District Ghotki is located in the north of Sindh province on left bank of river Indus, at the distance of about 500 kilometres away from Karachi sketched with Punjab Province in east, India south, District Kashmore and Jacobabad in north and District Sukkur in west. The District Ghotki is spread over an area of 6083 square kilometers. The total population of the District is 1.30 million. The vast majority of whom live in rural areas, the problem is particularly challenging, where the population density is 160 persons/km. The District is comprised of 05 Taluka/Tehsils and 40 Union Councils majority of the population is dependant upon agriculture, livestock and daily wage labor, after the flood there is critical condition of Livestock, Agriculture, loss of animals & vulnerable to diseases of children & malnutrition, because the children are more affected by vulnerable diseases & malnutrition, and education system is not going to start work in near future in flood areas. Safe water and sanitation are most urgent needs for peoples of flood affected areas.