. Tearfund also taught us about planting bananas for a good harvest and as a source of income. We used to eat only one meal a day, but now children have breakfast before going to school.

'Children didn't go to school because there was no money. But now we have children who have completed their education. I have money I can put in my bank account, and we can invest and do other things. I told my family that before we drink water, we have to boil it, because I see how a lack of hygiene affects the whole family.

'We are so happy now. Before, it was very difficult for me as a church leader to tell the congregation that we could do something for the Lord. I was ashamed because I had nothing to give. But the church took the first step to construct good toilets.

'If you see me going to the farm now, I am dressed well in my farming clothes. We thank God for where we are today, and we also thank Tearfund for what they did through FECABU.'

A simple, light-coloured rendered latrine block with two weathered wooden doors, triangular vents, and a low red mud-brick wall nearby, set against a background of trees.

A toilet block built by a church in Mutaho following Tearfund’s Transforming Communities training. Credit: Rachel Stevens/Tearfund

Community-led training brings health and happiness

Following the sanitation training, local chief Edouard – a Transforming Communities facilitator – took decisive action to improve sanitation and hygiene in his community. His successful leadership in Mutaho is now inspiring and influencing neighbouring villages.

'I have a scripture that helped me – Nehemiah 2:17–20,' Edouard says. 'As the community leader, I started out leading people who were severely affected by diseases caused by malnutrition. We had never been taught about hygiene and sanitation. When Tearfund brought us together and shared the word of God, we saw how we could help ourselves.

'There used to be no hygiene in the community. Even I could go a whole week without taking a shower! I had no proper toilet – I just dug a small hole with rubbish placed around it. When I was using it, I had to clap my hands so people knew it was occupied.

'I had no bathroom either, so I used to bathe inside the house. I owned only one pair of trousers and one shirt. I lived in a three-room house with my animals, and out of fear of theft, I used to tie them to my bed. I didn't even know how to shave, so my beard looked very untidy. I looked just like my community, and they looked like their leader. We all looked the same, so nobody mocked anyone else.

'When we were taught the word of God, we were transformed, and the whole community was changed by the teachings. We started washing, built toilets and bathrooms and dug rubbish pits. We also planted bananas and began to look presentable. Because of washing properly and eating well, I even started putting on weight!

Two smiling men stand outdoors in front of a brick wall. The man on the left wears a plaid shirt, while the man on the right wears a dark suit over a red shirt, both holding bibles.

Nzeyimana and Edouard hold their Bibles together; their shared faith and leadership are inspiring their community's transformation. Credit: Rachel Stevens/Tearfund

'I hadn't known how to brush my teeth before, and I felt ashamed even though I was the leader. I used to sleep on a bed made of banana leaves. Now, I have built a good house and taught the community how to build good houses too – 80 per cent of the homes now have iron-sheet roofs.

'I tell all the young people who want to marry that they must have a good house, bathroom and toilet. I won't authorise anyone to marry unless I check where they are going to live.'

Supporting communities to be healthier

Across the world, Tearfund works with local churches and community partners to deliver sustainable Water, Sanitation and Hygiene (WASH) initiatives. By combining practical solutions – such as constructing latrines, protecting water sources, and facilitating Community-Led Total Sanitation – with biblical teachings on dignity and stewardship, communities are empowered to lead their own transformation and reduce disease.

Through these life-changing programmes, families gain long-term access to clean water and health education, helping children stay in school and enabling parents to focus on building sustainable livelihoods. To support these life-changing initiatives, you can donate now or explore more about our water, sanitation and health programmes.

Written by

Written by  Rachel Stevens

Rachel Stevens is a WASH specialist in Tearfund’s Thematic Support Team

Share this page

Share this page to spread the word and help support those in need.

Get our email updates

Learn about our work and stay in touch with Tearfund. Hear about our news, activities and appeals by email.

Sign up now - Get our email updates