WSG 1.1.5 Schools and health care facilities with access to basic sanitation

Measures the number of schools and health care facilities that have gained access to at least basic sanitation services[1], which include improved sanitation facilities designed to hygienically separate excreta from human contact.

Basic sanitation in schools: Schools with improved sanitation facilities which are single-sex and usable at the time of the survey or questionnaire are classified as having ‘basic’ service. The term ‘usable’ here refers to toilets or latrines that are accessible to students (doors are unlocked or a key is available at all times), functional (the toilet is not broken, the toilet hole is not blocked, and water is available for flush/pour-flush toilets), and private (there are closable doors that lock from the inside and no large gaps in the structure).

Basic sanitation in health care facilities: Improved sanitation facilities are usable with at least one toilet dedicated for staff, at least one sex-separated toilet with menstrual hygiene facilities, and at least one toilet accessible for people with limited mobility. The term usable here refers to toilets or latrines that are accessible to patients and staff (doors are unlocked or a key is available at all times), functional (the toilet is not broken, the toilet hole is not blocked, and water is available for flush/pour-flush toilets), and private (there are closable doors that lock from the inside and no large gaps in the structure).

Improved sanitation facilities are those designed to hygienically separate excreta from human contact, and include: flush/pour flush to piped sewer system, septic tanks or pit latrines; ventilated improved pit latrines, composting toilets or pit latrines with slabs.

[1] Some areas may be used the terminology “facilities” instead of “services,” however, these are not the same.  The JMP framework defines “facilities” and “services” as follows:

• Facilities are the physical infrastructure, such as flush toilets, pit latrines with slabs, or composting toilets, designed to hygienically manage waste. These are considered improved facilities due to their safe design.

• Services refer to the usability and quality of these facilities. For a facility to qualify as a basic sanitation service, it must be:

  • Improved and not shared with other households.

  • Accessible, functional, and hygienic at the time of use.

For example, a flush toilet connected to a septic tank is considered an improved facility, but it does not qualify as a basic sanitation service if it is shared by multiple households or if it is non-functional. This distinction ensures the indicator reflects not just the presence of infrastructure but also the level of service experienced by users.

WSG 112

• School/Health Facility

• Schools and health care facilities in the project area that have gained access to improved sanitation services by Helvetas or Helvetas supported (implementing) partners.

• Institutions reached indirectly through for instance technical assistance to governments resulting in expanded access to sanitation service should NOT be reported under this indicator.

Project data on implementation plan and achievements

Data should be collected continuously throughout the project or whenever activities are completed.

There should be continuous monitoring of activities and outputs. The following methods can be used to verify sanitation service quality and sustainability:

• Institutional Records: Data from school and healthcare registers on sanitation facilities.

• Field Visits: Regular visits to assess the functionality and usage of sanitation facilities.

• Surveys and Interviews: Periodic collection of feedback from school and healthcare staff on sanitation facilities access and management.

USAID:

HL.8.2-8 Number of basic sanitation facilities provided in health facilities and schools as a result of USG assistance

• WFC 1.1 Proportion of households that are more water secure after gaining access to (at least) basic water supply service (Household Water Insecurity Experiences Scale)

• WFC 1.2 Proportion of population using (at least) basic drinking water services

• WFC 1.3 Proportion of population using (at least) basic sanitation services

• WFC 1.4 Proportion of population using hand-washing facility with soap and water

• HUM 007 Number of people who have gained equitable and affordable access to a sufficient quantity of safe water to meet their drinking and domestic needs

• WSG 1.1.1 Number of people who have gained access to (at least) basic drinking water services

• WSG 1.1.2 Number of schools and/or health care facilities that have gained access to (at least) basic drinking water service

• WSG 1.1.3 Number of improved water supply systems constructed/rehabilitated

• WSG 1.1.4 Number of people who have gained access to (at least) basic sanitation services

• WSG 1.1.6 (a) /(b) Number of people reached with (a) sanitation and hygiene promotion activities, including (b) menstrual health and hygiene

• WSG 1.1.7 Number of civil society, public or private actors supported to increase capacities for WASH service delivery

• WSG 1.1.9 Number of initiatives established or supported to strengthen policies, laws, rules, institutions, strategies, plans, and/or budgets for more integrated natural resources governance