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Results of an assessment of WASH in health care facilities in Bolivia, completed in 2018.

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.

One of a series of situational analyses conducted by WHO in Ethiopia (November 2018), Ghana (February 2019) and Rwanda (June 2019). The analysis involved key informant interviews and facility visits and builds on an initial assessment conducted in July 2016.

This facilitator's guide was developed for Learning Lab 1 at the Global Meeting on WASH in health care facilities. The guide takes participants through the steps needed to conduct a situational analysis and assessment. It is being used as the basis of a methodology paper on how to conduct a situational analysis, currently under development and due to be published at the end of 2019.

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.

UNICEF supported the first-ever study titled “WASH Assessment and Surveillance System in Health facilities in the Gaza Strip,” funded by ECHO in partnership with the INGO WW-GVC. This study covered 21 health care facilities (5 hospitals and 16 primary healthcare clinics). The study used the triangulation of qualitative and quantitative information to allow a realistic translation of the data that would lead to more comprehensive results and generating evidence-based policy options for actions. This was achieved through face-to-face interviews with key personnel in each HCF (the medical/nursing director, admin director, IPC committee member and head of engineering and maintenance department) and a walk-through checklist inspection of the main WASH infrastructures and amenities by qualified engineers, hygiene and health experts. The data were analyzed in line with: (i) JMP Core indicators for availability of basic WASH services in HCFs, (ii) Advanced indicators from WASH in HCFs (WHO WASH FIT), (iii) Investment’s costs in the WASH infrastructure (an estimation for the coast of investments in WASH infrastructure rehabilitation. In addition, the assessment included key informant interviews with key personnel in the Ministry of Health (MoH), Palestinian Water Authority (PWA) and Coastal Municipalities Water Utility (CMWU) to evaluate the waterborne disease surveillance system implemented at the MoH and its ability to trigger an outbreak as well as roles and responsibilities of stakeholders in the response.

A case study from 11 facilities in Ethiopia and 9 in Kenya where the Millennium Water Alliance (MWA) and other NGOs operate

Meeting Reports from a side event at UNC, October 2017

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

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