Skip to main content
Hernestine using Oxfam handwashing stand to wash her hands. Democratic Republic of Congo. Credit: Arlette Bashizi/Oxfam

Water and sanitation

It’s all too easy to forget what a miracle water is. With a water supply on tap, food can grow, and people can thrive. Water is Life.

Yet access to clean water and safe sanitation – flushing toilets, and other forms of sewage treatment – is one of the biggest health issues around the world. Almost 900 million people in the world do not have access to clean water – or one in eight people. (WHO/UNICEF)

Unclean water, poor sanitation and unsafe hygiene practices have claimed more lives over the past century than any other cause – and this is continuing in many developing countries – making this one of the world’s most urgent health issues.

As part of our humanitarian response work, Oxfam is widely recognized as a leading organization helping people meet their needs for clean water, safe sanitation and hygiene advice (collectively known as WASH).

Our water engineers are renowned for their speed and efficiency, providing large-scale water supplies and disease-preventing sanitation facilities to millions of vulnerable people in the world, even in the most challenging environments such as after the 2023 Türkiye-Syria earthquake and the 2022 Pakistan floods.

Working alongside partners on the ground, we are committed to developing innovative, long-term and cost-effective solutions that are tailored to each community’s unique needs and can reduce levels of poverty and disease.

In emergencies, many more lives are put at risk by inadequate water supplies and poor sanitation. It’s estimated that, at the bare minimum, a person needs 15 litres of water per day for drinking, cooking, and washing. This makes providing clean water a massive task requiring the sort of specialist skills and equipment Oxfam has.

The costs of unsafe water

2.2 billion people do not have access to clean water at home.
2.3 billion people lack access to basic sanitation services, such as toilets.
Worldwide, over 80% of all wastewater returns to the environment without being treated.
Every day, more than 800 children under five years of age die from diarrhea caused by dirty water.
700 million people worldwide could be displaced by intense water scarcity by 2030.
Nombe fills up the hand-washing tank with water. Democratic Republic of Congo. Credit: Arlette Bashizi/Oxfam
Nombe fills up the hand-washing tank with water. Democratic Republic of Congo. Credit: Arlette Bashizi/Oxfam

WHAT WE DO:

Emergency response

Fast action can stop an emergency turning into a crisis. Our water engineers are renowned for their speed and efficiency, providing large-scale water supplies and disease-preventing sanitation facilities – even in the most difficult circumstances such as the Haiti earthquake and the Pakistan floods.

In each situation, we look for the most effective and efficient way to provide water – setting up delivery systems that pipe or truck water in from the nearest water source for distribution via water tanks, pipes and tap stands.

We always work with local people; taking into account local needs and practices. We ensure that facilities are designed to enable people – particularly women and children – to maintain their dignity and stay safe. We also provide health and hygiene advice to ensure water and sanitation facilities are used properly to help prevent the spread of disease.

As part of longer-term development

Water, sanitation and hygiene approaches underpin many of our poverty-fighting development projects. We work with local communities to provide long-term, cost-effective solutions that can reduce levels of poverty and disease.

Providing safe water can improve general health and reduce the pressure on often-limited health care resources.

Introducing simple irrigation schemes can kick-start farming, improve local diets and give people the chance to make a living.

By taking an integrated approach to health and incorporating components from the fields of WASH, we can provide simple and effective solutions that can be implemented by local communities themselves.

Providing clean water, latrines and hygiene advice at schools can even increase attendance, reducing days lost through illness and raising educational performance. This can be particularly significant for girls. Schools play an important role in helping to change attitudes towards hygiene within their wider community.

Have a deeper look into our WASH projects here:

Water for life

Oxfam is providing clean water, sanitation and hygiene education in some of the world’s poorest countries. In fact, it is one of the things we do best — our solutions are saving lives.

Running taps, working toilets, clean, safe drinking water and soap — in Australia, they’re things people can take for granted. Yet around the world, millions of poor people get sick or die each day because they must go without these necessities of life.

Almost 900 million people in the world do not have access to clean, safe drinking water, while 2.6 billion live without basic sanitation. Across the globe, more than 6,000 people die each day from diseases caused by dirty water — two-thirds are children. (World Health Organisation).

