At Help for Optimism we envision a world free from suffering, a world in which every person can have agency over her or his own life, and access to basic human rights, including clean water, sanitation, hygiene, safety, nutrition, education, employment and improved livelihoods. We are the only NGO in North-West of Madagascar holding a strong focus on water and sanitation. Our holistic approach to development frames our water and sanitation interventions within a much broader framework of Development, encompassing Health, Education, Economic Development, Sport and Creative Practice. All of our programmes are co-designed and co-led by local people and run on a long-term basis to ensure they catalyse tangible results and positive change. H4O key areas of impact mainly focus on Health Improvements, Women's Empowerment, Skills Development and Financial Sustainability. We also support indigenous communities to set up their own social enterprises so that members can develop awareness and ownership of natural resources and local assets.