Claire Kalema, Kampala resident and mother of three, “You have clothes, dirty clothes, the children are dirty, you have to cook for them tea, you have to cook them food, you have to boil water for drinking. It’s not something very easy to afford.” Kampala sits on the shore of Lake Victoria. From the city centre, the open sewer passes through a swamp and then straight into the Lake, untreated. As well as being used for waste, the lake is also Kampala’s main source of water.