The Nepal WASH Coalition was formed in 2003 to serve a country where less than half of the population uses adequate sanitation facilities. Ranking low on the human poverty index means that Nepal faces major hurdles in ensuring a basic standard of living, including sustainable access to adequate sanitation, for its population. To reach the Millennium Development Goals (MDGs) for water and sanitation by 2015 would require the construction of at least 14,000 latrines every month until 2015. In this case study, part of the series analyzing individual countries, we examine how the Nepal WASH Coalition has emerged as an advocacy and communications-driven entity through its increased interaction with various media organizations. The result of which is a marked increase in reporting on water, sanitation and hygiene issues in the media, which played an influential part in convincing the Government to endorse WASH programmes. WASH Coalitions are involved in activities ranging from participating in information sharing to advocating specific policy changes and everything in between, with approaches tailored to suit the country it operates in. Each coalition, though, has in common a commitment to addressing the need for improved systematic communication, collaboration, and joint action among sector stakeholders in their country of operation.