Missing the ‘hard to reach’ Where progress is being made towards the Millennium Development Goals, it is not being made evenly. The most vulnerable people are often seen as ‘harder to reach’ and improved facilities are often inaccessible to older people or those with disabilities. Our report looks at the extent of disability and ageing considerations in water, sanitation and hygiene (WASH) programmes. The report draws on experiences from WASH organisations around the world, showing that ageing and disability have received increased attention over the last decade. A ‘continuum’ of progress There is still a long way to go before these issues are thoroughly integrated into WASH programmes. Currently, there is a ‘continuum’ of progress toward mainstreaming these issues. This ‘continuum’ provides a framework for those implementing WASH programmes to assess their own equity and inclusion work. With further refinement it could also be used as a practical tool for reviewing progress and planning of mainstreaming work. The report, Mainstreaming disability and ageing in water, sanitation and hygiene programmes, provides a starting point and structure for the discussion of ways forward with the issue. Read Mainstreaming disability and ageing in water, sanitation and hygiene programmes* > *Please note that the report findings are the first 15 pages of the report. Supporting evidence follows.