Water, Sanitation, and Hygiene Services in Public Health-Care Facilities in Indonesia: Adoption of World Health Organization/United Nations Children’s Fund Service Ladders to National Data Sets for a Sustainable Development Goal Baseline Assessment

Odagiri, Mitsunori; Cahyorini,; Azhar, Khadijah; Cronin, Aidan A.; Gressando, Yulian; Hidayat, Indah; Utami, Widya; Widowati, Karina; Roshita, Airin; Soeharno, Rooswanti; examiner, Warouw, Sonny Priajaya,; Ardhiantie,

doi:10.4269/ajtmh.18-0044

Cited by 13 publications

(15 citation statements)

References 11 publications

(14 reference statements)

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“…This might be due to the high population in rural areas which makes up a greater proportion of the overall Tanzanian population [ 34 ]. Similar findings regarding disparities in the availability of water services have been reported by other studies [ 16 , 32 , 35 , 36 ], with HCFs owned by public and those located in rural areas lagging in attaining basic water services. These findings emphasize the need to ensure universal health coverage by improving the WASH conditions in marginalized rural locations.…”

Section: Discussionsupporting

confidence: 89%

Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania

Meshi

Nakamura

Seino

et al. 2022

Public Health in Practice

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Section: Discussionsupporting

confidence: 89%

Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania

Meshi

Nakamura

Seino

et al. 2022

Public Health in Practice

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“…Several reports on WASH services/infrastructure and practices in health care institutions in Africa and other developing countries have found a major urban-rural divide [38][39][40]. This was also evident in this study.…”

Section: Plos Onesupporting

confidence: 79%

What it takes to save lives: An assessment of water, sanitation, and hygiene facilities in temporary COVID-19 isolation and treatment centers of Southern Ethiopia: A mixed-methods evaluation

Tamene¹

2021

PLoS ONE

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Background Quality water, sanitation, and hygiene facilities act as barricades to the transmission of COVID-19 in health care facilities. These facilities ought to also be available, accessible, and functional in temporary treatment centers. Despite numerous studies on health care facilities, however, there is limited information on the status of WASH facilities in such centers. Methods The assessment of health care facilities for the COVID-19 response checklist and key informant interviews, were used for data collection. 35 treatment centers in Southern Ethiopia were surveyed. Eightkey informants were interviewed to gain an understanding of the WASH conditions in the treatment centers. The Quantitative data was entered using EPI-INFO 7 and exported to SPSS 20 for analysis. Results are presented using descriptive statistics. Open Code 4.02 was used for the thematic analysis of the qualitative data. Results Daily water supply interruptions occurred at 27 (77.1%) of the surveyed sites. Only 30 (85.72%) had bathrooms that were segregated for personnel and patients, and only 3 (3.57%) had toilets that were handicapped accessible. 20(57.2%) of the treatment centers did not have a hand hygiene protocol that satisfied WHO guidelines. In terms of infection prevention and control, 16 (45.71%) of the facilities lacked adequate personal protective equipment stocks. Between urban and rural areas, there was also a significant difference in latrine maintenance, hand hygiene protocol design and implementation, and incineration capacity. Conclusion The results reveal crucial deficiencies in the provision of WASH in the temporary COVID-19 treatment centers. Efforts to improve WASH should offer priority to hygiene service interventions to minimize the risk of healthcare-acquired infections. The sustainable provision of hygiene services, such as hand washing soap, should also be given priority.

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“…Studies of EHS conditions worldwide indicate that, while HCFs may lack adequate, safe EHS, many are still providing EHS at some level [ 19 ]. In these cases, understanding costs of upgrading or rehabilitating existing infrastructure is more salient and aligns with the service ladder concept, in which infrastructure is built and EHS improved through incremental improvements [ 77 , 78 ].…”

Section: Discussionmentioning

confidence: 99%

Safe Healthcare Facilities: A Systematic Review on the Costs of Establishing and Maintaining Environmental Health in Facilities in Low- and Middle-Income Countries

Anderson

Cronk

Fejfar

et al. 2021

IJERPH

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A hygienic environment is essential to provide quality patient care and prevent healthcare-acquired infections. Understanding costs is important to budget for service delivery, but costs evidence for environmental health services (EHS) in healthcare facilities (HCFs) is lacking. We present the first systematic review to evaluate the costs of establishing, operating, and maintaining EHS in HCFs in low- and middle-income countries (LMICs). We systematically searched for studies costing water, sanitation, hygiene, cleaning, waste management, personal protective equipment, vector control, laundry, and lighting in LMICs. Our search yielded 36 studies that reported costs for 51 EHS. There were 3 studies that reported costs for water, 3 for sanitation, 4 for hygiene, 13 for waste management, 16 for cleaning, 2 for personal protective equipment, 10 for laundry, and none for lighting or vector control. Quality of evidence was low. Reported costs were rarely representative of the total costs of EHS provision. Unit costs were infrequently reported. This review identifies opportunities to improve costing research through efforts to categorize and disaggregate EHS costs, greater dissemination of existing unpublished data, improvements to indicators to monitor EHS demand and quality necessary to contextualize costs, and development of frameworks to define EHS needs and essential inputs to guide future costing.

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Water, Sanitation, and Hygiene Services in Public Health-Care Facilities in Indonesia: Adoption of World Health Organization/United Nations Children’s Fund Service Ladders to National Data Sets for a Sustainable Development Goal Baseline Assessment

Cited by 13 publications

References 11 publications

Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania

Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania

What it takes to save lives: An assessment of water, sanitation, and hygiene facilities in temporary COVID-19 isolation and treatment centers of Southern Ethiopia: A mixed-methods evaluation

Safe Healthcare Facilities: A Systematic Review on the Costs of Establishing and Maintaining Environmental Health in Facilities in Low- and Middle-Income Countries

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