The Millennium Development Goals (MDGs) calls for a reduction of child mortality by two third between 1990 and 2015, the reality is that although progress is been made, much more remains to be done. The prevalence rate of diarrhoea in Nigeria is 18.8% and is a menace in sub-Sahara Africa; and in this part of West African it accounts for an estimated 150,000 deaths yearly amongst children under five due to poor hygienic and sanitary practices. Diarrhoea’s status as the second leading killer of children under five is an alarming reminder of the vulnerability of children in Nigeria, saving the lives of millions of children at risk of death from diarrhoea is possible with a comprehensive strategy that ensures all children in need receive critical prevention and treatment measures. This report is written with the intent to let our government re-focus her attention on the prevention and management of diarrhoeal diseases as central to improving child survival in the country and justify the need to embrace Sustainability Development Goals (SDGs) set by WHO to achieve universal access to clean water and basic sanitation, which is the primary preventive measures to reduce the burden of diarrhea in the country.