With the Project Assistance Completion Date (PACD) of the Environmental Sanitation Component of the Integrated Health and Nutrition System Project coming up at the end of 1988, a team from the Water and Sanitation for Health (WASH) Project evaluated the program for the USAID Mission in Guatemala City. The evaluation scope of work ranged from health education and engineering to institutional matters and finance. The objectives were to (1) evaluate and compare project achievements with targets, (2) determine the extent to which targets can be increased without increasing financing, and (3) determine the value and feasibility of reintroducing a health education component into the project.