Photo credit: Sudharak Olwe

Health, Nutrition and WASH

Diarrhoeal disease is the leading cause of malnutrition in children under five years and responsible for killing around 530, 000 children every year, including 1,100 children in Nepal. The improved integration of health, nutrition and water, sanitation and hygiene (WASH) services is vital if Sustainable Development Goal 2, related to nutrition, 3 related to healthy lives and 6 related to WASH management are to be met.

Ensuring equitable access to health and WASH services is central to safeguarding public health and human development. This is particularly important for the under-fives where poor WASH services seriously impact child nutrition and survival.

We have extensive expertise of WASH programming in health, most recently through our support to integrated health, nutrition and WASH programmes in Odisha and Bihar, India. Our Nepal based international WASH adviser has over 30 years of high level experience supporting national policy and strategy development, programme design, implementation and impact evaluations across Asia and Africa.

We bring expertise in:

  • The design, implementation and evaluation of national, state and district level WASH in health programmes
  • The implementation of community led total sanitation programmes using a participatory learning and action (PLA) approach to establish open defecation free communities
  • Effective partnerships for WASH programme management and implementation
  • Building effective management information systems

Our innovations

  • Pioneering the use of participatory learning and action approaches to improving health, nutrition and WASH services at community level
  • Developing an effective integrated monitoring system to track health impacts, outlooks and behaviours at community level
  • Mobilising women’s self-help groups and civil society organisations to implement sanitation programmes including improving supply chains for sanitation materials.
  • Influencing state level policies in favour of community total sanitation approaches including the training of government and non-government staff to motivate for, support implementation of, and monitor community sanitation projects.
  • The development of state level solid and liquid waste management policy and strategy documents. 


In Odisha:

The under-five mortality rate dropped from 9% to 3% between 2005 - 2014

The percentage of underweight children under five dropped from 42% to 30% between 2009 and 2015

The number of people using sanitation services rose from 9 million in 2011 to 13.8 million in 2015

Share this page

+977 1 5547418 Email Nepal Office

P.O.Box: 7830, Kupondole Height, Lalitpur, Nepal