Table 3

Key information provided in water, sanitation and hygiene (WASH) documents, extracted from references to the core concepts scored 3 or 4

	Core concept	Key information provided
1.	Non-discrimination	Ensure hygiene promotion targets everyone in the community, regardless of gender, disability, and so on.
2.	Individualised services	Provide households with additional hygiene products and specific items (eg, menstrual hygiene materials and incontinence products) Households with a member with a disability may need more water to maintain good levels of hygiene and personal care Consider alternative ways of reaching people with disabilities who cannot leave their home (eg, contact their caregivers and family members)
3.	Entitlement	Subsidise utilities or provide cash transfers to vulnerable households
4.	Capability-based services	Consult with Organisations of People with Disabilities in programme and service provision Promote representation of people with disabilities on WASH committees
5.	Participation	Engage people with disabilities in programme planning, implementation, monitoring and evaluation Consult Organisations of People with Disabilities in WASH programme and service provision
6.	Coordination of services	Develop partnerships with local private actors, government and NGOs to secure WASH services and supplies for people with disabilities Civil society organisations can help governments identify people with disabilities and the appropriate support needed
7.	Protection from harm	Ensure privacy during personal care Address safety and risk of violence against people with disabilities when using WASH facilities, including a focus on gender-based violence
8.	Liberty	N/A
9.	Autonomy	Support must empower people with disabilities to be active participants in WASH decision-making
10.	Privacy	N/A
11.	Integration	Advocate for a more inclusive WASH response
12.	Contribution	N/A
13.	Family resource	Recognise the role of family members during this pandemic and support them to assist people with disabilities in accessing WASH
14.	Family support	Provide information and support to informal family caregivers on effective WASH behaviours in the home
15.	Cultural responsiveness	Respond to the diverse needs of people with different impairments; people with disabilities are not a homogenous group
16.	Accountability	Develop safe and responsive and responsive feedback/complaints mechanisms
17.	Prevention	Assistive devices should be cleaned regularly to prevent COVID-19 transmission Ensure continued care of pre-existing conditions by health services and provide services to prevent of other infections (eg, immunisation services, psychosocial support, nutrition)
18.	Capacity building	Provide training and guidance to households on how to support people with disabilities in using WASH facilities and adopting hygiene behaviours Promote disability awareness among staff in healthcare and WASH services, including appropriate communication
19.	Access	Provide accessible WASH facilities (eg, handwashing and bathing) Communication strategies must be adapted and accessible to people with varying impairments Maintain accessibility of WASH facilities across schools, healthcare, community settings, and so on. Where appropriate, use innovative technology to increase WASH access, but ensure this is accessible
20.	Quality	Conduct rapid reviews of WASH barriers and challenges faced by people with disabilities and their caregivers Conduct accessibility audits with people who have a disability Be evidence driven and evaluate effectiveness and acceptability of initiatives for people with disabilities Adapt WASH assessment and monitoring tools to collect information on the needs of people with disabilities and caregivers
21.	Efficiency	Ensure budget allocation for disability training, programme and policy activities in WASH activities Advocate with governments for disability-inclusive WASH to be included in national policies

NGO, non-governmental organisation.