Access to safe drinking water, sanitation, and good hygiene are essential to combat the spread of water-borne diseases. We work with the Central Tibetan Administration and Snow Lion Foundation to construct and repair toilets and install water and drainage systems in settlements, schools, and elder homes, benefitting thousands of Tibetans in India and Nepal each year. In recent years this support has focused on the most remote settlements in Arunachal Pradesh, Ladakh, Odisha, lower Mustang, and Dhorpatan in western Nepal. Since 2016, more than 40,000 Tibetans in India and Nepal have received improved water, sanitation, and hygiene services with our support.