Netherlands Development Organization (SNV) and Population services International (PSI) Nepal are implementing Swachchhata (Health and Hygiene Activity (HHA), a five years project funded by USAID/Nepal from 2016-2021 in five districts of the Midwestern region. This project aims to improve community health status by improved integration of hygiene in health service delivery. The project HHA baseline survey will be launched in 5 districts (Dolpa, Jajarkot, Rukum, Salyan, and Kalikot). The first phase of the study covered health care facilities of 3 districts (Rukum, Salyan, and Dolpa) whereas remaining two districts health care facilities will be covered in Phase 2 (the year 2017). The specific objective of the survey is:

Verify actual numbers and status of operational healthcare facilities (HCFs) in the target districts
Select intervention HCFs against agreed criteria for infrastructure improvements (water supply, sanitation, medical/solid waste, and renewable energy)
Adjust capacity building strategies proposed based on actual status of infection prevention processes and provider BCC in place
Determine baseline status for selected indicators in M&E Plan