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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WASH in Healthcare Facilities Actions in Response to COVID-19

05.05.2020
This document describes ten immediate water, sanitation and hygiene (WASH) actions that low-resource healthcare facilities can undertake with limited budget in the near-term (0-3 months) to prepare for and address COVID-19. On the second page, WHO and UNICEF have provided input on how to best adapt their Eight Practical Steps in the midst of COVID-19. Finally, there is a compilation of WASH in HCF & COVID-19 resources for action. The document is also available in French, Spanish and Portuguese. French: www.washinhcf.org/resource/dix-mesures-immediates-en-matiere-de-services-eah-a-adopter-dans-les-etablissements-de-sante-pour-lutter-contre-la-covid-19/ Spanish: www.washinhcf.org/resource/diez-acciones-inmediatas-en-materia-de-wash-en-los-centros-de-salud-para-la-respuesta-a-la-covid-19/ Portuguese: www.washinhcf.org/resource/dez-acoes-imediatas-de-ash-nas-instalacoes-de-cuidados-de-saude-para-responder-a-covid-19/
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WASH in HCF & COVID-19 Webinar series: Session 5 – SANITATION

04.05.2020
The fifth and final episode of a series of webinars running through April 2020 to provide technical guidance of WASH in HCF and COVID-19. The recording is available at https://www.youtube.com/channel/UCmERJPGZTfolALXCDcpbkug.
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Health care waste management manual (4th edition)

27.04.2020
Updated guidelines from the Philippines.

Health care waste management: Coronavirus update

22.04.2020
Advice is regularly updated based on the latest knowledge. Please contact global@hcwh.org for the most up to date information.

WASH IN HCF & COVID-19 WEBINAR SERIES: SESSION 4 – ENVIRONMENTAL CLEANING

21.04.2020
Slides from a webinar series on WASH in HCF and COVID-19 in April 2020. The recording is available at https://www.youtube.com/watch?v=fz46qUS58CM.

WASH FIT Assessment: Simplified for COVID-19 [English] – updated Oct 2020

14.04.2020
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 Spanish and French. An electronic version (in English, French, Spanish and Arabic) 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 in HCF & COVID-19 Webinar series: Session 2 – Health care waste management

14.04.2020
Slides from a webinar series on WASH in HCF and COVID-19 in April 2020.

FAQs: Local production of alcohol-based hand rub for health facilities

13.04.2020
The following Frequently Asked Questions document is based on a December 2019 webinar on the local production of alcohol-based hand rub in Uganda for healthcare workers by Infectious Disease Institute at Makerere University and the US CDC.
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UNHCR Technical WASH Guidance for COVID-19 Preparedness and Response

31.03.2020
A two-page technical brief from UNHCR for the COVID-19 response, including suggested activities for refugee settings.
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How to involve communities in the 8 practical steps for universal access to quality care

06.03.2020
This document goes through each of the practical steps and describes how communities should be involved at each stage.  
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