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United Nations Department of Economic and Social Affairs Sustainable Development

Advocating for the acceleration of Canadian Commitments towards Water, Sanitation and Hygiene to Prevent and Manage Neglected Tropical Diseases

Canadian Network for Neglected Tropical Diseases (
Other relevant actor

    The Canadian Network for NTDs will advocate for water, sanitation and hygiene as a human right, as well as a critical pathway towards the sustainable achievement of the WHO NTD Roadmap 2030 goals; in addition to SDG3 – Health for All, among other sustainable development goals.

    Note: Early work in WASH and NTDs advocacy began in 2022 during World Water Week with the development of this joint statement, followed by the endorsement of a second statement that year during COP27 on Women and Water on the frontline of climate change; and has continued in 2023 with engagement in this UN Water Conference and supporting and endorsing this Open Letter calling on the Canadian government to make a commitment to SDG6 at the conference.

    The Canadian Network for NTDs primarily engages in advocacy to raise awareness of both the scale and depth of NTDs as a global public health issue within Canada; and to secure increased commitments and contributions from the Canadian government towards NTD prevention and treatment strategies. NTDs require multi-sectoral strategies to be effective and sustainable, particularly when considering NTD elimination as the end-goal. All NTDs require clean water, sanitation and hygiene (WASH) for their treatment and prevention. Water, sanitation and hygiene as a human right, as well as a critical pathway towards the sustainable achievement of the WHO NTD Roadmap 2030 goals; in addition to SDG3 – Health for All, among other sustainable development goals. Indeed, most NTDs would not exist as diseases of public health concern if communities affected by NTDs had sustainable access to WASH at home, school, work, within health care facilities, and within the community more broadly.

    To support its NTD advocacy within Canada, The Canadian Network for NTDs will advocate for water, sanitation and hygiene as a human right, as well as a critical pathway towards the sustainable achievement of the WHO NTD Roadmap 2030 goals; and achieving Health for All (SDG3). This advocacy will raise awareness among Canadian Civil Society about the impact of access to WASH on the health of communities affected by NTDs, and promote the integration of WASH by the Government of Canada as critical to achieving sustainable results through its global health investments.

    To support this advocacy, Canadian Network for NTDs will use existing international days (ie: World NTD Day/World Water Day), partnerships within the Network, frameworks and mechanisms, such as the WHO Global Strategy on WASH to Combat NTDs companion document as an advocacy tool/ and the Canada Water Agency once established to support this advocacy work.

    Expected Impact

    The Government of Canada has historically deprioritized the right to clean water and sanitation both at home and abroad. There is a continued need to inform, engage and mobilize civil society to unite behind SDG6 to influence the Government to invest and take action on ensuring equal access to clean water and sanitation to support health for all. This includes improving WASH for people and communities living with and at risk of NTDs (including for people with NTD-acquired disabilities), which is expected to result in a reduction of the disease burden of NTDs.

    The expected impact of this initiative overall is to see the government of Canada taking decisive action towards SDG6 both at home and abroad.


    The Canadian Network will engage its Network members and other interested civil society actors in these advocacy efforts

    Goal 3

    Ensure healthy lives and promote well-being for all at all ages

    Goal 3


    By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births

    Maternal mortality ratio


    Proportion of births attended by skilled health personnel


    By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births

    Under-five mortality rate


    Neonatal mortality rate


    By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases


    Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations


    Tuberculosis incidence per 100,000 population


    Malaria incidence per 1,000 population


    Hepatitis B incidence per 100,000 population


    Number of people requiring interventions against neglected tropical diseases


    By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being

    Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease


    Suicide mortality rate


    Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol


    Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders


    Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol


    By 2020, halve the number of global deaths and injuries from road traffic accidents

    Death rate due to road traffic injuries


    By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes


    Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods


    Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group


    Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all


    Coverage of essential health services


    Proportion of population with large household expenditures on health as a share of total household expenditure or income


    By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination

    Mortality rate attributed to household and ambient air pollution


    Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)


    Mortality rate attributed to unintentional poisoning


    Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate

    Age-standardized prevalence of current tobacco use among persons aged 15 years and older


    Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all


    Proportion of the target population covered by all vaccines included in their national programme

    Total net official development assistance to medical research and basic health sectors

    Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis


    Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States

    Health worker density and distribution


    Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks


    International Health Regulations (IHR) capacity and health emergency preparedness


    Percentage of bloodstream infections due to selected antimicrobial-resistant organisms

    Goal 6

    Ensure availability and sustainable management of water and sanitation for all

    Goal 6


    By 2030, achieve universal and equitable access to safe and affordable drinking water for all


    Proportion of population using safely managed drinking water services


    By 2030, achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations


    Proportion of population using (a) safely managed sanitation services and (b) a hand-washing facility with soap and water


