The study explores the perceptions, knowledge, and cultural factors influencing Water, Sanitation, and Hygiene (WASH) behaviors among Zambian school-going children. According to the World Health Organization, WASH can influence cholera, neglected tropical diseases, antimicrobial resistance, infection prevention and control, maternal, neonatal and child health and nutrition. Of importance for this study is the impact of WASH on the transmission of neglected tropical diseases such as soil-transmitted helminthiasis (STH) STH are highly prevalent affecting approximately 24% of the global population annually. With over 568 million school-age children living in areas where the STH is endemic. This study took place in Zambia, as within the Eastern province six of the nine districts have a moderate endemicity of STH. To reduce the rate reinfestation of tSTH, it is important for researchers, government and policymakers to understand why behaviors that could transmit STH, such as open defecation, occur within a community. Impactful changes on behavior can only be made by understanding a population's perception, knowledge and culture. In order to discover these perceptions regarding WASH the photovoice methodology was utilized. Photovoice is a participatory action research method. This means that the researchers value the experiential knowledge of the participants. Each person participating in the study is an expert of their own lived experience. There is direct contact, and involvement of people personally impacted by the research. Photovoice can facilitate the understanding of different perspectives and can highlight the nuances within community perceptions and behaviors. Through analyzing data from photographs taken by students and the conversation that followed, three main themes emerged: 'Nothing is What it Seems': highlighting the contrast between appearances and reality in WASH practices. 'Shared Responsibility': emphasizing the collective role of the community in maintaining hygiene standards. 'Consequences of Carelessness': demonstrating the impact of neglecting WASH practices on health and the environment. The study's social impact is on its potential to influence WASH interventions in Zambia through highlighting the need for community involvement. Without seeing an issue from a community’s point of view a researcher will have a harder time developing functional behavior interventions. Effective WASH practices require collective effort rather than individual actions. Additionally utilizing photovoice can promote awareness and behavioral change. Photovoice engaged participants actively, fostering a sense of ownership and awareness about WASH issues. Students participating in this study were required to critically think about the WASH practices in their community and discuss these issues with their classmates. Each student coming forward with a different photograph to discuss provides space for different opinions. This study sheds light on the cultural and behavioral factors influencing WASH practices among Zambian school children, emphasizing the need for community-based interventions and participatory methods. Understanding these dynamics is essential for addressing public health challenges related to hygiene and sanitation in Zambia.