• Overview
  • Resources

Using the ‘Right’ Tools for WASH in Healthcare Facilities Assessments

Purpose of this Webinar

A 2015 report from UNICEF and WHO found that limited data exists on the status of water, sanitation and hygiene (WASH) in healthcare facilities (HCF).  Few assessments have been conducted and even fewer collect data beyond the basic coverage of WASH within a HCF. In order to determine the extent of the problem and develop an action plan to address gaps, more comprehensive assessments are needed. Specific assessment tools tailored for WASH in HCF, such as FACET and WASHCon, are based on the WASH in HCF monitoring indicators developed in 2016 by the WHO/UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene (JMP). Using the “right” kind of WASH in HCF assessment tools means choosing tools that integrate WASH in HCF indicators in order to collect meaningful data.

Webinar Summary

The document below provides a comprehensive summary of the webinar, including specific assessment tools used to address the issue of limited data on the status of WASH in HCF, and important points and questions raised in the discussion portion of the webinar.

Webinar 2 Full Summary PDF

Recommended Actions

The document below provides an overview of actionable steps for collecting meaningful data using WASH in HCF assessment tools.

Webinar 2 Action Document PDF

Using the ‘Right’ Tools for WASH in Healthcare Facilities Assessments

Webinar 2 PowerPoint Slides (PDF)

Webinar 2 Full Summary (PDF)

Recommended Actions

Webinar 2 Action Document (PDF)

Additional Resources

  1. Joint Monitoring Programme (JMP) Global Baseline Report

The JMP is in the final stages of compiling a global report of WASH in HCF status with data from over 99 countries.  The JMP encourages sharing any results and data from recent or nearly completed WASH in HCF assessments to contribute to this report.  Please send inquiries and assessment results to info@washdata.org.

2. JMP Core Questions and Indicators for Monitoring WASH in HCF in the SDGs

The core questions and indicators provided here can be integrated into national assessment tools for monitoring WASH in HCF.  Use of these questions and indicators provides an accurate account of WASH facilities and services levels specific to HCF needs, and also contributes to efforts toward harmonizing global monitoring and improvement of WASH in HCF as part of the post-2015 agenda of the Sustainable Development Goals.

3. The Facility Evaluation Tool for WASH in Institutions (FACET) Factsheet

The Facility Evaluation Tool for WASH in Institutions (FACET) is based on JMP indicators, and adaptable to any context.  The simple mobile data collection method can be used both on- and off-line for assessment of WASH facilities and services in HCF.  The FACET data collection and analysis tools as well an instruction manual is available for free download at www.sandec.ch/facet .

4. The Clean Clinic Approach

The United States’ Agency for International Development (USAID) and Save the Children developed this 10-step WASH in HCF improvement program which includes an assessment component.  It aims to develop self-sufficient HCFs that are clean, desirable, and well-attended, embed ownership and accountability of HCF improvements within the MoH, empower staff and communities to improve WASH at their HCF, develop realistic goals for WASH at each targeted HCF, and prepare HCFs to better manage and address future outbreaks and emergencies.

5. The WASH and CLEAN Toolkit

This toolkit was developed collaboratively as part of a larger study on WASH in maternity wards in India and Bangladesh, The WASH and CLEAN Toolkit can be used to perform a situation analysis of the state of hygiene related outcomes and individual and contextual/systems level determinants. The data can be used to identify, prioritize, and inform interventions, provide indicators to support performance, and produce information to inform policy.  The toolkit is available for free download at http://soapboxcollaborative.org/?page_id=3232

6. Water and Sanitation for Health Facility Improvement Tool (WASH FIT)

WASH FIT is a risk-based program improvement tool for improving and sustaining WASH and health care waste management in HCF in low- and middle-income countries. It includes an assessment component, and is intended to be used continuously on a regular basis to help HCF staff prioritize and improve WASH services.

7. WASH in HCF Tool Comparison Chart

This simple document provides an overview of different available tools for WASH in HCF assessments, detailing differences of each tool’s functions and abilities.

8. Landscape of WASH in HCF Tools

This document provides a more in-depth description of various available WASH in HCF assessment tools.  It includes how and where each tool has been used, and the type of information that each tool covers.