Joint Monitoring Programme for Water Supply,

Sanitation and Hygiene

Estimates on water, sanitation, hygiene, waste

management and environmental cleaning in health
care facilities by region (2000-2019)

Regions

Updated August 2020

www.washdata.org
Insufficient data to estimate safely managed sani
timate safely managed sanitation services at national level
WATER NATIONAL

(improved, not available and/or not on premises)

Improved water on premises

(improved, available and on premises)

Improved water source

Population (thousands)

Limited water service

REGION

Basic water service

(no facility or unimproved)

No water service
% urban
Year
SDG REGIONS
Australia and New Zealand 2019 29 986 8620 - - - - -
Central and Southern Asia 2019 1 991 423 3665 - - - - -
Eastern and South-Eastern Asia 2019 2 334 623 5975 89 2 9 91 90
Europe and Northern America 2019 1 113 784 7720 - - - - -
Latin America and the Caribbean 2019 648 121 8083 - - 6 94 89
Northern Africa and Western Asia 2019 517 106 6288 - - - - -
Oceania 2019 12 142 2291 71 21 8 92 86
Sub-Saharan Africa 2019 1 066 283 4103 46 35 19 81 57
OTHER REGIONAL GROUPINGS
Least Developed Countries 2019 1 033 389 3410 50 33 17 83 61
Landlocked Developing Countries 2019 520 973 3103 - - - - -
Small Island Developing States 2019 - - 66 24 11 89 76
GLOBAL
World 2019 7 713 468 5574 76 15 9 91 77
-
-
-
-
-
-
-
-
-
-
Basic water service

73
67
(improved, available and on premises)

-
-
-
-
-
-
-
-
-
-
Limited water service

21
27
(improved, not available and/or not on premises)

-
-
-
-
-
-
-
-

2
5
6
4
No water service
(no facility or unimproved)
URBAN

-
-
-
-
-
-
-
-

98
95
94
96
Improved water source

-
-
-
-
-
-
-
-
-
-

82
74
Improved water on premises

-
-
-
-
-
-
-
-
-
Basic water service

78
47
42
(improved, available and on premises)

-
-
-
-
-
-
-
-
-

9
Limited water service

36
35
(improved, not available and/or not on premises)

-
-
-
-
-
-
-

9
9
No water service

14
18
23
(no facility or unimproved)
RURAL

-
-
-
-
-
-
-

91
86
82
76
91

Improved water source

-
-
-
-
-
-
-
-
-

78
55
50

Improved water on premises

-
-
-
-
-
-
-

Basic water service

88
73
71
76
91

- (improved, available and on premises)

-
-
-
-
-
-
-
-
-

Limited water service

22
22

(improved, not available and/or not on premises)

-
-
-
-
-
-
-
-
-
-

5
7

No water service
(no facility or unimproved)
HOSPITAL

-
-
-
-
-
-
-
-
-
-

95
93

Improved water source

 PITAL

-
-
-
-
-
-
-
-
-
-

75
72
Improved water on premises

-
-
-
-
-
-
Basic water service

75
71
51
47
71
88
(improved, available and on premises)

-
-
-
-
-
-

2
Limited water service

18
19
35
38
21
(improved, not available and/or not on premises)

-
-
-
-
-

7
7
9
No water service

10
15
15
11
(no facility or unimproved)
NON-HOSPITAL

-
-
-
-
-

93
90
85
85
93
89
91
Improved water source

-
-
-
-
-

80
78
59
54
86
84
90
Improved water on premises

-
-
-
-
-
-
-
- Basic water service

77
50
44
90
(improved, available and on premises)

-
-
-
-
-
-
-
-

1
Limited water service

16
34
33
(improved, not available and/or not on premises)

-
-
-
-
-
-
-

7
6
9

No water service

15
22 (no facility or unimproved)
GOVERNMENT

-
-
-
-
-
-
-

93
84
77
94
91

Improved water source

-
-
-
-
-
-
-

82
58
53
88
91

Improved water on premises

-
-
-
-
-
-
-
-
-
-

Basic water service

68
56

(improved, available and on premises)

