Due to inadequate sanitation services, residents of rural communities in developing countries practice open defecation. Globally 2.5 billion people do not have access to improved sanitation facilities and 45% of the African population use shared or unimproved sanitation facilities and an estimated 25% practice open defecation, whereas only 30% have attained improved sanitation. About 47.3% of the Kenyan population lacked access to adequate sanitation. Despite the importance of sanitation facilities on improved health, developing countries, Kenya included, are still stagnating in the sanitation ladder. This study assessed sanitation practices on containment and disposal systems among communities of Tigania West Sub County. Research questions were; what are the sanitation practices at containment and disposal systems, approaches undertaken and demanding tasks experienced in the promotion of good sanitation practices at household level. A mixed method approach was used. All the five wards were included in the study through cluster sampling, key informants were selected purposively and systematic sampling was used to select the households. Data collection methods were focus group discussion, questionnaires and observations. Participation in the study was voluntary, informed consent was obtained prior to data collection, and maximum confidentiality of the information gathered was assured to all participants. Quantitative and qualitative data was analyzed by the use of Statistical Package for Social Sciences (SPSS) version 21.0 and through transcription of the recordings to text which were thematically analyzed using Max Qualitative Data Analysis application. The study established that 95.2% of the respondents had access to a toilet, whereas 4.8% did not (n=236). Out of those with toilets (n=225), 54.3% had pit latrines without a slab. With regard to construction materials, 72% of the households had their latrines constructed using timber and iron sheet; 9.3% with concrete; 8.4% with mud and grass; whereas 10.3% had theirs constructed with polythene materials (n=225). The majority of the households had toilets in poor hygienic conditions with 149 (66%) with faeces on the floor, exposing users to the risk of getting into contact with the faeces. 120 (53.2%) of the households did not empty latrines when full, instead they opted for a new one. Latrines did not offer any privacy in 45 (20%) of the households, therefore discouraging their use. 71.8% of households disposed of children's faeces in the latrine, whereas 6.4% did so in the environment (n=225). 53.2% (n=225) of the residents had no detergents and disinfectant to clean the toilet. 37.7% of the respondents never washed their hands with soap and water after using the latrine/defecating in the open. Sanitation practices had a significant positive correlation with cultural practices (0.119 (p=0.003<0.05), sharing of toilets (0.142; p=0.48<0.05), space availability in the household (0.098; p=0.011<0.005) and financial challenges (0.074; p=0.004<0.005). The findings will assist sanitation stakeholders such as community members, local government of Meru County, partners and sanitation experts in their operations to come up with sustainable access and disposal practices on promotion of proper human waste disposal at household level. The study therefore recommends that another research is needed within the area of sanitation challenges and approaches and their influence on behaviour change on disposal of excreta. Innovative approaches to toilet construction using locally available materials, training and subsidies together with behavioral change sensitization could improve sanitation among households of Tigania West Sub-County.