Resources

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/

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

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

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

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

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

Résultats et réflexion sur le pilotage de l’outil Water and Sanitation for Health Facility Improvement Tool (WASH FIT, OMS, UNICEF, 2018) au Mali, comme cadre de travail participatif pour évaluer et agir afin de réduire les risques et d’améliorer les services.

This study aimed to investigate availability of WASH policies, standards, and services for childbirth and newborn care in hospitals in East Asia and the Pacific. Descriptive analysis of survey data and observations of water, sanitation and hygiene services in maternity and neonatal care rooms and of deliveries in 153 hospitals in Cambodia, China, Lao People’s Democratic Republic, Mongolia, Papua New Guinea, Philippines, Solomon Islands, and Viet Nam. The main outcome measures were availability of national policies and standards; availability of water, sanitation, and hygiene services in maternity rooms and neonatal care units; and practice of hygiene at childbirth.

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.