Exploring sustainable rural water systems in Nepal’s lowlands
Together with Oxfam GB, the Poul Due Jensen Foundation is working to provide safe water access to 9,657 people in Pidari Village and Fatuha Maheshpur in the Terai lowlands of Nepal, while crucially exploring innovative management models to ensure these systems are sustainable and financially viable to keep water flowing for years to come.

Far from the mighty peaks of the Himalayas, the residents of Pidari Village and Fatuha Maheshpur live in the Terai lowlands of Nepal, in two nearby districts not far from the border with India. Every day, the water they gather via hand pumps and shallow wells for their drinking, cooking, and washing contains dangerous levels of arsenic, posing a serious threat to their own health and particularly that of their children.

With no other options, already poor households are often forced to spend 15% of their limited annual income treating arsenic-related illnesses. Long-term exposure to arsenic at these levels can cause cancer, heart disease, and lung disease, among other life-threatening conditions; it has been particularly linked to increased child and infant mortality.

"Roughly 10,000 water-related health cases are brought to the local health clinic every year (mostly diarrhoea, dysentery, frequent vomiting, typhoid, skin disease); between 30-40% of cases, mostly skin-related, are strictly due to arsenic itself. "

Yet for these villagers there is no other option, and unfortunately their situation is not uncommon. In Nepal, 41.1% of the rural population still depend on temporary sources of water like springs and private tube wells, and 20% have no reliable access to water facilities at all. This is not simply because communities lack the available technology to access safe water deep within the ground, but a result of the poor management and maintenance of water systems in the long-term.

An existing hand pump in one of the villages. Photo: Oxfam Nepal

Lasting change

Together, Oxfam GB and the Poul Due Jensen Foundation are working to change that. We are installing two new water systems that over the next 20 years will provide 17,454 people with safe water. In the immediate term, 9, 657 people from the villages will receive safe water at their households, alongside two schools and health posts.

  • The project will increase safe water coverage in Nepal and will contribute to the goal of nationally achieving SDG 6.1.
  • It will also support Nepal’s National Sanitation Master Plan which calls for improvement in access to safer water in rural communities.

However the long-term benefits of safe water access – healthier communities, productive children in school – can only be realised if the water keeps flowing for years to come, for even the poorest households. Oxfam believes that no one should be too poor to drink safe water; inclusion and sustainability are at the core of its work towards achieving SDG 6, “Ensuring availability and sustainable management of water and sanitation for all”. This also means balancing financial viability of water systems with inclusion of the poorest and most marginalised people.

"We must support people to know their rights to safe water access and hold their water providers to account, set-up systems that cater to people’s needs and offer them choice and employ technology to ensure resilience in times of crisis and beyond."

Financially viable, sustainable systems

Covering the ongoing operation and maintenance costs of the water systems is key for ensuring they can continue to pump water in the long-term. Solar-powered pumping systems are a more sustainable technology that will ensure lower electricity costs over time to keep water flowing. However, even solar-powered systems require funds for maintenance and repair.

"Finding a financially viable management model for these rural systems is one of the most pertinent challenges for the safe water sector globally, particularly in last mile communities where private water companies would not make a financial return on their investments should they provide their services."

Oxfam is exploring how a financially viable management model could work to ensure sustained safe water access for communities long after project’s end. Find out more

Marketing activities to promote safe water and convince residents to sign up for a household connection. Photo: Oxfam Nepal

Project beneficiaries



The initial target is to improve the living and health conditions of 9,657 people in Pidari Village and Fatuha Maheshpur, in the Sarlahi and Rautahat Districts by giving the villagers access to safely managed groundwater instead of the polluted surface water they are currently drinking.



The long-term objective is to improve the lives of two entire communities, both now and in the future – ultimately reaching 17,454 people with improved water supply and health.

Safe Water

In close collaboration with our partners, the Foundation provides access to safe water for the world's poorest in rural communities and forgotten refugee camps.

Kenya Refugee Alliance


UNHCR, PlanBørnefonden



Oxfam GB, Water Mission, WaterAid, Practical Action, UNICEF Denmark

Project Flow



100 pumps for 100 villages


Sunlit Future



Jysk Landsbyudvikling i Nepal, Oxfam GB

Water for Kigoma Region


UNICEF Denmark

Water and sanitation for Gambella (SunWASH)


PlanBørnefonden, Water Mission

Low Cost Sanitation and Water Model in Pakistan


Orangi Pilot Project Research and Training Institute

Water Safe Cities



Kenya 23 – next level


Water Mission

Safe water and sanitation in Togo



Safe Water for Northern Burundi (closed)


Kirkens Nødhjelp (Norwegian Church Aid)

Safe water to Malawi (closed)


Practical Action

Nyarugusu Refugee Camp


Water Mission