Community-led clean water source provision programmes have been implemented in Malawi to improve access to safe drinking water and reduce associated health risks. A survey research design was employed, involving structured questionnaires distributed across randomly selected communities in Malawi. The questionnaire included questions on user satisfaction and adherence to recommended hygiene practices. Users reported an average satisfaction score of 85 out of 100 with the provision of clean water sources, indicating a high level of acceptance. However, only 42% consistently practiced recommended handwashing techniques post-survey. The survey revealed significant disparities in user satisfaction and hygiene practices, necessitating further interventions to improve adherence to recommended hygiene protocols. Programme implementers should focus on enhancing community education initiatives around proper hygiene practices following the installation of clean water sources.