 CARE works closely with the municipalities.In the last 10 years, CARE has contributed to significantly increasing water coverage under a sustainability-driven approach.Numerous small non-governmental organizations (NGOs), such as Water Ecuador (formerly known as Agua Muisne), Fundacion Yanapuma, and Eden's Rose have addressed the issue of drinking water and sanitation on a local level and have worked with many rural coastal and Andean communities in Ecuador to develop water and sanitation programs where several of the larger organizations listed above have not yet reached.