Background: Punjab is becoming cancer capital of India due to increasing cancer rates especially in Malwa belt. Keeping in view the alarming increase in cancer incidence in this region, 1881 Reverse Osmosis plants have been installed in 16 districts of Punjab by the Government since 2010, but People are not utilizing this community RO water fully. Although 180 crores of rupees have been spent on installation of these RO plants by the government, but little attempts have been made to ascertain the extent of utilization of this water by the people and the Knowledge, Attitude and practices of the people residing in rural areas regarding community RO water. Aim of the study to assess the utilization and awareness of community RO water by the households in the study area. Results: There is only 50% utilization of community RO water as per this study. Most common responses elicited for not using community RO water was the unavailability of any family member for fetching this water (32%). Some other reasons observed were affordability (18%), accessibility due to distance of RO plant (15%) and dislike for taste of water (17%) though most of the households were aware of the risks of using contaminated water. Conclusions: though utilization of community RO water has increased as compared to past records still it is not as much as expected, since it has been 5 years since the installation of RO plants. Government heads to intensify its efforts in making people aware and solving the problems encountered in using community RO water. Key words: Utilization , Reverse Osmosis , Punjab , Water , cancer