A snapshot of Drinking Water, Sanitation and Hygiene in Africa

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A snapshot of Drinking Water, Sanitation and Hygiene in Africa Photo: UNICEF/Frank Dejongh 217 Update and SDG Baselines Prepared by: WHO/UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene September 217 1

Sanitation coverage Proportion of population using safely managed, basic, limited, unimproved sanitation services or practising open defecation, 215 1 6 12 2 29 16 8 12 Population (%) 6 4 2 27 16 38 34 9 28 26 53 8 29 39 736 million people in Africa lacked a basic sanitation service in 215, 234 million of whom practise open defecation National* Rural* Urban* World Ethiopia, 61 Nigeria, 59 Democratic Republic of the Congo, 45 United Republic of Tanzania, 27 Uganda, 24 Kenya, 19 Basic Limited Open defecation * no safely managed estimate available T sanitation estimate is available for 8 countries in the region Countries in the region with the highest number of people practising open defecation in 215 T Urban coverage of basic sanitation services exceeds 5% in 19 countries, rural coverage exceeds 5% in 11 countries <25% 25-5% 5-75% 75-95% >95% Insufficient data Not applicable <5% 5-75% 75-9% >9% Insufficient data Not applicable - national Basic - national 1 8 Population (%) 6 4 2 NER SOM DZA SEN LBY MAR EGY TUN ETH TCD MDG SSD ERI BEN TGO GHA SLE COG LBR UGA COD GNB GIN BFA TZA MOZ CAF KEN CIV ZMB MLI NGA NAM COM SDN ZWE CMR AGO STP GAB GMB MWI LSO MRT BDI DJI SWZ BWA RWA CPV ZAF GNQ MUS SYC Basic 2

Drinking water coverage Proportion of population using safely managed, basic, limited, unimproved water services or surface water, 215 1 8 8 16 12 13 23 1 2 5 6 8 4 29 17 435 million people in Africa lacked a basic drinking water service in 215, 84% of whom live in rural areas Population (%) 6 4 29 15 71 2 34 48 56 National Rural* Urban World Nigeria, 47 Ethiopia, 27 Nigeria, 14 Madagascar, 11 Sudan, 11 Mozambique, 1 Chad, 1 Rest of the Region, 15 Basic Limited Surface water * no safely managed estimate available drinking water estimate is available for 8 countries in the region Countries in the region with the highest number of people who did not use a basic water service in 215 Urban coverage of basic drinking water services exceeds 5% in 52 countries, rural coverage exceeds 5% in 29 countries <25% 25-5% 5-75% 75-95% >95% Insufficient data Not applicable <5% 5-75% 75-9% >9% Insufficient data Not applicable - national Basic - national 1 8 Population (%) 6 4 2 UGA ETH NGA GHA COG CIV MAR TUN ERI SOM AGO COD TCD NER MOZ GNQ TZA SSD MDG BFA CAF BDI RWA SLE KEN SDN ZMB TGO CMR ZWE BEN MWI GIN SWZ GNB MRT LBR LSO MLI SEN DJI NAM BWA STP GMB COM ZAF CPV GAB DZA SYC LBY EGY MUS Basic 3

Hygiene coverage Proportion of population with basic, limited handwashing facilities or no facility in 215 81 million people in the WHO African Region lacked a basic handwashing facility in 215, 6 million of whom had no facility 1 8 54 6 45 Population (%) 6 4 2 17 22 2 26 Basic facility Limited facilit 18 Limited facility No facility 38 National Rural Urban Limited facilit No facility Nigeria, 195 Ethiopia, 97 Democratic Republic of the Congo, 65 Kenya, 32 Uganda, 28 Sudan, 23 Cameroon, 2 Rest of the Region, 248 Countries in the region with the highest number of people without handwashing facilities in 215 > urban coverage of basic handwashing facilities exceeds 5% in 6 countries, rural coverage exceeds 5% in 3 countries Basic - urban Basic - rural <25% 25-5% 51-75% 76-9% >9% Insufficient data Not applicable 4

Inequalities 1 Inequalities in basic drinking water 1 Inequalities in basic sanitation Proportion of the population using basic drinking water services (%) 8 6 4 2 World Sub-Saharan Africa Angola Proportion of the population using basic sanitation services (%) 8 6 4 2 World Sub-Saharan Africa Gabon Note: Sub-national inequalities for Angola 211 Regions Countries Urban /rural Wealth quintiles Sub-national regions Note: Sub-national inequalities for Gabon 212 Regions Countries Urban /rural Wealth quintiles Sub-national regions 1 Inequalities in open defecation 1 Inequalities in basic hygiene Proportion of the population not practising open defecation (%) 8 6 4 2 World Sub-Saharan Africa Ethiopia Proportion of the population using basic hygiene services (%) 8 6 4 2 Northern Africa Tunisia Note: Sub-national inequalities for Ethiopia 211 Regions Countries Urban /rural Wealth quintiles Sub-national regions Note: Sub-national inequalities for Tunisia 212 Regions Countries Urban /rural Wealth quintiles Sub-national regions 5

Trends Drinking water 8 Urban 8 Rural Population (million) 6 4 2 Population (million) 6 4 2 2 25 21 215 2 25 21 215 Without basic Without basic In 215, 85.2% of the urban population and 48.5% of the rural population used a basic drinking water service. Sanitation 8 Urban 8 Rural Population (million) 6 4 2 Population (million) 6 4 2 2 25 21 215 2 25 21 215 Without basic Without basic In 215, 52.7% of the urban population and 27.9% of the rural population used a basic sanitation service. Open defecation Urban Rural 8 8 Population (million) 6 4 Population (million) 6 4 2 2 2 25 21 215 2 25 21 215 6 In 215, 5.9% of the urban population and 29.1% of the rural population practised open defecation.

