“…However, development project plans often lack clarity on exactly how this transformation is expected to occur. Even sanitation programs centered around women’s participation have adversely reinforced caste-based social hierarchies and gender roles through women’s passive participation in program planning and at community events. − Women’s decision making agency has been identified as a critical element of empowerment as well as a pathway to sustainable water, sanitation, and hygiene (WASH) improvements. , However, decision-making power may rest solely or mostly with men due to cultural perceptions of their knowledge and abilities and their positions as primary income generators. , In some instances, women’s attempts to push for sanitation improvement have been met with resistance, leading to negative social or safety impacts . Even in female-headed households, where women tend to control decision making, they face barriers including lower income, less accrued wealth, and poorer access to financing. ,, …”