Year Issued: 2023

Technical webinar series: WASH FIT

WHO and UNICEF hosted a practitioners’ webinar on use and scale-up of WASH FIT on the 21st of November 2023. Nearly 100 individuals participated from all regions of the world. Just over half had used WASH FIT with the remainder looking to learn how to start with WASH FIT in their countries and secure technical and financial support. A number of country examples where WASH FIT has been scaled up were presented. Find the presentations here!

WASH FIT implementation in Rohingya camps in Cox’s Bazar Bangladesh- results after 1 year

Water, sanitation, and healthcare waste management are essential services in healthcare facilities to ensure the quality of care and minimize infection risk. World Health Organization (WHO) Cox Bazar’s sub-office supported the implementation of the Water and Sanitation for Health Facility Improvement Tool in 21 purposively selected HCFs in Rohingya refugee settlements. This paper presents the results from monitoring a total of 16 WASH FIT indicators from three of the seven WASH FIT domains (five on water, five on sanitation, and six on health care waste management) for one year. Read the paper here!

Report on WASH FIT training in Kenya

This document is a training report of the national training on WASH FIT in Kenya. Ministry of Health Kenya, UNICEF HQ & UNICEF Kenya co-facilitated a WASH FIT training in October 2023 in Machakos town-Kenya. Find more about the training from the report below!

WASH FIT training report in Ethiopia

This document is a training report of the national training of trainers on WASH FIT in Ethiopia. Ministry of Health Ethiopia, World Vision Ethiopia and WHO Ethiopia co-facilitated the training in July 2023 in Bahir Dar town, Ethiopia. Find more about the training from the report below!

Toolkit on mainstreaming of gender equality, disability and social inclusion (GEDSI) in WASH in health-care facilities

WHO SEARO has published a toolkit on mainstreaming of gender equality, disability and social inclusion (GEDSI) in WASH in health-care facilities. The Toolkit is aligned with the eight practical steps outlined in “WASH in health care facilities: Practical steps to achieve universal access to quality care”, as well as key components of the “Water and Sanitation for Health Facility Improvement Tool (WASH FIT). The Toolkit includes several tools, resources and case studies from countries (in SEARO region) that WASH practitioners may find helpful when designing and implementing facility-level programs. Find the toolkit here!

Plumbing Aspects of Healthcare facilities in Philippines-WPC 2023 in Shanghai

The topic of safe and resilient water and sanitation systems and plumbing in health care facilities was an important focus of the recent 2023 World Plumbing Council Congress, an organization in official relations with WHO, was held in Shanghai, China. In the preliminary opening, Arabella Hayter (WHO HQ) highlighted recent findings from the Global Progress Report on WASH, waste and electricity in health care facilities and the need to continue to integrate with health systems monitoring, programming and financing. The example of climate resilient WASH standards and wide-scale implementation of WASH FIT was highlighted by the presentation by Boni Magtibay (WHO Philippines). Find the presentation here!

Quality, Accessible and Safe Healthcare: Lessons on Strengthening WASH in Healthcare Facilities

Adequate water, sanitation and hygiene (WASH) in healthcare facilities (HCFs) is critical to the delivery of high-quality and safe care, yet the first global WASH in HCF status report in 2015 revealed a crisis in this fundamental aspect of quality healthcare. This report synthesizes and shares lessons arising from Water for Women WASH in HCF projects implemented by civil society organization (CSO) partners in eight Asia-Pacific countries from 2018 to 2022, including Bhutan, Cambodia, India, Myanmar, Pakistan, Papua New Guinea, Solomon Islands and Vanuatu.  

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!

What’s Next for the WASH in HCF COP (Oct 2023)

In June, WHO and UNICEF published the Global Progress Report on WASH in Healthcare Facilities. This session will explore how members of the WASH in HCF Community of Practice can translate and implement the global recommendations into their own work. We will then deep dive into the third recommendation: developing the health workforce, with a discussion on strategies for sustained behavior change.