Over 21 million people in Bangladesh lack access to an improved water source.

38% don't have access to improved sanitation in Bangladesh, over 66 million people.

Over 4,100 children under five years old die from diarrhoeal diseases caused by poor water and sanitation in Bangladesh.

Bangladesh has made enormous strides in tackling open defecation and increasing access to safe water. However, the accomplishments of increased access to improved water sources and latrine may not lead to proportionate health and nutritional gains in absence of appalling condition of hygiene practices especially handwashing with soap.

Bangladesh National Hygiene Baseline Survey 2014 reveals that only 40% households have water and soap available for handwashing. During handwashing demonstration, 13% of children 3 to 5 years of age and 57% of mothers/female caregivers washed both hands with soap. However, these figures are likely to be an over-estimate of usual practice.

In 35% of schools a handwashing location with both water and soap was found, around one-third of students' hands appeared to be clean and 28% washed both hands with soap during handwashing demonstration.

Menstrual hygiene management remains a challenge, especially in schools. Among menstruating girls and women, old cloth was the predominant menstruation management material (82-86%) among which 12% of school girls, 23% of girls at home and 27% of women washed cloth appropriately. Forty percent of surveyed girls reported that they miss school during menstruation for a median of 3 days a month. School facilities may contribute to absence during menstruation.