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Pollution and over-exploitation of groundwater aquifers in Kabul Province have led to deteriorated water quality and decreased quantity. In its turn, these have caused elevation of physical, chemical, and biological contaminant concentrations in the province’s groundwater beyond national and international drinking water quality standards. The article describes the outcomes of a pilot photovoltaic reverse osmosis (PV-RO) system for drinking water treatment in Qala-e-Gulbaz Village, Kabul Province, Afghanistan. The main system’s components include PV solar panels, three dosing pumps, two alternative current pumps, two alternative-to-direct-current inverters, sand and carbon filters, two sediment filters, one ultra-violet filter, two water flow meters, and a complete water supply distribution system. The study was assisted by the Danish Committee for Aid to Afghan Refugees (DACAAR) ground monitoring well (GMW) system; quality analysis of different physical, chemical, and biological parameters of raw and filtered water samples; measuring filtered water and wastewater flow rates; determining associated limitations and pressures; as well as valuating different related expenses during cost per capita calculations. Water quality testing has shown the system’s removal efficiency of 97% for salinity, 97% for total dissolved solids, above 90% for other chemicals (anions & cations), 65.52% for turbidity, and 100% for bacteria. The plant’s mean quantity efficiency has amounted to 50%. The study highlights certain key challenges including high initial cost, significant wastewater volume, and need for professional operators leading to high operational and maintenance expenditures, with the initial system’s cost per capita of USD79.54. Therefore, under the condition of optimizing efficiency, improving wastewater management, reducing original costs, implementing training programs, and developing the necessary policy framework PV-RO water treatment systems represent a viable alternative.