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Improving water and hand-washing services in rural health care facilities in Kitui County, Kenya Authors: Jacob Katuva, Rob Hope, Ellie McBurney, Nancy Gladstone, Johanna Koehler, Cliff Nyaga, Dennis Njung'e This brief presents policy recommendations for improving water and hand-washing services in rural health care facilities through a professional service delivery model. Annualised costs to provide safe and reliable water and soap services are estimated from actual cost data, providing a basis for county-level budgets and investment planning.

We developed a self-guided toolkit for costing water, sanitation, hygiene, environmental cleaning, and healthcare waste management in HCFs in low– and middle-income countries. The toolkit is divided into modules with instructions, worksheets, templates, and tips for success for users to complete the costing process. This toolkit will guide users through planning, collecting, and disseminating data on costs. It is designed for use by diverse stakeholders involved in funding, implementation, and management of EHS in HCFs. This is the companion spreadsheet for the toolkit. The toolkit itself is uploaded a separate resource.

This policy brief describes the structure and functionality of a toolkit for costing water, sanitation, hygiene, environmental cleaning, and healthcare waste management in HCFs in low– and middle-income countries. The toolkit is divided into modules with instructions, worksheets, templates, and tips for success for users to complete the costing process. This toolkit will guide users through planning, collecting, and disseminating data on costs. It is designed for use by diverse stakeholders involved in funding, implementation, and management of EHS in HCFs. No prior costing experience is needed. The toolkit itself is uploaded a separate resource.

We developed a self-guided toolkit for costing water, sanitation, hygiene, environmental cleaning, and healthcare waste management in HCFs in low– and middle-income countries. The toolkit is divided into modules with instructions, worksheets, templates, and tips for success for users to complete the costing process. This toolkit will guide users through planning, collecting, and disseminating data on costs. It is designed for use by diverse stakeholders involved in funding, implementation, and management of EHS in HCFs. No prior costing experience is needed.

This bibliography contains links and abstracts to UNC Water Institute peer-review studies on WASH in Healthcare Facilities that were published from 2009 through October 2021. Recent studies discuss findings on disinfection efficacy, costing toolkits, conditions in maternity wards, energy access and other topics.

A set of slides detailing the preliminary findings of the cost of meeting basic WASH standards in health care facilities. Note, the data in these slides should not be cited.

Based on 47 studies selected through a systematic review, a model for budgeting WASH in Healthcare Facilities was developed, comprising ten steps in three phases: planning, data collection, and synthesis.

The Government of Eritrea, with support from UNICEF, has developed the 2019–2030 OneWASH Strategy and Investment Plan to achieve universal access to safe drinking water and sanitation. The plan’s strategic objectives reflect key Sustainable Development Goal 6 targets in which WASH in health centers is one of them. A total budget of US$674,357,0006 is required to implement OneWASH. Out of this, 55,643,000 USD will be required for establishing WASH services in institutions.

Presentations given at the Annual Global WASH in HCF Meeting, London, March 2016