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Sanitation for Millions

2016 - 2025 • Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH


Improving access to safe sanitation and hygiene globally.


Safe sanitation is a human right and one of the Sustainable Development Goals (SDG 6.2). Nevertheless, around 3.6 billion people globally remain without access to safely managed sanitary facilities. About 540 million students do not have basic sanitation in their schools and circa 780 million people depend on healthcare facilities without any sanitation. Financial resources and knowledge that are required to renovate, build, operate, and maintain sanitary facilities are often missing. In addition, the importance of safe hygiene practices for human health and well-being is commonly overlooked. A lack of access to safe sanitation and hygiene particularly affects disadvantaged and vulnerable groups as well as women and girls.

To improve this situation, Sanitation for Millions builds female-friendly and inclusive sanitary facilities, trains local professionals to operate and maintain them, and promotes safe hygiene practices through targeted campaigns and knowledge transfer. The project is committed to destigmatising menstruation and thus facilitates the participation of women and girls in public life. Furthermore, the project promotes the treatment and reuse of sanitary wastewater and faecal sludge through the elaboration of concepts and the construction of appropriate facilities. The project strengthens the management capacities of institutional partners and municipal administrations in direct cooperation. To ensure the operation of the facilities in the long term, financing mechanisms are developed jointly with the local partner. As a global project, Sanitation for Millions can flexibly test and anchor new approaches in different cultural contexts. Based on proven quality standards, successful approaches are replicated and expanded.


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© • Sanitation for Millions • GIZ

Logo of Sanitation for Millions

© • Cinelab Akademie • GIZ

Award ceremony of the Toilets Making the Grade® (TMG) school competitions in Uganda

© • Abdul Wahid • GIZ

Schoolgirls in Pakistan

© • Abdul Wahid • GIZ

Girl painting on the occasion of Global Handwashing Day

© • Abdul Wahid • GIZ

Safe hand hygiene at a school in Pakistan

© • Teresa Häberlein • GIZ

Awareness raising session on Menstrual Hygiene Management (MHM) at youth centers in Jordan

© • Heba Ababneh • GIZ

Training on hygiene knowledge for female preachers (waithat) in Jordan

© • Vanessa Mugide • GIZ

Inauguration of sanitary facilities at a school in Uganda

© • Clemens Hess • GIZ

Plumbing training at an orphanage in Jordan

© • J. Kiyimba • GIZ

A healthcare worker washes her hands at a MoCH (Millions of Clean Hands) facility

© • Gustavo Cubero • GIZ

Taking water samples at a wastewater treatment plant at the university of Santo Domingo (UASD), Dominican Republic

© • Sanitation for Millions • GIZ

Logo of Sanitation for Millions

Countries of activity

Location of main activity


Sanitary facilities at schools, healthcare facilities and faith-based institutions are accessible to all, of adequate quality, inspected for cleanliness, and appropriate for Menstrual Hygiene Management (MHM). Toilets are female-friendly and inclusive, and sewage and excreta are safely managed. Handwashing facilities are functional at critical times and accessible to all. People are aware of and know about appropriate hygiene practices, including MHM and handwashing routines.

What has been achieved so far?
- Around two million people are benefitting directly from improved access to safe sanitation and hygiene.
- 284 public institutions, like schools, healthcare facilities, and faith-based institutions, were provided with sanitary infrastructure, accompanied by measures to ensure their operation and maintenance. All infrastructural measures are inclusive and female-friendly.
- In addition, 680 separate handwashing facilities were built and put into operation at other public institutions.
- Around 1000 activities to spread knowledge and raise aware-ness have been carried out with the aim of achieving positive behavioural change concerning hygiene practices. These include measures in the area of hand hygiene, menstrual hygiene management and infection control in general.
- Around 3000 professionals were qualified for the provision of sanitary services through tailor-made training formats.

Further information

With the BMZ as the lead donor, Sanitation for Millions has received additional funding from the Bill & Melinda Gates Foundation, Water Unite, the Hungarian Ministry of Foreign Affairs and Trade, the Inter-American Development Bank, and share GmbH. The Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH executes the global programme in close cooperation with local partners in Colombia, Jordan, Pakistan, Uganda, and with CReW+ in eleven countries of the Wider Caribbean Region.

Last update: December 2022

Contact information

Dr. Bärbel Schwaiger
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Patrick Mass
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Filter tags

Behaviour change Bill & Melinda Gates Foundation Capacity development Community sanitation Decentralised wastewater treatment (e.g. DEWATS) East Asia & Pacific Emptying and transport (non sewered) Enabling environment and institutional strengthening Europe & Central Asia German government Government-owned entity (not university or research) Latin America & Caribbean Middle East & North Africa Operation, maintenance and sustainable services Peri-urban Schools Specific to one or several countries Sub-Saharan Africa Toilets or urinals (user interface) Treatment of faecal sludge Treatment of wastewater or greywater UK government Water (irrigation, process, other)

Attached files

Poster Toilets Making the Grade

Format: pdf file
Size: 0.62 MB

Pressemappe - Toilets Making the Grade (DE)

Format: pdf file
Size: 0.56 MB

Factsheet - Sanitation for Millions Global

Format: pdf file
Size: 0.87 MB

Factsheet - Sanitation for Millions Wider Caribbean Region

Format: pdf file
Size: 1.02 MB

Fact Sheet Sanitation for Millions Jordan

Format: pdf file
Size: 0.42 MB

Factsheet Sanitation for Millions Pakistan

Format: pdf file
Size: 0.44 MB

Factsheet Sanitation for Millions Uganda

Format: pdf file
Size: 0.47 MB


Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH

The Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH (formally known as Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) GmbH is a federally owned organisation. It works worldwide in the field of international cooperation for sustainable development. Their mandate is to support the German Government in achieving its development objectives. It provides viable, forward-looking solutions for political, economic, ecological and social development in a globalised world.

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