This research contributes to the detailed discussion about the approach to secure, hygienic water and cleanliness in Uganda and its pastoral regions. The relationship between the sanitation and clean water access with destitution is also discussed. Although this document is not leading towards the policy recommendation but it is an overall idea of how Uganda progressed because of the provisions adopted by the government, local and international organizations, and NGOs, and how the country lacked before these steps taken. Most of the data mentioned is taken from the house surveys of a decade 2002-2013 alongside the qualitative data. Literature review is also considered and is divided in two sections: first included researches related to water accessibility and usage, while the second section included researches related to work done and progress for diarrheal diseases and sanitation. Afterwards, methodologies were discussed where, firstly, trends and then the limitations in access to the basic necessities of life that is clean water and hygiene are mentioned. At last, the implementations and how they affected the rural Ugandans was discussed.