With the completion of the project, communities have observed the availability of water for multiple uses: for prayers during Ramadan; for socio-cultural events in the communities as well as satisfying the drinking water needs of passer-by. Communities have reported an increase in the rate of school attendance by children as an outcome of less time spent fetching water. Water quality testing results suggest that the harvest water is potable. This project has contributed to cross cutting objectives: build community-level adaptive capacity, reduce the risks faced by communities from climate change, and in turn influence the policy and institutional arenas to promote sustainable management of water resources to counter likely climate change impacts. Provision of domestic water supply alone will not result in significant and sustained reduction in the vulnerability of the community to climate change. Multiple use services approach that guarantees water security has to be promoted for improved access to water to be affective as an adaptation measure to climate change. In rural parts of northern Cameroon, water is needed for uses like irrigation, animal production, and fisheries. To ensure water security, springs and wells need to be permanent in the long term. This will require enhancing ground water recharge which in turn reduces runoff and hence reduces soil erosion. While this intervention provides lessons for temporal relief, the scope of the project, the limited per capita water provided and the cost of the intervention suggest that this is not a scalable initiative from an economic stand point as well as operation and maintenance. This case demonstrates the need for active monitoring and evaluation (M&E) in IWRM interventions aimed at reducing vulnerability to climate change. It further makes a case for an ‘IWRM discovery and innovative funds’ that could allow ‘testing new initiatives’ for climate change and water adaptation. Finally, lessons learned through M&E can play a key role in informing and influencing ‘adaptive interventions’ as seen in the on-going solar pump boreholes intervention in northern Cameroon.