Sustainable services for the underserved: Using transformative WASH to tackle child stunting

The World Bank
1 Day ago

Sustainable services for the underserved: Using transformative WASH to tackle child stunting


The Punjab Rural Sustainable Water Supply and Sanitation Project was launched in June 2021 to deliver safely managed water and sanitation services to over 6 million people in rural Punjab, Pakistan. The project focuses on equitable and reliable water and sanitation access through financially sustainable public provision. The Project is implemented by a first- of -its kind rural utility – Punjab Rural Municipal Services Company – which is responsible for designing, building, operating and maintaining infrastructure, and building the capacity of communities to adopt practices that ensure public health and environmental sustainability. Ultimately, the project will address the biggest driver of persistently high child stunting rates in Pakistan: poor water quality and fecal contamination of the environment.

Results Highlights

  • As of mid-2025, 218,000 beneficiaries in 180 villages have safe water, with 99 percent of connected households receiving WHO-standard supply. Eighty villages now have wastewater treatment, and 15,000 households use metered connections, with volumetric tariffs planned to encourage conservation. A centralized Management Information System (MIS) tracks construction, safeguards, complaints, and behavior change, with over 90 percent of grievances resolved within two days.

 

  • Capacity building has trained 150 local mobilizers (70 percent women), reached 46,700 women with Water, Sanitation, and Hygiene (WASH) messages, and formed 200 village organizations. The project has created over 600 jobs for semi-skilled and skilled workers in the village and at the Punjab Rural Municipal Services Company (PRMSC) offices. Reflecting its credibility, the Government of Punjab (GoPb) has requested PRMSC to replicate the PRMSC model of service delivery in an additional 400 villages, financed by GoPb’s own funds.

 

  • By 2028, the Project aims to provide safe water to 6 million people, establish wastewater treatment in 2,000 villages, increase the rate of households with WHO-quality water from 35 to 75 percent, cover 75 percent of Operation and maintenance (O&M) through tariffs, and ultimately reduce child stunting from 37 to 22 percent.
 
Before this project started, we had open air drains in the village. There were no underground sewage systems. Flies and mosquitoes were everywhere. But thank God, the village has a proper drainage system now.