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This design case chronicles the collaborative effort in designing the Water, Sanitation and Hygiene curriculum for elementary schools in rural Papua New Guinea (PNG). The outcome from the project resulted in the creation of a teacher's resource manual for teaching WASH topics using learner-centered instruction that can be delivered in low-resourced classrooms. This case describes the context of the design, making of the design team, the design process and the rationale behind the design decisions. Consistent with the structure of a design case (Howard, 2011), this case will not address generalizable lessons for how design should be done and it is primarily written to describe how design was carried out in the context of PNG.