There’s no better health
investment in emerging
economies today than
sanitation.

The urban sanitation crisis

Cities are growing faster than ever. Globally, 56% of the population, 4.4 billion people live in urban areas, a number that will double in size by 2050.

The figures on sanitation access are startling: 2.4 billion lack access to basic sanitation, which results in 2 million child deaths annually. In the urban informal settlements with more than 1 billion residents, this challenge is exacerbated by the lack of adequate infrastructure for essential services.

In Kenya where Fresh Life first launched operations, inadequate sanitation takes a toll on public health and economic growth. Every year, sanitation and hygiene-related illnesses lead to more than 17,000 child deaths and the loss of nearly 2% of Kenya’s GDP.

Slums iron sheets block houses
5 slum toilets near a sewage polluted river Urban sanitation challenge

There’s no better health investment in emerging economies today than sanitation. For every $1 invested, there is a 5.5x return on investment in lower health costs, more productivity, and fewer premature deaths. Girls stay in school when there are private, dignified toilets. Cholera outbreaks are also prevented.


Cities that are continually expanding urgently need affordable, safe service delivery models to reach all of their citizens equitably.

Our Model

Fresh Life seeks to expand our coverage
throughout Kenya and beyond.