The document provides an overview and status update of sanitation activities in Rajgir Block, Nalanda District of Bihar, India. It discusses how 9 panchayats were declared open defecation free and efforts to strengthen community involvement to sustain this status. It then outlines numerous activities conducted over multiple months to mobilize communities and generate awareness of the importance of toilets and ending open defecation. These activities included village meetings, household visits, rallies, cleaning drives, and more. It also discusses institutional sanitation activities in schools and anganwadis. The document concludes with sections on training conducted and monitoring of progress.