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.

Monitoring Environmental Health in Maternal and Newborn Health Programs In Health Care Facilities

The objectives of this brief are to review common and effective indicators for monitoring environmental health conditions and measuring improvements in maternal and newborn health care as well as recommend opportunities to enhance monitoring of environmental health in maternal and newborn health care settings.

UNICEF Scoping study in Eastern and Southern Africa

UNICEF Eastern and Southern Africa Regional Office conducted a regional scoping study and deep dive on the Enabling Environment for WASH services in Health Care Facilities across its 21 programming countries in Eastern and Southern Africa Region. The aim was to assess the status of the enabling environment for WASH services in health facilities, identify related gaps and explore avenues to enhance programming in the region.

Useful resources for Practical Action 5: Monitor & Review Data

A list of useful resources to consult when considering how to carry out Practical Step 5: Monitor & Review Data. This was shared at the 2019 Global Meeting in Livingstone, Zambia (September 2019).

Summary of WASH in health care facilities webinar series

Emory University hosted a yearlong monthly webinar series on WASH in Healthcare Facilities. The following report summarizes each of the sessions, along with links to the recordings.

Indicators and questions for monitoring WASH and related infection prevention and control in delivery rooms:

This module for monitoring WASH and related IPC in delivery rooms is a final draft - the indicators and questions can now be used in relevant surveys and programmes. No WASH expertise is required to use them. The indicators build upon existing JMP indicators for monitoring WASH in health care facilities (in general service areas) and WHO’s Essential Environmental Health Standards in Health Care (2008). The JMP is seeking feedback from users up to the 28th February 2020 after which time a revised version will be published. Please share your feedback via

Findings from SNV baseline on health care facilities in 5 countries

Preliminary results from a survey of health care facilities conducted by SNV in 16 cities across 5 countries (Bangladesh, Indonesia, Nepal, Tanzania and Zambia). 366 facilities were surveyed in total.

A systematic tool to assess sustainability of safe water provision in healthcare facilities in low-resource settings

To achieve safe water for all (Sustainable Development Goal (SDG) 6), many healthcare facilities (HCF) will require onsite water treatment. This paper describes a systematic tool to assess the sustainability of safe water provision in HCFs.

Afghanistan WASH in Healthcare Facilities Assessment Summary

A report of the World Vision assessment of 105 healthcare facilities in three Afghan provinces conducted in April 2018 with Emory University.