UNHCR WASH Monitoring System – Health Facilities

The UNHCR WASH Monitoring System includes monitoring of WASH conditions in refugee health facilities following the Joint Monitoring Program (JMP) guidelines, model questions and standard indicators which can be found in the references below. All refugee health facilities should be surveyed at least once a year. Indicators are tracked on the Refugee WASH in Health Facilities Dashboard.

A) Indicators

  1. % of health facilities with an improved water source
  2. % of health facilities with the main water source on premises
  3. % of health facilities where water from the main source was available on the day of the survey
  4. % of health care facilities with improved toilets
  5. # usable toilets (available, functional and private)
  6. % of health facilities with toilets separated by sex
  7. % of health facilities with toilets that are clean at the time of the survey
  8. % health care facilities with soap and water (or alcohol-based hand rub) currently available in consultation rooms and within 5m of toilets
  9. % health care facilities with protocols for cleaning (floor, sink, spillage of blood or bodily fluid) and where all staff responsible for cleaning have received training
  10. % of health care facilities where female toilets have facilities to manage menstrual hygiene needs
  11. % health care facilities where sharps, infectious and general waste are safely separated and adequately treated and disposed

Indicators taken from Core Questions and Indicators for Monitoring WASH in Health Facilities (JMP, 2018) – PDF

B) Guidance
A training PPT showing practically how to conduct mobile data collection using Open Data Kit (ODK) to evaluate WASH in health care facilities using the Balanced Scorecard has been prepared by the Health Section Balanced Scorecard Overview, Setup and Use (UNHCR, 2020) – PPT
C) Checklist / Forms
This checklist contains the model questions from the Joint Monitoring Program (JMP) guidelines for tracking WASH in health facilities. WASH in Health Facilities Checklist (UNHCR, 2020) – WORD. In addition the XLSForm for use with mobile data collection systems (Kobo) can be found here.
D) Dashboard
The current WASH status of refugee schools globally can be found in the WASH in Health Facilities Dashboard. Data from individual countries and refugee sites can be downloaded and analysed offline. Click here to access the WASH in Health Facilities Dashboard