WASH FIT is a risk-based, continuous improvement framework with a set of tools for undertaking water, sanitation and hygiene (WASH) improvements as part of wider quality improvements in health care facilities. It is aimed at small primary, and in some instances secondary, health care facilities in low and middle income countries. WASH FIT is an adaptation of the water safety plan (WSP) approach, which is recommended in the WHO Guidelines for Drinking-water Quality as the most effective way of ensuring continuous provision of safe drinking-water. It is aimed at small primary, and in some instances secondary, health care facilities in low and middle income countries