This study examines the complex dynamics of groundwater management in the rapidly urbanising MVP Colony of Visakhapatnam, India. In spite of the region's substantial yearly precipitation and favourable geographical characteristics, there is a discernible decline in groundwater levels. The study utilises data gathered between the years 2001 and 2022, encompassing records of precipitation and measurements of groundwater table levels. By utilising Karl Pearson's coefficient, an examination revealed a modest inverse association between the annual precipitation and the depth of the groundwater table. This suggests that factors other than rainfall play a role in influencing the levels of groundwater. The findings of a household questionnaire survey indicate that the insufficiency of maintenance practises pertaining to rainwater harvesting (RWH) systems, coupled with rapid urbanisation, emerged as significant factors contributing to the depletion. The initial interventions implemented by the government to promote rainwater harvesting (RWH) demonstrated short-term enhancements. However, the effectiveness of these measures was hindered by challenges related to maintenance and increased urban growth, thereby negating the positive outcomes achieved. This study shows the importance of adopting regulations for the harvesting of rainwater, providing community education, regulating groundwater extraction, taking into consideration the aspects that go into urban design. These solutions, when combined, make it easier to promote sustainable groundwater management, which in turn helps to ensure that sufficient amounts of this resource will continue to be accessible to both current and future generations, despite the fact that urbanisation and climate change are both on the rise.