 This study found that over one-fifth of households in Ethiopia lack access to improved sanitation services. The study also identified several factors associated with this lack of access, including rural residents, on-premises water access, media exposure, and wealth status. To address this issue, stakeholders should focus their efforts on the identified hot-spot areas and provide resources to improve access to sanitation services. Additionally, they should raise awareness about the importance of sanitation services and encourage poorer households to use existing facilities or build their own. Finally, they should work to ensure that shared sanitation facilities are kept clean and well maintained. This article was authored by Addislam Wurky Dim Sesh, Ms. Rasha DeRise Tejegni, Sissy Maru Wubant, and others.