Mapping Reduced Accessibility to WASH Facilities in Rohingya Refugee Camps With Sub-Meter Imagery

Access to Water, Sanitation, and Hygiene (WASH) services remains a major public health concern in refugee camps. This study introduces a remote sensing-driven framework to quantify WASH accessibility-specifically to water pumps, latrines, and bathing cubicles-in the Rohingya camps of Cox's Bazar, one of the world's most densely populated displacement settings. Detecting refugee shelters in such emergent camps presents substantial challenges, primarily due to their dense spatial configuration and irregular geometric patterns. Using sub-meter satellite images, we develop a semi-supervised segmentation framework that achieves an F1-score of 76.4% in detecting individual refugee shelters. Applying the framework across multi-year data reveals declining WASH accessibility, driven by rapid refugee population growth and reduced facility availability, rising from 25 people per facility in 2022 to 29.4 in 2025. Gender-disaggregated analysis further shows that women and girls experience reduced accessibility, in scenarios with inadequate safety-related segregation in WASH facilities. These findings suggest the importance of demand-responsive allocation strategies that can identify areas with under-served populations-such as women and girls-and ensure that limited infrastructure serves the greatest number of people in settings with fixed or shrinking budgets. We also discuss the value of high-resolution remote sensing and machine learning to detect inequality and inform equitable resource planning in complex humanitarian environments.