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Indian Health Service Sanitation Facilities Construction Program

Program Information

Popular name

IHS SFC Program

Program Number

93.445

Program objective

To provide essential sanitation facilities, such as safe drinking water and adequate waste disposal systems, for Indian homes and communities. The IHS Sanitation Facilities Construction Program, an integral component of the IHS disease prevention activity, has carried out those authorities since 1960 using funds appropriated for Sanitation Facilities Construction to provide potable water and waste disposal facilities for AI/AN people. As a result, the rates for infant mortality, the mortality rate for gastroenteritis and other environmentally related diseases have been dramatically reduced, by about 80 percent since 1973. The IHS physicians and health professionals credit many of these health status improvements to IHS' provision of water supplies, sewage disposal facilities, development of solid waste sites, and provision of technical assistance to Indian water and sewer utility organizations. The provision of Indian sanitation facilities is a very important component of the overall effort required to achieve a reduction in waterborne disease outbreaks, a goal highlighted in Healthy People 2020 "Topics & Objectives” for Environmental Health. Safe drinking water supplies and adequate waste disposal facilities are essential preconditions for most health promotion and disease prevention efforts, as well as being a major factor in the quality of life of Indian people.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

Indian Health Manual Part 5 Chapter 2; Internal Agency Procedures-- Memorandum of Agreement Guidelines Working Draft June 2003 Version 1.01; Criteria for the Sanitation Facilities Construction Program Version 1.01; Sanitation Deficiency System Working Draft May 2003; Environmental Review Manual for Indian Health Service Indian Health Manual Part 5 Chapter 2; Internal Agency Procedures-- Memorandum of Agreement Guidelines Working Draft June 2003 Version 1.01; Criteria for the Sanitation Facilities Construction Program Version 1.01; Sanitation Deficiency System Working Draft May 2003; Environmental Review Manual for Indian Health Service Programs January 2007.

  1. 25 U.S.C. 13 Snyder Act, Public Law 83-568, Transfer Act, 42 U.S.C. 2001, Public Law 86-121, Indian Sanitation Facilities Act; and Title III of Public Law 94-437, Indian Health Care Improvement Act, as amended.

Program details

Eligible beneficiaries

  • Federally Recognized Indian Tribal Governments

Additional resources