-
-
-
-
-
-
-
-
-
-

Limited water service

26
37

(improved, not available and/or not on premises)

-
-
-
-
-
-
-
-
-
-

6
7

No water service
(no facility or unimproved)
NON-GOVERNMENT
-
-
-
-
-
-
-
-
-
-

94
93
Improved water source ON-GOVERNMENT

-
-
-
-
-
-
-
-
-
-

76
60
Improved water on premises
SANITATION NATIONAL

(improved, usable, sex-separated with facilities for

staff, menstrual hygiene facilities, and users with

(improved, not meeting all criteria for basic)

Limited sanitation service
Basic sanitation service

Improved and useable

Population (thousands)

No sanitation service
REGION

(no facility or unimproved)

limited mobility)

Improved
% urban
Year
SDG REGIONS
Australia and New Zealand 2019 29 986 8620 - - - - -
Central and Southern Asia 2019 1 991 423 3665 - - - - -
Eastern and South-Eastern Asia 2019 2 334 623 5975 - - 4 96 84
Europe and Northern America 2019 1 113 784 7720 - - - - -
Latin America and the Caribbean 2019 648 121 8083 38 59 3 97 81
Northern Africa and Western Asia 2019 517 106 6288 - - - - -
Oceania 2019 12 142 2291 - - 32 68 -
Sub-Saharan Africa 2019 1 066 283 4103 29 42 29 70 62
OTHER REGIONAL GROUPINGS
Least Developed Countries 2019 1 033 389 3410 37 44 20 80 62
Landlocked Developing Countries 2019 520 973 3103 - - - - -
Small Island Developing States 2019 - - - - 18 82 -
GLOBAL
World 2019 7 713 468 5574 - - 10 90 72
 Basic sanitation service

-
-
-
-
-
-
-
-
-
-
-
(improved, usable, sex-separated with facilities for

37
staff, menstrual hygiene facilities, and users with
limited mobility)

-
-
-
-
-
-
-
-
-
-
-
Limited sanitation service

49
(improved, not meeting all criteria for basic)

-
-
-
-
-
-
-
-
-
-
No sanitation service

11
14
(no facility or unimproved)
URBAN

-
-
-
-
-
-
-
-
-
-

88
85
Improved

-
-
-
-
-
-
-
-
-
-

67
74
Improved and useable

Basic sanitation service

-
-
-
-
-
-
-
-
-
-
(improved, usable, sex-separated with facilities for

13
11
staff, menstrual hygiene facilities, and users with
limited mobility)

-
-
-
-
-
-
-
-
-
- Limited sanitation service

66
66
(improved, not meeting all criteria for basic)

-
-
-
-
-
-
-
-

No sanitation service

10
21
23
11

(no facility or unimproved)

RURAL

-
-
-
-
-
-
-
-

90
79
78
89

Improved

-
-
-
-
-
-
-
-
-
-

57
59

Improved and useable

Basic sanitation service

-
-
-
-
-
-
-
-
-
-
-
-

(improved, usable, sex-separated with facilities for

staff, menstrual hygiene facilities, and users with
limited mobility)
-
-
-
-
-
-
-
-
-
-
-
-

Limited sanitation service

(improved, not meeting all criteria for basic)
-
-
-
-
-
-
-
-
-
-

No sanitation service
11
12

(no facility or unimproved)

HOSPITAL

-
-
-
-
-
-
-
-
-
-

88
86

Improved
 PITAL

-
-
-
-
-
-
-
-

91
65
84
81
Improved and useable

Basic sanitation service

-
-
-
-
-
-
-
-
-
(improved, usable, sex-separated with facilities for

11
14
28
staff, menstrual hygiene facilities, and users with
limited mobility)

-
-
-
-
-
-
-
-
-
Limited sanitation service

68
61
64
(improved, not meeting all criteria for basic)

