This book focuses on the effectiveness of household participation in NGOs supported projects, perceptions of households towards household participation based service provision by NGOs and finally the determinants of the level of households' participation in NGOs projects.Analysis of households' perceptions indicated that households do not own NGOs supported projects and when denied access to the projects then they can sabotage them. These perceptions have a direct influence on households' participation in the NGOs projects. Key factors identified as influencing the level of households' participation in NGOs supported projects are the level of education for household members, the role of local community leaders, and NGOs restrictions. This study concluded that even though there were elements of households' participation in some NGOs supported the project, it was not effective leading to the collapse of most of the NGOs initiated projects.