Nurse in Uttar Pradesh - Photo credit Prashanth Vishwanathan

WASH FIT portal V2

This page includes a range of WASH FIT related resources and information. Further country examples are available by searching "WASH FIT" in the Resources page.

Learn more: WHO Academy WASH FIT course

The WHO/UNICEF Water and Sanitation for Health Facility Improvement Tool (WASH FIT) helps facilities to assess, manage and improve these critical services. This course covers the foundational concepts of WASH FIT, the methodology and examples of its application from a wide range of settings. It also includes six technical modules on water, sanitation, hand hygiene, health care waste, environmental cleaning and gender equality, disability and social inclusion (GEDSI).

What is WASH FIT?

WASH FIT (the Water and Sanitation for Health Facility Improvement Tool) is a risk-based management tool for health care facilities, covering key aspects of water, sanitation, hand hygiene, environmental cleaning, health care waste management and selected aspects of energy, building and facility management.

What type of facilities can use WASH FIT?

• Small primary health care facilities in lower-resource settings (e.g. health centres, health posts).
• Larger facilities (e.g. district hospitals).
• Middle-income settings where standards are yet to be met.
• Emergency settings, including temporary facilities in camps.

Where has WASH FIT been used?

To date, WASH FIT has been used in over 70 countries. These include:

Angola, Bahrain, Bangladesh, Belize, Benin, Bhutan, Burkina Faso, Cambodia, Chad, Comoros, Djibouti, DRC, Ecuador, Egypt, Eswatini, Ethiopia, Fiji, Gambia (Republic of The), Ghana, Guinea, Guinea-Bissau, Haiti, India, Indonesia, Iraq, Jamaica, Jordan, Kazakhstan, Kenya, Lao People’s Democratic Republic, Lebanon, Lesotho, Liberia, Madagascar, Malawi, Maldives, Mali, Mozambique, Myanmar, Namibia, Nepal, Niger, Nigeria, Pakistan, occupied Palestinian territory, Papua New Guinea, Peru, Philippines, Qatar, Rwanda, Saudi Arabia, Sierra Leone, Somalia, South Africa, Sudan, Sri Lanka, Syrian Arab Republic, Tajikistan, Togo, Tunisia, Uganda, Ukraine, United Republic of Tanzania, Vanuatu, Venezuela, Viet Nam, Zambia, Zimbabwe.

An evaluation of WASH FIT was published in 2025. It includes a short analysis of WASH FIT application in a select number of countries, along with case studies which illustrate different approaches for implementing and scaling up WASH FIT. Recommendations for improving the tool, its implementation and integration with health, energy, and climate efforts are also included.  Read the report here.

Share Your Experience

WHO and UNICEF are collecting information on where, how and in how many facilities the tool is being used. Are you using WASH FIT? If so, we would like to hear from you, please fill in our form.

Nurse in Guinea Bissau – Photo credit Karel Prinsloo

Impacts Associated With WASH FIT

WASH FIT Chart