This study examines lingering failure of access to safe and sanitation control in some of the high populated cities in Southwest
Nigeria. The study analyzes three types of data to gather information relevant to sanitation control, waste generated and attitude of
the indigent against waste disposal among others. Data for this study come from 350 valid respondents that were identified through
simple random sampling techniques. In addition, secondary data were sourced from National Core Welfare Indicator Questionnaire
(CWIQ) Survey. The study uses regression analysis to examine the characteristics that best explain variation in the measures of
attitudes of the indigent access to safe water and waste management and factors that influences it. The study also decomposes
various measures of sanitation control by the government and people in charge to assess the relative importance of sanitation
control and waste management. Result suggests that perceptions of healthy environment decisions are strongly affected by
educational status, locations and access to waste management facilities among others. Households with many members but no
access to waste management services are more likely to have multiple wastes littered around. The paper recommended among
others mass campaign orientation and sensitization programme on the benefits of living in a hygienic environment