Health care facilities in low- and middle-income countries are high-risk settings, and face special challenges to achieving sustainable water, sanitation, and hygiene (WASH) services. This applied interdisciplinary research conducted in India and Uganda analyzed six dimensions of WASH services in selected health care facilities, including menstrual hygiene management. To be effective, WASH monitoring strategies in health care facilities must include gender sensitive measures. The researchers present a novel strategy, showing that applied gender sensitive multi-tool assessments are highly productive in assessments of WASH services and facilities from user and provider perspectives. The authors discuss its potential for applications at scale and as an area of future research.