Nurse in Uttar Pradesh - Photo credit Prashanth Vishwanathan

What is WASH FIT?

WASH FIT (the Water and Sanitation for Health Facility Improvement Tool) is a risk-based management tool for health care facilities, covering key aspects of water, sanitation, hand hygiene, environmental cleaning, health care waste management and selected aspects of energy, building and facility management.

New mother in Mali – Photo credit Ilvy Njiokiktjien

How Do You Use WASH FIT?

As a team, use WASH FIT in paper or electronic format on a regular basis, following the instructions provided, and share the results to ensure improvements can be made to enhance overall quality of care.

What type of facilities can use WASH FIT?

  • Small primary health care facilities in lower-resource settings (e.g. health centres, health posts).
  • Larger facilities (e.g. district hospitals).
  • Middle-income settings where standards are yet to be met.
  • Emergency settings, including temporary facilities in camps.

Read More

Download the 2 page overview of WASH FIT

Version 2.0 (coming soon) has a particular focus on building, upgrading and sustaining WASH and energy services that are climate resilient as well as being equitable and inclusive. 


  • Provides a framework to develop, monitor and continuously implement an infrastructure  improvement plan and prioritize specific WASH actions;
  • Guides planning and implementing WASH improvements as part of wider quality improvement efforts and to meet local, national and/or global standards, and;
  • Facilitates multi-sectoral solutions by bringing together all those who share responsibility for providing WASH services, including legislators/policymakers, district health officers, hospital administrators, water engineers and users.

Share Your Experience

WHO and UNICEF are collecting information on where, how and in how many facilities the tool is being used. Are you using WASH FIT? If so, we would like to hear from you. Please share an update here.

Useful Links

WASH FIT 2nd Ed. coming soon

The WASH FIT package, including the 2nd edition of the guide will be published in February 2022.

Nurse in Guinea Bissau – Photo credit Karel Prinsloo

Impacts Associated With WASH FIT