WASH FIT implementation in Rohingya camps in Cox's Bazar Bangladesh – results after 1 year
Water, sanitation, and healthcare waste management are essential services in healthcare facilities to ensure the quality of care and minimize infection risk. World Health Organization (WHO) Cox Bazar's sub-office supported the implementation of the Water and Sanitation for Health Facility Impro...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IWA Publishing
2023-11-01
|
| Series: | Journal of Water, Sanitation and Hygiene for Development |
| Subjects: | |
| Online Access: | http://washdev.iwaponline.com/content/13/11/866 |
| _version_ | 1827614989712621568 |
|---|---|
| author | Ahammadul Kabir Morshed Mohammad Shahnewaz Hossain Mohammad Arif Wassie Bizuneh Assefa Bhuiyan Abu Toha Md Rezuanul Haque Arabella Hayter Egmond Evers |
| author_facet | Ahammadul Kabir Morshed Mohammad Shahnewaz Hossain Mohammad Arif Wassie Bizuneh Assefa Bhuiyan Abu Toha Md Rezuanul Haque Arabella Hayter Egmond Evers |
| author_sort | Ahammadul Kabir |
| collection | DOAJ |
| description | Water, sanitation, and healthcare waste management are essential services in healthcare facilities to ensure the quality of care and minimize infection risk. World Health Organization (WHO) Cox Bazar's sub-office supported the implementation of the Water and Sanitation for Health Facility Improvement Tool in 21 purposively selected HCFs in Rohingya refugee settlements. A total of 16 WASH FIT indicators from three of the seven WASH FIT domains (five on water, five on sanitation, and six on healthcare waste management) were monitored for 1 year employing a mixed method approach. After 1 year 67% of indicators in all three domains met minimum WASH FIT standards, indicating a significant (p ≤ 0.01) contribution to improved quality of care compared to 29% at the start in August 2018. By domain, 81% of water indicators (vs. 67% at the start), 76 vs. 24% for sanitation, and 48 vs. 33% for healthcare waste management met standards. Key informant interviews and focus group discussions affirm improvement in all three domains, including quality of care, staff satisfaction, and awareness of occupational risks and mitigation measures. Challenges remain, including limited budget, lack of leadership and absence of formal programs for improving water supply infrastructure, sanitation and healthcare waste management.
HIGHLIGHTS
First successful implementation of WASH FIT in an emergency.;
Summarized key findings of changes in water, sanitation, and healthcare waste management domains.;
Challenges included inexperienced manpower, limitation of resources, absence of leadership, logistics, and high population density.;
Government incorporated WASH FIT ‘Focal Person’ and ‘Facility Improvement Plan’ in the ‘Minimum Package of Essential Health Services’ at Cox's Bazar level.; |
| first_indexed | 2024-03-09T09:03:47Z |
| format | Article |
| id | doaj.art-110ff58f02a041f7a685a5cd7ccffacd |
| institution | Directory Open Access Journal |
| issn | 2043-9083 2408-9362 |
| language | English |
| last_indexed | 2024-03-09T09:03:47Z |
| publishDate | 2023-11-01 |
| publisher | IWA Publishing |
| record_format | Article |
| series | Journal of Water, Sanitation and Hygiene for Development |
| spelling | doaj.art-110ff58f02a041f7a685a5cd7ccffacd2023-12-02T10:48:35ZengIWA PublishingJournal of Water, Sanitation and Hygiene for Development2043-90832408-93622023-11-01131186687410.2166/washdev.2023.268268WASH FIT implementation in Rohingya camps in Cox's Bazar Bangladesh – results after 1 yearAhammadul Kabir0Morshed Mohammad Shahnewaz1Hossain Mohammad Arif2Wassie Bizuneh Assefa3Bhuiyan Abu Toha Md Rezuanul Haque4Arabella Hayter5Egmond Evers6 World Health Organization (WHO), Dhaka, Bangladesh Hilfswerk der Evangelischen Kirchen Schweiz/Entraide Protestante Suisse (HEKS/EPER), Cox's Bazar, Bangladesh Directorate General Health Services (DGHS), Cox's Bazar, Bangladesh World Health Organization (WHO), Dhaka, Bangladesh Office of Relief & Repatriation