Ask Agnes Namukasa about sustainably managing fisheries in Kachanga, the lakeshore landing site she calls home in Uganda’s Masaka District, and you will soon learn about toilets. From her perspective, community members won’t address conflict between government enforcers and fishers, competition among neighboring villages, or pollution threatening aquatic ecosystems until they can first organize to address their most pressing daily needs. And in Kachanga, where chronic childhood diarrhea and a host of other illnesses stem from poor sanitation, those essentials include public latrines.