Between October 2016 and March 2019, the Freetown WASH Consortium, led by Oxfam with Against Hunger, Concern Worldwide and Save the Children as members, carried out the 'Improved WASH Services in Western Area Urban (WAU) and Western Area Rural (WAR) Districts' project. Broadly, the project aimed to improve the availability, accessibility, affordability and sustainability of integrated water, sanitation and hygiene (WASH) services, in alignment with the Government of Sierra Leone's national agenda on Ebola recovery and increased preparedness against possible future outbreaks. This Effectiveness Review evaluates the success of this project to increase the sustainability of water and sanitation systems and services. Using a quasi-experimental, mixed method evaluation design, impact is assessed among individuals, households and communities in intervention and comparison areas. Community-level factors contributing to better individual- and household-level outcomes are explored. Find out more by reading the full report now.