Open defecation in Nigeria causes widespread disease and economic loss. Annually, Nigeria loses $3 billion to poor sanitation. This loss results in premature deaths, decreased productivity, higher medical costs, and wasted time. According to the World Bank, Nigerians lose work hours every day in search of a place to relieve themselves. This lost time accounts for approximately 30 percent of Nigeria’s gross domestic product (GDP) per capita. This economic loss highlights the need for urgent intervention. To achieve Open Defecation Free (ODF) status, there must be collaboration built on two main pillars. These pillars are increased investment and sustained support.