HEALTH CARE FACILITIES WASH IN FOR BETTER HEALTH CARE SERVICES In 2015, for the first time, WHO and UNICEF assessed the status of WASH in health care facilities in low- and middle-income countries 1 . With a significant proportion of facilities without any services at all, WHO, UNICEF and partners committed at a global meeting 2 to address the situation, with the aim of achieving universal access in all facilities, in all settings, by 2030. Water, Sanitation and Hygiene (WASH) in Health Care Facilities Global Action Plan A GLOBAL ACTION PLAN, with five change objectives, was developed in March 2015. In the first phase of this work, four task teams (comprised of health and WASH specialists) are working to address five change objectives and produce tangible deliverables. The Task Teams are: Advocacy and Policy; Monitoring; Evidence and Research; and Standards and Facility-based Improvements. Change Objectives CO 1 WASH in health care facilities is prioritized as a necessary input to achieving all global and national health goals, especially those linked to Universal Health Coverage. Key decision makers and thought leaders champion WASH in health care facilities. CO 2 All countries have national standards and policies on WASH in health care facilities and dedicated budgets to improving and maintaining services. CO 3 Global and national monitoring efforts include harmonized core and extended indicators to measure WASH in health care facilities. CO 4 The existing evidence base is reviewed and strengthened to catalyze advocacy messages and improve implementation of WASH in health care facilities. CO 5 Health care facility staff, management and patients advocate for and champion improved WASH services. Risk-based facility plans are implemented and support continuous WASH improvements, training and practices of health care staff. 1 WHO/UNICEF, 2015, Water, sanitation, and hygiene in health care facilities: status in low and middle-income countries and way forward. Report. http://www.who.int/water_sanitation_health/publications/ wash-health-carefacilities/en/ 2 WHO/UNICEF, 2015. Water, sanitation and hygiene in health care facilities: urgent needs and actions. Meeting Report. http://www.who.int/water_sanitation_health/en/ Multiple benefits of adequate WASH in health care facilities Health and Safety Disease prevention and treatment Staff morale and performance People centered care Community WASH Healthcare costs Climate change and disaster resilience WASH Reduced health care acquired infections Reduced anti-microbial resistance Improved occupational health and safety Improved outbreak prevention and control (e.g. cholera, Ebola) Improved diarrheal disease prevention and control Improved satisfaction and ability to provide safe care Increased uptake of services, e.g. facility births, vaccinations Health staff model good behavior; improved hygiene practices at home More efficient services Disease/deaths averted Facilities better prepared to continue to provide WASH in disasters, including climate climate related events
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HEALTH CARE FACILITIESWASH in
for better health care services
In 2015, for the first time, WHO and UNICEF assessed the status of WASH in health care facilities in low- and middle-income countries1. With a significant proportion of facilities without any services at all, WHO, UNICEF and partners committed at a global meeting2 to address the situation, with the aim of achieving universal access in all facilities, in all settings, by 2030.
Water, Sanitation and Hygiene (WASH) in Health Care Facilities
Global Action Plan
A GLOBAL ACTION PLAN,
with five change objectives, was developed in March 2015. In the first phase of this work, four task teams (comprised of health and WASH specialists) are working to address five change objectives and produce tangible deliverables.
The Task Teams are: Advocacy and Policy; Monitoring; Evidence and Research; and Standards and Facility-based Improvements.
Change Objectives
CO 1 WASH in health care facilities is prioritized as a necessary input to achieving all global and national health goals, especially those linked to Universal Health Coverage. Key decision makers and thought leaders champion WASH in health care facilities.
CO 2 All countries have national standards and policies on WASH in health care facilities and dedicated budgets to improving and maintaining services.CO 3 Global and national monitoring efforts include harmonized core and extended indicators to measure WASH in health care facilities.
CO 4 The existing evidence base is reviewed and strengthened to catalyze advocacy messages and improve implementation of WASH in health care facilities.
CO 5 Health care facility staff, management and patients advocate for and champion improved WASH services. Risk-based facility plans are implemented and support continuous WASH improvements, training and practices of health care staff.
