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In recent years, researchers have paid increasing attention to the provision of access to clean and sufficient drinking water, sanitation facilities, and proper waste management in developing countries. This paper examines household access to these services in urban areas of Nepal by studying the comprehensive data of the Nepal Living Standard Survey (NLSS) for the 1995-1996, 2003–2004, and 2010–2011 periods. Multinomial logit models are employed to identify and analyse potentially influential factors. We find that education levels, household wealth, and distance to markets are among the significant determinants of household access to safe and secure drinking water, flush toilets connected to septic tanks, and proper liquid and solid waste disposal. Households located in relatively developed regions, such as the Midwest and Far West, tend to have better access to these services compared to households located in the ecologically sensitive mountainous regions. Education and employment opportunities are also relevant to service access in urban areas of Nepal. Stakeholder involvement and effective governmental intervention are also necessary.

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