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In 2018, the launch of the Prime Minister’s flagship programme Clean Green Pakistan Movement provided an opportunity to accelerate attainment of water and sanitation targets and to provide institutional strengthening and behaviour change for effective service delivery. The CGPM is a people’s movement seeking institutional strengthening for effective service delivery and behavioural change with a focus on: Total Sanitation and Safe Water; Solid Liquid Waste Management; Hygiene; and Plantation.