WASH in Health Care Facilities (HCFs) is an integral part of quality of care. It is a prerequisite for quality of care including safe, effective, and dignified health care services and infection prevention and control. Lack of basic and adequate WASH services in HCFs can endanger patients, health providers and communities. However, even in facilities where required WASH infrastructure is available, the quality and functionality of services are often inadequate or inappropriate and hence pose a difficulty in maintaining quality at HCFs. WHO and UNICEF developed WASH FIT to improve WASH in health care facilities globally to achieve SDGs ( SDG-3: Good health and Wellbeing and SDG-6: Clean Water and Sanitation).

To integrate WASH in Health complex to improve comprehensive Quality of Care (QIC) Ministry of Health and Family Welfare, Government of Bangladesh develop a National Strategy WASH in Healthcare Facility 2019 to 2023 A Framework for Action.WASH FIT (the Water and Sanitation for Health Facility Improvement Tool) is a risk-based management tool for different level of healthcare facilities covering key aspects of 1. Water 2. Sanitation 3. Health care waste 4. Hand hygiene 5. Environmental cleaning 6. Energy and environment and 7. Management and workforce. WASH FIT provides a framework to develop, monitor and continuously implement an infrastructure improvement plan and prioritize specific WASH actions. WASH FIT implementation involves a five-step process WinHCFs (figure beside).