In Nepal, every year 600 children under five die from diarrhoeal diseases caused by dirty water and poor sanitation. This accounts for a third of all child deaths overall.
Only 48% of the population in Nepal has access to a proper toilet, helping to cause widespread disease. The majority of people do not have a latrine and have no option but to defecate in the open. 

We work with local partners who understand local issues, providing them with the skills and support they need to help communities set up practical and sustainable projects. Technologies are used that fit the local context and people are trained to maintain them.

In remote farming areas, we use composting latrines that can help to grow crops. In overcrowded urban areas we use community latrines that can be easily maintained by local residents. 

Find out more about how we tackle these issues in Our approach >

How it affects people

A woman giving her children water to drink

Gertrude Chiimbwe, Zambia

Gertrude Chiimbwe giving her son, Hakalima, 3, a drink of water. Namavwa ward, Zambia.

“We don’t have a toilet here, it subsided, so we go to the bush. I feel bad when I have to go there. I always worry that someone will pass and see you going to the toilet. I’m also worried that you might step on the faeces and bring diseases home.”

A woman holding her child in her arms

Patuma Mbande, Malawi

Patuma Mbande, with her daughter Acklatu, outside her latrine. Mwenyekondo, Lilongwe, Malawi.

"Sometimes in my toilet people have deposited faeces on the floor and not in the hole. This happens especially at night. I feel if I had a better toilet it would make life better, we would be healthier. I would be able to sweep and mop it properly. If it had a roof then the flies wouldn't be able to go in and out and land on our food."

A woman outsite a public latrine

Raju Begum, Bangladesh

Raju Begum, standing by an unhygienic makeshift latrine. Motijharna slum, Chittagong City, Bangladesh.

"Using this latrine is terrible – it’s a bad experience every time. There’s a really bad smell and everyone has caught diseases from it. It’s affected my family. When the new latrines come the old one will be destroyed. It will reduce diseases and hygiene will be good. Security will also be better. I will feel safer because there won’t be men walking past, like there are now. We want the new latrines everywhere.”