Numerous human activities and poor sanitation management cause public health concern, particularly in rural communities without reliable water supply systems and resources for the monitoring of the quality of their water sources. This study assessed the relationship between observed sanitary risks and hydrogen sulphide (H2S) strip test results in the identification of faecal contamination of various water sources used at household level in rural areas of the Vhembe District Municipality. The highest percentage sanitary risk scores ranging from 50 to 100% were recorded for both river and dam water commonly used by the households for multiple purposes, including drinking. All the surface water samples (100%) also tested positive for H2S production, which is linked to the contamination of water sources by bacteria of faecal origin. The overall results showed a significant and positive correlation (r = 0.623, p = 0.003 in the wet season and r = 0.504, p = 0.017 in the dry season) between sanitary risk scores and H2S strip test results. In low resource settings, the use of sanitary inspections combined with the inexpensive and easy-to-use H2S strip tests can be effective as drinking water quality management tools to raise an awareness among community members of the faecal contamination of their water sources.