    By 2030, improve water quality by reducing pollution, eliminating dumping and minimizing release of hazardous chemicals and materials, halving the proportion of untreated wastewater and substantially increasing recycling and safe reuse globally


    Proportion of domestic and industrial wastewater flows safely treated


    Proportion of bodies of water with good ambient water quality


    By 2030, substantially increase water-use efficiency across all sectors and ensure sustainable withdrawals and supply of freshwater to address water scarcity and substantially reduce the number of people suffering from water scarcity

    Change in water-use efficiency over time


    Level of water stress: freshwater withdrawal as a proportion of available freshwater resources


    By 2030, implement integrated water resources management at all levels, including through transboundary cooperation as appropriate


    Degree of integrated water resources management 


    Proportion of transboundary basin area with an operational arrangement for water cooperation


    By 2020, protect and restore water-related ecosystems, including mountains, forests, wetlands, rivers, aquifers and lakes

    Change in the extent of water-related ecosystems over time


    By 2030, expand international cooperation and capacity-building support to developing countries in water- and sanitation-related activities and programmes, including water harvesting, desalination, water efficiency, wastewater treatment, recycling and reuse technologies

    Amount of water- and sanitation-related official development assistance that is part of a government-coordinated spending plan


    Support and strengthen the participation of local communities in improving water and sanitation management


    Proportion of local administrative units with established and operational policies and procedures for participation of local communities in water and sanitation management

    Goal 10

    Reduce inequality within and among countries

    Goal 10


    By 2030, progressively achieve and sustain income growth of the bottom 40 per cent of the population at a rate higher than the national average


    Growth rates of household expenditure or income per capita among the bottom 40 per cent of the population and the total population


    By 2030, empower and promote the social, economic and political inclusion of all, irrespective of age, sex, disability, race, ethnicity, origin, religion or economic or other status


    Proportion of people living below 50 per cent of median income, by sex, age and persons with disabilities


    Ensure equal opportunity and reduce inequalities of outcome, including by eliminating discriminatory laws, policies and practices and promoting appropriate legislation, policies and action in this regard


    Proportion of population reporting having personally felt discriminated against or harassed within the previous 12 months on the basis of a ground of discrimination prohibited under international human rights law


    Adopt policies, especially fiscal, wage and social protection policies, and progressively achieve greater equality


    Labour share of GDP


    Redistributive impact of fiscal policy


    Improve the regulation and monitoring of global financial markets and institutions and strengthen the implementation of such regulations


    Financial Soundness Indicators


    Ensure enhanced representation and voice for developing countries in decision-making in global international economic and financial institutions in order to deliver more effective, credible, accountable and legitimate institutions

    Proportion of members and voting rights of developing countries in international organizations


    Facilitate orderly, safe, regular and responsible migration and mobility of people, including through the implementation of planned and well-managed migration policies


    Recruitment cost borne by employee as a proportion of montlhy income earned in country of destination


    Number of countries with migration policies that facilitate orderly, safe, regular and responsible migration and mobility of people


    Number of people who died or disappeared in the process of migration towards an international destination


    Proportion of the population who are refugees, by country of origin


    Implement the principle of special and differential treatment for developing countries, in particular least developed countries, in accordance with World Trade Organization agreements

    Proportion of tariff lines applied to imports from least developed countries and developing countries with zero-tariff


    Encourage official development assistance and financial flows, including foreign direct investment, to States where the need is greatest, in particular least developed countries, African countries, small island developing States and landlocked developing countries, in accordance with their national plans and programmes

    Total resource flows for development, by recipient and donor countries and type of flow (e.g. official development assistance, foreign direct investment and other flows)


    By 2030, reduce to less than 3 per cent the transaction costs of migrant remittances and eliminate remittance corridors with costs higher than 5 per cent


    Remittance costs as a proportion of the amount remitted

    Name Description
    1. Advocate for coordination and investment towards WASH for communities affected by NTDs annually with and among Canadian civil society and the Network’s membership during World Water Day
    2. Advocate for greater investment and coordination by the Government of Canada as a duty bearer for ensuring the right to health and water in its delivery of international programs. A focus will be on investing in water to endure health for all
    Staff / Technical expertise
    The Advocacy and Policy officer will dedicate time each year (approximately 15% time commitment) towards advocating for greater investment and coordination for integrating WASH as a key strategy to reaching the WHO NTD 2030 goals
    No progress reports have been submitted. Please sign in and click here to submit one.
    Action Network
    water logo
    31 March 2023 (start date)
    29 March 2024 (date of completion)
    Canadian Network for Neglected Tropical Diseases
    1. North America
    Other beneficiaries

    People at risk of and affected by Neglected Tropical Diseases

    More information
    Contact Information

    Tina , Advocacy & Policy Officer