Year Issued: 2025

EXECUTIVE SUMMARY: Essential services for quality care. Water, sanitation, hygiene, health care waste and electricity services in health care facilities. 2025 Global Progress Report

This report provides a short summary of the latest progress in ensuring universal access to water, sanitation, hygiene (WASH), waste and electricity services in health care facilities. It serves as the basis for reporting back on the 2023 United Nations General Assembly (UNGA) Resolution on WASH, waste and electricity in health care facilities.

Global Progress Report on WASH, Waste and Electricity in Health Care Facilities (2025)

Essential services for quality care

Water, sanitation, hygiene, health care waste and electricity services in health care facilities
Global progress report

This joint WHO/UNICEF report provides the latest progress in ensuring universal access to water, sanitation, hygiene (WASH), waste and electricity services in health care facilities. Based on data from 101 countries, the report highlights progress in establishing standards, conducting baseline assessments, and developing national roadmaps. Progress has been made even in least developed countries, reflecting a readiness to implement. However, billions are still served by facilities without basic WASH, waste and electricity services. The report emphasizes that significant acceleration of effort and investment is urgently needed to meet 2030 global targets.

Results-based funding to providesafe drinking water services forpublic schools and health care facilities in Zambia

This report, developed by Uptime Global, the University of Oxford, and the Government of Zambia, presents a results-based funding model for ensuring safe drinking water in Zambia’s public schools and health care facilities. It outlines the implementation of the SafeManzi model, a performance-based service contract that ensures timely repairs, water quality testing, and sustainable maintenance. The report details a pilot project in Mumbwa district, where 100 institutions are testing this approach, and presents a roadmap for national-scale implementation by 2030. If fully adopted, Zambia could become the first African country to provide universal safe drinking water in public institutions. Find the report below!