Our project has trained and assessed 38 health facilities in conflict-affected regions of Ukraine using the WASH FIT improvement framework.

WASH FIT is a risk-based quality improvement tool that allows you to see the needs in key WASH and IPC areas of the Health Facility:

1. Water Supply
2. Sanitation
3. Hand Hygiene
4. Waste Management
5. Environmental cleaning
6. Energy and Environment
7. Human Resource and Facility Management

In today’s article, we will analyze the key findings of the Water Supply Domain.

Water Domain Analysis – Methods

We assess WASH infrastructure across 17 specific indicators, each of which is scored 0, 1, or 2 depending on the criticality of the issue:

• 0: Gap (Non-functional)
• 1: Partially addressed
• 2: Fully functioning

To get the relative final score, we devided absolute score by max value of 34 (17*2) and multiplied by 100% (as a percentage of the maximum).

For example, if the facility scored 25 points, the relative score is 73.5% (25/34*100%).

Analysis: Criticality and Context

We break down that percentage into three criticality categories:

• Severe (<50%),
• Moderate (50–70%),
• Mild (>70%).

Looking at our first graph, the situation is largely manageable: less than 25% of assessed facilities fall into the “Critical” category (Relative score < 50%) with major gaps in their water domain.

Water as Worst and Best perfoming Domain

Finally, we contextualize Water against the other six domains in the WASH FIT assessment (such as sanitation or waste management). We analyze whether Water lands in a facility’s “Top 3” or “Bottom 3” performing areas.

The results we achieved are quite pronounced:

Water supply is consistently one of the strongest domains in Ukraine.

It frequently ranks in the Top 3, significantly outperforming areas like environmental cleaning and waste management.

According to our study, the 2-fold chances of the Water domain outperform domains such as Waste Management, Environmental cleaning, or Sanitation.