Most towns in the Global South face issues with sanitation systems that include lack of access, poor design efficiency. Centralised and sewered network infrastructure demand high capital, operation and energy costs and hence excludes small towns and marginal settlements. The project explores the possibility of scaling up technology alternatives at a town level through participatory planning, capacity building and working with local governments. Sanitation issues get amplified in regions with high water tables like the coastal region of Alleppey particularly during floods. Our focus is on developing decentralized and integrated sanitation solutions for such regions at the local level, involving multiple stakeholders in a participatory manner, to ensure effective outcomes.