Fluorosis, a public health problem is caused by excessive intake of fluoride through drinking water (and other sources) over a long period. It results in significant health issues like dental fluorosis, skeletal fluorosis and non-skeletal fluorosis. Over 19 Lakh population of Nalgonda are at risk because of the high concentration of fluoride found in ground water. About 1108 habitations were severely affected. In this regard, the District Administration has taken severally measures to mitigate the problem of fluorosis. In this regard, the District Fluoride Monitoring Centre [DFMC] was established in November 14, 2013 is a unique initiative by the District Administration, Nalgonda to bring convergence and facilitate inter-departmental coordination of mitigation and prevention of fluorosis in the district through concerted efforts and integration of resources. UNICEF has been involved in strengthening DFMC ever since its inception by extending technical and financial support as required planning and implementing the action plans and building capacities of functionaries.