There is limited actionable guidance on how the rural sanitation and hygiene sector can make systemic changes through planning and implementing project delivery, enabling demand, changing behaviour, addressing social norms, monitoring and evaluation, and more at the local level. Furthermore, the voices of vulnerable people, households, and communities who are at the forefront of experiencing climate change impacts on sanitation are largely absent in existing discussions. This publication aims to address these gaps in rural sanitation and hygiene thinking through: unpacking the reasons behind the limited progress towards addressing climate change in the sanitation and hygiene sector; exploring climate impacts on rural sanitation and hygiene practices; placing people, households, and communities at the centre of programming using participatory methods for learning; and providing actionable ideas to integrate climate thinking and learning into rural sanitation and hygiene programming at the household and community level.