Les maladies mortelles telles que le choléra et la diarrhée peuvent être évitées grâce à une eau propre, des toilettes décentes et une bonne hygiène. Il est inacceptable qu'elles continuent de coûter des vies aujourd'hui.

When clean water, decent toilets and good hygiene are not a normal part of daily life, the impacts on health and wellbeing are devastating. Never has this been more clear than during the COVID-19 pandemic. Handwashing is a vital and first line of defence against the spread of coronavirus, but for people across the world without access to soap and water following this public health advice has been impossible. And, with one in three healthcare centres lacking hand hygiene facilities at points of care, millions of health workers and patients have been left on the frontline without defence. To guard against this and future pandemics and provide quality care, every health centre must have clean water, decent toilets and good hygiene facilities.

Without access to these essential services, people are at high risk of potentially fatal diseases such as cholera and serious conditions such as blinding trachoma. Diseases transmitted through water, hands, soil and food contaminated by human faeces spread because properly protected water sources, toilets and good hygiene habits are absent or inadequate.

The effects go beyond the illnesses themselves. It is estimated that half of undernutrition is associated with inadequate water, sanitation and hygiene (WASH), because diarrhoeal diseases and parasites prevent people from absorbing nutrients from food. Undernutrition in the first two years of life causes stunting, which permanently damages children’s long-term physical and mental development.

Frequent illnesses and undernutrition keep children from attending school and adults from going to work, limiting students’ potential and reducing adults’ income. All of this contributes to a vicious cycle of poverty, and impacts on a country’s economic growth and development.

And without clean water and soap in healthcare facilities, staff and patients cannot deliver quality, safe healthcare, putting the lives of patients – especially vulnerable mothers and babies – in danger.

Reducing child undernutrition with improved WASH

Water, sanitation and hygiene are essential to good nutrition, especially in early life. Our research in Cambodia, Ethiopia and Madagascar, with Action Against Hunger, points to ways governments can improve integration between sectors to improve child nutrition.

WaterAid/ Mani Karmacharya

Our approach

When more developed nations came to understand the importance of clean water, decent toilets and good hygiene for health, it triggered massive investment in public infrastructure and legislation. People in the countries where we work deserve exactly the same.

We participate at global events such as the World Health Assembly to influence governments to increase prioritisation of WASH in international and national health policies and strategies. We also advocate for decision-makers to embed WASH in relevant areas, such as healthcare facilities. Click on the icons in the image below to explore our WASH interventions in a healthcare centre in Mali:


We focus on health in our research, programmes, policy and advocacy, boosting our efforts to improve access to clean water, toilets and hygiene as a key health intervention. And we foster integration between sectors and ministries, helping those working in WASH, health, education, nutrition, and more, to work together to make a bigger difference.

Through our innovative programmes and research, we influence changes from the national level to individual behaviours, to ensure improvements last. For example, in Tanzania, together with the SHARE consortium and the Soapbox Collaborative, we have partnered with the Ministry of Health to improve water and sanitation provision in maternity units, as part of Government efforts on maternal and newborn health. In Malawi, we are working with the Government and non-governmental partners to promote hygiene and sanitation to communities to eliminate blinding trachoma.

Only by making clean water, decent toilets and good hygiene normal for everyone, everywhere, can we prevent disease, tackle undernutrition, and deliver quality health services that keep people well and unlock their potential.


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