1. Operational Review WASH

2. 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%.

3. 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

4. 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