In Kenya, only 50% of the population has access to clean and adequate sanitation. Approximately 30 million Kenyans are still using unsafe sanitation methods, such as rudimentary types of latrines, and almost six million are defecating in the open. The few existing public toilets are labeled as unhygienic and unappealing. In 2006 David Kuria founded Ecotact, which provides basic sanitation in Kenya through pay-per-use washrooms; since then the company has built 54 Ikotoilets through a build-operate-transfer (BOT) contract with the Kenyan government. How was David able to create economic value in a context of extreme poverty, and how did he convince people to pay for a service that is normally free? This case describes how a new social venture tries to address the issue of building a sustainable business model, and invites students to put themselves in the shoes of a young entrepreneur who was able to create a sustainable business where the state had failed to serve the community, showing how an entrepreneurial lens can even change the perception of public restrooms.