Model Proposal for a Water, Sanitation and Hygiene

(WASH) Project

TARGET VILLAGE

XXXXXXXXXXX

DURATION : xx Months

SUBMITTED to

COMPANY NAME

COMPANY ADDRESS

SUBMITTED by

NGO NAME
NGO ADDRESS

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 Format for the CSR Fund Proposal

A model village on Water, Sanitation and Hygiene

(WASH project)

INDEX

Part A: Applicant Information

t A: Applicant

1. Name of organization
2. Address and contact details

Contact person & designation with

contact number
3. Legal status, date and place of
registration
FCRA Registration (optional)
4. Structure of organization Given in annexure
5. Names, current address & occupation
of executive committee members
6. Frequency of executive committee
meetings
7. Name and designation of Chief-
Functionary
8. Origin and brief history of organization (NGO)

09. Objectives of organization Given in attached articles of organization in

annexure
Target groups
Women, adolescent girls, widows, destitute, marginalized, youth and disabled
Priorities
Empowerment of women and marginalized
Rural based skills for sustainable development
Promotion of Organic way of agriculture
Rural Sanitation
Micro finance and management
Livelihood promotion and research on alternate livelihood initiatives
Child right conservation and advocacy
Networking and team working
Rural development awareness program
Non Formal Education
Sector of operation
Mention locations of operations
10. Any religious or political affiliation

Information

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Part B: Consideration for eligibility

XXXXX has gained immense knowledge and relevant experience in high lighting social causes
and has undertaken interventions for the empowerment of the vulnerable, marginalized section
of the society namely women, widows, disabled, children etc.
XXXXXX has done it’s might in the field of non-formal education also. The TRSP which XXXXX
has undertaken in XXXXX district has helped in attaining the required technical knowledge also.
Part B
a. Education for All
b. Self-help group movement
c. Water and sanitation program
d. Total sanitation project
e. Clean village campaign
f. Child development
g Health system project
h Rural industry centre
i TEAP-program
j Rural store for women empowerment

Sources of Income
Current Donors Duration No. of Staff
I x Years xx
Ii x Years xx
Iii xx Months xx
Iv xx Months xx
Eligibility

PartPart C: Project Components and Process Systems

 Awareness creation meeting on preservation of personal hygiene, water

management and sanitation through house hold toilets in every individual house,
and school
 Motivation of the beneficiaries in direct participation in the actual program.
 Trainings on Water and Sanitation to NGO Staff
 Trainings to CBOs, Community and School Children on Water and Sanitation
 Trainings on repairing and maintenance of water supply gadgets
 Procurement of construction materials, garbage bins, seeds and seedlings etc and
other materials for construction of toilets, promotion of rain water harvesting,
kitchen, school and community gardens.
systems.

Part D: Internal Auditing

Internal auditing done by the project Accountant under the supervision of the project Director.
Weekly account statements are verified with the reports of the Project Coordinator and
Community Organizers, Engineer etc in the weekly review meetings.
The service of the Chartered Accountant’s assistance is utilized for the internal auditing of the
project account as and when necessary/ at regular intervals.

The
Part D: Internal auditing.

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 Part A: Applicant/Application Details

I. Name of the applicant: NGO name

II. Title of the Proposal: Developing a Model Village on Water, Sanitation and
Hygiene

III. Aim of the Proposal: To develop a Model Village on WASH ( Water, Hygiene
sanitation) through awareness creation, construction of house hold toilets,
garbage management, construction of rain water harvesting structures, eradicate
open defecation in the targeted village named XXXXXXXXXXXX

IV. Objectives of the Proposal

 To make the people to understand the importance of clean and sanitized

environment through awareness creation
 To sensitize the community on the water usage and rain water harvest, importance
of house hold and school toilets and the ill effects of open defecation system
 To motivate the community in participating in the construction of the house hold
toilets, school toilets with water facility, water preservation, waste water
management.
 To motivate the women, youth, children and the community in acquiring immunity
from water borne and open defecation systems through using latrines, developing
school and kitchen gardens, good maintenance of water pumps, pipe lines etc
 To make the people to understand the participatory approach in water, sanitation
and hygiene.
 To plant saplings in the streets, backyards and other community lands to make the
hamlets eco and environment friendly

DETAILS OF VILLAGE SURVEY.

Total Houses Total Population

S.N Name of the Name of
o Panchayat the Village RCC Buildi Child
Huts Tiled Total
roof ngs Male Female ren Total
1 XXXXXXXXX xxxxxxxx
xxxxxxxx
xxxxxxxx

Among the total houses xxxx, xxxx houses have no toilets facilities. The XXXXXX foundation
has sanctioned xxxx house hold latrines to this village.

