The devastating earthquake on 8 October 2005 caused the immediate death of more than 70,000 people with injury and displacement to millions more. UNICEF played a major role to ensure provision of safe water and sanitation, within which a comprehensive communication plan was formulated and implemented. The plan aimed to create awareness and motivation on water and sanitation related diseases and their prevention. Multiple channels were used to convey specific messages, adapted as much as possible to a response phase. The assessment considered the effectiveness of the various initiatives and made recommendations on activities to be continued in future; activities not to be pursued further for lacking effectiveness; and those activities to be continued with some adjustments, based on the lessons learnt for future emergencies.