A multidimensional approach is needed to meet the Millennium development Goals (MDG) to address Water and Sanitation Hygiene Knowledge, Attitudes and Practices. The MDG of reducing child mortality by 2015 will require an increased focus on countries and regions where children death rates are the highest, and a renewed commitment to reach the most vulnerable children (UN, 2013). India and Nigeria account for more than one third of all deaths in children less than five years of age (UN, 2013). Using a combination of a research based literature review, expert opinion and the policy reports a multifactor model was developed to determine the necessary variables that need to be addressed so that an integrated approach to WASH related problems could be designed.