The implementation of water and sanitation safety plans (WSSP) has the potential of greatly improving the challenge of resource-limited drinking-water supplies. However, the most effective tool to make WSSP successful is understanding of the factors that contribute to hindering the implementation of these plans, specifically in rural communities. This study therefore aimed at assessing the status of basic services and determining the factors that contribute to hampering the process of WSSP in rural communities. A survey was conducted between March 2020 and March 2021 in rural communities of the Vhembe District, Limpopo Province, South Africa. The overall results indicate that poverty, unemployment, lack of access to purified water, and inadequate sanitation facilities have resulted in waterborne diseases reported within the communities and have a major impact in hindering WSSP. Other barriers observed are inequality regarding financial power, absent and degrading water and sanitation infrastructures, and lack of protection and maintenance of natural water sources. Therefore, there is a need for community members to be educated on proper behavior and perceptions towards sanitation, including working hand-in-hand with different stakeholders, men and women from communities, and different cultures and religions to overcome these barriers, so that human disease associated with water supply, wastewater reuse, and sanitation in rural communities can be alleviated.

The lack of improved sanitation in rural areas of developing countries, including South Africa, exacerbates open defecation, leading to the significant contamination of water sources by human and animal waste. This study aimed to establish the association of Campylobacter jejuni, Salmonella enterica serovar Typhimurium, Shigella flexneri, and Yersinia enterocolitica in open defecation sites and animal waste with the contamination of water sources in Vhembe District, South Africa. A total of 1032 water samples and 111 faecal samples from the Collins Chabane and Thulamela municipalities were analysed using qPCR. Regression models were used to assess associations, with S. Typhimurium (19–60%) and S. flexneri (11–44%) being the most prevalent bacteria in faecal matter and water, showing detection rates of 4–100% and 5–100%, respectively. Strong associations were found during the wet season between faecal waste and water contamination for S. flexneri (R² = 0.7, p = 0.005) and S. Typhimurium (R² = 0.619, p = 0.091). Urgent measures are needed to address the contamination of rural water sources due to open defecation and livestock waste.