In India, programmes of the Aga Khan Development Network (AKDN) span
the states of Andhra Pradesh, Gujarat, Madhya Pradesh, Maharashtra, Rajasthan and Bihar
and address a broad spectrum of development issues ranging from cultural
revitalisation to education quality, health care to the development of rural areas. These initiatives
include 82 schools and educational centres, a 137-bed multi-specialty acute
care hospital in Mumbai, a rural support programme that has benefited 400,000
people in four Indian states and the restoration of a World Heritage site
in the nation's capital.
Water supply and sanitation programmes have been central to most AKDN environmental health efforts. Programmes in sanitation and hygiene promotion are particularly important. In the Indian state of Gujarat, for example, a government programme to bring sanitation to all the state’s 18,000 villages features an annual “Nirmal Gram”, or Clean Village, award.