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Practice-Relevant Research: Identifying WASH in HCF Gaps to Reduce Healthcare-Associated Infections

Purpose of this Webinar

Water, sanitation and hygiene (WASH) are critical for quality healthcare service provision. However, there are research gaps related to WASH in healthcare facilities (HCF). Researchers at Makerere University’s School of Public Health and the Center for Global Safe WASH at Emory University are conducting research projects to explore the factors associated with healthcare-associated infections (HAIs) and health-seeking behaviors in Uganda, as well as the links between environmental contamination and neonatal sepsis in Uganda and Ethiopia. The research aims to provide evidence for interventions to improve WASH in HCF and better understand the implications of poor WASH in the healthcare setting.

Webinar Summary

The document below provides a comprehensive summary of the webinar, including challenges to implementing the approach, and important points and questions raised in the discussion portion of the webinar.

Webinar 5 Full Summary (PDF)

Recommended Actions

The document below provides an overview of actionable steps for addressing gaps in WASH in HCF research to reduce healthcare-associated infections.

Webinar 5 Action Document (PDF)

Practice-Relevant Research: Identifying WASH in HCF Gaps to Reduce Healthcare-Associated Infections

Webinar 5 PowerPoint Slides (PDF)

Webinar 5 Full Summary (PDF)

Recommended Actions

The document below provides an overview of actionable steps for addressing gaps in WASH in HCF research to reduce healthcare-associated infections.

Webinar 5 Action Document (PDF)

Additional Resources

1. Water and Sanitation for Health Facility Improvement Tool (WASH FIT) –WHO

Visit the link above to view the practical guide for improving quality of care through water, sanitation and hygiene in healthcare facilities.

2. Joint Monitoring Programme for Water Supply, Sanitation, and Hygiene –WHO and UNICEF

Visit the JMP website to view country, regional and global estimates of progress on WASH since 1990. The JMP maintains extensive global database maintained by and has become the leading source of comparable estimates of progress at national, regional and global levels.

3. Water, Sanitation and Hygiene in Health Care Facilities –WHO

Visit the link above to view the draft resolution regarding water, sanitation and hygiene in healthcare facilities proposed by Australia, Brazil, Eswatini, Ethiopia, Indonesia, Kenya, Nigeria, United Republic of Tanzania and Zambia.

4. Women’s Satisfaction with Delivery Care in Nairobi’s Informal Settlements –Bazant and Koenig, 2009

This paper quantifies women’s satisfaction with delivery care in informal settlements of Nairobi, Kenya, and determines the characteristics of women and delivery care associated with satisfaction.

5. Determinants of Health Facility Delivery Among Women in Tharaka Nithi County, Kenya –Gitonga and Muiruri, 2016

This paper evaluated the determinants of health facility delivery among women in Tharaka Nithi County, Kenya.

6. An Invisible Workforce: The Neglected Role of Cleaners in Patient Safety on Maternity Units –Cross et al., 2019

This paper highlights the importance of prioritizing health facility environmental hygiene, which is critical to quality care and prevention of healthcare-associated infections.

7. From Joint Thinking to Joint Action: A Call to Action on Improving Water, Sanitation, and Hygiene for Maternal and Newborn Health –Vellemen et al., 2014

This paper calls for global and national efforts to improve water, sanitation and hygiene for maternal and newborn health. The authors provide important steps to be taken by the international community to address issues presented in the paper.

8. Strengthening Healthcare Facilities Through Water, Sanitation, and Hygiene (WASH) Improvements: A Pilot Evaluation of “WASH FIT” in Togo –Weber et al., 2018

This paper details the evaluation of the pilot phase of the WASH FIT tool in three healthcare facilities in Togo. Findings suggest that WASH FIT may help facilities improve WASH services and practices when coupled with training and supervisions.