1 WHO/UNICEF, 2015, Water, sanitation, and hygiene in health care facilities: status in low and middle-income countries and way forward. Report. http://www.who.int/water_sanitation_health/publications/wash-health-carefacilities/en/
2 WHO/UNICEF, 2015. Water, sanitation and hygiene in health care facilities: urgent needs and actions. Meeting Report. http://www.who.int/water_sanitation_health/en/
Multiple benefits of adequate WASH in health care facilities
Health and Safety
Disease prevention and
treatment
Staff morale and
performance
People centered care
Community WASH
Healthcare costs
Climate change
and disaster resilience
WA S H
Reduced health care acquired infectionsReduced anti-microbial resistance Improved occupational health and safety
Improved outbreak prevention and control (e.g. cholera, Ebola)Improved diarrheal disease prevention and control
Improved satisfaction and ability to provide safe care
Increased uptake of services, e.g. facility births, vaccinations
Health staff model good behavior; improved hygiene
practices at home
More efficient services
Disease/deaths averted
Facilities better prepared to continue to provide
WASH in disasters, including climate climate
related events
G et involved and contribute to an impor tant global movement
Visit w w w.washinhc f.org
Global Ac tion Plan Task Teams and Ac tivit ies
20162015 2030
AUG
AUG
SEP OCT NOV
On-going: Implementation
adaption of facility tools for different settings.
DEC
SEP OCT NOV DEC
JAN
JAN
FEB MAR APR MAY
FEB MAR APR MAY
JUN
JUN
JUL
JULUniversal
access to WASH in health care
facilities by 2030
AUG
AUG
SEP OCT NOV DEC
SEP OCT NOV DEC
On-going: Health and WASH experts advocating for WASH
in health care facilities
Advocacy infographic on UHC,
MCH and joint action produced
Global Advocacy Plan drafted
First set of risk assessment/
facility improvement tools tested
Research meeting to review evidence
and develop research plan
Joint event with quality UHC at the 69th World Health
Assembly
Water and Sanitation
Health Facility Improvement Tool
(WASH FIT) finalised
Core and expanded
indicators tested
Compendium of appropriate
technologies compiled
Global Meeting to assess progress and plan
next steps
Core and expanded indicators finalised
Review existing data on key health
outcomes linked with WASH in HCF
Briefing note on
evidence finalised
Core monitoring indicators
drafted
Launch website www.washinhcf.org
ADVOCACY AND POLICY MONITORING EVIDENCE AND RESEARCH STANDARDS AND FACILITY IMPROVEMENTS
Change Objective 1 Change Objective 2 Change Objective 3 Change Objective 4 Change Objective 5
Aim: To advocate for global and national action to improve WASH in health care facilities and support leaders dedicated to this effort.
Aim: To develop, test and revise core and expanded indicators to track WASH in health care facilities.
Aim: To draw on and extend the evidence base to support increased investments, quality improvements and advocacy efforts.
Aim: To develop a suite of field-tested tools, training and reference materials for a variety of facilities and settings.
Partners: Canada Global Affairs, UK Department for International Development (DFID), Emory University, Global Health Council, Hilton Foundation, Indian Institute of Public Health (IIPH), Infection Control African Network (ICAN), IRC WASH, Japan International Cooperation Agency (JICA), London School of Hygiene and Tropical Medicine (LSHTM), Médicins Sans Frontières (MSF), SoapBox Collaborative, Swiss Federal Institute of Aquatic Science and Technology (EAWAG), Terre des Hommes, United Nations Children Fund (UNICEF), University of East Anglia, USAID, WASH Advocates, WaterAid, Water Institute-University of North Carolina (UNC), Water Supply and Sanitation Collaborative Council (WSSCC), World Bank, World Health Organization (WHO), World Vision.
Government representatives from: Cambodia, Chad, Ethiopia, India, Liberia, Mali, Sierra Leone, Zambia and Zanzibar.
Health priorities represented: Health systems, Infection prevention and control (IPC), Maternal and newborn health (MNCH), Outbreaks and emergencies, quality Universal Health Coverage (UHC).
ActivitiesDocument national case studies including processes and change mechanisms for improving WASH in health care facilities.
ActivitiesCore and expanded indicators incorporated into all relevant WASH and health monitoring and accountability mechanisms.
ActivitiesDevelop priority operational research agenda and seek opportunities to address the evidence gaps.
ActivitiesSupport regular training and competency assessments for all health facility staff including cleaners and health care workers.
Task Teams
initiated
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