Background: Environmental sanitation and effective waste management are critical determinants of public health and environmental sustainability, particularly in developing communities where improper practices remain prevalent.Objectives: This review examines the impact of health education campaigns on the level of awareness, attitudes, and practices related to environmental sanitation and waste management.Method: The research adopts a descriptive and analytical approach using existing scholarly literature published from 2015 to 2025 to assess the changes in knowledge and behavioral attitudes before and after exposure to structured health education interventions delivered through community outreach programs, media campaigns, and school-based education.Results: Health awareness activities in Nigeria have expanded in recent years, evidenced by a 75% increase in COVID-19 vaccination uptake and a 50% rise in mental health consultations, alongside improved heart-health awareness, increased primary healthcare utilization, and high HPV vaccination coverage. These gains have been accompanied by more positive attitudes toward sanitation and community responsibility, though inadequate infrastructure, weak policy enforcement, and socio-cultural barriers continue to limit the translation of awareness into sustained healthy practices.Conclusion: The study concludes that health education campaigns are effective tools for promoting positive attitudes and improving environmental sanitation and waste management behaviors. It recommends the integration of continuous health education with supportive policies, community engagement, and improved waste management facilities to achieve long-term environmental and public health benefits.