IBTCI conducted a performance evaluation for the USAID School Water Supply and Hygiene (WASH) and Quality Education Activity, which was implemented in all 12 districts of the Northern and Muchinga provinces in Zambia. IBTCI’s evaluation determined whether the School WASH and Quality Education Activity achieved the established program objectives of improved access to water and sanitation services in schools in all 12 districts of Northern and Muchinga Provinces, as well as the promotion of education access, gender equity, girls education, teacher retention and improved health outcomes in Zambian schools. As part of its evaluation, IBTCI interviewed 1,286 respondents, 48% of which were adolescents, 31% teachers, and the remaining 21% constituting various education and community stakeholders. IBTCI additionally performed field-inspections of 178 facilities in 68 schools within Zambia to determine if adequate sanitation and health standards were being met. To monitor the project’s impact over nine years, IBTCI tracked and analyzed student attendance and the teacher retention of 97 schools to identify and determine if there has been institutional change.