In this paper, we report our findings focused on how the Miniature Portable Alternative Sanitation System (Mini-PASS) has affected the health of children 12 years old and younger, changes to water hauling and usage that occurred, and hygiene practices. Our findings demonstrate that a simple plumbing system such as the Mini-PASS handwashing station can help decrease the reuse of water in a wash basin, which ultimately contributes to increased positive health outcomes for households. Our evaluation will inform the broader community about the health benefits of an affordable, responsive, decentralized water system solution for communities that lack piped water and sewer.