-
-
-
-

9
5
No sanitation service

15
16
20
25
33
28
(no facility or unimproved)
NON-HOSPITAL

-
-
-
-

85
84
79
75
67
91
95
72
Improved

-
-
-
-
-
-
-

63
53
62
79
83
Improved and useable

Basic sanitation service

-
-
-
-
-
-
-
-
-
- (improved, usable, sex-separated with facilities for

9
13
staff, menstrual hygiene facilities, and users with
limited mobility)

-
-
-
-
-
-
-
-
-
-

Limited sanitation service

72
66
(improved, not meeting all criteria for basic)

-
-
-
-
-
-
-
-

7
3

No sanitation service

18
21 (no facility or unimproved)
GOVERNMENT

-
-
-
-
-
-
-
-

93
82
79
97

Improved
-
-
-
-
-
-
-
-

67
51
58
84

Improved and useable

Basic sanitation service

-
-
-
-
-
-
-
-
-
-
-

(improved, usable, sex-separated with facilities for

49

staff, menstrual hygiene facilities, and users with

limited mobility)
-
-
-
-
-
-
-
-
-
-
-

Limited sanitation service

34

(improved, not meeting all criteria for basic)

-
-
-
-
-
-
-
-
-
-

No sanitation service
13
17

(no facility or unimproved)

NON-GOVERNMENT
ON-GOVERNMENT

Improved and useable

Improved

- -
- -
- -
- -
- -
- -
- -
83 77

87 68
- -
- -

- -
HYGIENE NATIONAL

(hand hygiene facilities missing at points of care and

(hand hygiene facilities missing at points of care or
(hand hygiene at points of care and handwashing

Handwashing facilities at points of

Handwashing facility near toilets

facility with water and soap at toilets)

Limited hygiene service

Population (thousands)

Basic hygiene service

REGION

No hygiene service
% urban

toilets)

toilets)
Year

care
SDG REGIONS
Australia and New Zealand 2019 29 986 8620 - - - - -
Central and Southern Asia 2019 1 991 423 3665 - - - - -
Eastern and South-Eastern Asia 2019 2 334 623 5975 38 61 0 47 69
Europe and Northern America 2019 1 113 784 7720 - - - - -
Latin America and the Caribbean 2019 648 121 8083 - - - - -
Northern Africa and Western Asia 2019 517 106 6288 - - - - -
Oceania 2019 12 142 2291 - - - 95 -
Sub-Saharan Africa 2019 1 066 283 4103 - - 7 73 -
OTHER REGIONAL GROUPINGS
Least Developed Countries 2019 1 033 389 3410 - - 4 74 -
Landlocked Developing Countries 2019 520 973 3103 - - - - -
Small Island Developing States 2019 - - - - - 72 -
GLOBAL
World 2019 7 713 468 5574 - - 2 68 -
 Basic hygiene service

-
-
-
-
-
-
-
-
-
-
-
-
(hand hygiene at points of care and handwashing
facility with water and soap at toilets)

Limited hygiene service

-
-
-
-
-
-
-
-
-
-
-
-
(hand hygiene facilities missing at points of care or
toilets)

No hygiene service

-
-
-
-
-
-
-
-
-
-
-

3
(hand hygiene facilities missing at points of care and
toilets)
URBAN

Handwashing facilities at points of

-
-
-
-
-
-
-
-
-
-

81
80
care

-
-
-
-
-
-
-
-
-
-
-
-
Handwashing facility near toilets

Basic hygiene service

-
-
-
-
-
-
-
-
-
-

29
39
(hand hygiene at points of care and handwashing
facility with water and soap at toilets)

Limited hygiene service

-
-
-
-
-
-
-
-
-
-

62
52
(hand hygiene facilities missing at points of care or
toilets)

No hygiene service

-
-
-
-
-
-
-
-
-
-

9
9
(hand hygiene facilities missing at points of care and
toilets)
RURAL

Handwashing facilities at points of

-
-
-
-
-
-
-
-
-
-

66
67 care

-
-
-
-
-
-
-
-
-
-

37
52

Handwashing facility near toilets

Basic hygiene service

-
-
-
-
-
-
-
-
-
-
-
72

(hand hygiene at points of care and handwashing

facility with water and soap at toilets)

