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In 2020, the COVID-19 pandemic shocked health systems, demanding the urgent identification and prioritization of immediate healthcare facility needs. Beginning in August 2020, USAID’s MOMENTUM Country and Global Leadership provided rapid technical and capacity development assistance to local health networks in India and four other countries to improve facility readiness in water sanitation and hygiene (WASH) and infection prevention and control (IPC). This package of materials details the impact and outcomes of this work, as well as lessons learned to inform future WASH and IPC efforts in healthcare facilities and quality improvement programming.

CATCH-IT is an Ethiopian initiative designed to improve quality of care, timely access to basic services and revitalisation of hospital reform initiatives for institutional transformation.

A presentation given at the Prince Mahidol Award Conference, Bangkok, Thailand (January 2020). The presentation was given as part of a session hosted by WHO, WaterAid and the National Public Health Institute of Cambodia. The file includes the following presentations: Vivek Singh, UNICEF India Country Office: WASH and quality in India - a focus on the Kayakalp programme. Renzo Guinto, Philippines, WASH in HCF in the era of UHC and climate change in the Philippines. Nasima Sultana, Bangladesh: WASH in HCF of Bangladesh - a focus on the National Technical Committee. Lym Khankryka, Cambodia: Improving WASH within quality of care in Cambodia.

A presentation given at the Prince Mahidol Award Conference, Bangkok, Thailand (January 2020). The presentation was given as part of a session hosted by WHO, WaterAid and the National Public Health Institute of Cambodia. The session objectives were to: Discuss key entry points and strategies for jointly addressing quality and WASH in health care facilities and the added benefits of such an approach. How linkages between national quality policy and strategy and WASH in health facilities were used to drive action: experiences in Bangladesh, Cambodia, India and the Philippines. Orient participants to recent WASH and quality tools (including quality implementation guide, WASH FIT[1]) and how they can be adapted to support participants to engage in quality and WASH improvements. [1] WHO UNICEF Water and Sanitation for Health Facility Improvement Tool (WASH FIT) https://www.who.int/water_sanitation_health/publications/water-and-sanitation-for-health-facility-improvement-tool/en/

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.

MCSP conducted a cost analysis of the Clean Clinic Approach (CCA) in Guatemala to document expenditures necessary to implement the CCA; inform future incremental improvement efforts, both within and outside of Guatemala; and explore and contribute to the literature base on the implementation cost of WASH for infection prevention and control interventions.

L’approche Centre de Santé Assaini (CSA) a démarré dans 2 Divisions Provinciales de la Santé (DPS) regroupant 35 Centres de Santé (CS) avec appui USAID’s flagship Maternal and Child Survival Program (MCSP). The Clean Clinic Approach has been rolled out in 2 provincial health districts, including 35 health centres with support from USAID's flagship program, MCSP.

A summary of the USAID Clean Clinic Approach in the DRC.

A case study presented at the Global Learning Event, Nepal, 2017.

A case study presented at the Global Learning Event, Nepal, 2017.