Street vendors offer up second-hand ceramic and bathroom products around Urael church in the capital. Nine out of ten Ethiopians do not have access to sanitation facilities rendering cholera outbreaks. UNICEF estimated about 80pc of communicable diseases in Ethiopia are caused by a lack of sanitation and clean water. A cholera outbreak occurred early this October in three districts within Bale zone, Oromia Regional State. A report by African Leaders for Nutrition (ALN) ranked Ethiopia 54th in terms of access to improved sanitation in 2019.