Halfway through the Sustainable Development Goal (SDG) period, there has been little research on the criteria for monitoring safely managed sanitation under SDG target 6.2. For reporting against SDGs, global indicators are necessarily limited and exclude many safety aspects from a public health perspective. Primary survey data from 31,784 households in seven countries in Asia and Africa were analysed, comparing estimates of safely managed on-site sanitation based on global indicators with five complementary indicators of safety: animal access to excreta, groundwater contamination, overdue emptying, entering containments to empty and inadequate protection during emptying. Application of additional criteria reduced the population with safely managed sanitation by 0.4–35% for specific indicators, with the largest impact due to the risk of groundwater contamination, animal access, and containments overdue for emptying. Combining these indicators across the service chain, excluding transport and treatment, found almost three-quarters of on-site systems currently assessed as safely managed with global indicators were considered unsafe based on complementary indicators. A more comprehensive assessment of safety of on-site sanitation can be achieved through these indicators, which could be integrated into national monitoring systems and used to inform sanitation investments that address local health-related risks.

可持续发展目标 (SDG) 已过半，关于可持续发展目标具体目标 6.2 下安全管理卫生设施监测标准的研究很少。对于针对可持续发展目标的报告，全球指标必然是有限的，并且从公共卫生角度排除了许多安全方面。对来自亚洲和非洲 7 个国家 31,784 个家庭的初步调查数据进行了分析，将基于全球指标的安全管理现场卫生设施估计值与五项补充安全指标进行了比较：动物接触排泄物、地下水污染、逾期排空、进入隔离设施排空时空且保护不充分。就具体指标而言，应用附加标准使拥有安全管理卫生设施的人口减少了 0.4-35%，其中影响最大的是地下水污染、动物进入和逾期排空的围堵风险。将整个服务链中的这些指标（不包括运输和处理）结合起来，发现目前用全球指标评估为安全管理的现场系统中，近四分之三根据补充指标被认为是不安全的。通过这些指标可以对现场卫生安全进行更全面的评估，这些指标可以纳入国家监测系统，并用于为解决当地健康相关风险的卫生投资提供信息。