Sindh Kohistan region is a mostly hilly and partly plain area in the south west of Sindh province. It is consisting on Kirthar mountain, which is hilly strip at the western border of Sindh and Baluchistan, stretching from Karachi in south to District Dadu in the North.

Water is a rare commodity here. People use to fetch water either from dug wells or rainwater collection ponds. The water in dug wells is usually brackish that is why people use to prefer water in rainy ponds, which could be highly contaminated. Water borne diseases are very common here. As most parts of Pakistan women bear the burden of fetching water from dug wells, ponds and hand pumps. One can witness the poor, feeble and malnourished women waiting for hour for their turn to fetch water and carry it on their heads and walking for miles in the scorching sun. Situation worsens during summer and drought seasons, when water dries up in the village ponds, springs and wells. People are forced to drink very dirty water which is beyond ones imagination. Livestock and other animals also shares the same water from stagnant rainwater ponds. Drinking water from the pond and open dug wells causes water born diseases such as diarrhea, dysentery, , typhoid, cholera, malaria and gastro-enteritis particularly among young children. Child mortality is serious issues in this area, especially during the drought season.

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