This practical paper addresses the vital gap in water quality monitoring in Bihar. The study addresses an institutional weakness in the area of water quality management in rural Bihar, India. The study focuses on the role of access as a vital component in addressing water quality monitoring and interventions that has a huge impact on protecting community health in areas severely contaminated with arsenic and fluoride. The study calls for a drastic shift in the monitoring and intervention strategy to address safe water provision for rural Bihar.

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