Limited hygiene service

-
-
-
-
-
-
-
-
-
-
-
-

(hand hygiene facilities missing at points of care or

toilets)

No hygiene service
-
-
-
-
-
-
-
-
-
-

2
1

(hand hygiene facilities missing at points of care and

toilets)
HOSPITAL

Handwashing facilities at points of

-
-
-
-
-
-
-
-

91
85
84
96

care
 PITAL

-
-
-
-
-
-
-
-
-
-
-
73
Handwashing facility near toilets

Basic hygiene service

-
-
-
-
-
-
-
-
-

33
42
38
(hand hygiene at points of care and handwashing
facility with water and soap at toilets)

Limited hygiene service

-
-
-
-
-
-
-
-
-

58
49
61
(hand hygiene facilities missing at points of care or
toilets)

No hygiene service

-
-
-
-
-
-
-
-

4
9
9
0
(hand hygiene facilities missing at points of care and
toilets)
NON-HOSPITAL

Handwashing facilities at points of

-
-
-
-
-
-

67
72
70
69
96
46
care

-
-
-
-
-
-
-
-
-

41
52
69
Handwashing facility near toilets

Basic hygiene service

-
-
-
-
-
-
-
-
-

29
42
38
(hand hygiene at points of care and handwashing
facility with water and soap at toilets)

Limited hygiene service

-
-
-
-
-
-
-
-
-

63
49
61

(hand hygiene facilities missing at points of care or

toilets)

No hygiene service

-
-
-
-
-
-
-
-

5
8
8
0

(hand hygiene facilities missing at points of care and

toilets)
GOVERNMENT

Handwashing facilities at points of

-
-
-
-
-
-
-
-

66
69
70
48

care

-
-
-
-
-
-
-
-
-

37
50
69

Handwashing facility near toilets

Basic hygiene service

-
-
-
-
-
-
-
-
-
-
-
-

(hand hygiene at points of care and handwashing

facility with water and soap at toilets)

Limited hygiene service

-
-
-
-
-
-
-
-
-
-
-
-

(hand hygiene facilities missing at points of care or

toilets)

No hygiene service
-
-
-
-
-
-
-
-
-
-

2
3

(hand hygiene facilities missing at points of care and

toilets)
NON-GOVERNMENT
 Handwashing facilities at points of

-
-
-
-
-
-
-
-
-
-

80
81
ON-GOVERNMENT
care

-
-
-
-
-
-
-
-
-
-
-
-
Handwashing facility near toilets
WASTE MANAGEMENT NATIONAL

(waste not segregated nor treated and disposed of

Limited waste management service
(Waste not segregated or treated and disposed of
(waste segregated and treated and disposed of

No waste management service

Basic waste management
Population (thousands)
REGION

Waste segregated

Waste treated
% urban

safely)

safely)

safely)
Year
SDG REGIONS
Australia and New Zealand 2019 29 986 8620 - - - - -
Central and Southern Asia 2019 1 991 423 3665 - - - - -
Eastern and South-Eastern Asia 2019 2 334 623 5975 - - - 86 -
Europe and Northern America 2019 1 113 784 7720 - - - - -
Latin America and the Caribbean 2019 648 121 8083 - - - 92 -
Northern Africa and Western Asia 2019 517 106 6288 - - - - -
Oceania 2019 12 142 2291 11 - - 95 12
Sub-Saharan Africa 2019 1 066 283 4103 40 54 5 61 54
OTHER REGIONAL GROUPINGS
Least Developed Countries 2019 1 033 389 3410 30 59 11 50 43
Landlocked Developing Countries 2019 520 973 3103 - - - - -
Small Island Developing States 2019 - - 8 - - 48 27
GLOBAL
World 2019 7 713 468 5574 - - - 69 -
 Basic waste management

-
-
-
-
-
-
-
-
-
-

30
45
(waste segregated and treated and disposed of
safely)

