WHdx integrates inputs from multiple sources into an analysis-ready dataset with a suite of decision-support tools.

WHdx will provide governments, NGOs, donors and companies with specific, updated data and insights on the quality of WASH in health care facilities.

Through WHdx, stakeholders will identify gaps, understand systemic issues and make multi-geography comparisons to improve investments, policies and programs.

Regional Governments

National Health, Water & Finance Ministries

District Health & Water Offices

Objective data to:

  • Inform regional strategies and focus investments
  • Support regional leadership and coordination
  • Inform independent evaluations

Reliable data to:

  • Inform national roadmaps and standards
  • Regularly monitor indicators
  • Integrate WASH into health sector planning
  • Allocate/prioritize resources

Facility-level data to:

  • Track/monitor/review service delivery levels
  • Ensure sufficient, qualified staff and technical expertise
  • Support training and capacity-building
  • Prioritize services
  • Allocate budget



Private Sector

Sub national data for:

  • District and facility technical and programming decisions, approaches and implementation
  • Alignment with government priorities and partners

Better data to:

  • Allocate resources
  • Make better investments and prioritize action to increase reach, sustainable impact and data input

Credible data to:

  • Guide corporate investments in technology and strategic marketing to expand and maintain services and influence behaviors


  • Harmonization of WASH in HCF datasets into a singular dataset
  • Data cleaning and storage
  • Analysis of JMP service ladder data and additional insights and indicators
  • Granular data analysis, including at facility and district-levels
  • Tools to guide policy decisions and investments


ESTIMATES: Number of people with/out access to an HCF with WASH services


  • HCFs and administrative regions for investment
  • Locations at higher risk for WASH services failure

WASH in HCF data at scale

BENCHMARKS: between districts/countries

EVALUATES: investment in potential sites for highest impact


Global Water Challenge, in partnership with Millennium Water Alliance, leads the WHdx platform development, with funding from the Conrad N. Hilton Foundation.


WHdx is guided by a Working Group of technical experts in the WASH and health care sectors – comprising:  Catholic Relief Services, the US Centers for Disease Control and Prevention (CDC), Emory University’s Center for Global Safe WASH, Helvetas, and the Safe Water and AIDS Project (SWAP).

The Development Team and Working Group are currently defining the Data Exchange Standard, developing the sharing and access platform and Decision Support Tools and, identifying and training pilot focus countries.

The WHdx Data Exchange Standard is open for public comment through November 4th

The WHdx Data Exchange Standard was developed with input from an expert working group who compared WASH in healthcare facility data collection tools to identify indicators.

The draft Data Standard draws indicators primarily from the commonly collected WHO/UNICEF’s Water and Sanitation for Health Facility Improvement Tool (WASH FIT), Second Edition and the JMP Core Indicators for WASH in HCF – and selected the most useful indicators at scale to support WASH services decision-making.

Link to document(s)

  • Will add blurbs to describe each document (WHdx Standard (Full), WHdx Standard – JMP, WHdx Standard – WASH FIT
  • Question for Brent re: how to best collect comments. Link to Google Form seems straightforward, but curious about other options.

Call for Feedback

To finalize the WHdx Data Standard, Global Water Challenge seeks feedback and welcomes anyone with experience in WASH in healthcare settings to provide comments, including government, NGOs/CSOs, academic, donor, and the private sector.

Deadline: Friday, November 4, 2022


The WASH in Health Facilities Data Exchange (WHdx) is an initiative of the Global Water Challenge (GWC). GWC is a collation of leading organizations committed to achieving universal access to safe water, sanitation, and hygiene (WASH) and women’s empowerment. With companies, civil society partners and governments, GWC accelerates the delivery of safe water and sanitation and supports gender equality through partnerships that catalyze financial support and drive innovation for sustainable solutions.