The goal of this project is to improve the health and well-being, and reduce vulnerability to WASH related disease, for rural communities in four districts in Punjab. The project will replicate and extend Plan Pakistan’s previous flood response WASH program in Punjab and will work directly with provincial and district level government agencies to deliver the Government of Pakistan’s CLTS- based Pakistan Approach to Total Sanitation (PATS) at scale. Successful implementation will see local government leading the coordination and delivery of WASH activities and trained government extension workers and community facilitators promoting complete sanitation coverage and improved hygiene behaviours at village and then at sub-district level. A private sector response to increased demand for sanitation and WASH products will be facilitated.