Open defecation and urination are significant public health concerns in many developing countries, including those in South Asia. In rural Desi communities, women are disproportionately affected by this practice, which can lead to various health problems, including diarrhea, urinary tract infections, and other water-borne diseases. Despite government efforts to promote sanitation and hygiene, many women in these communities continue to practice open defecation and urination. This study aims to explore the sociocultural, economic, and environmental factors influencing this practice among women in rural Desi communities.