Sustainable and safe water, sanitation, hygiene, waste and
electricity services in health care facilities
A/RES/80/289
prevention and control measures, including through improved water, sanitation,
hygiene and waste services in health care facilities, as well as setting the target of
ensuring that 100 per cent of countries have basic water, sanitation, hygiene and waste
services in all health care facilities,
Taking note of the World Health Assembly resolution 72.7 of 28 May 2019 on
water, sanitation and hygiene in health care facilities, 6 which serves as a key global
policy framework to facilitate global assessments of the regional and national gaps,
encourage Member States to strengthen standards for safe water, sanitation and
hygiene and infection prevention and control, in all healthcar e settings, increase
investments and support collective action among partners,
Noting that according to the latest progress report of the World Health
Organization and the United Nations Children’s Fund on water, sanitation, hygiene,
waste and electricity services in health care facilities, published in 2025, more than
80 per cent of countries have established baselines or updated standards, but less than
20 per cent have developed, implemented and financed costed road maps, while
remaining deeply concerned that the latest data indicate huge gaps in services:
globally, 1.1 billion people are served by health care facilities that lack basic water
services, 3.0 billion are served by facilities that lack basic sanitation, 1.7 billion are
served by facilities that lack basic hygiene and 2.8 billion are served by facilities that
lack basic healthcare waste management and, furthermore, nearly 1 billion people
access health care facilities without reliable electricity or without electricity access at
all, underscoring the grave implications of not having these basic services, especially
the 8 million people who die annually from poor-quality care, resulting in 6 trillion
United States dollars in losses,
Noting also that the current legal frameworks and funding mechanisms are
fragmented and rely heavily on bilateral funding and debt, and that there is a need to
invest in public health and mobilize international and domestic resources, including
to assist developing countries,
Welcoming the appointment of the first Special Envoy of the Secretary-General
on Water, and taking note of the publication of the United Nations System -wide
Strategy for Water and Sanitation in 2024,
Recalling that water, sanitation, hygiene and waste standards, indicators and
targets are included in the World Health Organization global patient safety action plan
2021–2030 and the global action plan and monitoring framework on infection
prevention and control, 2024–2030, 7
Reaffirming the call to promote zero-waste initiatives and support Member
States in sustainable waste management,
Reaffirming also the importance of promoting the resilience of new and existing
critical infrastructure, including water, hospitals and other health facilities, to ensure
that they remain safe, effective and operational during and after disasters and other
emergency situations, including climate-related, in order to provide life-saving and
essential services,
Recalling the need to ensure equal access to high-quality services such as water
and sanitation and other economic and social programmes, as well as the importance
of Indigenous Peoples’ health practices and their traditional medicine and knowledge,
and in this regard, stressing the importance of working with Indigenous Peoples to
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6
7
26-09985
See World Health Organization, document WHA72/2019/REC/1.
See World Health Organization, document WHA77/2024/REC/1, decision 77(9) and annex 3.
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