Evidence map›Paper›PMID 42490653›Full record

ArticlePloS one2026

A decade of progress and challenges in Water, Sanitation and Hygiene (WASH) coverage in Bangladesh: Insights from Bangladesh demographic and health survey 2011-2022.

Md Hasibul Islam Jitu, Marufa Jahan, Syed Shahadat Hossain

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Md Hasibul Islam JituInstitute of Statistical Research and Training, University of Dhaka, Dhaka, Bangladesh.ORCID https://orcid.org/0009-0003-3105-8619
Marufa JahanIHE Delft Institute for Water Education, Delft, Netherlands.
Syed Shahadat HossainInstitute of Statistical Research and Training, University of Dhaka, Dhaka, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to safe water, sanitation, and hygiene (WASH) remains a critical global public health challenge, with an estimated 2 billion people lacking safe drinking water and basic hygiene services. In Bangladesh, disparities in WASH access persist across regions and socioeconomic groups. This study assesses decade-long changes in WASH coverage, examines its distribution across socio-demographic groups, identifies key associated factors, and highlights underserved regions and population subgroups.

methodsData from four rounds of the Bangladesh Demographic and Health Survey (BDHS) (2011-2022) were analyzed. WASH indicators were classified as improved or unimproved based on WHO-UNICEF Joint Monitoring Programme (JMP) 2017 guidelines and applied consistently across all survey rounds. Spatial mapping was used to assess regional disparities, while regression models identified factors associated with WASH facilities. A classification tree approach was used to explore interactions among predictors.

resultsOver the decade (2011-2022), access to improved drinking water remained high (above 98%), with improvements in sanitation (22 percentage points), hygiene (30.5 percentage points), and overall WASH facilities (28 percentage points). Classification tree analysis identified wealth index as the most important determinant. Regional disparities were evident, with higher coverage in Dhaka, Rajshahi, and Chattogram, and lower coverage in Barishal and Mymensingh. Wealthier households had higher odds of improved WASH facilities (AOR: 8.72 [6.74, 11.3] in 2011; 9.35 [8.31, 10.5] in 2022) compared to poorer households. Households with more higher educated heads also had higher odds (AOR: 7.10 [5.80, 8.69] in 2011; 3.44 [2.99, 3.96] in 2022) compared to those with no formal education. Other associated factors included family size, region, media access, and mobile ownership.

conclusionKey determinants of WASH access, including wealth, education, and regional disparities, remained largely unchanged over time. Achieving SDG 6 requires targeted subsidies for socioeconomically disadvantaged households, region-specific interventions in underserved areas such as Barishal and Mymensingh, and strengthened awareness programs.

Indexed as

Drinking WaterHygieneSanitationWater SupplyBangladeshDemographyFemaleHealth SurveysHumansMaleSocioeconomic Disparities in HealthSocioeconomic FactorsDrinking Water

Identifiers

PMID42490653
PMCPMC13395418

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.