Current status + progress
Hand hygiene is a critical element in disease prevention. Yet latest global estimates find that 3 billion people lacked soap and water at home, 900 million children lacked soap and water at their school, and 40% of health care facilities were not equipped to practice hand hygiene at points of care. Adequate water, sanitation and hygiene services for households, schools and healthcare facilities are essential to prevent the spread of infectious diseases including COVID-19. The low levels of coverage of these basic services in many parts of the world reflect substantial inequalities between and within countries and contribute to the vulnerability of these populations to the pandemic.
Alongside social distancing, case isolation and contract tracing, regular handwashing with water and soap is recognized as one of the most important measures to prevent transmission of COVID-19. Yet many people still do not have a handwashing facility with water and soap available at home. The latest JMP report finds that globally just 3 out of 5 people had a basic handwashing facility, with coverage even lower in Least Developed Countries (one in four). In 2017, 2.2 billion people lacked safely managed drinking water services (drinking water accessible on premises, available when needed and free from contamination) and 4.2 billion lacked a safely managed sanitation service (a sanitation facility with excreta safely disposed of in situ or treated off-site). Among these the 785 million who lacked a basic drinking water service (relying on either distant or unimproved sources to meet their household needs), and 2.3 billion who lacked a basic sanitation service (using shared facilities, unimproved facilities or practising open defection) are much less likely to be able to protect themselves and to practise social distancing.
WASH in schools
Provision of adequate water, sanitation and hygiene services ensures that schools provide a safe and clean environment and do not become a hub for the transmission of COVID-19, especially as schools are reopened following lockdowns in many countries. The first JMP report on WASH in schools presents baseline estimates for basic WASH services, finding that globally nearly one in three schools (31%) lacked basic drinking water services (affecting nearly 570 million children) and over one third(34%) lacked basic sanitation services (affecting over 620 million children). Almost half of all schools (47%) lacked basic hygiene services, affecting nearly 900 million children around the world. In Least Developed countries, 50% of all schools have no handwashing facility at all.
WASH in healthcare facilities
WASH services and related infection prevention and control (IPC) including healthcare waste management and environmental cleaning are essential to prevent infections amongst patients and staff. The 2019 JMP report on WASH in health care facilities provides the first global estimates for the new SDG indicators and finds that: One in four (24%) health care facilities lack basic water services, one in five (21%) had no sanitation service and one in six (16%) had no hygiene service, meaning they lacked hand hygiene facilities at points of care, as well as soap and water at toilets. Globally, just 58% of health care facilities had hand hygiene facilities – water and soap or hand sanitizer – at points of care. There were insufficient data to generate global estimates for basic waste management services, and only four countries had sufficient data on basic environmental cleaning services. In Least Developed Countries, just 1 in 4 health care facilities had systems for safe segregation, treatment and disposal of infectious health care waste.
- WHO and UNICEF interim guidance on WASH and COVID-19
- UNICEF and WHO interim guidance for prevention and control of COVID-19 in schools
- JMP 2019 household report
- JMP 2018 WASH in schools report
- JMP 2019 WASH in health care facilities report
- JMP core questions for monitoring WASH in households
- JMP core questions for monitoring WASH in schools
- JMP core questions for monitoring WASH in health care facilities