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Sustainable Development Goal 6 for water and sanitation calls for the realization of safely managed services (SMSS) for everyone by 2030. While there has been significant research and implementation to improve the sanitation service chain in urban settings, little guidance is available on how to achieve and sustain SMSS in rural contexts. In 2019, WSSCC commissioned this study to examine to what extent Global Sanitation Fund (GSF)-supported programmes enabled SMSS in rural areas with collective behaviour change approaches like CLTS, identify challenges, good practices, and learning needs, and generate a set of recommendations for rural sanitation programmes.