Hygiene estimates NATIONAL RURAL URBAN COUNTRY, AREA OR TERRITORY Population (thousands) % urban Algeria 215 39 667 71 84 8 9 73 13 14 88 6 6 Angola 215 25 22 44 25 12 63 15 12 73 37 13 5 Benin 215 1 88 44 1 15 75 6 16 79 16 15 7 Burkina Faso 215 18 16 3 12 58 3 7 58 35 23 58 19 Cameroon 215 23 344 54 3 13 84 1 11 89 4 15 81 Chad 215 14 37 22 6 18 76 2 18 79 18 19 63 Comoros 215 788 28 16 35 49 15 33 52 18 42 4 Côte d Ivoire 215 22 72 54 2 33 47 1 37 53 28 3 42 Democratic Republic of the Congo 215 77 267 42 4 11 84 2 11 87 7 12 81 Egypt 215 91 58 43 88 11 1 85 14 92 6 2 Equatorial Guinea 215 845 4 23 23 54 2 24 56 26 21 53 Ethiopia 215 99 391 19 1 1 98 1 99 5 2 93 Gambia 215 1 991 6 8 15 77 1 13 85 12 16 72 Ghana 215 27 41 54 19 26 55 11 24 65 25 28 47 Guinea 215 12 69 37 9 38 53 7 37 56 12 4 48 Guinea-Bissau 215 1 844 49 7 5 88 5 4 92 9 6 85 Kenya 215 46 5 26 14 16 7 1 16 74 26 17 57 Lesotho 215 2 135 27 2 3 95 1 2 98 6 5 89 Liberia 215 4 53 5 1 1 97 1 1 98 2 1 97 Madagascar 215 24 235 35 51 23 26 4 27 33 69 15 15 Malawi 215 17 215 16 1 75 15 8 75 17 18 76 7 Mali 215 17 6 4 16 13 71 16 6 79 18 23 59 Mauritania 215 4 68 6 17 26 58 1 23 67 22 27 51 Mozambique 215 27 978 32 12 33 55 8 37 55 21 24 55 Namibia 215 2 459 47 44 44 12 27 58 15 62 28 9 Nigeria 215 182 22 48 13 24 63 7 27 66 19 2 6 Rwanda 215 11 61 29 5 9 86 2 9 88 13 7 8 Sao Tome and Principe 215 19 65 42 14 44 47 17 36 39 13 48 Senegal 215 15 129 44 15 15 69 1 14 76 23 17 6 Somalia 215 1 787 4 1 34 56 8 35 57 12 34 54 Sudan 215 4 235 34 23 19 57 19 21 6 32 16 52 Swaziland 215 1 287 21 23 32 45 17 33 5 48 27 26 Togo 215 7 35 4 1 12 78 4 11 85 2 13 66 Tunisia 215 11 254 67 86 8 6 67 18 15 96 3 2 Uganda 215 39 32 16 8 22 71 6 22 72 15 21 64 United Republic of Tanzania 215 53 47 32 48 35 17 4 4 19 63 25 12 Zambia 215 16 212 41 14 28 59 5 24 71 26 33 41 Zimbabwe 215 15 63 32 31 47 22 24 52 25 46 38 16 Africa 215 1 186 178 4 26 2 54 18 22 6 38 17 45 Basic Limited (without water or soap) No facility Basic Limited (without water or soap) No facility Basic Limited (without water or soap) No facility 7

Sanitation estimates NATIONAL RURAL URBAN COUNTRY, AREA OR TERRITORY ISO3 Population (thousands) % urban Limited (shared) Open defecation Algeria DZA 2 31 184 6 84 8 1 6 72 1 3 15 91 7 1.25 -.37.66 -.84 215 39 667 71 87 8 3 1 82 11 4 2 9 7 3 Angola AGO 2 15 59 32 2 8 2 51 8 2 24 67 48 21 13 19 1.26-1.23.92 -.7 215 25 22 44 39 15 13 33 21 5 17 56 62 27 7 3 Benin BEN 2 6 949 38 1 14 8 68 3 6 5 86 21 28 13 39.26 -.84.14 -.63 215 1 88 44 14 2 11 55 5 9 9 76 25 34 13 28 Botswana BWA 2 1 737 53 54 7 17 21 35 9 15 41 72 6 19 4.38 -.29.33 -.32 215 2 262 57 6 8 15 17 39 1 14 36 75 6 16 2 Burkina Faso BFA 2 11 68 18 1 9 1 71 2 3 1 85 44 37 9 9.86-1.56.65-1.31 215 18 16 3 23 24 5 48 12 18 5 65 48 4 5 7 Burundi BDI 2 6 767 8 41 7 49 2 42 5 5 3 34 3 35 2.6.4.6.6 215 11 179 12 5 11 36 3 51 6 39 3 46 4 13 1 Cabo Verde CPV 2 439 53 37 4 35 23 23 1 45 31 5 6 27 17 1.85.32 1.85 1.5 215 521 66 65 7 28 51 3 47 73 9 18 Cameroon CMR 2 15 928 46 4 18 35 7 26 1 51 13 56 28 15 1 -.6 -.2 -.49.8 215 23 344 54 39 18 36 7 19 7 6 14 56 28 15 1 Central African Republic CAF 2 3 726 38 15 9 53 23 8 4 53 35 26 17 54 4.67.6.5.6 215 4 9 4 25 15 36 24 9 4 51 36 49 31 13 6 Chad TCD 2 8 343 22 1 5 15 71 6 2 7 85 23 15 43 18 -.2 -.21 -.23 -.19 215 14 37 22 1 6 17 68 3 1 14 82 33 22 29 17 Comoros COM 2 548 28 27 5 68 1 22 4 74 1 39 7 54 1.49 -..46 -. 215 788 28 34 6 59 1 29 5 65 1 47 8 44 1 Congo COG 2 3 19 59 13 25 53 9 6 9 69 17 18 37 42 3.15 -.4..21 215 4 62 65 15 3 46 8 6 9 66 2 2 42 36 2 Côte d Ivoire CIV 2 16 518 44 22 18 23 36 9 11 21 59 4 29 25 7.5 -.84.25 -.83 215 22 72 54 3 24 22 24 13 15 26 47 45 32 19 4 Democratic Republic of COD 2 48 49 35 22 22 45 1 21 16 49 14 24 34 39 3 -.18.12 -.26.27 the Congo 215 77 267 42 2 21 47 12 18 13 51 18 23 32 41 4 Djibouti DJI 2 723 77 51 4 29 16 13 2 25 6 63 5 31 2.3.48. 1.12 215 888 77 51 4 22 23 13 2 8 77 63 5 26 7 Egypt EGY 2 68 335 43 92 4 2 2 89 5 2 3 97 2 1.5 -.12.5 -.2 215 91 58 43 93 4 3 9 5 5 97 2 Equatorial Guinea GNQ 2 531 39 8 8 11 8 7 14 81 11 8 -.38.29 -.59.34 215 845 4 75 8 13 4 71 6 18 5 8 11 6 3 Eritrea ERI 2 3 535 18 8 4 1 88 2 98 36 19 5 41.25 -.79.31 -.62 215 5 228 23 11 5 8 76 6 1 4 89 29 15 23 33 Ethiopia ETH 2 66 444 15 3 4 13 8 1 9 9 15 25 37 23.26-3.51.22-3.84 215 99 391 19 7 7 59 27 4 1 62 32 18 3 44 7 Gabon GAB 2 1 232 8 39 31 28 2 35 21 42 3 4 34 25 1.13.9 -.15.25 215 1 725 87 41 33 23 3 32 2 42 7 42 35 2 3 Gambia GMB 2 1 229 48 55 32 7 6 59 22 9 1 51 42 5 1 -.9 -.36-1.56 -.57 215 1 991 6 42 28 3 1 35 14 5 2 46 37 17 Ghana GHA 2 18 825 44 11 45 22 22 6 31 3 32 17 62 12 8.21 -.21.19 -.8 215 27 41 54 14 57 1 19 9 45 14 31 19 66 7 8 Guinea GIN 2 8 799 31 9 12 51 27 3 4 54 39 22 31 45 2.86 -.81.77-1.2 215 12 69 37 22 28 35 15 15 17 45 24 34 47 17 1 Guinea-Bissau GNB 2 1 315 37 12 1 42 36 4 2 39 55 26 22 48 4.63-1.33.29-1.64 215 1 844 49 21 17 45 16 8 5 57 3 35 31 33 2 Kenya KEN 2 31 66 2 31 2 32 17 3 16 34 2 34 4 24 2 -.8 -.32 -.16 -.34 215 46 5 26 3 21 37 12 28 14 42 15 35 42 2 3 Lesotho LSO 2 1 856 2 7 4 43 46 4 1 4 54 19 18 54 1 2.44-1.5 2.57 -.96 215 2 135 27 44 17 9 3 43 7 1 4 46 43 7 4 Liberia LBR 2 2 892 44 13 19 13 55 4 12 7 77 25 27 22 26.25 -.82.14-1.6 215 4 53 5 17 25 16 42 6 19 14 61 28 31 18 23 Annual rate of change in open defecation Limited (shared) Open defecation Annual rate of change in open defecation Limited (shared) Open defecation Annual rate of change in open defecation -.11 -.4.99-1.7.28 -.7.23 -.9.24 -.14.81 -.6 1.51.11 -.2.3 1.54.2.63 -.11.54 -.1.15 -.7.31 -.16 -.9.7..33.4 -. -.5.23 -.47 -.52.2-1.4.14.7 -.36 -.1.9 -.2.8 -.4.61 -.13.1.2 1.81 -.43.22 -.21 8

