CARE International in Pakistan and its partner SABAWOON & IDEA launched a very successful behavior change campaign to attain the ODF status in district Dera Ismail Khan and Bannu. According to the Pre KAP assessment 44% men and women and 75% children of host communities and IDPs were practicing open defecation. This actually was happening due to inadequate coverage of latrines at households and over croweded compounds.CARE and its implementing partner have implemented PATS Approach to promote behavioral change for safe disposal of excreta, use of latrines and good hygiene practices in the 30 villages. The PATS approach has been applied by following the National Sanitation policy of Pakistan. The provincial Government policy guidelines for implementing PATS in KP were ensured through a regular coordination with WASTAN cell by engaging the government line departments for theformation of district sanitation committee under the chairmanship of the deputy commissioner of both districts.The successful campaign resulted remarkable success in achieving the Open Defecation Free (ODF) environments status. WATSAN Cell of local government and rural development department (LGRDD) has endorsed and recognized the CARE certification of 30 village ODF declaration and published on Government official web portal.