Commissioner, Ministry of Disaster Management & Relief, Cox's Bazar, Bangladesh World Health Organization (WHO), Geneva, Switzerland World Health Organization (WHO), Geneva, Switzerland Water, sanitation, and healthcare waste management are essential services in healthcare facilities to ensure the quality of care and minimize infection risk. World Health Organization (WHO) Cox Bazar's sub-office supported the implementation of the Water and Sanitation for Health Facility Improvement Tool in 21 purposively selected HCFs in Rohingya refugee settlements. A total of 16 WASH FIT indicators from three of the seven WASH FIT domains (five on water, five on sanitation, and six on healthcare waste management) were monitored for 1 year employing a mixed method approach. After 1 year 67% of indicators in all three domains met minimum WASH FIT standards, indicating a significant (p ≤ 0.01) contribution to improved quality of care compared to 29% at the start in August 2018. By domain, 81% of water indicators (vs. 67% at the start), 76 vs. 24% for sanitation, and 48 vs. 33% for healthcare waste management met standards. Key informant interviews and focus group discussions affirm improvement in all three domains, including quality of care, staff satisfaction, and awareness of occupational risks and mitigation measures. Challenges remain, including limited budget, lack of leadership and absence of formal programs for improving water supply infrastructure, sanitation and healthcare waste management. HIGHLIGHTS First successful implementation of WASH FIT in an emergency.; Summarized key findings of changes in water, sanitation, and healthcare waste management domains.; Challenges included inexperienced manpower, limitation of resources, absence of leadership, logistics, and high population density.; Government incorporated WASH FIT ‘Focal Person’ and ‘Facility Improvement Plan’ in the ‘Minimum Package of Essential Health Services’ at Cox's Bazar level.;http://washdev.iwaponline.com/content/13/11/866emergencyhealth care facilityhealthcare waste managementrohingya settlementwash fit |
| spellingShingle | Ahammadul Kabir Morshed Mohammad Shahnewaz Hossain Mohammad Arif Wassie Bizuneh Assefa Bhuiyan Abu Toha Md Rezuanul Haque Arabella Hayter Egmond Evers WASH FIT implementation in Rohingya camps in Cox's Bazar Bangladesh – results after 1 year Journal of Water, Sanitation and Hygiene for Development emergency health care facility healthcare waste management rohingya settlement wash fit |
| title | WASH FIT implementation in Rohingya camps in Cox's Bazar Bangladesh – results after 1 year |
| title_full | WASH FIT implementation in Rohingya camps in Cox's Bazar Bangladesh – results after 1 year |
| title_fullStr | WASH FIT implementation in Rohingya camps in Cox's Bazar Bangladesh – results after 1 year |
| title_full_unstemmed | WASH FIT implementation in Rohingya camps in Cox's Bazar Bangladesh – results after 1 year |
| title_short | WASH FIT implementation in Rohingya camps in Cox's Bazar Bangladesh – results after 1 year |
| title_sort | wash fit implementation in rohingya camps in cox s bazar bangladesh results after 1 year |
| topic | emergency health care facility healthcare waste management rohingya settlement wash fit |
| url | http://washdev.iwaponline.com/content/13/11/866 |
| work_keys_str_mv | AT ahammadulkabir washfitimplementationinrohingyacampsincoxsbazarbangladeshresultsafter1year AT morshedmohammadshahnewaz washfitimplementationinrohingyacampsincoxsbazarbangladeshresultsafter1year AT hossainmohammadarif washfitimplementationinrohingyacampsincoxsbazarbangladeshresultsafter1year AT wassiebizunehassefa washfitimplementationinrohingyacampsincoxsbazarbangladeshresultsafter1year AT bhuiyanabutohamdrezuanulhaque washfitimplementationinrohingyacampsincoxsbazarbangladeshresultsafter1year AT arabellahayter washfitimplementationinrohingyacampsincoxsbazarbangladeshresultsafter1year AT egmondevers washfitimplementationinrohingyacampsincoxsbazarbangladeshresultsafter1year |