The availability of water, sanitation and hygiene (WASH) services in health care facilities, especially in maternity and primary-care settings where they are often absent, supports core aspects of quality, equity and dignity for all people. Recent data from WHO and UNICEF show that globally, one in four health care facilities lack basic water services, one in ten have no sanitation services and one in three have neither hand hygiene facilities at the point of care nor systems to segregate waste1 . In Least Developed Countries, the gaps are even greater, where twice as many facilities lack basic water and sanitation services. Basic WASH services in health care facilities are fundamental for providing quality care, fulfilling human rights, upholding patient dignity and retaining health care workers and for ensuring that universal health coverage (UHC) and primary health care commitments, as detailed in the UHC High Level Declaration (8) and the Astana Declaration (9), are achieved. The Lancet Global Health Commission estimates that 8.6 million deaths per year across 137 low and middle-income countries are due to inadequate access to quality care (10). Of these, 3.6 million are people who did not access the health system, while 5.0 million are those who sought care but received poor quality care. The report, jointly authored by WHO, the World Bank and the Organisation for Economic Co-operation and Development (OECD), makes clear that poor WASH services impact the quality of care that can be delivered in health facilities (11), thus the availability of WASH services must be prioritized in national planning to improve access to quality health services (10, 12). In order to improve and sustain WASH services in health care facilities, a set of eight practical steps have been identified (Annex 1) (1). The first of these is to conduct a national situational analysis and assessment of WASH in health care facilities which provides the foundation for planning, prioritization and resource mobilization…readmore