Water, Sanitation and Hygiene
Poor sanitation and hygiene practices are one of the major problems of public health in the region. Only less than 15 percent of households have access to improved toilets; and even fewer households have access to safe drinking water. Hospital record shows that more than 50 percent people visiting hospital for treatment in Karnali have reported cases of water-borne diseases such as diarrhea. In addition to lack of access to public health facilities and structural barriers to attain them, the situation is compounded due to the lack of awareness among the people in the region. By providing infrastructural facilities, removing structural barriers, and most importantly raising the awareness among the people and building their capacity to become competence in proper WASH practices in rural areas can change the public health situation in the region. Similarly, GoN is also focusing on addressing this problem through coordination and collaboration with several organizations. In this context, it is necessary to institutionalize the WASH governance in all districts of Karnali region by promoting the capacity of state and non-state actors in the region


– Institutionalization of a strong mechanism in order to build the capacity of local people and service provider agencies for promoting the effective WASH governance in the region.
– Establishing a coordination and collaboration mechanisms to address the situation by supporting the construction of a water supply scheme, and sanitation facilities.
– Broadening of ODF movement as strategy, along with a strong monitoring and follow-up mechanism in order to sustain the already ODF declared areas.
– Innovate and promoting involvement and engagement of private sector, as a supporting agency for promotion of WASH facilities. Since private sector’s engagement is minimal or non-existent, several strategic interventions are made in order to promote the engagement of private sectors in WASH facilities in the region.