This report constitutes the final report of the Environmental Health Project (EHP) Nicaragua Rural Water Supply, Sanitation, and Environmental Health Programme (EHP/Nica)a two-year reconstruction program funded by the U.S. Agency for International Development mission in Nicaragua (USAID/Nicaragua). The programme which ran from 1 September 1999 through 31 December 2001, with a total budget of $9.783 million, was managed on behalf of USAID/Nicaragua by EHP. This programme was one component of a $94 million package of assistance that the U.S. Congress approved to address the damage wrought by Hurricane Mitch in Nicaragua's northern regions in late October 1998.The report documents the programmes history from design and start-up through the final review and evaluation of specific components and closeout activities. Written by a consultant from Aguaconsult, with support from the EHP/Nica staff, the report draws upon a wide range of inputs: program documentation, monitoring outputs, final reports of private voluntary organizations (PVOs), and the results of a wrap-up workshop held in early December 2001 that discussed key lessons and conclusions.