Executive Summary This evaluation was commissioned by Tearfund and funded by the European Commission Humanitarian Aid department (ECHO). The purpose was to assess the outcomes and impact of the ECHO funded Water, Sanitation, Schools Construction and Health Project for conflict affected communities in Uvira Midlands and Highlands, South Kivu province, Democratic Republic of Congo. The evaluation visit took place in June 2009 and the project period under assessment spanned the 11 months from August 2008 to June 2009. The programme has essentially achieved its objectives in each of the three main areas of water supply, health and hygiene promotion, and school construction including latrine blocks and rainwater harvesting for hand washing. The practical recommendations developed as a result of this evaluation should be straight forward in their application and those which are considered essential are unlikely to require extended timeframes or budgets. Therefore, it is considered likely that this programme’s objective and associated indicators will be met. Despite a few issues relating to design decisions and a lack of availability of design documentation, the quality of the masonry construction was generally found to be very high. Tearfund are to be commended for often being the only Non-Government Organisation (NGO) working in some of these remote village locations. This has resulted in the universal appreciation for their work from UN-OCHA and the various DRC Government Departments down to village-level leadership, committees and general population. Each of the above reported a very positive relationship with Tearfund staff and sincere appreciation for the work accomplished. The main disappointment expressed was that at the time of evaluation, no further funding had been secured to enable Tearfund to expand their work to neighbouring communities or to address further recognised needs within the current ones. The programme as a whole scored well on its effectiveness, impact, and sustainability; and very well on issues of relevance, efficiency and coordination & coherence. Areas of concern were mostly limited to issues of technical detail and design which in themselves could appear minor but, if unaddressed, the potential impact on long term sustainability would be significant. However, where such details are tackled soon, the results should benefit entire communities for many years to come. It should be appreciated that a number of the recommendations noted under section 5 of this report may well have been completed by the time that this report is submitted; they have been documented here as being outstanding activities at the time of inspection. In contrast, a particular commendation was received from a Department of Education staff member who indicated that he was so impressed by the schools constructed under this programme that he said if it were up to him he would like to give all future school construction projects to Tearfund.