scholarly journals Water, Sanitation, and Hygiene Service Availability at Rural Health Care Facilities in Southwestern Uganda

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Edgar Mugema Mulogo ◽  
Micheal Matte ◽  
Andrew Wesuta ◽  
Fred Bagenda ◽  
Richard Apecu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Centre ◽  
High Volume ◽  
Health Care Facilities ◽  
Hand Washing ◽  
Service Availability ◽  
Sanitation And Hygiene ◽  
Care Facilities ◽  
Improved Sanitation ◽  
Southwestern Uganda

There is a paucity of information on the state of water, sanitation, and hygiene (WASH) at health care facilities in Uganda. A survey on WASH service availability was conducted at 50 health care facilities across 4 districts of rural southwestern Uganda between September and November 2015. The main water points at the majority (94%) of the health care facilities were improved sources, while improved toilets were available at 96% of the health care facilities visited. Hospitals had the poorest toilet to patient ratio (1 : 63). Only 38% of the health care facilities had hand washing facilities at the toilets. The lack of hand washing facilities was most prominent at the level IV health centre toilets (71%). Hand washing facilities were available at other points within most (76%) of the health care facilities. However, both water and soap were present at only 24% of these health care facilities. The poor toilet to patient/caregiver ratios particularly in the high volume health care facilities calls for the provision of cheaper options for improved sanitation in these settings. Priority should also be given to the sustainable provision of hygiene amenities such as soap for hand washing particularly the high patient volume health care facilities, in this case the level IV health centres and hospitals.

Mortality and Morbidity Among Rwandan Refugees Repatriated from Zaire, November, 1996

1998 ◽  
Vol 13 (2-4) ◽  
pp. 17-21 ◽  
Author(s):  
Nicholas Banatvala ◽  
Alison J. Roger ◽  
Ailsa Denny ◽  
John P. Howarth
Keyword(s):  
Health Care ◽  
Health Centre ◽  
Health Care Facilities ◽  
Watery Diarrhea ◽  
Local Health ◽  
Population Movements ◽  
Mortality And Morbidity ◽  
Care Facilities ◽  
Health Centres ◽  
North Kivu

AbstractIntroduction:Following renewed ethnic violence at the end of September 1996, conflict between Tutsi rebels and the Zairian army spread to North Kivu, Zaire where approximately 700,000 Rwandan Hutu refugees resided following the 1994 genocide. After a major rebel offensive against the camps' militia groups on 15 November, a massive movement of refugees towards Rwanda through Goma town, the capital of North Kivu, began. Massive population movements such as this are likely to be associated with substantial mortality and morbidity.Objective:To study patterns of mortality, morbidity, and health care associated with the Rwandan refugee population repatriation during November 1996.Methods:This study observed the functioning of the health-care facilities in the Gisenyi District in Rwanda and the Goma District in Zaire, and surveyed mortality and morbidity among Rwandan refugees returning from Zaire to Rwanda. Patterns of mortality, morbidity, and health care were measured mainly by mortality and health centre consultation rates.Results:Between 15 and 21 November 1996, 553,000 refugees returned to Rwanda and 4,530 (8.2/1,000 refugees) consultations took place at the border dispensary (watery diarrhea, 63%; bloody diarrhea, 1%). There were 129 (0.2/1,000) surgical admissions (72% soft tissue trauma) to the Gisenyi hospital in the subsequent two weeks. The average number of consultations from the 13 health centres during the same period was 500/day. Overall, the recorded death rate was 0.5/10,000 (all associated with diarrhea). A total of 3,586 bodies were identified in the refugee camps and surrounding areas of Goma, almost all the result of trauma. Many had died in the weeks before the exodus. Health centres were overwhelmed and many of the deficiencies in provision of health care identified in 1994 again were evident.Results:Non-violent death rates were low, a reflection of the population's health status prior to migration and immunity acquired from the 1994 cholera out-break. Health facilities were over stretched, principally because of depleted numbers of local, health-care workers associated with the 1994 genocide. Health-care facilities running parallel to the existing health-care system functioned most effectively.

scholarly journals 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

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256086
Author(s):  
Aiggan Tamene
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Rural Areas ◽  
Health Care Facilities ◽  
Infection Prevention And Control ◽  
Southern Ethiopia ◽  
Limited Information ◽  
Sanitation And Hygiene ◽  
Significant Difference ◽  
Care Facilities

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.

scholarly journals Improving water, sanitation and hygiene in health-care facilities, Liberia

2017 ◽  
Vol 95 (7) ◽  
pp. 526-530 ◽  
Author(s):  
Nana Mensah Abrampah ◽  
Maggie Montgomery ◽  
April Baller ◽  
Francis Ndivo ◽  
Alex Gasasira ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Sanitation And Hygiene ◽  
Care Facilities

Health Status and Demand for Health Care

2016 ◽  
Vol 18 (4) ◽  
pp. 536-544
Author(s):  
Subhrabaran Das ◽  
Alfina Khatun Talukdar
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Centre ◽  
Married Women ◽  
Overweight And Obesity ◽  
Health Care Facilities ◽  
Demand For Health Care ◽  
Care Facilities ◽  
Per Capita ◽  
Demand For Health

