The programme seeks to ensure that women, men and young people living in poverty in cities in Sindh and Punjab provinces of Pakistan have improved access to decent income opportunities and a dignified, healthy habitat. To achieve this goal, the programme is structured around three pillars: bringing together citizens to contribute to local governance; improving the responsiveness and capacity of local government actors; and improving access to WASH (water, sanitation and hygiene) services and livelihood opportunities.

The approach entails bringing together citizens in Effective Citizen Groups (ECG), with sub-groups for trade, WASH and participatory monitoring. Groups are supported in developing influencing strategies, and in lobbying local officials for improved WASH and livelihoods outcomes (e.g. repair of water and sanitation networks, increased access to livelihood support services) through participation in, and monitoring of, local government planning processes.

This document particularly focuses on the programme's learning about adapting programming to an urban environment.