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  • Proportion of population using safely managed sanitation services (%)  Proportion of population using safely managed sanitation services (%)  (Line chart)
Data set notes
European Programme of Work

Indicators: 48
Updated: 21 November 2023

The European Programme of Work, 2020–2025 – “United Action for Better Health in Europe” (EPW), was adopted by the 70th session of the WHO Regional Committee for Europe (RC70) (EUR/RC70/11 Rev.4). The EPW shapes the Region’s contribution to the Thirteenth General Programme of Work (GPW 13) in its three interconnected strategic priorities: 
• Moving towards universal health coverage (UHC)  
• Protecting people better against health emergencies 
• Ensuring healthy lives and well-being for all at all ages. 


In the European Region, The EPW is the leading policy framework to steer and coordinate action towards building back better after the COVID-19 crisis. It supports countries in their commitments to implement the 2030 Agenda for Sustainable Development and the Global Action Plan for Healthy Lives and Well-Being for All. It puts particular focus on supporting capacities for effective health leadership and engagement with other policy sectors.
4 flagship initiatives
The Mental Health Coalition
Empowerment through Digital Health
The European Immunization Agenda 2030
Healthier behaviours: incorporating behavioural and cultural insights


The EPW measurement framework includes 26 indicator areas of high importance to monitor progress towards leaving no one behind. It encompasses a subset of Sustainable Development Goals (SDG) targets and outcome indicators included in the GPW13 WHO Impact Framework as a basis. The indicators selected from this framework are then complemented with additional indicators found in other frameworks throughout the European Region. It also uses a concrete milestone to be achieved by 2025, to ensure that the measurement framework is well aligned with the European context. 
The EPW measurement framework indicators focus on two major issues of COVID-19 and inequity. These indicators were chosen based on predetermined criteria, to ensure that they are appropriate, feasible and aligned with existing global or regional strategies or strategies under development. Wherever possible, the EPW measurement framework uses indicators that are informative for multiple core priorities and flagship initiatives (for example, an indicator on premature noncommunicable disease mortality serves both the universal health coverage and healthier populations core priorities). At a minimum, the EPW measurement framework aims to disaggregate relevant indicators by sex and age. Whenever feasible, additional disaggregation, such as by socioeconomic status and geographical levels, is planned. 
Indicator notes
Proportion of population using safely managed sanitation services (%) 
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Definition:
Population using an improved sanitation facility that is not shared with other households and where excreta are safely disposed of in situ or treated off site. Improved sanitation facilities include flush/pour flush to piped sewer systems, septic tanks or pit latrines; pit latrines with slabs (including ventilated pit latrines), and composting toilets.

Method of estimation:
The JMP assembles, reviews and assesses data collected by national statistics offices and other relevant institutions including sectoral authorities. Linear regression is used to provide estimates of the population using improved sanitation facilities, as well as the proportion practising open defecation. Regressions are also made to estimate the population using improved sanitation facilities connected to sewers and septic tanks; these are constrained to not exceed the estimates for total improved facilities. Regressions are extrapolated for two years beyond the last available data point, after which coverage is held constant for four years. The proportion of the population sharing sewered and non-sewered sanitation facilities is estimated by taking an average all available data on sharing from household surveys and censuses. The population using safely managed sanitation services is calculated as the sum of three groups: (1) The population using sewer connections which are not shared and deliver excreta to treatment plants where they receive treatment (at least secondary treatment , or primary treatment with a long ocean outfall); (2) The population using non-sewered sanitation facilities which are not shared and are emptied, and the excreta are transported and treated off-site, (3) The population using non-sewered sanitation facilities which are not shared and are not emptied, and the excreta are considered safely disposed of in situ. Separate regressions are made of the proportion of sewage waste which receives treatment, and of the proportion of wastes from on-site systems which are transported off-site and receive treatment. A third regression is made on the proportion of wastes from on-site systems which have never been emptied, and are considered safely disposed of in situ. These three figures are multiplied by the proportion of the population using sewer connections or non-sewered facilities which are not shared, and then summed to calculate the population using safely managed sanitation services. Separate estimates are made for urban and rural areas. The most recent household survey or census available for most countries was typically conducted two to six years ago. The JMP extrapolates regressions for two years beyond the last available data point. Beyond this point the estimates remain unchanged for up to four years unless coverage is below 0.5 per cent or above 99.5 per cent, in which case the line is extended indefinitely. National estimates are generated as weighted averages of the two, using population data from the most recent report of the United Nations Population Division. For more information see https://washdata.org/monitoring/methods/estimation-methods Predominant type of statistics: adjusted and predicted.
Country/Area notes
No information