This document summarizes a project in Pakistan that aimed to improve water, sanitation and hygiene (WASH) conditions through participatory approaches. It involved: 1) Conducting demand creation activities like meetings and discussions to identify the community's WASH needs and priorities. 2) Providing technical training to the community on installing water pumps, sewage lines and maintaining facilities. 3) Promoting positive hygiene behaviors through various training programs. 4) Sustaining behavior change over time through continued campaigns, activities and community monitoring of WASH conditions. The project resulted in improved access to water sources and sanitation facilities, as well as increased hygiene awareness among community members.