Ram is the Project Director for the Urban Water Supply and Sanitation (Sector) Project with the Department of Water Supply and Sewerage Management under the Ministry of Water Supply in Nepal. The country is currently undertaking a significant program to upgrade and expand its water and sanitation services. For example, in 2016, only 34% of urban households have septic tanks and only 15% have sewer connections. Overall, municipalities lack funds and skilled personnel to provide cost-effective services.

As Project Director, besides various potable water initiatives, Ram ¬– on the sanitation side – will oversee about 8,000 toilets constructed, including public toilets suitable for both genders and the disabled. The project will construct two wastewater treatment plants; prepare water, sanitation, and hygiene plans for all project municipalities; support local water user associations and committees; train staff; and carry out awareness campaigns on water conservation and hygiene behavior.