Uzbekistan experienced with different type of project in SWASH starting from 1998. Different approached were used for establishment of SWASH principles. One of the most intervened regions was Republic of Karakalpakistan. UNICEF supported as soft as well hard components of the SWASH activities. However, if in the beginning everything was very good once UNICEF finalized a project and handed over to local government in a couple of months all constructed latrines were destroyed. Talking about hand washing behavior unfortunately, it was also disappeared because of absence of stabile water and soap supply. Several times the project on SWASH was initiated and after completion everything almost failed. UNICEF has been trying to develop sustainability of SWASH interventions and projects especially in that region due to specificity of climate, environment and traditions. Currently, to avoid any failures identify risks UNICEF will initiate a comprehensive situation analysis in Republic of Uzbekistan taking into account all aspects of successful SWASH programs implementation which also will include assessment of training and learning materials, KAP on hygiene behavior among schoolchildren, evaluation and impact of health promotion and health education advocacy materials and knowledge of school teaching staff including capacity evaluation of local education authorities. Unfortunately, such comprehensive countrywide situation analysis was not conducted before and it was one of the case of failed SWSH programs.