The critical need for WASH in emergency preparedness in health settings, the case of COVID-19 pandemic in Kisumu Kenya

Abu, Thelma Zulfawu; Elliott, Susan J.

doi:10.1016/j.healthplace.2022.102841

Cited by 7 publications

(11 citation statements)

References 47 publications

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“…The study results indicated that handwashing prevalence declined signi cantly across regions and in each country with Tanzania recording a 14% decline (Δ84-70%) (35)). Similarly, another study (34) noted that inadequate access to hygiene and safety caused psychosocial stresses among healthcare workers thus affecting the quality of care provided. A study to examine WASH in Kenya's slums -Mathare and Kiberaduring the pandemic in 2021 indicated that accessibility of water was better in Mathare than in Kibera (22).…”

Section: Barriers To Uptake To Hand Washingmentioning

confidence: 99%

“…A study to examine factors to SARS-CoV-2 vaccine uptake in Kenya indicated that unsubstantiated fear about the side effects and misinformation was still a barrier to vaccine uptake (30). A study (32) focusing Kenya and other countries and another study (34) focusing Kisumu on Kenya reported concerns regarding vaccine safety and side effects. Similarly, a study (29) focusing Kenya, Uganda and Tanzania noted that safety concerns were still a barrier on vaccine uptake among adults.…”

Section: Fear Of Side Effectsmentioning

confidence: 99%

“…E ciency and safety concerns of manufactured sanitizers need to be assessed to safeguard public health safety (23). In a study carried in to explore the effects of the Covid-19 on the health care facilities in Kisumu-Kenya, fear of side effects by participants was cited as a barrier to handwashing practices (34) The lack of trust Regarding to handwashing, individuals did not trust the government's recommendations or messaging on the bene ts of hand hygiene (24,34). These results emphasis the need to build trust in order to increase hand hygiene uptake.…”

Section: Fear Of Side Effectsmentioning

confidence: 99%

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Enablers and Barriers to Handwashing and Vaccine Uptake in Kenya, Uganda, and Tanzania in Relation to COVID-19 Prevention and Control: A Systematic Review

Muchangi,

Mturi,

Mukasa

et al. 2023

Preprint

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Background The Coronavirus disease 2019 has brought about unprecedented challenges globally, threatening to undo the decades of progress on poverty, health systems and education. Several efforts have been put forward to edge the spread of the covid-19 disease including handwashing and mass vaccination. Despite their proven effectiveness, the uptake is low thus threatening to undermine the future successes of vaccination and handwashing campaigns. This review intends to determine the enablers and barriers to handwashing and vaccine uptake in Kenya, Uganda, and Tanzania in relation to COVID-19 prevention and control. Methods This review was carried according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA-P) guidelines. A comprehensive literature search of studies from three databases: PubMed, Direct science and Google Scholar was conducted. Published studies within the period between December 2019 up to end of January 2023 on enablers and barriers on handwashing and vaccine uptake in Kenya, Uganda, and Tanzania in relation to COVID-19 prevention and control were assessed and selected. Results A total of 391 research were reviewed, and 21 studies eligible for inclusion in the review. Results indicate that in the three countries: Kenya, Uganda, and Tanzania; the most cited barriers to handwashing and vaccine uptake include concerns on safety, efficacy, and quality of manufactured vaccines and handwashing practices, lack of awareness, lack of trust to the vaccines and handwashing, myths, misconceptions, and risk-perceptions. Enablers to handwashing and Covid-19 vaccine uptake identified were access to knowledge, access to hand hygiene programmes and water, involvement of community leaders to create awareness and socio-economic factors such as education level and cash incentives. Conclusion The study has identified enablers and barriers that can influence the success of these interventions in Kenya, Uganda, and Tanzania in relation to COVID-19 prevention and control. Stakeholders should formulate strategize to address the identified barriers leveraging on enablers to motivate the individuals to accept vaccination and practice more hand hygiene through creating awareness and sensitization through community leaders, making the vaccines and clean water or soap available and accessible. Registration PROSPERO ID CRD42023396303; registered on 2nd February 2023