Strategies

 Cleaning the entire village with people participation.

 Creating awareness among the community about the importance of personal
hygiene, water management and sanitation to avoid health disorders through
sensitization meeting
 Training the, the CBOs, the Community, and the School Children on water and
Sanitation and training the volunteers on repairing and maintenance of water supply
gadgets.
 Construction of community toilets, rain water harvesting structures drainage
facilities and renovation of water resources
 Educating the school students on health education through the services of
Community teachers
 Providing training to village youth, self Help groups, public meetings in repairing and
maintenance of water supply gadgets

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  Planting saplings in the streets, backyards, schools and community lands to preserve
the eco and environment friendliness
 Facilitating the conversion of garbage into manure
 Formation of Village Development Committee and hand over the responsibilities
pertaining to water, sanitation, and Health.

Activity plan with timeline:

S. Activities Mth Mth Mth Mth Mth Mth Mth Mth Mth Mth Mth Mth
No 1 2 3 4 5 6 7 8 9 10 11 12
1 Cleaning the X X X
entire village
with people
participation
2 Management X X X X X X X X X X X X
of solid
waste
3 Construction X X X X
of drainage
facilities
4 Planting of X X X X
trees both in
the house
hold and
public places
5 Construction X X X X X X
of House
Hold Toilets
6 Construction X X X X X
of rain water
harvesting
structures
7 Construction X X X
of public tap
stand, and
platform
with leach
pit and
Fitting of tap
for all the
public taps
8 Installation X X
of dust bin in
the selected
areas
9 Awareness X X X X X X X X X X X X
creation
among the
public and
school
children

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 Logical Frame work:

S. Activities Outcome Verification Time

#
1 Cleaning the entire village Clean village, people knows Field visit to the areas 3months
with people participation about the environment. and discussion with
people. Photos,
records
2 Management of solid waste People used to take the Field visit, photos 12
management solid water and make it for months
recycling
3 Construction of drainage Proper disposal of waste Visit to the drainage 4months
facilities water and no stagnation of area
waste water Photos
4 Planting of trees both in the People will aware about the Checking the seedling. 4 months
house hold and public places trees are the power houses Photos
of the life. fresh and pure
oxygen is generated
5 Construction of House Hold Aware about the Checking the HHL and 5 months
Toilets importance of house hold list of beneficiaries.
toilets,

6 Construction of rain water Water saving strategy will Checking the 5 months
harvesting structures be used by the people. rainwater structures
and the list of
beneficiaries.
7 Construction of public tap A good looking water stand Visit to the areas, list 3 months
stand, and platform with with sanitized water is of water stands and
leach pit and Fitting of tap for supplied to the people. No
all the public taps leakage in the tap.
8 Installation of dust bin in the People used to put their List of dust bins and 2 months
selected areas garbage in the dust bin participation of the
people
9 Awareness creation among The students, the youth, Training records 12
the public and school children the village community, Training manuals months
SHG, in water, Sanitation Interaction with the
and hygiene program. participants and
Photos

Monitoring

 Records of awareness meeting, beneficiaries list.

 Training records and interaction with the community
 Regular meetings with the community and the meetings records about the progress.
 NGO staff and XXXXXXX (company name) staff monthly meetings with the community
 Reports of the records with supporting documents monthly, quarterly and on
completion of the work will be submitted to XXXXXXX (company name) as per
instructions.

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BUDGET

S.No Details of Expenditure Unit / monthly Amount

expenses
1 Cleaning the entire village with
people participation

2 Management of solid waste

management
3 Construction of drainage
facilities

4 Planting of trees both in the

house hold and public places
5 Construction of House Hold
latrines

6 Construction of rain water

harvesting structures

7 Construction of public tap

stand, and platform with leach
pit and Fitting of tap for all the
public taps
8 Installation of dust bin in the
selected areas
9 Awareness creation among
the public and school
children
a. public meeting
b. Pamphlets and brochure
c. information boards
d. formation and functioning of
Village development committee
e. cultural activities
f. training components

TOTAL XXXXXXXXXX
10 Administration cost 15% in XXXXXX
total budget
GRAND Total XX,XX,XX,XXX
People contribution 50% of 200 household toilets Rs. XXXXXX

Expected Grant Rs. XXXXXXXXXX

Authorized signatory

XXXXXXXX
SECRETARY
NGO name