Hand Hygiene For All – improving access and behaviour in health care facilities

This new brief from WHO provides insights into available strategies and approaches to hand hygiene improvement in health care facilities (HCFs) in support of the new United Nations Children’s Fund (UNICEF)/World Health Organization (WHO) Hand Hygiene for All Initiative, including sustainable interventions. The brief draws on learning from legacy work and the current evidence base. It emphasizes the synergistic relationship between IPC and WASH in HCFs and summarizes how joint action and collaboration is essential for improvement in the context of the coronavirus disease (COVID-19) response and beyond.

Combatting AMR through WASH and IPC in healthcare

This updated two page flier, jointly produced by WHO, UNICEF and WaterAid, details the latest burden from poor WASH and IPC in health care, the role WASH and IPC serve in preventing AMR and the benefits of joint action and investments. It also provides examples of effective, collaborative action at the global, national and facility level. It allows anyone working in these fields to speak confidently about the current core issues, as well as solutions and will ultimately drive quality of care given how critical WASH and IPC measures are for AMR reduction and overall patient safety.

Elevating the Role of Cleaners in Healthcare Facilities: A Guidance Note

This document is a guidance note on elevating the role of cleaners in healthcare facilities written by Hayley Schram, Lindsay Denny, and Global Water 2020 in preparation for 'Thank Your Cleaner Day' on October 21. This document proposes 12 actions to elevate cleaners in healthcare facilities and provides resources for key stakeholders, organizations, and individuals working with or interested in environmental cleanliness and cleaners.

Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria

Infections acquired during labour and delivery are a significant cause of maternal and child morbidity and mortality. Adherence to hand hygiene protocols is a critical component of infection prevention strategies, but few studies have closely examined the hand hygiene of health care providers with sufficient detail to understand infection risks and prioritize prevention strategies. : This observational study was conducted in six healthcare facilities in Nigeria. In each, five women were observed from the onset of labour through to delivery of the placenta. Hand hygiene infection risk was estimated for all procedures requiring aseptic technique compared against adherence to proper hand hygiene protocol and potential recontamination events. This study highlights that hand hygiene remains a barrier to delivering high-quality and safe care in health facilities. Improving hygiene practices during labour and delivery will require strategies that extend beyond infrastructure provision.

Eritrea Water, Sanitation and Hygiene: Bottleneck Analysis Report

Government of Eritrea and the United Nations Children’s Fund analyzed bottlenecks hindering the delivery of water, sanitation and hygiene (WASH) services in Eritrea. The results identified the major bottlenecks for WASH in institutions to be (i). Lack of policy and legal framework that includes provisions for operational sustainability; (ii). Lack of a well-functioning coordinating body; (iii) Unsupportive conditions (lack of an enabling environment) for the application of service delivery models; (iv) Insufficient funding that arises from weak institutional and individual capacities to create a successful mechanism to raise funds and diversify sources of funding; (v) Lack of a well-established monitoring feedback system to improve decision-making at different levels; and (vi) Weak institutional, individual and financial capacities to develop a human resources strategy. The main underlying causes of the major bottlenecks for WASH in institutions are limited human, financial, institutional and organizational capacities of institutions, and low levels of commitment of policy- and decision-makers. The report cited that the total financing gap to implement the recommended activities to remove the bottlenecks to service delivery in WASH in institutions is about USD 3.73 million.

Energy access in Malawian healthcare facilities: consequences for health service delivery and environmental health conditions

Many healthcare facilities (HCFs) in low-income countries experience unreliable connectivity to energy sources, which adversely impacts the quality of health service delivery and provision of adequate environmental health services.

WASH in health care facilities – Global baseline report 2019

The first global baseline estimates for WASH in health care facilities, prepared by the Joint Monitoring Programme.