Oxfam’s water engineers and public health specialists are known internationally for the speed and efficiency with which they can help provide large-scale water supplies, essential sanitation facilities and hygiene improvements, even in the most difficult circumstances.

We integrate our water and sanitation solutions with hygiene in an evidence-based practice known as “WASH”. The World Health Organisation attributes about 90% of diarrhoeal diseases to poor access to WASH infrastructure.

Emergencies

When disaster strikes, Oxfam acts quickly to saves lives by delivering clean water and sanitation — from simple solutions like distributing buckets, jerry cans, soap and water purification tablets, to building and rehabilitating water supply systems, providing tanks, delivering clean water and constructing toilets.

This goes hand-in-hand with educating people about the importance of washing hands, collecting water in clean containers, storing water safely and purifying water for drinking and cooking.

“Clean water, sanitation and hygiene promotion are the most important elements in controlling the spread of infectious disease following a humanitarian disaster,” says Praphulla Shrestha, Oxfam Australia’s Water and Sanitation Technical Advisor.

“The first step always involves talking to the people in the camps about how poor hygiene practices can contaminate water supplies and make it unsafe to drink. Then we can start to test the water that people are drinking.”

Praphulla emphasises that the key to saving lives is to get trained water, sanitation and hygiene experts into the disaster area as quickly as possible. And we have these experts on standby around the world to provide fast, effective and innovative solutions.

Oxfam was one of the first aid agencies to use specialised water treatment units that purify vast amounts of water in a very short time — up to 6,000 litres an hour. Other agencies began using similar technologies following Oxfam’s example.

After Typhoon Kestana flooded large parts of Manila in the Philippines in September 2009, our solutions included building a new prototype “floating” toilet, to help ensure people staying in evacuation centres had adequate sanitation facilities.

When Cyclone Nargis devastated areas of Myanmar in 2008, Oxfam helped affected communities build rainwater catchments in just one day, using local materials.

One of Oxfam’s greatest water innovations is also one of its most simple — the Oxfam bucket, which we distribute to displaced people during emergencies. Winner of a Millennium Design Award, the bucket is designed to be light, durable, and keep water clean and safe. It stacks, is easy to transport, has a tight-fitting lid to keep out the dirt and prevent spillage, and an insertable tap to prevent collected water from being recontaminated. The plastic is UV resistant to prevent algal build-up.

Vasantha Nilaweera was one of thousands of displaced people living in temporary camps in Sri Lanka after the 2004 tusnami who experienced Oxfam’s comprehensive water response.

“Oxfam gave training to everyone in safety and hygiene,” Vasantha recalls. “They gave us water filters and we took water from two separate tanks — one for drinking and one for washing. People from Oxfam also came to check the quality of the water.”

Long-term solutions

In the context of our long-term development work, Oxfam provides water, sanitation and hygiene solutions that are tailored to local needs, conditions and technologies.

We drill boreholes, sink wells, install tanks, pumps and tap stands, construct entire gravity-fed water supply systems and small-scale irrigation schemes, build toilets, set up household water treatment solutions, promote the production and use of soap and promote safe hygiene practices in homes and schools.

Water eBook

Access to drinking water in crisis situations eBook

Clean water is a fundamental human right. Yet 1 in 8 people on our planet don’t have access to this vital resource. Our eBook dives into why access to clean water is one of the world’s most urgent health issues – as well as its impacts on food security, educational opportunities for women and girls.

Download now

How you can help

Marsabit, Kenya: Masu is a member of the Uye women’s group. The group is part of a food production response project, which aims to improve food security, strengthen community resilience and enhance financial inclusion. Oxfam’s local partner organisation, PACIDA, is implementing the project, with support from the Norwegian Agency for Development Cooperation. Photo: Micheck Kamau/Oxfam

Donate to fight poverty

Demand a living wage for the women who make our clothes

Canberra, Australia: Leanne Sanders and Nicole Bloomfield vote for well known First Nations people in a mock ballot staged by the Australian Electoral Commission to demonstrate the preferential voting system, just one of the many sessions at the 2022 Straight Talk National Summit. Jillian Mundy/Oxfam

Volunteer with us