Sanitation estimates NATIONAL Proportion of population using improved sanitation facilities (excluding shared) RURAL Proportion of population using improved sanitation facilities (excluding shared) URBAN Proportion of population using improved sanitation facilities (excluding shared) COUNTRY, AREA OR TERRITORY Disposed in situ Emptied and treated Wastewater treated Latrines and other Septic tanks Sewer connections Disposed in situ Emptied and treated Wastewater treated Latrines and other Septic tanks Sewer connections Disposed in situ Emptied and treated Wastewater treated Latrines and other Septic tanks Sewer connections Algeria Angola Benin Botswana Burkina Faso Burundi Cabo Verde Cameroon Central African Republic Chad Comoros Congo Côte d Ivoire Democratic Republic of the Congo Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia 2 21 1 11 4 16 64 24 17 7 7 26 39 19 5 14 3 8 81 215 19 6 13 4 8 76 24 15 9 1 2 52 17 2 15 1 2 86 2 15 6 6 1 33 14 215 5 28 7 4 16 1 5 44 13 2 9 1 3 17 3 215 12 2 1 5 2 3 1 2 4 4 1 3 2 3 48 5 18 215 56 4 37 2 7 5 2 9 1 2 4 2 2 215 21 1 12 43 3 2 2 39 1 2 41 18 7 9 215 48 2 1 51 31 12 3 2 19 9 1 23 16 16 18 215 45 2 5 1 44 29 2 34 5 1 26 45 1 1 215 3 8 18 1 4 15 1 2 15 8 25 1 215 25 9 48 1 2 9 6 21 2 215 9 1 3 29 2 1 2 27 22 39 215 25 5 4 22 3 3 32 8 7 2 1 1 2 6 13 2 3 215 12 2 5 16 3 1 2 14 5 4 8 1 21 1 9 215 18 9 4 11 2 23 15 7 2 19 2 1 21 17 5 2 215 17 3 17 18 5 2 36 1 5 13 43 13 6 215 36 1 5 13 43 13 6 2 53 33 2 61 5 27 - - - 3 79 7 4 62 19 43 36 2 59 215 61 17 43 12 22 58 - - - 26 2 36 34 7 3 67 3 3 91 2 66 5 9 72 5 3 58 6 17 215 61 5 8 59 5 7 65 6 9 2 3 2 3 1 1 14 8 14 215 8 2 1 5 1 16 8 5 2 3 1 1 1 14 1 215 4 2 1 4 3 1 2 1 1 11 6 1 2 27-12 31-3 26-14 215 23-18 27-5 22-2 2 46 7 2 57 1 36 12 3 215 29 11 2 34 1 28 16 2 2 9 1 1 6 13 3 2 215 11 2 1 9 12 5 2 2 9 3 21 1 215 17 4 1 14 1 22 1 2 2 9 1 2 4 17 3 5 215 11 8 2 7 1 1 16 16 3 2 25 1 5 29 1 14 5 15 215 25 2 3 27 1 22 4 9 2 6 1 4 15 1 2 215 42 1 1 43 42 1 3 2 8 4 2 3 12 9 4 215 11 6 5 14 13 1 9

