In 2007, when I started to work on rural sanitation in Tanzania, I was intrigued to see the plethora of reports highlighting the ‘sanitation crisis’ in Africa. Of all the Millennium Development Goals, Africa was performing worst in meeting the sanitation target. This message was repeated during the International Year of Sanitation and through the eThekwini Declaration and Commitments in 2008, at AfricaSan3 in 2011, and in the WHO/Unicef Joint Monitoring Programme report on progress toward MDGs released last month. But progress is slow. It’s time for us to engage with other groups and sectors that are affected by inadequate sanitation – health, education, environment, and finance.