The overall objective of the project was to contribute to improved public health among target communities by reducing water and excreta-borne diseases, productivity losses, and the associated health burden. By doing so, the project aimed to enhance the public health conditions of vulnerable populations living in hard-to-reach areas. The specific objective was to ensure good governance in promoting pro-poor, safe, and sustainable water supply and sanitation services. The project was designed to achieve sustainable WASH services and hygiene practices, ensuring effective governance in water supply and sanitation (WSS) through collaboration with Local Government Institutions (LGIs), civil society, and the private sector. This approach enhanced the efficient delivery of community-driven solutions within a decentralized governance framework, increasing access to WASH services for poor populations while contributing to the development of livelihoods. The project’s purpose was to improve access to sustainable water supply, sanitation, and hygiene practices for underserved and marginalized rural communities, while also fostering livelihood development for those facing various geographical vulnerabilities. The project's outcome also focused on providing appropriate income-generating activities (IGAs) to sustain livelihoods for arsenicosis patients. Counseling activities helped these patients recover and reintegrate into society and the market, thereby improving their livelihoods. Additionally, the project aimed to build the capacity of arsenic-affected individuals and families to manage income-generating schemes and provided financial support for establishing income-generating initiatives, ultimately enhancing livelihood opportunities for the affected population.