Nigeria is a country with over 190 million people spread across 36 states including the federal capital territory of the country. Although significant progress has been made towards strengthening the health system, the quality of Water Sanitation and Hygiene (WASH) services that results in Infection Prevention and Control (IPC) advancement efforts are lacking in most Primary Health Care (PHC) facilities in the country. For this reason, there are still gaps in attaining sustainable development goals (SDG -6). This pilot proposal if implemented will bring sustainable and improved WASH services that will improve IPC effort in Primary Health Care facilities. It will address bottleneck issues in leadership and governance and the health workforce which are major health system building blocks. Our target population is about 20 million vulnerable people living in and accessing PHC facilities in South-South, Nigeria. The proposal seeks to bridge the identified system gaps by strengthening leadership, governance, and workforce. This will be achieved by appointing WASH and IPC focal persons from the facilities and communities to improve community participation, accountability, and responsiveness. The pilot program will be scalable to the rest of the country. Liberia and Ethiopia are used as benchmarks references