This document provides background information on Nepal Water for Health (NEWAH), an NGO working on water, sanitation and hygiene in Nepal. It outlines the environmental, economic and social impact considerations for a project in partnership with NEWAH and Engineers Without Borders Canada to design solutions for hilltop communities in Gorkha district. The project aims to minimize environmental impacts during construction and use while providing long-term economic and social benefits to communities. Students will submit design reports to NEWAH, who will integrate useful ideas into their community programs.