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The project aims to reduce the prevalence of water, sanitation and hygiene related disease in 50 communities with a population of 8,500 in Chitedzi, Malili, Malawi. This will be achieved by empowering community members to meet their water, sanitation and hygiene needs. Firstly, Health Surveillance Assistants (HSAs) from the Chitedzi health centre will mobilise the communities to address and improve their water, sanitation and hygiene behaviours through the application of the approaches Community Led Total Sanitation (CLTS) and Participatory Hygiene and Sanitation Transformation (PHAST). Secondly, Water Works will assist the communities to meet their water, sanitation and hygiene goals through protecting water resources with simple, innovative and sustainable hand pump technology and supporting households to construct latrines and hand washing systems. Finally, Water Works will establish a water pump repair service to ensure that all 96 water points installed by Water Works since 2010 remain operational.