Su-SWASTHA operates in the Mid-Western Region where socio-economic development lags far behind.  In 2009, there was an extensive cholera epidemic in the Mid- and Far Western Regions which claimed the lives of more than 300 people and drew attention to the urgent need for improvements of WASH conditions.  Despite the fact that young children are more susceptible to diarrheal disease caused by unclean water as well as poor sanitation and hygiene practices, school sanitation continues to be an underfunded sector in Nepal. This project aims to improve water, sanitation and hygiene in 54 selected schools via a school-led total sanitation approach that not only improves sanitation in these facilities but also promotes small-scale household water treatment systems in the homes where the students and teachers live.