In Ethiopia, thousands of pilgrims flock to holy water sites for spiritual cleansing and physical healing. People often drink the holy water and perform ceremonial cleansing for their bodies or those of their loved ones. But there is a risk that these sites can be contaminated with bacteria that cause acute watery diarrhea (AWD) or other waterborne diseases as open defecation is a common practice in open fields close to holy water sites. To protect the pilgrims, WHO is working with the Ethiopian Orthodox Church, Ministry of Health, UNICEF, OCHA and other partners to ensure that water safety and latrine access is improved around holy water sites.