This document provides, for the first time, a global snapshot of country use and implementation of the Water and Sanitation for Health Facility Improvement Tool (WASH FIT). Drawing on data from over 70 countries, the report details how WASH FIT is being used to improve the management and quality of water, sanitation, waste and cleaning services as well as hygiene practices in health care facilities. Key recommendations include to better institutionalize the approach within health systems monitoring, programming and financing, to streamline with climate frameworks and efforts and to better monitor and support continual improvements.