Limited waste management service

-
-
-
-
-
-
-
-
-
-

66
51
(Waste not segregated or treated and disposed of
safely)

No waste management service

-
-
-
-
-
-
-
-
-
-

4
4
(waste not segregated nor treated and disposed of
safely)
URBAN

-
-
-
-
-
-
-
-
-
-

50
65
Waste segregated

-
-
-
-
-
-
-
-
-
-

47
61
Waste treated

Basic waste management

-
-
-
-
-
-
-
-
-
-

21
29
(waste segregated and treated and disposed of
safely)

Limited waste management service

-
-
-
-
-
-
-
-
-
-

73
67
(Waste not segregated or treated and disposed of
safely)

No waste management service

-
-
-
-
-
-
-
-
-
-

6
4
(waste not segregated nor treated and disposed of
safely)
RURAL

-
-
-
-
-
-
-
-
-
-

47
56
Waste segregated

-
-
-
-
-
-
-
-
-
-

41
48

Waste treated

Basic waste management

-
-
-
-
-
-
-
-

71
36
54
67

(waste segregated and treated and disposed of

safely)

Limited waste management service

-
-
-
-
-
-
-
-

27
51
43
29

(Waste not segregated or treated and disposed of

safely)

No waste management service

-
-
-
-
-
-
-
-

2
3
5

12

(waste not segregated nor treated and disposed of

safely)
HOSPITAL

-
-
-
-
-
-
-
-

80
53
70
73

Waste segregated
 PITAL

-
-
-
-
-
-
-
-

82
53
72
83
Waste treated

Basic waste management

-
-
-
-
-
-
-
-

7
9

22
31
(waste segregated and treated and disposed of
safely)

Limited waste management service

-
-
-
-
-
-
-
-
-
-

72
65
(Waste not segregated or treated and disposed of
safely)

No waste management service

-
-
-
-
-
-
-
-
-
-

6
4
(waste not segregated nor treated and disposed of
safely)
NON-HOSPITAL

-
-
-
-
-

68
49
46
58
96
86
85
Waste segregated

-
-
-
-
-
-
-
-

23
43
52
10
Waste treated

Basic waste management

-
-
-
-
-
-
-
-
-
-

20
31
(waste segregated and treated and disposed of
safely)

Limited waste management service

-
-
-
-
-
-
-
-
-
-

72
65
(Waste not segregated or treated and disposed of
safely)

No waste management service

-
-
-
-
-
-
-
-
-
-

9
4
(waste not segregated nor treated and disposed of
safely)
GOVERNMENT

-
-
-
-
-
-
-
-

65
45
58
87

Waste segregated

-
-
-
-
-
-
-
-
-
-

41
52

Waste treated

Basic waste management

-
-
-
-
-
-
-
-
-
-

32
37

(waste segregated and treated and disposed of

safely)

Limited waste management service

-
-
-
-
-
-
-
-
-
-

59
53

(Waste not segregated or treated and disposed of

safely)

No waste management service

-
-
-
-
-
-
-
-
-
-

9
10

(waste not segregated nor treated and disposed of

safely)
NON-GOVERNMENT
ON-GOVERNMENT
Waste segregated

Waste treated

- -
- -
- -
- -
- -
- -
- -
53 59

51 49
- -
- -

- -
ENVIRONMENTAL CLEANING NATIONAL

(Cleaning protocols or some staff trained)

Limited Environmental Cleaning service

No Environmental Cleaning service

(Cleaning protocols and staff trained)

(No protocols and no staff trained)

Basic Environmental Cleaning
Population (thousands)

