UNICEF wanted to identify the actual health and hygiene needs of Informal Tented Settlements (ISs). This would assist in its evolving its health and hygiene activities to meet the needs identified by the IS communities and therefore lead to a sense of ownership which would yield more positive results. Specifically, the purpose of the research was to identify the 1) top needs and priorities of refugees in relation to health and hygiene 2) barriers to fulfilling those needs 3) ways to overcome those barriers for the community to fulfill those needs and 4) ways to engage communities to identify and implement solutions in order to fill these gaps, while transferring ownership of activities to the communities. To reach the objectives of the study, a qualitative approach was utilized. Focus Group Discussions (FGDs) and In-depth Interviews/ Key Informant Interviews (KIIs) were conducted. The study targeted Syrian refugees living in Lebanon and residing in ISs, UNICEF’s staff and partners, as well as key community actors. Refugees with difficulties also took part. In total, thirty-four in-depth interviews were conducted with key actors and 24 Focus Groups Discussions (FGDs) with refugees residing in ISs.