Sanitation estimates NATIONAL RURAL URBAN COUNTRY, AREA OR TERRITORY ISO3 Population (thousands) % urban Limited (shared) Open defecation Libya LBY 2 5 337 76 1.. - - 215 6 278 79 1 Madagascar MDG 2 15 745 27 5 7 51 38 3 4 48 45 1 15 58 17.34.41.24.67 215 24 235 35 1 14 32 44 6 9 29 55 16 24 37 23 Malawi MWI 2 11 193 15 34 19 31 16 33 16 34 18 46 36 16 2.6 -.62.67 -.71 215 17 215 16 44 23 27 6 43 2 3 7 49 38 12 2 Mali MLI 2 11 47 28 19 12 47 22 12 5 54 28 38 3 27 5.8 -.9.63-1.4 215 17 6 4 31 21 4 8 22 1 56 13 46 37 16 1 Mauritania MRT 2 2 711 49 23 7 21 49 7 3 14 76 4 1 29 21 1.42-1.25.66-1.6 215 4 68 6 45 12 13 3 17 6 16 61 63 17 11 1 Mauritius MUS 2 1 185 43 91 6 2 9 6 4 93 6 1.12..19.1 215 1 273 4 93 6 93 7 1 94 6 Morocco MAR 2 28 951 53 69 6 1 24 47 3 5 87 9 1 2.99-1.11 1.82-2.6 215 34 378 6 83 8 1 8 75 5 2 19 89 1 1 Mozambique MOZ 2 18 265 29 12 2 29 57 3 1 26 7 34 6 36 24.77-1.38.62-1.54 215 27 978 32 24 5 36 36 12 3 38 47 47 9 31 12 Namibia NAM 2 1 898 32 28 9 7 56 14 3 8 75 58 22 5 15.37 -.39.8.5 215 2 459 47 34 11 5 5 15 3 5 76 55 21 4 2 Niger NER 2 11 225 16 6 4 9 82 2 1 4 93 26 17 35 23.46 -.68.25 -.54 215 19 899 19 13 8 8 71 6 3 6 85 44 28 16 13 Nigeria NGA 2 122 877 35 36 2 2 23 35 13 23 29 39 35 16 1 -.26.19 -.53.41 215 182 22 48 33 22 2 26 27 1 28 36 39 35 12 14 Rwanda RWA 2 8 22 15 44 9 42 4 42 6 47 5 57 27 14 2 1.21 -.16 1.5 -.18 215 11 61 29 62 14 22 2 64 9 25 2 57 27 14 2 Sao Tome and Principe STP 2 137 53 21 3 5 71 15 3 4 78 26 4 6 64 1.28-1.39.88 -.99 215 19 65 4 6 4 5 28 6 3 63 47 6 4 43 Senegal SEN 2 9 861 4 39 12 25 24 25 6 32 38 59 21 16 4.66 -.6.68 -.83 215 15 129 44 48 15 22 15 35 8 31 25 66 23 9 2 Seychelles SYC 2 81 5 94 4 1.39 -.9 - - 215 96 54 1 Sierra Leone SLE 2 4 61 36 1 23 41 26 4 13 46 38 21 42 32 6.3 -.5.28 -.7 215 6 453 4 15 34 32 19 8 25 39 27 24 48 22 6 Somalia SOM 2 7 385 33 22 14 6 58 9 7 4 8 5 28 1 12 -.42-1.23 -.4-1.33 215 1 787 4 16 11 34 39 8 7 25 6 28 16 49 7 South Africa ZAF 2 44 897 57 59 13 15 13 45 6 24 26 71 19 8 3.92 -.69 1.61-1.37 215 54 49 65 73 16 8 2 69 1 17 5 76 2 4 1 South Sudan SSD 2 6 693 17 - - - - 215 12 34 19 1 9 2 61 6 7 17 7 28 19 31 22 Sudan SDN 2 28 8 32 21 5 23 51 11 3 22 64 41 9 26 24.91-1.62.78-1.7 215 4 235 34 35 9 3 27 23 6 32 38 58 13 26 4 Swaziland SWZ 2 1 64 23 49 21 7 23 47 17 7 29 57 35 6 2.59 -.82.75-1.4 215 1 287 21 58 24 7 11 58 21 8 14 58 35 6 1 Togo TGO 2 4 875 33 11 19 12 58 4 8 14 74 25 42 9 24.2 -.46.1.4 215 7 35 4 14 24 11 51 5 8 13 75 28 49 9 15 Tunisia TUN 2 9 699 63 8 4 5 11 56 7 8 28 94 2 3 1.85 -.66 1.78-1.72 215 11 254 67 93 5 1 1 83 1 4 3 98 2 Uganda UGA 2 23 758 12 15 11 58 15 14 7 62 17 29 43 26 2.25 -.62.25 -.69 215 39 32 16 19 14 6 6 17 9 67 7 28 43 27 2 United Republic of Tanzania TZA 2 33 992 22 7 3 81 1 5 1 82 12 12 1 76 2 1.13.11.81.27 215 53 47 32 24 13 52 11 17 4 63 16 37 34 27 2 Zambia ZMB 2 1 585 35 26 1 4 24 13 4 47 36 51 21 26 2.34 -.6.4 -.71 215 16 212 41 31 12 41 15 19 7 5 25 49 2 3 1 Zimbabwe ZWE 2 12 5 34 42 25 3 29 36 17 5 42 54 41 1 4 -.21 -.19 -.3 -.21 215 15 63 32 39 24 11 26 31 15 15 39 54 42 4 Annual rate of change in open defecation Limited (shared) Open defecation Annual rate of change in open defecation Limited (shared) Open defecation Annual rate of change in open defecation - -.41.37.19 -.5.55 -.23 1.54 -.72.4 -..13 -.12.87 -.75 -.2.33 1.19 -.68 -.3.3 -.1.2 1.36-1.44.44 -.13 - -.21.3-1.43 -.34.33 -.13 - - 1.8-1.36.5 -.11.24 -.61.25 -.4 -.3.1 1.71 -.5 -.13 -.9.2 -.26 Africa 2 814 63 35 35 13 24 28 26 8 27 39 53 22 18 7.18 -.57.15 -.69 215 1 186 178 4 38 16 27 2 28 9 34 29 53 26 16 6 -.4 -.7 1

