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The participation of women in water management is critical for households and for safeguarding the health and hygiene of rural women and men, especially in Africa and around the world. This paper argues that the knowledge around gender- based water management among rural dwellers is still underrepresented and provides the rationale for this study. Qualitative methods were used to examine the approaches in rural water management and their impact on women and their livelihoods through interviews, narratives, and the respondents’ everyday experiences. Significant findings from this study revealed that the indigenous participation of women in water management at individual households improved the quality of water among the rural dwellers. Further findings also showed that the impact of gender insensitivity has reemphasized the limited role of women in rural water management (RWM) at the community level. It was concluded that various indigenous practices by women in an effort to make water potable in these villages have contributed to meeting their practical gender needs (PGNs) based on their cultural roles. However, channeling water from surrounding rivers by pipe into every street and regular gender awareness assembly between men and women across the rural communities could improve the livelihood of women by contributing to their strategic gender needs (SGNs).