Implementation of the water
and sanitation for health facility
improvement tool (WASH FIT):
global report

13.02.2025

This report provides an analysis of the application of the Water and Sanitation for Health Facility Improvement tool (WASH FIT) and case studies from a select number of countries that illustrate different approaches for implementing and scaling up the tool. 

Consensus Statement

01.11.2024

This document outlining the role of policymakers and partners in implementing the Global Framework for Action was signed by 20+ leading organizations.

13.02.2025

Global Framework for Action 2024–2030 for water, sanitation, hygiene, waste and electricity services in all health care facilities

29.05.2024

Safe management of pharmaceutical waste from health care facilities: global best practices

21.02.2025

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Sound management of pharmaceutical waste and waste water (Policy brief)

21.07.2020
The policy brief is intended as a tool to guide establishing regulatory frameworks to ensure the sound management of pharmaceutical solid and liquid waste. The guidance document is for use by WHO staff, policy makers and inspectors in Ministry of Health (MoH) and Ministry of Environment, pharmaceutical manufacturers and their associations, local municipalities and consumer organizations.
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WASH FIT [Bangla version]

20.07.2020
A Bangla language version of the WASH FIT guide (originally published in 2018).
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WASH FIT ASSESSMENT: SIMPLIFIED FOR COVID-19 [Spanish]

08.07.2020
A simplified version (in Excel) in of the WASH FIT assessment tool for use in facilities who are preparing for, or responding to, COVID-19 cases. The basic methodology of WASH FIT remains the same but is built on a shorter assessment tool, focusing on the most important aspects of WASH in HCF which are needed to respond to COVID-19. The indicators are based on the latest WHO technical guidance on WASH in HCF for COVID-19, available at: https://www.who.int/publications/i/item/water-sanitation-hygiene-and-waste-management-for-the-covid-19-virus-interim-guidance. This tool is also available in English and French. An electronic version (in all 3 languages) is available on Kobo Toolbox at: https://ee.kobotoolbox.org/x/egDN1mUO. If you would like support using the electronic version, contact Janet Ausel. Thanks go to Food for the Hungry and Engineers Without Borders USA for their support developing this tool.
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WASH FIT ASSESSMENT: SIMPLIFIED FOR COVID-19 [French]

08.07.2020
A simplified version (in Excel) in of the WASH FIT assessment tool for use in facilities who are preparing for, or responding to, COVID-19 cases. The basic methodology of WASH FIT remains the same but is built on a shorter assessment tool, focusing on the most important aspects of WASH in HCF which are needed to respond to COVID-19. The indicators are based on the latest WHO technical guidance on WASH in HCF for COVID-19, available at: https://www.who.int/publications/i/item/water-sanitation-hygiene-and-waste-management-for-the-covid-19-virus-interim-guidance. This tool is also available in English and Spanish. An electronic version (in all 3 languages) is available on Kobo Toolbox at: https://ee.kobotoolbox.org/x/egDN1mUO. If you would like support using the electronic version, contact Janet Ausel. Thanks go to Food for the Hungry and Engineers Without Borders USA for their support developing this tool.
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WHO UNICEF Timeline of work 2020

06.07.2020
A summary of WHO and UNICEF's main activities for 2020. Refer also to this document for an additional summary of activities.
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Hand Hygiene for All: A call to action for all of society to achieve universal access to hand hygiene

29.06.2020
The Hand Hygiene for All Initiative presents an opportunity to create a step-change in how hand hygiene is promoted, enabled and mainstreamed throughout the whole of society and across the globe. It aims to bring together multiple sectors around a common platform to coordinate voices and actions and, crucially, to align these behind national hand hygiene strategies. The global framework for this Initiative will organise actors around four main areas: evidence and learning, multi-stakeholder engagement, investment and monitoring. UNICEF and WHO will be supported by a select group of core partners, including but not limited to World Bank, Sanitation and Water for All, International Federation of the Red Cross and the Red Crescent Societies (IFRC), London School of Hygiene and Tropical Medicine/Hygiene Hub, International Labour Organization, United Nations Refugee Agency (UNHCR), Global Handwashing Partnership and WaterAid. If you have any questions, contact Michael Emerson Gnilo megnilo@unicef.org and Maggie Montgomery MontgomeryM@who.int.

2020 Trailblazers for WASH in health care facilities

29.06.2020
This document marks one year from the June 19 2019 commitments meeting held in Washington D.C. and highlights some of the progress made over the year, featuring 31 organizations (the "Trailblazers") who continue to be committed to improving WASH in health care facilities.
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WASH in Healthcare Facilities literature review (December 2019)

02.06.2020
This literature review consists 110 published articles, reports, and case studies from  scientific journals and grey literature that specifically focus on water, sanitation, hygiene, cleaning, and waste management in healthcare facilities in low- and middle-income countries. They are organized by prevailing theme.
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