The municipality of Guamote, the biggest in Ecuador, is located at the south of Ecuador with a population of 54,746 people, of which 97% are indigenous. Therefore, their cultural heritage and history have been constructed by legal and political indigenous positioning since Ecuador’s independence. However, Guamote is also the poorest municipality in Ecuador with 97.7% living in extreme poverty according to the non-satisfied basic needs (NBI) index. Additionaly, 95% of them do not have access to drinkable water, which contributes to a number of public health issues. Santa Ana de Mancero is one of the many communities within Guamote that are experiencing extensive public health issues due to poor water quality. We have selected Santa Ana de Mancero as the first community within Guamote with whom we will be partnering based on the severity of the health issues they are currently dealing with.