COVID-19 has placed a heavy burden on India’s health system. The key was quick response hence PSI India in partnership with Unilever and the government of the UK established a public–private coalition to reach one billion people with hygiene products, infrastructure and education under Hygiene and Behaviour Change Coalition (HBCC) project. The time-bound mandate was implemented in two cities: Indore in Madhya Pradesh, and Chittoor in Andhra Pradesh. It was rolled out in December 2020 and October 2020, respectively, in each of the selected cities.