The multiple-use water services (MUS) approach to water services takes multiple water needs of rural and periurban communities as the starting point for planning and designing new systems or rehabilitations. By overcoming the administrative boundaries between single-use sectors, MUS contributes more sustainably to more dimensions of well-being than single-use approaches: health, freedom from drudgery, food, and income. The action-research took place in 25 study areas in eight countries in five basins. The project brought global, national, intermediate level, and local partners together who were champions of MUS at the time. This paper presents some of the project findings.