The Programme was commenced in July 2004 and was continued up to December 2007. 72 unserved ethnic community in the Chittagong Hill Tracts (CHT) in Bangladesh were covered. Reducing the incidence of water-borne diseases was the broad objective. The specific objective was to support the development of rights-based community-managed water and sanitation programmes strengthening the capacity of local NGOs and the community groups. The ethnic community in the CHT had been experiencing different problems immensely. Like many other challenges lack of safe water sources and sanitation facilities had appeared as a serious setback of achieving greater development in the areas. Considering the needs and priority of addressing water, sanitation and hygiene issues in the areas the Programme was designed with supports from Catholic Agency for Overseas Development (CAFOD), UK and European Commission (EC). NGO Forum for Drinking Water Supply & Sanitation implemented the initiative in partnership with 12 local NGOs. The Programme has contributed to building capacity of the local partner NGOs while implementing the activities, and through training, orientation, exchange visit, etc. The local partner NGOs are now capable to implement large-scale water and sanitation programmes as well as other projects. The target community people lacked proper knowledge on the importance of safe water, sanitation and hygiene. The initiative got the ethnic people oriented and finally mobilized towards using safe water, sanitary latrines and maintaining hygiene principles through different promotional activities and using IEC & BCC materials. Thereafter aiming at establishing the access to safe water and sanitation facilities, a series of alternative technologies had been introduced in the unserved communities where the rights-based demand and priority of the target communities were reflected. The Programme has made effective changes KAP of the ethnic people in improving water, sanitation and hygiene situation in the intervention localities.