Water supply, sanitation and hygiene monitoring
The WHO/UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene (JMP) has reported country, regional and global estimates of progress on drinking water, sanitation and hygiene (WASH) since 1990. The JMP maintains an extensive global database and has become the leading source of comparable estimates of progress at national, regional and global levels. The 2017 report was the first of the Sustainable Development Goal period and established baseline estimates for monitoring the new Sustainable Development Goal targets. This was followed by progress reports for WASH in households in 2019, 2021 and 2023. The JMP also produces progress reports about WASH in health care facilities and WASH in schools.
The 2023 update estimated that in 2022, 27% of the global population (2.2 billion people) lacked “safely managed drinking water”– meaning water at home, available, and safe. 43% of the global population (3.5 billion people) lacked “safely managed sanitation” – meaning access to a toilet or latrine that leads to treatment or safe disposal of excreta. 25% of the global population (2.0 billion people) did not have access at home to a handwashing facility with soap and water.
New reports

Progress on household drinking-water, sanitation and hygiene 2000-2024: Special focus...
Publications

Water, sanitation, hygiene, environmental cleaning and waste management in health care facilities: 2023...
This data update assesses the coverage of WASH services (water, sanitation, hygiene, environmental cleaning and health care waste management) in health...

Progress on household drinking water, sanitation and hygiene 2000-2022: special focus on gender
The 2030 Agenda for Sustainable Development called for ‘ensuring availability and sustainable management of water and sanitation for all’ under...

Progress on WASH in health care facilities 2000-2021: Special focus on WASH and infection prevention...
In March 2018, the Secretary-General of the United Nations launched a global call to action for WASH in all health care facilities, noting that health...
Monitoring drinking-water
SDG target 6.1 calls for achieving universal and equitable access to safe and affordable drinking water for all. The indicator used to measure progress is the percentage of the population using “safely managed drinking water services”.SDG target 6.1 calls for achieving universal and equitable access to safe and affordable drinking water for all. The indicator used to measure progress is the percentage of the population using safely managed drinking water services, which is defined as the population using an improved drinking water source (the indicator used for MDG monitoring) which is located on premises, and available when needed, and free of faecal and priority chemical contamination.
In order to meet the criteria for a safely managed drinking water service, people must use an improved source meeting three criteria:
- it should be accessible on premises,
- water should be available when needed, and
- the water supplied should be free from contamination.
If the improved source does not meet any one of these criteria but a round trip to collect water takes 30 minutes or less, then it will be classified as a basic drinking water service. If water collection from an improved source exceeds 30 minutes it will be categorised as a limited service. The JMP also differentiates populations using unimproved sources such as unprotected wells or springs, and populations drinking surface water collected directly from a river, dam, lake, stream or irrigation canal.
The JMP 2023 update estimated that in 2022, 27% of the global population (2.2 billion people) lacked “safely managed drinking water”– meaning water at home, available, and safe. This includes 1.5 billion with a basic water service, but outside the home, not always available, or unsafe. The remaining 703 million lacking even basic services either had to walk more than 30 min to collect water from outside the home (292 million), used unprotected water sources (296 million), or took untreated water from rivers or lakes (115 million) – sources likely to be contaminated.
Monitoring sanitation
SDG target 6.2 calls for achieving access to adequate and equitable sanitation and hygiene for all, and ending open defecation, paying special attention to the needs of women and girls and those in vulnerable situations. The indicator used to measure progress is the percentage of the population using “safely managed sanitation services”.
There are three main ways to meet the criteria for having a safely managed sanitation service. People should use improved sanitation facilities which are not shared with other households, and the excreta produced should either be:
- treated and disposed in situ,
- stored temporarily and then emptied and transported to treatment off-site, or
- transported through a sewer with wastewater and then treated off-site.
If the excreta from improved sanitation facilities are not safely managed then people using those facilities will be classed as having a basic sanitation service (SDG 1.4). People using improved facilities which are shared with other households will be classified as having a limited service. The JMP will also continue to monitor the population practising open defecation which is an explicit focus of SDG target 6.2.
The JMP 2023 update estimated that in 2022, 43% of the global population (3.5 billion people) lacked safely managed sanitation services. These people either used basic private toilets or latrines (1.9 billion), shared toilets among several households (570 million), used poorly constructed latrines or buckets (545 million), or defecated in the open (419 million).
Monitoring hygiene
Hygiene has long-established links with public health, but was not included in any MDG targets or indicators. The explicit reference to hygiene in the text of SDG target 6.2 represents increasing recognition of the importance of hygiene and its close links with sanitation. Hygiene is multi-faceted and can comprise many behaviours, including handwashing, menstrual hygiene and food hygiene. International consultations among WASH sector professionals identified handwashing with soap and water as a top priority in all settings, and also as a suitable indicator for national and global monitoring.
The presence of a handwashing facility with soap and water on premises has been identified as the priority indicator for global monitoring of hygiene. Households that have a handwashing facility with soap and water available on premises will meet the criteria for a basic hygiene facility.
The JMP 2023 update estimated that in 2022, 25% of the global population (2.0 billion people) lacked basic hygiene services – access to a handwashing facility with soap and water at home. 1.3 billion people had handwashing facilities that lacked soap and/or water, while 653 million people had no handwashing facility at home.
Related health topic
Monitoring wastewater
SDG target 6.3 calls for improving ambient water quality by reducing pollution, eliminating dumping and minimizing release of hazardous chemicals and materials, halving the proportion of untreated wastewater and increasing recycling and safe reuse globally.
The indicators used to measure progress are SDG 6.3.1 “proportion of wastewater safely treated” and 6.3.2 “proportion of water bodies with good water quality”. Wastewater treatment is separated by domestic and industrial sources and domestic sources are further disaggregated by wastewater and faecal sludge from both facilities connected to sewers and septic tanks. Domestic wastewater is monitored in coordination with monitoring of indicator 6.2.1 on safely managed sanitation that also estimates containment, emptying, transport and treatment of wastewater and faecal sludge. Wastewater from economic activities is monitored by UN-Habitat and ambient water quality by UNEP GEMS-Water initiative.
Globally, in 2022, 42% of household (domestic) wastewater was not safely treated before discharge, leading to an estimated 113 billion m3 of household wastewater being released to the environment with inadequate or no treatment. Much of the fraction of household wastewater that was not safely treated was attributable to households lacking adequate blackwater and greywater collection systems, such as sewer connections or septic tanks (45 per cent). Separate files can be downloaded for each country showing data sources, methods and assumptions applied to generate estimates.

Progress on the proportion of domestic and industrial wastewater flows safely treated...
Monitoring WASH in institutions
In the 2030 agenda for sustainable development, monitoring of WASH extends beyond the home, to cover schools and health care facilities. In both of these settings, water and sanitation services can be used by large numbers of people, who may have particular needs or vulnerabilities. Lack of access to adequate water and sanitation facilities can lower attendance and educational achievement in schools, and it is impossible to deliver quality health care services without reliable access to safe water and sanitation facilities. Finally, people may avoid going to schools or health facilities altogether when they know that the institutions don’t have adequate toilets or latrines.
Data on WASH coverage in schools and health care facilities can come from facility surveys or from sector management information systems. WHO and UNICEF have worked with survey teams to develop core sets of WASH indicators for both schools and health care facilities, to be used in either surveys or sector databases. Expanded sets of indicators are also available to be used in more in-depth assessments. The JMP published baseline estimates for WASH in schools in 2018 and WASH in health care facilities in 2019, and updates the global databases every two years, most recently with a full progress report on WASH in schools and a data update on WASH in health care facilities in 2024.