Water is key to life. In Bolivia, the second poorest country in South America, only 80% of people in rural areas have access to basic water service. To combat this, Water For People implements piped water supply systems, supports the development of sanitation improvements and locally available sanitation resources, as well work alongside local leaders to educate the community on good hygiene practices. To improve water service, Water For People builds the capacity of communities and districts so they will be able to manage and maintain these systems for the long term. With Water For People’s support, districts have created water and sanitation offices (called DMSBs in Bolivia) that support communities with operation and maintenance and oversight of water services. Our approach to sanitation is market-based, which means families invest in their own household toilets that meet their preferences and needs. Water For People also supports microfinance for sanitation improvements so families can access small loans to build better bathrooms. Safe and hygienic handwashing stations and toilets in schools are constructed by working with local leaders. Included in local leader partnerships are school interventions that are combined with programming and education in the community to help ensure that good hygiene practices learned in schools are reinforced at home.