Resource Type: resource

Costed Roadmap on WASH in health care facilities of Islamic Republic of Iran (2023)

This road map for health-systems strengthening developed based on the pre-determined objectives which were initiated from a precise reviewing the first step of WASH in healthcare facilities in Iran conducted during 2021 for 730 statistically representative HCFs regarding to the establishment of a reliable framework for conducting the roadmap. The objective of this National Coordination Mechanism and WASH Costed Roadmap in Healthcare Facilities is providing a framework to articulate a pathway that will strengthen all HCFs in Iran to provide standardized and effective WASH services and generate a new way of public quality healthcare, with consideration of the costs associated with the suggested interventions. Please find the costed roadmap here!

Budgeting and advocacy to improve water, sanitation, and hygiene in healthcare facilities: a case study in Nepal

Barriers to achieving and sustaining access to water, sanitation, hygiene, waste management (collectively, “WASH”) in healthcare facilities include a supportive policy environment and adequate funding. While guidelines exist for assessing needs and making initial infrastructure improvements, there is little guidance on how to develop budgets and policies to sustain WASH services in the long-term. This research was conducted on costing and advocacy activities in Thakurbaba municipality, Nepal, with the aim of developing a budget and operations and maintenance policy for WASH in healthcare facilities in partnership with the municipal government. The objectives for this study are to (1) describe the process and methods used for costing and advocacy, (2) report the costs to achieve and maintain basic WASH services in the eight healthcare facilities of Thakurbaba municipality, and (3) report the outcomes of advocacy activities and policy development. Find more about the case study here!

WASH-in-Healthcare Facilities: Trainers’ Guide (The WASH Foundation)

The WASH Foundation’s WASH-in-Healthcare Facilities (WinHCF) program is designed to support UNICEF and the World Health Organization (WHO) in their efforts to train healthcare facility staff to include water, sanitation, and hygiene (WASH) in health plans, budgets, and operations. This staff training program provides learning materials, support, monitoring, and evaluation opportunities to healthcare facility staff members to strengthen their capacities. The goal is to train healthcare facility staff and management to integrate good WASH practices and education into annual health sector planning, budgeting, and programming. These integrations will enable healthcare facility staff members to deliver quality services and serve as peer trainers. This document is the trainer’s guide to achieving that.

DRAFT Global Framework for Action (2024-2030)-Water, sanitation, hygiene, waste and electricity services in all health care facilities achieves essential quality health services


This document serves to guide global and national efforts and key collaborative actions to deliver water, sanitation, hygiene, waste (WASH), and electricity services in all healthcare facilities. It focuses on WASH and electricity services and ought to be implemented within broader health and climate efforts, including those focused on low carbon and climate resilient health care facilities and systems, “fit for purpose hospitals”, and more broadly efforts that support primary health care and delivery of high-quality, universal, essential health care.

WHO and UNICEF are now seeking your feedback on the Global Framework for Action and it’s implementation. You are invited to either fill out this short survey or download and provide in track changes comments and send back in WORD to Arabella Hayter ( and Nadia Abdalla ( The deadline for the survey and direct input is 6 November 2023. Find the Global Framework for Action here!

Guidelines of Water and Sanitation for Health Facility Improvement Tool in Philippines (2023)

the guidelines identified in this guideline shall contribute to the attainment of the country’s goals towards sustainable development, climate action and universal health care. The development of the Guidelines of WASH FIT is aligned with the technical standards and guidelines of a green, safe and climate resilient health facility. Find the guidelines here!

Green and Safe Health Facilities Manual-1st Edition-Philippines

The Green and Safe Health Facilities Manual details environmental considerations for all health facilities. The standards and criteria in this manual are aimed at enhancing patient safety through improved indoor environmental quality, site sustainability, health care waste management, energy and water efficiency in all facilities. Find the manual here!

A global taskforce on WASH in health care facilities: synthesis 2022-2023

WHO and UNICEF convened a series of stakeholder ‘think-tanks’ coinciding with the launch of the Global Report on WASH in health care facilities in December 2020, to discuss barriers to progress. A Global Taskforce on WASH in health care facilities, comprising approximately 30 key partners/thought leaders, evolved from these think-tanks to provide input to WHO and UNICEF on global strategic direction, coordination, and to allow for information exchange and dialogue.  Find more about the task force key activities in the attached document.

The purpose of the task force is to:

  • Encourage and hold accountable national governments to achieve the objectives established by WHA 72/7 and SDG 3 and SDG 6
  • Reinforce calls for strong health leadership (e.g. mobilising political leaders at global events including G7, G20, UNGA)
  • Work at country level to increase demand, financing and integration of WASH in health programming and reporting
  • Support greater collaboration with other initiatives (e.g. UHC, Child/maternal health, AMR, climate smart health systems, Hand Hygiene for All)