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. 2020 May 15;128(5):057005. doi: 10.1289/EHP7200

Table 1.

Estimated percentage of population without access to handwashing with soap and water globally and by GBD region, 1990 and 2019. Estimates were based upon input survey data inputs into a spatiotemporal Gaussian process regression model with access to piped water and the sociodemographic index as model covariates.

Region Percentage of population without access, 1990 (95% UI) Percentage of population without access, 2019 (95% UI)
Global 33.6 (31.5, 35.6) 26.1 (24.7, 27.7)
East Asia 26.1 (24.2, 28.1) 7.7 (6.9, 8.4)
Southeast Asia 28.6 (24.1, 33.5) 16.6 (14.1, 19.5)
Oceania 63.3 (56.0, 69.4) 56.6 (52.5, 60.5)
Central Asia 13.6 (11.3, 16.4) 7.8 (6.5, 9.4)
Central Europe 5.5 (4.5, 6.9) 2.8 (2.3, 3.4)
Eastern Europe 6.4 (4.6, 8.5) 3.9 (2.7, 5.3)
High-income Asia Pacific 1.4 (1.0, 2.0) 1.0 (0.6, 1.4)
Australasia 1.5 (0.9, 2.1) 1.0 (0.7, 1.6)
Western Europe 1.3 (1.1, 1.6) 0.9 (0.8, 1.1)
Southern Latin America 5.4 (3.6, 7.9) 1.5 (1.0, 2.1)
High-income North America 0.6 (0.4, 0.9) 0.4 (0.3, 0.5)
Caribbean 35.4 (31.6, 39.5) 34.1 (31.1, 36.8)
Andean Latin America 23.8 (18.5, 29.8) 12.9 (9.6, 16.8)
Central Latin America 18.6 (15.2, 23.0) 10.6 (8.8, 12.6)
Tropical Latin America 29.9 (21.0, 40.5) 13.8 (9.1, 20.5)
North Africa and Middle East 33.0 (29.9, 36.3) 21.1 (19.8, 22.6)
South Asia 59.5 (50.3, 68.7) 37.2 (31.2, 43.5)
Central sub-Saharan Africa 89.7 (86.9, 92.0) 81.7 (79.1, 84.1)
Eastern sub-Saharan Africa 92.4 (90.9, 93.6) 83.6 (82.3, 84.9)
Southern sub-Saharan Africa 64.8 (56.1, 72.6) 51.2 (45.7, 56.7)
Western sub-Saharan Africa 90.7 (88.4, 92.7) 85.5 (83.5, 87.3)

Note: GBD, Global Burden of Diseases Injuries, and Risk Factors Study; UI, uncertainty interval.