Protocols for cleaning

REGION

Training on cleaning
% urban
Year
SDG REGIONS
Australia and New Zealand 2019 29 986 8620 - - - - -
Central and Southern Asia 2019 1 991 423 3665 - - - - -
Eastern and South-Eastern Asia 2019 2 334 623 5975 - - - 48 -
Europe and Northern America 2019 1 113 784 7720 - - - - -
Latin America and the Caribbean 2019 648 121 8083 - - - - -
Northern Africa and Western Asia 2019 517 106 6288 - - - - -
Oceania 2019 12 142 2291 - - - - -
Sub-Saharan Africa 2019 1 066 283 4103 - - - - -
OTHER REGIONAL GROUPINGS
Least Developed Countries 2019 1 033 389 3410 - - - - -
Landlocked Developing Countries 2019 520 973 3103 - - - - -
Small Island Developing States 2019 - - - - - - -
GLOBAL
World 2019 7 713 468 5574 - - - - -
-
-
-
-
-
-
-
-
-
-
-
-
Basic Environmental Cleaning
(Cleaning protocols and staff trained)

Limited Environmental Cleaning service

-
-
-
-
-
-
-
-
-
-
-
-
(Cleaning protocols or some staff trained)

-
-
-
-
-
-
-
-
-
-
-
-
No Environmental Cleaning service
(No protocols and no staff trained)
URBAN

-
-
-
-
-
-
-
-
-
-
-
-
Protocols for cleaning

-
-
-
-
-
-
-
-
-
-
-
-
Training on cleaning

-
-
-
-
-
-
-
-
-
-
-
Basic Environmental Cleaning

33
(Cleaning protocols and staff trained)

Limited Environmental Cleaning service

-
-
-
-
-
-
-
-
-
-
-

43
(Cleaning protocols or some staff trained)

-
-
-
-
-
-
-
-
-
-
-

No Environmental Cleaning service

24
(No protocols and no staff trained)
RURAL

-
-
-
-
-
-
-
-
-
-
-

58
Protocols for cleaning

-
-
-
-
-
-
-
-
-
-

32
39

Training on cleaning

-
-
-
-
-
-
-
-
-
-
-

Basic Environmental Cleaning

73

(Cleaning protocols and staff trained)

Limited Environmental Cleaning service

-
-
-
-
-
-
-
-
-
-
-
8

(Cleaning protocols or some staff trained)

-
-
-
-
-
-
-
-
-
-
-

No Environmental Cleaning service

19

(No protocols and no staff trained)

HOSPITAL

-
-
-
-
-
-
-
-
-
-
-
74

Protocols for cleaning

 PITAL

-
-
-
-
-
-
-
-
-
-
-
85
Training on cleaning

-
-
-
-
-
-
-
-
-
-
-
-
Basic Environmental Cleaning
(Cleaning protocols and staff trained)

Limited Environmental Cleaning service

-
-
-
-
-
-
-
-
-
-
-
-
(Cleaning protocols or some staff trained)

-
-
-
-
-
-
-
-
-
-
-
-
No Environmental Cleaning service
(No protocols and no staff trained)
NON-HOSPITAL

-
-
-
-
-
-
-
-
-
-
-

46
Protocols for cleaning

-
-
-
-
-
-
-
-
-
-
-

31
Training on cleaning

-
-
-
-
-
-
-
-
-
-
-
- Basic Environmental Cleaning
(Cleaning protocols and staff trained)

Limited Environmental Cleaning service

-
-
-
-
-
-
-
-
-
-
-
-

(Cleaning protocols or some staff trained)

-
-
-
-
-
-
-
-
-
-
-
-

No Environmental Cleaning service

(No protocols and no staff trained)
GOVERNMENT

-
-
-
-
-
-
-
-
-
-
-

48

Protocols for cleaning

-
-
-
-
-
-
-
-
-
-
-

35

Training on cleaning
-
-
-
-
-
-
-
-
-
-
-
-

Basic Environmental Cleaning

(Cleaning protocols and staff trained)

Limited Environmental Cleaning service

-
-
-
-
-
-
-
-
-
-
-
-

(Cleaning protocols or some staff trained)

-
-
-
-
-
-
-
-
-
-
-
-

No Environmental Cleaning service

(No protocols and no staff trained)
NON-GOVERNMENT
-
-
-
-
-
-
-
-
-
-
-
-
Protocols for cleaning ON-GOVERNMENT

-
-
-
-
-
-
-
-
-
-
-
-
Training on cleaning