In rural settlements, water from water supply systems is used by households for both domestic and small scale productive activities. However, during planning, designing and management of these systems, this reality is being ignored, and as a result, agencies promote services which do not make it possible to properly develop activities that contribute to peoples incomes. It also endangers service sustainability. The multiple uses of water approach is considered a strategy to implement Integrated Water Resources Management at the local level. It promotes a change in paradigm towards planning and management of water supply systems for both human consumption ,small scale irrigation and micro-enterprises. This way, systems can work according to the needs and the context of the people living in rural communities and give people access to integrated and sustainable solutions as well as water.