Although HIV/AIDS is not water and sanitation related disease, the issues are closely linked. Many of the opportunistic infections like diarrhea that cause high morbidity and mortality in people living with HIV/AIDS are transmitted through contaminated water and unsanitary living conditions. Therefore, a reliable water supply and good sanitation facilities are indispensable to assist in the task of bathing, washing, cleaning & disinfecting the home environment, providing water for taking drug, using latrine to avoid contamination. Access to Water and sanitation services can help home based care clients to live longer in good health, facilitate care for ill patients, improve the quality of life and increase their dignity. However, this is poorly recognized by either organizations working on HIV/AIDS or water and sanitation sector. The result of a cross-sectional simple random study showed that home based care clients had low access to safe water, sanitation and hygiene than the general population.