Many people who live a traditional subsistence life on their tribal lands in the central interior of the island of Malaita in Solomon Islands do not receive regular health programs delivered by the Solomon Islands Health System. In response, the Baru Conservation Alliance is a coalition of local tribal leaders who work together to coordinate locally designed community health and conservation projects in a way that responds to local social, cultural and environmental contexts. This project works with local tribal leaders to design and construct locally appropriate water and sanitation systems in very remote villages in a way that is consistent with local cultural norms, is able to cope with changes in weather patterns and does not pollute the local environment. This project aims to improve local water and sanitation and hygiene facilities as one step to reduce transmission of NTDs including soil transmitted helminths, yaws and scabies in these locations.