This Global Framework for Action 2024–2030 for water, sanitation, hygiene, waste and electricity services in all health care facilities to achieve essential, climate-resilient, quality health services (the “Framework”) serves to guide collaborative global and national efforts to deliver safe and sustainable water, sanitation and hygiene (WASH), health care waste management and reliable electricity in all health care facilities.

The Framework is the result of a global collaborative process. It reflects data, evidence and recommendations articulated in recent World Health Organization (WHO)/United Nations Children’s Fund (UNICEF) global reports on WASH, waste and electricity in health care facilities (1, 2). It also provides an operational roadmap for implementing the 2023 United Nations General Assembly (UNGA) resolution (3) on WASH, waste and electricity in health care facilities.1

The target audiences for this Framework include health leaders and programme managers at the global and national levels; policymakers; WASH, waste and energy leaders and technical experts; development partners and finance institutions; and actors and experts on gender equality, disability and social inclusion and climate; and, more generally, civil society.

The Framework deals with the WASH, waste and electricity elements of the WHO comprehensive approach to build safe, climate-resilient and environmentally sustainable health care facilities. In addition to the elements focused on in this Framework, requirements for safe and quality health care in the context of climate change need to include climate-resilient infrastructures, technologies and supply chains; trained, supported and protected health workforces; and sound management of chemicals and radiation (4).

Following this introduction, the Framework has two main parts: Part I comprises the framing and background, and Part II articulates the areas of focus, targets and needed actions. Box 1 outlines the health care facility services covered in this Framework. In addition, Annex 1 gives a snapshot of the global status of WASH, waste and electricity services, and Annex 2 provides details about proposed areas of focus for capacity- and skill-building.

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