Over the past two decades, water service coverage levels have been steadily increasing in Rwanda, though significant gaps remain in many rural communities. In 2018, World Vision committed to reaching 1 million people with access to clean drinking water with the goal of reaching everyone in the areas World Vision works in Rwanda by 2023, through scaling up programming in Rwanda’s most underserved areas. Through the collective effort of a government-led network of actors, achievement of universal water coverage in Rwanda is near. Since 2018 there have been substantial improvements in household, school, and healthcare facility access to sanitation and hygiene, capacity building of local governments, and careful consideration of long-term environmental sustainability and resilience of water systems.