How do you run WASH FIT assessments in health facilities digitally?

Use the digital implementation of WASH FIT, the risk-based improvement method developed by WHO and UNICEF. Facility teams complete the assessment on a device, and the resulting scores and improvement plans become data a ministry can see across every facility.

Video: WASH FIT Digital on YouTube

Why this matters

WASH FIT is designed to be run by facility staff themselves, which is its strength and its reporting weakness: on paper, the assessments stay in the facility and the ministry sees nothing until someone types them up. Digitising it keeps the local improvement cycle intact while making national oversight possible, so a regional health office can tell which facilities have assessed themselves, which risks recur, and where improvement plans are stalling.

How to do it

  1. Set up the WASH FIT assessment for the facilities in scope and register them as sites.
  2. Train facility teams to complete the assessment themselves, which is how the method is meant to work.
  3. Let teams record risk scores and the improvement actions they commit to.
  4. Repeat the assessment on a cycle so progress against earlier risks is visible.
  5. Report across facilities to find recurring risks and facilities that need support.

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