Women are deprived and neglected in all respects, especially in the rural areas of the country. This attitude has a negative impact on their health status. The study attempts to examine the health status of the rural married women, especially for Muslim married women belonging different groups, viz., reproductive group, premenopause group and menopause group. This commentary focuses on health status of rural Muslim married women in Cachar district based on their health indicators. This study also attempts to find the health infrastructure that prevails in this area and the demand for the health care for them. The study reveals that most of the women, especially under the reproductive group, suffer from acute malnutrition problem, while women belonging to premenopause and menopause group face the problem of overweight and obesity, mostly. Due to shortage of health care facilities, there is a high demand for health care. The study reveals that household size, per capita income, distance of the health centre from house, per capita area of house and kachcha house are the significant determinants of demand for health care facilities.

scholarly journals Acceptability and Use of Portable Drinking Water and Hand Washing Stations in Health Care Facilities and Their Impact on Patient Hygiene Practices, Western Kenya

PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0126916 ◽  
Author(s):  
Sarah D. Bennett ◽  
Ronald Otieno ◽  
Tracy L. Ayers ◽  
Aloyce Odhiambo ◽  
Sitnah H. Faith ◽  
...  
Keyword(s):  
Health Care ◽  
Drinking Water ◽  
Health Care Facilities ◽  
Hand Washing ◽  
Western Kenya ◽  
Hygiene Practices ◽  
Care Facilities

scholarly journals Supportive supervision as an effective intervention in improving water, sanitation and hygiene facilities in government health facilities of Tamil Nadu

2018 ◽  
Vol 5 (3) ◽  
pp. 1082 ◽  
Author(s):  
Sudharshini Subramaniam ◽  
T. S. Selvavinayagam
Keyword(s):  
Health Care ◽  
Tamil Nadu ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Effective Intervention ◽  
World Health ◽  
Supportive Supervision ◽  
Sanitation And Hygiene ◽  
Care Facilities ◽  
Health Organization

Background: Water, sanitation and hygiene (WASH) is one of the important components of Sustainable Development Goals which is essential for achieving any global health-related goals. WASH in health care facilities is prioritized as a necessary input to achieve health goals. Supportive Supervision has been established as an effective intervention in improving the performance of health care workers. This paper evaluates the role of supportive supervision in improving WASH facilities in the health care facilities of high priority districts of Tamil Nadu.Methods: The effectiveness of supportive supervision in improving WASH facilities was assessed through a pre-post experimental research design. World Health Organization proposed steps were followed while planning for the supportive supervision. Supervisory visits were made using checklists in all secondary level public health facilities in 7 High Priority Districts which were chosen based on the preliminary WASH survey conducted by UNICEF. The same health facilities were revisited after 3 months and supervised using the same checklist.Results: In the first supervisory visit, 41.6% of the health facilities (57 out of 137 facilities) were non- functional in terms of WASH score, while only 5.8% (8 out of 137 facilities) were fully functional. In the second visit, proportion of non- functional facilities had dropped from 41.6% to 7.3% and there has been an increase in the partially functional (52.6% to 71.5%) and fully functional facilities (5.8% to 21.2%) which was found to be statistically significant.Conclusions: Supportive supervision was able to show a significant improvement in the WASH facilities in all types of facilities. 

scholarly journals Water, sanitation, and hygiene services in health care facilities in the Autonomous Province of Vojvodina, Serbia

2021 ◽  
Author(s):  
Sanja Bijelović ◽  
Valentina Grossi ◽  
Enkhtsetseg Shinee ◽  
Oliver Schmoll ◽  
Dragana Jovanović ◽  
...  
Keyword(s):  
Water Quality ◽  
Health Care ◽  
Drinking Water ◽  
Waste Management ◽  
Health Care Facilities ◽  
Service Levels ◽  
Environmental Cleaning ◽  
Sanitation And Hygiene ◽  
Care Facilities ◽  
Autonomous Province

Abstract Provision of safe water, sanitation, and hygiene (WASH) services in health care facilities is a priority at the global, national, and local levels. To inform improvements planning, conditions of WASH, waste management, and environmental cleaning were assessed in 81 facilities in the Autonomous Province of Vojvodina, Serbia, as part of a nationally representative survey in 2019. The survey included on-site checks, structured interviews, and drinking-water quality analysis. WHO/UNICEF indicators for WASH service levels and an advanced service level defined at the national level were applied. The results showed that all investigated facilities provided basic water services; 94% of facilities provided basic hygiene and waste management services; 58 and 2%, respectively, provided basic cleaning and sanitation services. Only 1% of investigated facilities met the basic level for all five WASH dimensions. Advanced service levels were only met for hygiene, waste management, and/or cleaning in 15–38% of facilities. In 33% of health care facilities, drinking-water quality was not in compliance with the national standards. The results revealed that there is a need for increased awareness and efforts to ensure basic provisions for sanitation, environmental cleaning, and drinking-water safety.

scholarly journals Water, sanitation and hygiene in health care facilities: Challenges and priorities

Tehnika ◽  
2017 ◽  
Vol 72 (1) ◽  
pp. 143-146 ◽  
Author(s):  
Dragana Jovanovic ◽  
Ivana Ristanovic-Ponjavic
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Sanitation And Hygiene ◽  
Care Facilities
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