Sanitation estimates NATIONAL Proportion of population using improved sanitation facilities (excluding shared) RURAL Proportion of population using improved sanitation facilities (excluding shared) URBAN Proportion of population using improved sanitation facilities (excluding shared) COUNTRY, AREA OR TERRITORY Disposed in situ Emptied and treated Wastewater treated Latrines and other Septic tanks Sewer connections Disposed in situ Emptied and treated Wastewater treated Latrines and other Septic tanks Sewer connections Disposed in situ Emptied and treated Wastewater treated Latrines and other Septic tanks Sewer connections Libya Madagascar Malawi Mali Mauritania Mauritius Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone Somalia South Africa South Sudan Sudan Swaziland Togo Tunisia Uganda United Republic of Tanzania Zambia Zimbabwe 2 29 19 1 3 8 62 - - 215 26 16 11 23 8 68 - - 2 4 1 2 7 2 215 7 2 6 1 5 1 2 32 1 1 31 1 39 5 2 215 4 2 2 41 1 1 35 8 5 2 16 1 3 1 2 31 2 5 215 28 2 1 21 1 4 4 2 2 11 1 1 4 3 18 19 3 215 3 12 2 15 3 41 19 4 2 - - - 1 67 6 18 - - - 1 8 8 2 - - - 23 5 4 39 215 - - - 8 66 6 21 - - - 2 8 8 5 - - - 17 44 4 46 2 31 13 18 18 9 42 - - - 31 14 2 38 6 32 6 5 76 215 38 17 21 1 24 49 - - - 22 49 3 39 5 34 2 8 79 2 9 1 1 3 3 3 26 5 4 215 18 5 1 12 12 12 3 15 2 2 6 1 22 6 8 6 3 49 215 7 1 26 9 2 5 5 5 2 4 4 5 1 2 2 2 15 14 1 22 1 3 215 9 8 11 2 5 5 5 24 23 1 34 8 2 2 31 2 3 34 1 28 5 6 215 18 9 5 21 4 2 17 14 8 2 - - - 43 1 - - - 42 - - - 1 51 5 2 215 - - - 1 61 2 - - - 64 - - - 3 52 1 4 2 4 13 4 4 7 3 5 18 4 215 24 3 13 2 1 7 27 4 16 2 18 14 3 13 18 7 16 15 1 15 8 1 2 13 7 11 33 14 215 24 21 3 24 19 5 22 22 22 13 24 18 6 27 27 12 2 2 84 8 - - 215 1 82 17 - - 2 9 1 4 18 2 1 215 13 1 8 2 4 2 2 19 22 8 8 8 43 43 49 1 215 14 14 16 7 7 8 24 24 28 2 2 2 37 37 1 6 8 3 59 215 24 3 47 6 5 4 6 2 68 2-215 1 6 27 2 2 1 11 38 3 1 215 29 5 1 22 1 43 12 2 2 - - - 3 39 4 6 - - - 1 42 2 2 - - - 9 31 8 18 215 - - - 3 48 4 7 - - - 1 54 2 2 - - - 11 28 8 22 2 9 2 4 18 6 215 8 6 4 1 14 14 2 58 18 4 6 29 45 - - - 4 16 36 5 74 12 62 1 23 71 215 73 18 56 24 12 58 - - - 7 56 2 7 89 6 82 6 7 85 2 - - - 15 1 - - - 13 - - - 25 2 1 215 - - - 18 1 - - - 17 - - - 25 2 1 2 - - - 1 3 1 2 - - - 4 - - - 4 2 4 6 215 - - - 21 2 1 - - - 17 - - - 1 32 4 1 2 16 1 9 12 1 24 2 25 215 21 3 7 18 1 25 8 16 2 22 2 32 3 6 48 215 2 3 16 29 1 1 5 6 43 Africa 2 - - - 5 21 3 11 - - - 1 22 2 2 - - - 12 2 5 28 215 - - - 7 18 7 13 - - - 2 18 6 4 - - - 13 17 9 27 11

Drinking water estimates NATIONAL RURAL URBAN COUNTRY, AREA OR TERRITORY ISO3 Population (thousands) % urban Limited (more than 3 mins) Algeria DZA 2 31 184 6 9 6 4 83 8 7 1 94 4 2.24.36 215 39 667 71 93 5 1 89 9 2 95 4 1 Angola AGO 2 15 59 32 38 16 11 35 24 13 16 47 67 2 3 1.22 -.2 215 25 22 44 41 16 19 24 23 13 22 42 63 19 15 3 Benin BEN 2 6 949 38 6 8 2 12 5 1 24 16 76 4 14 6.46.61 215 1 88 44 67 8 21 3 6 12 24 5 77 4 18 1 Botswana BWA 2 1 737 53 77 19 2 3 57 34 3 6 94 5 1.15.8 215 2 262 57 79 18 1 2 58 35 2 5 95 5 Burkina Faso BFA 2 11 68 18 47 22 26 6 41 23 29 8 75 15 1.48.17 215 18 16 3 54 22 22 2 43 24 3 3 79 16 4 1 Burundi BDI 2 6 767 8 52 19 13 15 5 21 14 16 82 7 3 8.23.12 215 11 179 12 56 2 17 7 52 21 19 8 88 7 3 2 Cabo Verde CPV 2 439 53 78 11 11 7 17 12 1 85 6 9.57.26 215 521 66 86 1 3 74 16 1 93 7 Cameroon CMR 2 15 928 46 55 9 26 9 35 8 4 17 8 1 1 1.67.56 215 23 344 54 65 1 17 8 43 11 31 15 84 1 5 1 Central African Republic CAF 2 3 726 38 52 13 27 7 39 13 37 11 74 13 11 1.14.14 215 4 9 4 54 14 29 3 41 14 4 5 74 13 13 Chad TCD 2 8 343 22 39 12 42 7 3 13 48 9 71 7 21 1.24.14 215 14 37 22 43 13 39 6 32 14 47 7 78 7 13 1 Comoros COM 2 548 28 86 6 5 2 87 7 4 2 86 5 9 -.18 -.44 215 788 28 84 6 1 1 8 6 13 1 93 5 1 Congo COG 2 3 19 59 57 1 25 8 19 8 55 19 83 12 5.77 1.2 215 4 62 65 68 13 11 8 37 15 26 22 85 12 3 Côte d Ivoire CIV 2 16 518 44 72 9 14 5 57 13 21 9 91 3 6 1.8 -.23 215 22 72 54 73 7 15 5 54 12 23 11 89 3 7 Democratic Republic of the 2 48 49 35 34 1 37 18 16 8 49 26 67 14 15 3 COD.5.32 Congo 215 77 267 42 42 12 36 1 21 11 53 16 7 14 14 2 Djibouti DJI 2 723 77 75 15 9 1 51 13 32 4 82 15 3.14.24 215 888 77 77 15 6 2 55 14 24 7 83 15 1 Egypt EGY 2 68 335 43 98 1 97 1 2 99.1.2 215 91 58 43 98 1 98 1 2 99 1 Equatorial Guinea GNQ 2 531 39 49 2 13 36 4 2 6 53 63 3 25 8.5 -.62 215 845 4 5 2 35 13 31 1 46 22 78 4 18 Eritrea ERI 2 3 535 18 17 48 31 4 6 52 37 5 67 3 2.16 -.4 215 5 228 23 19 43 16 21 6 47 2 28 66 3 3 1 Ethiopia ETH 2 66 444 15 17 8 42 33 7 6 48 38 72 17 6 5 1.49 1.51 215 99 391 19 39 25 25 12 3 26 3 14 77 18 3 2 Gabon GAB 2 1 232 8 79 5 5 11 35 5 17 42 89 5 2 3.59 1.57 215 1 725 87 88 6 3 4 59 9 7 25 92 5 2 1 Gambia GMB 2 1 229 48 74 1 16 65 14 21 84 6 1.41.24 215 1 991 6 8 1 1 68 15 17 88 6 6 Ghana GHA 2 18 825 44 64 9 8 18 51 1 9 29 81 8 7 4.9.98 215 27 41 54 78 11 5 6 66 13 8 13 88 9 3 Guinea GIN 2 8 799 31 54 9 2 16 44 1 24 23 79 8 13 1.86.77 215 12 69 37 67 11 1 11 55 13 14 18 88 8 3 Guinea-Bissau GNB 2 1 315 37 53 4 4 3 41 4 51 4 73 5 21 1 1.9.87 215 1 844 49 69 5 25 1 54 5 4 1 85 5 1 Kenya KEN 2 31 66 2 46 7 18 29 36 7 21 36 88 4 6 1.8.93 215 46 5 26 58 9 1 23 5 1 11 29 83 4 5 7 Lesotho LSO 2 1 856 2 66 11 21 1 62 12 25 1 84 8 8.35.24 215 2 135 27 72 12 16 1 66 13 21 1 87 8 4 Liberia LBR 2 2 892 44 62 6 32 49 3 48 78 9 13.55.71 215 4 53 5 7 7 6 17 6 4 4 32 8 9 9 2 Surface water Limited (more than 3 mins) Surface water Limited (more than 3 mins) Surface water.8 -.24.6.3.29.38.55.27 -.1.47.47.1 -.9.15.9 -. 1.1 -.4.37.15.28.45.61.77 -.33.21.18 12

