The PAMSIMAS program in Karo Regency is a form of overcoming the clean water crisis and maintaining clean behavior so as not to open defecation, where at this time the Regency is in a crisis of clean water and sanitation, this program began in 2012 until 2020 with the number of villages receiving 56 villages in Karo Regency, one of which is Penampen Village which received grant assistance f…