Majority of the population of both districts had limited access to safe drinking water and sanitation services. Together, these shortcomings spawn waterborne diseases that were responsible for majority of the deaths in children under the age of five. These water-borne diseases include diarrhea, Cholera, Typhoid, Shigella, Polio, Meningitis, Hepatitis A and E and Acute Respiratory Infections (ARIs).

Residents of both districts were using water from river Indus (the most contaminated water from the surrounding tributary). Perennial streams (with fluctuating water flow), seasonal springs and open earth ponds used both for human drinking and livestock as well. There was no concept of water filtration or disinfection on community/household level. The drinking water was also contaminated from kitchen waste (from the local hotel and houses), hospital waste and poultry waste disposed in the running water streams from auto workshops, barber shops etc. from which the communities directly get water for drinking purposes. Heavy metals such as copper, lead, mercury and selenium, which get into the water from automobile workshops. Moreover, strong windstorms gave impetus to the water contamination as the open yard storage was farmyard manure and kitchen manure has blown to the water reservoirs. Open latrine were common in the area and even the outlets of these latrines were mostly directed to the streams and springs the sewage sludge of which is ultimately flushed to the water source by rain fall.

Project Goal: To reduce the rate of Diarrhea in the target group (children less than five years of age).

Project Components: Capacity building through Health and Hygiene Promotion in community and in Schools (students & teaches). 

Project Achievements:

• In-group sessions 561 mothers and 360 fathers were trained on hygiene promotion.
• 80 women volunteers were identified and trained on hygiene promotion.
•      42 Doctors 98 Mulvis and 21 NGOs staff were trained on hygiene promotion.
• 4 local events and 4 Melas held in both Districts.
•      2 staff members working on filtration plants were trained on Filtration plants operation.
•      2 staff member of education departments were trained on hygiene promotion.
•      Total 990 teachers (Male and Female) were trained on health and hygiene promotion.
•    5759 Male students and 1501 Female students were trained on hygiene promotion and school activity book (Daryaft Ka Safar).