Muhammed Ibrahim is a local facilitator in Ethiopia working on USAID’s Sustainable WASH Systems Learning Partnership (SWS). His job is to improve the sanitation systems in the small towns of Debre Birhan and Woliso using an unconventional approach. He isn’t building toilets or educating people on the need for safe sanitation. Instead, Muhammed and his team are supporting local government staff, residents, and private companies to work together to address complex systematic issues as a collective. This approach is called collective action.

USAID)Ethiopia designed the Strengthening Ethiopia’s Urban Health (SEUH) Activity to support the Government of Ethiopia’s Urban Health Extension Program (UHEP) by improving the quality of urban health services, strengthening referral linkages, building the institutional and technical capacity of regional health bureaus, and promoting intersectoral collaboration on urban health challenges. Using a mixed-methods approach, this final performance evaluation examines SEUH design, implementation, effectiveness, and sustainability. The evaluation findings and recommendations can guide the U.S.

The Indonesia Urban Water, Sanitation and Hygiene (IUWASH) project was a five-year effort designed to support the Government of Indonesia (GOI) in making significant progress towards achieving its safe water and sanitation Millennium Development Goal (MDG) targets by expanding access to these services. The purpose of this midterm evaluation was to determine of whether the project was meeting the expected results and outcomes at this point in the project.

A central goal of the U.S. Government Global Water Strategy is to facilitate sustainable access to safe drinking water and sanitation services, and promote the adoption of key hygiene behaviors. Such improvements are especially important in underserved peri-urban areas that often lack access to these services.