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As part of its integrated freshwater and WASH project, Conservation South Africa’s (CSA) commissioned a health monitoring protocol report to guide monitoring efforts for CSA and its partner the Alfred Nzo District Management (ANDM). The report describes activities related to livestock herding, water access, community livelihoods, and human and ecosystem health and provides a monitoring framework for project staff to use throughout the project. This summary provides an overview of the research findings and data detailing community perceptions and behaviors regarding water management, use of sanitation and hygiene facilities, and livestock management practices in the target communities in ANDM. The data was used to construct the health monitoring framework for CSA and partner staff to use in the course of their project implementation.