In response to a request by the Near East Regional Housing and Urban Development Office (RHUDO) to assess the degree to which two projects (Thirty Cities and Greater Tunis Complementary) address the sanitation needs of low and moderate income urban residents in Tunisia, the Office of Health Bureau for Science and Technology, US Agency for International Development, authorized the WASH Project to send a team to Tunisia. The three-person team was in the country from September 23 to October 15, 1983, visited several communities selected to receive the sanitation improvements, and interviewed representatives of the organizations responsible for planning, approving, and executing the projects. This report serves as an assessment of said projects.