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Section: Barriers To Uptake To Hand Washingmentioning

confidence: 99%

Section: Fear Of Side Effectsmentioning

confidence: 99%

Section: Fear Of Side Effectsmentioning

confidence: 99%

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Enablers and Barriers to Handwashing and Vaccine Uptake in Kenya, Uganda, and Tanzania in Relation to COVID-19 Prevention and Control: A Systematic Review

Muchangi,

Mturi,

Mukasa

et al. 2023

Preprint

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“…It prevents access to health facilities, many of which were temporarily closed due to containment and transport restriction measures. In addition, the lack of supplies, including sanitary equipment and medicines, and the failure of many businesses and trades, especially in the informal sector which is a crucial part of the economy in SSA, has led to concerns, logistical constraints, and a loosening of social links [27,32,55,74,84,101,108,114].…”

Section: Conjunctural Factorsmentioning

confidence: 99%

COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview

Chippaux

2023

J. Venom. Anim. Toxins incl. Trop. Dis

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“…Effective water management and disposal strategies, in normal times and crisis events, are essential to enable health infrastructures to deliver health services ( 6 , 7 ). Level of supply reliability and standards can significantly affect needs in case of service disruption.…”

Section: Introductionmentioning

confidence: 99%

Water supply emergency preparedness and response in health care facilities: A systematic review on international evidence

Heijden

Cassivi

Mayer

et al. 2022

Front. Public Health

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IntroductionEnabling health care facilities to deal with impairments or outages of water supply and sewage systems is essential and particularly important in the face of growing risk levels due to climate change and natural hazards. Yet, comprehensive assessments of the existing preparedness and response measures, both in theory and practice, are lacking. The objective of this review is to assess water supply and wastewater management in health care facilities in emergency settings and low-resource contexts. It thereby is a first step toward knowledge transfer across different world regions and/or contexts.MethodA systematic review was performed to identify published articles on the subject using online MEDLINE and Web of Science. The initial searches yielded a total of 1,845 records. Two independent reviewers screened identified records using selection criteria. A total of 39 relevant studies were identified. Descriptive analyses were used to summarize evidence of included studies.ResultsOverall, water supply was far more discussed than wastewater management. Studies on emergency preparedness identified back-up water storage tank, additional pipelines, and underground wells as key sources to supply health care facilities with water during an emergency. In emergency response, bottled of water, followed by in-situ back-up water storage tanks previously installed as part of disaster preparedness measures, and tanker trucks to complete were most used. Questions on how to improve existing technologies, their uptake, but also the supplementation by alternative measures remain unanswered. Only few guidelines and tools on emergency preparedness were identified, while multiple studies formulated theoretical recommendations to guide preparedness. Recovery planning was rarely discussed, despite many studies mentioning the importance of the reconstruction and restoration phases. Literature focus on recovery is mostly on technical aspects, while organizational ones are largely absent. Despite their key role for preparedness and response, citizens and patients' perspectives are hugely underrepresented. This fits into the bigger picture as communication, awareness raising and actor cooperation in general is addressed comparatively little.DiscussionCombining organizational and technical aspects, and intersecting theory and practice will be necessary to address existing gaps. Improving both, preparedness and response, is key to maintaining public health and providing primary care.

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The critical need for WASH in emergency preparedness in health settings, the case of COVID-19 pandemic in Kisumu Kenya

Cited by 7 publications

References 47 publications

Enablers and Barriers to Handwashing and Vaccine Uptake in Kenya, Uganda, and Tanzania in Relation to COVID-19 Prevention and Control: A Systematic Review

Enablers and Barriers to Handwashing and Vaccine Uptake in Kenya, Uganda, and Tanzania in Relation to COVID-19 Prevention and Control: A Systematic Review

COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview

Water supply emergency preparedness and response in health care facilities: A systematic review on international evidence

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