This study examines the patterns associated with functional community water points in rural Ethiopia and identifies potential areas of improvement in terms of practitioner response to functionality monitoring. It was part of an integrated WaSH and nutrition program implemented by UNICEF Ethiopia and the Government of Ethiopia. The cross-sectional community survey addressed community water points and their functionality and the main areas for improvement needed. The WaSH committee survey investigated technical and management aspects of water points and their functionality. Communities suggested that the key factors for water point sustainability were improving water quality and water pressure, reducing water collection time, and speeding up repair times. Taking community leaders' priority lists into consideration offers sustainable opportunities for demand-driven, adaptive and targeted design and implementation of rural water supply programs. This would help close the knowledge to action gap and improve policy, programming, practice, and service delivery. (Author abstract)