Operational Review WASH

The Problem – WASH Evaluation of HC WASH in SS Assessment FINDINGS in six (6) referral hospitals and 1 PHCC shows highly suboptimal scores for WASH essential requirements in health facilities ranging from 28%-43%., health facilities may contribute to the risk of infection of the larger population. The situation at PHCC/PHCU may even be worse. Huge gaps in water quality control, medical waste management, infection control and vector control Urgent action and funding is needed to improve water quality control and surveillance, Evaluation of HC WASH in SS Sphere standards of essential requirements for WASH, health facilities 100%.

PROGRESS GAPS Baseline Initial assessment of health facilities 24 public health officers trained on water quality control testing monitoring and treatment and WASH case management in cholera treatment centers CTC,CTU and ORP points Take led on WASH partners TOT training facilitation through the wash cluster 18 WASH partners trained in Mingkaman on essential requirement in health facilities Strong and enhance collaboration and partnership Resource mobilization and partners engagements (concept submitted) Technical support to the MoH on medical world bank medical waste management Health cluster partners sensitized on WASH essential requirement in health facility 50 chlorination kits in pipe to support water treatment and ensure proper disinfection 1000 chlorination chart in pipe line to support proper disinfection in health facilities managing cholera cases No holistic approach on WASH in health facility (fragmented approach) Lack of funding for WASH within WHO Lack of supplies and tools to enhance implementation Constrains on deployment of support staff Limited technical capacity and lack of initiate from the MoH Lack of base line information on WASH in health facilities WATSAN gap in cholera treatment centers Standardize national protocol on WASH in cholera treatment centers No sustainable strategic approach for cattle camps Holistic Cholera intervention supplies description and responsibility between health and WASH

WAY FORWARD Pilot holistic implementation approach WASH in WHO constructed 6 maternity complex center of excellence Enhance the implementation of water quality control testing and monitoring and surveillance in all WHO state hubs, PoC sites, IDP camps and TFC centers. Strengthening IPC Integration in health system Provide technical implementation guidance on medical infectious waste management final treatment and disposal Provide funding for WASH activities Enhance and strengthen technical implementation capacity building for national public health officers and WASH partners in water quality control and cholera management Emergency preparedness scenarios should include WASH component activities and budget