Location: Western Rukum District
Project 1: Strengthening Partnerships for Maternal and Child Health
Project 2: Improving Livelihoods & Water, Sanitation and Hygiene (WALI, Pilot Project)
PARTNER: Human Development and Community Services (HDCS)
Western Rukum is a district in rural Nepal, nearly 280km west of Kathmandu, where roughly half of the people live below the poverty line. Life expectancy is only 70.2 years and child mortality rate for children under 5 is 33 deaths per 1,000 live births. Sanitation is also problematic, with more than 20% of households having no toilet facilities.

Project One:

Strengthening Partnerships for Maternal and Child Health

Goal of the Project

This project will be a role model for improving the Maternal and Child Health (MCH) situation in the project area, through integrated health promotion and intervention at the facility and community level. It will be working in difficult and remote locations, dealing with highly vulnerable and marginalised communities. The project will help those who are mostly deprived of essential Maternal and Child Health services in their community.

The components of health promotion include extensive health education sessions in the community among mothers’ groups. This improves the awareness and knowledge level of pregnant women and mothers. Awareness will be raised about the fact that early identification of complications in pregnancy can help to prevent maternal and child deaths – as can malaria prevention measures, such as the use of bed nets.

In 16 targeted areas in the Western Rukum district, the goal is:

  • To reduce the maternal mortality rate by 10%,
  • To reduce the infant mortality rate by 7%,
  • To improve the health status of children under five.

Progress Update (from July’19 until Dec’20)

  • Across 16 communities, more than 42,024 participants (3,112 were pregnant) per month were trained in health awareness – covering topics like nutrition, hygiene, anaemia, sanitation, HIV/AIDS and breastfeeding,
  • 18,000 people listened to a weekly radio program about Maternal and Child Health and they broadcasted 13 episodes about corona
  • Schools closed and children were taught about corona and its safety measures and masks were distributed
  • Schools re-opened and 6,992 students from 36 schools participated in school health programs on topics including COVID-19
  • 128 Social Mobilisers from 14 districts were trained in Maternal and Child Health
  • Social Mobilisers support primary health care and 1,605 deliveries took place, 727 in hospital and 878 in birthing centres
  • 6,323 antenatal and 1,605 postnatal check-ups were performed
  • 34,154 children were vaccinated at immunisation clinics.
To help improve the lives and wellbeing for mothers and children in Nepal, donate today.

Project Two:

Improving Livelihoods & Water, Sanitation and Hygiene

Goal of the Project

Opportunities in the Western Rukum district to improve livelihoods are limited, especially for women from marginalised castes, or with a disability, or those who do not have a husband at home. Schools in the district face shortages of toilet and water supply facilities. As a result, girls are unable to attend classes regularly during menstruation.

The project’s objectives are two-pronged:

  1. Increasing the livelihoods of 40 women to provide for their children,
  2. Improving access to water supply and sanitation and hygiene practices for 855 students in three schools.

The project creates opportunities for vulnerable women through agriculture and livestock training and loans to improve their livelihoods. These families are the ones most likely to withdraw their children from school, especially girls, to reduce expenses and to assist with earning income.


  • The project aims to empower 855 students in the three schools to increase awareness of and access to water, good sanitation and hygiene practices, using good practice called 7FATS (Seven Flags Approach of Total Sanitation) so that: Children can practice good hygiene by having washing stations with soap, reducing sickness across the student population,
  • Girls can attend school during menstruation,
  • Children can access safe drinking water during school hours to remain hydrated and able to learn (especially after walking long distances).

Progress Update (from July’19 until Dec’20)

  • Training has started for 40 women (women from a marginalised caste, with disability or has no husband at home) to improve their skills in agriculture and livestock management – for example, improved goat breeds were introduced
  • 2 Village Savings and Loans Associations have been established with 40 members
  • Students formed into 6 teams and team leaders were chosen. The teams were responsible for educating their fellow classmates on Clean Toilet Use, Menstruation Hygiene Management, Clean Drinking Water, Nutrition, Personal Hygiene, and Clean School Environment
  • All 3 schools have built latrines and are informing children on how to use them properly and 855 students have better knowledge about hygiene
  • Training modules are developed for 16 mothers’ groups to improve their skills in agriculture and livestock management
  • 80 women received training on vegetable production
  • 4 new schools will have latrines built and Memorandums of Understanding are being signed with all schools
  • 588 boys and 459 girls will have new toilets and hand washing facilities when building is finished
To help improve the livelihoods of women and access to water, sanitation and hygiene for students in Nepal, donate today.

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