Fragmented and misdirected investment in water and sanitation has hindered the fight against the disease, say practitioners
Insufficient, fragmented and misdirected investment in the water and sanitation sector has hindered the fight against diarrhoea, leaving it one of Nepal's leading child killers despite hundreds of millions of dollars having been invested, say practitioners.
While health programming has helped reduce the severity and fatality of diarrhoea among children below the age of five, the percentage of children affected by it in Nepal has not budged in almost a decade, remaining at a stubbornly high 14%.
A major cholera epidemic in 2009 affected over 70,000 people in 27 of the country's 75 districts, killing almost 380. Since then, an average 3,500 children under five are hit by diarrhoea outbreaks every year, resulting in 50 deaths (1.4% fatality rate), according to government statistics.
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