AfricaSan is one of AMCOW’s path-breaker initiatives to promote political prioritization of sanitation and hygiene and attended by Ministers responsible for sanitation and the key agencies working in sanitation and water in Africa. Poor hygiene and lack of access to safe sanitation and large-scale open defecation continues to underlie major health problems, undermines economic growth, pollutes the environment, prevents girls from school attendance and traps Africans in poverty.