Measuring Progressive Realization of Sustainable Development Goal 6 A Review of Implementation Outcomes for Improvement Public Deposited

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  • January 27, 2020
  • Labat, Ashley
    • Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
  • Implementation quality is an important determinant of program outcomes. Yet, evidence of water, sanitation, and hygiene (WASH) implementation quality and effectiveness is scarce. WASH evaluations and research have traditionally prioritized investigation of program outcomes and their association to health outcomes, without adequately exploring the processes of implementation that moderate effectiveness. This paper examines the current global WASH agenda under the Sustainable Development Goals (SDGs) and the role of implementation science in advancing toward WASH-related targets, with a specific focus on implementation outcomes (IOs). A brief literature review was conducted to survey existing use of implementation strategies and outcomes within WASH studies. Findings reveal a gap in the use of implementation science methods in WASH, including the appropriate use and application of IOs to improve WASH programming. In order to efficiently make progress toward the SDGs, it is recommended that a prioritized set of IOs be incorporated into routine monitoring systems to guide program and policy decision-making and drive systematic improvement. We encourage public health leaders and funders to demand evidence of efficient and effective WASH implementation, making space for new systems and structures to develop; and we call practitioners to develop new capacities to carry out effective implementation in facilitating global progress toward SDG 6.
Date of publication
Resource type
Rights statement
  • In Copyright
  • Paper type: Policy
  • Track: GO MPH
  • Ramaswamy, Rohit
  • Fisher, Michael
  • Master of Public Health
Academic concentration
  • Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2018
Deposit record
  • 406aa50d-3fa5-450a-b886-d6c1c0a61b10

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