Drinking water estimates NATIONAL Proportion of population using improved water supplies RURAL Proportion of population using improved water supplies URBAN Proportion of population using improved water supplies COUNTRY, AREA OR TERRITORY Accessible on premises Available when needed Free from contamination Piped Non-piped Accessible on premises Available when needed Free from contamination Piped Non-piped Accessible on premises Available when needed Free from contamination Piped Non-piped Algeria Angola Benin Botswana Burkina Faso Burundi Cabo Verde Cameroon Central African Republic Chad Comoros Congo Côte d Ivoire Democratic Republic of the Congo Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia 2-69 - - 81 15-5 - - 67 25-82 82-9 8 215-81 - - 77 22-74 - - 64 34-84 83-82 17 2-6 27-21 33-2 23-14 24-14 35-35 52 215-23 28-29 28-6 23-9 28-45 33-55 28 2-41 - - 41 27-23 - - 25 35-68 - - 66 14 215-27 - - 42 34-13 - - 3 41-44 - - 57 24 2-61 - - 89 7-33 - - 77 14 84 85-84 99 215-64 - - 9 7-34 - - 77 16 84 86-84 99 2-3 52-22 46-51 - 9 54-13 54-82 8 215-15 55-26 5-1 54-4 63-47 58-76 19 2-5 - - 14 58-1 - - 8 62-43 - - 77 12 215-7 - - 33 43-1 - - 25 48-54 - - 87 8 2-6 - - 68 21-51 - - 6 26-68 - - 75 16 215-81 - - 9 7-74 - - 76 14-84 - - 97 3 2-8 - - 39 25-4 - - 12 31-14 - - 71 18 215-29 - - 39 36-6 - - 13 41-48 - - 61 32 2-8 38-21 44-3 22-4 48-16 66-49 38 215-8 4-18 5-3 23-1 54-15 66-43 44 2-15 - - 17 33-3 - - 7 36-59 - - 55 23 215-1 - - 19 36-2 - - 9 37-38 - - 53 33 2-67 - - 48 45-67 - - 38 56-67 - - 73 18 215-65 - - 63 27-62 - - 53 33-72 - - 87 11 2 3 31-35 52 15-6 - - 1 17-48 - - 81 14 215 37 37-42 57 24-21 - - 9 43-45 - - 83 14 2 36 39-44 43 37 14 14-27 23 47 66 71-66 69 24 215 46 54-47 5 3 23 23-26 26 4 65 79-65 7 22 2-14 - - 23 21-1 - - 3 21-38 - - 6 21 215-9 - - 31 23-1 - - 8 24-2 - - 63 21 2-45 - - 76 14-5 - - 3 35-57 - - 9 7 215-46 - - 8 12-5 - - 24 45-58 - - 96 3 2-9 63-88 11-84 62-79 19-98 63-99 1 215-97 71-98 1-95 66-97 1-98 77-98 2 2-9 - - 9 42-3 - - 3 39-18 - - 2 46 215-1 - - 33 19-2 - - 22 1-23 - - 48 34 2-16 - - 23 42-6 - - 14 45-64 - - 67 31 215-19 - - 47 15-6 - - 41 11-64 - - 69 27 2 5 5 18 7 17 7 12 2 6 8 32 32 5 35 83 5 215 11 16 51 13 33 31 4 4 5 7 2 36 38 63 54 38 86 9 2-42 - - 79 5-8 - - 23 18-5 - - 93 1 215-69 - - 85 8-23 - - 24 44-76 - - 94 2 2-21 - - 54 3-4 - - 27 52 41 41-79 84 6 215-45 - - 75 15-8 - - 53 29 7 7-83 89 5 2 16 16 63 44 44 29 2 2 54 34 16 46 34 34 74 58 81 8 215 27 27 76 54 32 57 7 7 7 44 2 6 44 44 81 62 42 54 2-7 - - 22 42 - - - 54-23 - - 69 17 215-35 - - 28 5-17 - - 7 61-67 - - 65 31 2-15 - - 26 31-4 - - 14 31-35 - - 46 32 215-32 - - 19 56-12 - - 3 56-53 - - 36 55 2-24 38-31 22-14 31-18 26 63 63 63 7 85 7 215-27 52-32 35-17 46-22 38 54 54 69 66 61 26 2-9 - - 62 16-1 - - 57 17-39 - - 84 9 215-25 - - 65 18-7 - - 57 22-74 - - 89 7 2-11 - - 14 53-7 - - 4 48-16 - - 27 6 215-6 - - 4 73-4 - - 64-9 - - 7 82 13

