USAID/Afghanistan’s $443 million investment in the Afghan Sustainable Water Supply and Sanitation (SWSS) activity is one of the Agency’s largest single investments in sustainable rural water supply delivery. The project installed about 2,123 wells with hand pumps across Afghanistan from 2009–2012. This report presents findings from a retrospective evaluation of a random selection of wells with hand pumps installed under the SWSS project.<br> This evaluation’s key purpose is to identify factors that support and hinder sustainable water service delivery in different contexts.