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The Sustainable sanitation pilot project in Burmi Tola, Bihar, implemented urine-diverting dry toilets (UDDT) to address the health and environmental risks of open defecation in a flood-prone area. The project installed units for 31 of 37 households in Burmi Tola and 7 in Rupauliya, utilizing a cost-sharing model where the project funded waterproofed substructures and households provided labor and superstructures. Despite initial resistance, the project gained momentum through community mobilization, the support of local officials, and agricultural trials demonstrating the effectiveness of 'humanure'. Key outcomes include improved health, better menstrual hygiene management for women and girls, and interest from approximately 55 households in neighboring communities.