Drinking water estimates NATIONAL RURAL URBAN COUNTRY, AREA OR TERRITORY ISO3 Population (thousands) % urban Limited (more than 3 mins) Libya LBY 2 5 337 76 - - 215 6 278 79 97-3 Madagascar MDG 2 15 745 27 37 2 21 41 25 1 24 5 69 3 12 15.93.6 215 24 235 35 51 3 31 16 34 2 41 23 82 4 12 2 Malawi MWI 2 11 193 15 52 15 25 8 46 16 29 1 84 9 6 1 1.4 1.16 215 17 215 16 67 2 1 3 63 22 12 3 87 9 4 Mali MLI 2 11 47 28 49 4 43 4 39 4 51 5 74 4 2 1 1.67 1.57 215 17 6 4 74 6 18 2 63 6 28 3 91 5 4 Mauritania MRT 2 2 711 49 54 12 29 6 27 12 52 1 81 11 6 1 1.7 1.22 215 4 68 6 7 15 15 45 2 34 1 86 12 2 Mauritius MUS 2 1 185 43 99 1 99 1 1.4.6 215 1 273 4 1 1 1 Morocco MAR 2 28 951 53 64 4 29 2 31 6 57 5 93 2 5 1.26 2.16 215 34 378 6 83 7 7 3 64 13 16 8 96 2 2 Mozambique MOZ 2 18 265 29 22 5 57 16 7 4 68 21 59 7 29 5 1.67 1.68 215 27 978 32 47 14 24 14 32 17 32 19 79 9 8 3 Namibia NAM 2 1 898 32 77 8 7 7 68 12 1 11 98 1 1.9 -.31 215 2 459 47 79 6 5 1 63 11 7 19 97 1 2 Niger NER 2 11 225 16 38 8 51 3 28 8 6 3 88 8 4.52.51 215 19 899 19 46 1 42 2 36 1 51 3 89 8 4 Nigeria NGA 2 122 877 35 46 6 22 26 31 5 29 35 74 9 1 8 1.42 1.53 215 182 22 48 67 9 15 8 54 8 23 14 82 1 7 1 Rwanda RWA 2 8 22 15 47 2 14 19 42 22 15 21 73 11 7 8.65.41 215 11 61 29 57 21 15 8 49 25 17 1 77 12 9 2 Sao Tome and Principe STP 2 137 53 67 13 5 15 6 12 7 21 73 14 4 9.85.89 215 19 65 8 15 2 2 74 14 5 7 83 16 1 Senegal SEN 2 9 861 4 62 4 33 2 42 5 5 3 91 2 6 1.9 1.41 215 15 129 44 75 5 19 63 8 29 91 2 7 Seychelles SYC 2 81 5 93-7.2-215 96 54 96-4 Sierra Leone SLE 2 4 61 36 39 6 16 39 24 3 17 56 66 12 14 9 1.29 1.55 215 6 453 4 58 9 17 16 47 6 23 24 75 14 7 4 Somalia SOM 2 7 385 33 21 9 36 35 7 6 39 48 48 14 29 8 1.29.9 215 1 787 4 4 19 29 12 2 18 43 19 7 2 9 1 South Africa ZAF 2 44 897 57 77 1 4 8 52 2 9 19 96 3 1.51.74 215 54 49 65 85 1 2 3 63 24 5 9 97 3 South Sudan SSD 2 6 693 17 - - 215 12 34 19 5 3 13 7 48 29 15 7 6 34 2 5 Sudan SDN 2 28 8 32 43 19 29 8 35 18 35 11 6 21 16 3 1.3 1.9 215 4 235 34 59 26 6 9 52 27 8 13 73 25 1 1 Swaziland SWZ 2 1 64 23 52 5 15 27 42 6 18 34 87 1 6 5 1.3 1.22 215 1 287 21 68 8 1 15 6 9 12 19 95 2 2 2 Togo TGO 2 4 875 33 45 4 28 23 3 5 32 33 78 3 18 1 1.16 1.2 215 7 35 4 63 6 18 14 45 8 25 22 9 4 6 Tunisia TUN 2 9 699 63 88 4 7 1 7 11 17 2 98 2.44.86 215 11 254 67 94 4 1 83 12 4 1 Uganda UGA 2 23 758 12 3 3 26 14 24 31 29 16 71 2 8 1.59.54 215 39 32 16 39 38 15 8 32 41 17 1 73 2 6 1 United Republic of Tanzania TZA 2 33 992 22 32 8 43 17 21 8 5 21 69 8 2 3 1.24 1.6 215 53 47 32 5 13 24 13 37 15 31 18 79 9 9 3 Zambia ZMB 2 1 585 35 49 5 28 19 3 5 38 27 83 4 11 2.84.96 215 16 212 41 61 6 21 12 44 7 29 19 86 4 9 1 Zimbabwe ZWE 2 12 5 34 7 1 14 6 58 13 2 8 94 4 1 -.25 -.3 215 15 63 32 67 1 17 7 54 12 23 11 94 4 3 Surface water Limited (more than 3 mins) Surface water Limited (more than 3 mins) Surface water -.86.15 1.15.32.1.19 1.31 -.6.3.53.25.68 -. -.59 1.44.3 -.85.54.81.14.9.67.14 -.5 Africa 2 814 63 35 52 9 24 16 36 1 32 22 82 7 8 3.74.82 215 1 186 178 4 63 12 16 8 48 15 23 13 85 8 5 1.18 14

Drinking water estimates NATIONAL Proportion of population using improved water supplies RURAL Proportion of population using improved water supplies URBAN Proportion of population using improved water supplies COUNTRY, AREA OR TERRITORY Accessible on premises Available when needed Free from contamination Piped Non-piped Accessible on premises Available when needed Free from contamination Piped Non-piped Accessible on premises Available when needed Free from contamination Piped Non-piped Libya Madagascar Malawi Mali Mauritania Mauritius Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone Somalia South Africa South Sudan Sudan Swaziland Togo Tunisia Uganda United Republic of Tanzania Zambia Zimbabwe Africa 2 - - 215-85 - - 41 56 2-6 3-24 14-1 2-11 15-17 54-59 14 215-24 41-34 19-13 28-15 2-43 64-68 18 2-6 49-22 44-1 51-12 49-34 42-79 14 215-16 65-22 65-9 7-1 75-49 43-81 15 2-2 45-22 31-1 4-8 35-45 58-58 21 215-32 67-41 39-16 63-16 53-56 72-79 17 2-46 - - 29 36-13 - - 15 24-8 - - 44 48 215-63 - - 52 33-33 - - 35 3-83 - - 63 35 2-99 72-99 - 99 - - 99-1 - - 1 215-1 73-1 - 1 - - 1-1 - - 1 2 55 55 67 61 59 9 19 19 34 31 19 19 86 86 95 87 95 215 69 69 86 79 76 13 39 39 69 63 5 27 89 89 98 9 94 4 2-1 - - 21 6 - - - 6 5-36 - - 58 9 215-13 - - 32 3-4 - - 13 36-33 - - 72 17 2-45 - - 73 13-26 - - 61 19-84 - - 99 215-52 - - 73 12-34 - - 52 22-72 - - 97 1 2-1 33-22 24-4 25-11 26-42 72-81 15 215-13 39-31 24-3 38-18 28-53 44-9 6 2 17 17-4 18 34-11 - - 6 29-28 - - 4 43 215 19 2-59 1 66-13 - - 7 55-27 - - 14 78 2-4 - - 37 3 - - - 32 32 26 26 85 8 68 16 215-13 - - 4 38-4 - - 27 46 36 36 89 84 73 16 2-27 - - 74 6-19 - - 64 8-33 - - 83 4 215-36 - - 91 5-24 - - 81 7-42 - - 96 3 2-37 - - 53 13-11 - - 3 17-76 93-86 7 215-6 - - 7 1-45 - - 59 12-79 93-86 7 2-9 - - 86 7 215-95 - - 95 2 2-13 - - 21 24-2 - - 6 2-32 - - 48 3 215-11 - - 28 4-5 - - 17 36-2 - - 43 45 2-11 22-11 19-1 7-4 9-31 52-24 38 215-19 43-3 29-2 22-8 3-45 75-62 28 2-64 83-81 6-3 67-58 13 91 91 96 97 98 1 215-74 72-9 5-43 48-75 12 85 9 85 97 99 1 2 - - 215-2 - - 7 73-1 - - 6 71-7 - - 12 81 2-28 6-29 34-17 54-18 36-52 73-51 3 215-38 82-44 41-24 78-32 46-63 88-67 31 2-28 - - 45 12-16 - - 35 14 67 67 89 81 82 7 215-46 - - 57 18-34 - - 47 22 88 91 97 88 93 4 2-11 - - 38 12-5 - - 2 15-23 - - 75 6 215-15 - - 24 44-5 - - 9 44-31 - - 48 45 2 37 86 92 37 8 12-7 - - 58 23-96 98-92 6 215 93 93 99 99 87 12-83 - - 68 28-98 1-96 4 2 4 4 52 31 9 5 1 1 49 24 2 53 25 25 78 84 6 31 215 6 6 67 42 19 58 4 4 65 32 11 62 18 18 79 93 56 37 2-2 19-35 5-15 - 24 4 8 8 29 66 72 5 215-19 29-35 28-8 27-24 27 34 42 34 75 59 3 2-2 - - 33 2-4 - - 7 28 49 49 7 67 82 6 215-23 - - 29 38-6 - - 4 48 47 47 9 89 66 23 2-39 61-42 39-11 6-13 58-94 62-98 215-32 57-29 47-14 55-9 57-7 61-71 26 2 29 29 47 4 38 22 14 36-2 26 56 56 7 73 74 16 215 34 34 59 48 41 35 19 5-26 38 56 56 73 75 64 3 15

DRINKING WATER SANITATION HYGIENE In 215, In 215, 71 per cent of the global population (5.2 billion people) used a safely managed drinking water service; that is, one located on premises, available when needed and free from contamination. 39 per cent of the global population (2.9 billion people) used a safely managed sanitation service; that is, excreta safely disposed of in situ or treated off-site. In 215, Eight out of ten people (5.8 billion) used improved sources with water available when needed. Three out of four people (5.4 billion) used improved sources located on premises. 27 per cent of the global population (1.9 billion people) used private sanitation facilities connected to sewers from which wastewater was treated. Three out of four people (5.4 billion) used improved sources free from contamination. 13 per cent of the global population (.9 billion people) used toilets or latrines where excreta were disposed of in situ. 844 million people still lacked even a basic drinking water service. 263 million people spent over 3 minutes per round trip to collect water from an improved source (a limited drinking water service). 159 million people still collected drinking water directly from surface water sources, 58% lived in subsaharan Africa. Available data were insufficient to make a global estimate of the proportion of population using septic tanks and latrines from which excreta are emptied and treated off-site. 2.3 billion people still lacked even a basic sanitation service. 6 million people used a limited sanitation service. 892 million people worldwide still practised open defecation. JMP website: www.washdata.org 16 7 countries had comparable data available on handwashing with soap and water, representing 3 per cent of the global population. Coverage of basic handwashing facilities with soap and water varied from 15 per cent in sub-saharan Africa to 76 per cent in Western Asia and Northern Africa, but data are currently insufficient to produce a global estimate, or estimates for other SDG regions. In Least Developed Countries, 27 per cent of the population had basic handwashing facilities with soap and water, while 26 per cent had handwashing facilities lacking soap or water. The remaining 47 per cent had no facility. In sub-saharan Africa, three out of five people with basic handwashing facilities (89 million people) lived in urban areas. Many high-income countries lacked sufficient data to estimate the population with basic handwashing facilities.