Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach

Access to improved water, sanitation and hygiene (WASH) is essential for the delivery of high-quality care in healthcare facilities and the prevention of hospital-acquired infections such as the transmission of the SARS-CoV-2. In addition, unimpeded access to WASH facilities in coronavirus disease 2...

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Main Authors: Mary Eyram Ashinyo, Kingsley E. Amegah, Stephen Dajaan Dubik, Gloria Ntow-Kummi, Maxwell Kudzo Adjei, Joyce Amponsah, John T. Ayivase, Serwah Amoah, Anthony Ashinyo, Sodzi Sodzi-Tettey, Hectoria Awekeya, Agnes Codjoe, Isaac Eyram Tegbey, Akosua Takyiwah O. Kwakye, Samuel Kaba Akoriyea
Format: Article
Language:English
Published: IWA Publishing 2021-05-01
Series:Journal of Water, Sanitation and Hygiene for Development
Subjects:
Online Access:http://washdev.iwaponline.com/content/11/3/398
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author Mary Eyram Ashinyo
Kingsley E. Amegah
Stephen Dajaan Dubik
Gloria Ntow-Kummi
Maxwell Kudzo Adjei
Joyce Amponsah
John T. Ayivase
Serwah Amoah
Anthony Ashinyo
Sodzi Sodzi-Tettey
Hectoria Awekeya
Agnes Codjoe
Isaac Eyram Tegbey
Akosua Takyiwah O. Kwakye
Samuel Kaba Akoriyea
author_facet Mary Eyram Ashinyo
Kingsley E. Amegah
Stephen Dajaan Dubik
Gloria Ntow-Kummi
Maxwell Kudzo Adjei
Joyce Amponsah
John T. Ayivase
Serwah Amoah
Anthony Ashinyo
Sodzi Sodzi-Tettey
Hectoria Awekeya
Agnes Codjoe
Isaac Eyram Tegbey
Akosua Takyiwah O. Kwakye
Samuel Kaba Akoriyea
author_sort Mary Eyram Ashinyo
collection DOAJ
description Access to improved water, sanitation and hygiene (WASH) is essential for the delivery of high-quality care in healthcare facilities and the prevention of hospital-acquired infections such as the transmission of the SARS-CoV-2. In addition, unimpeded access to WASH facilities in coronavirus disease 2019 (COVID-19) treatment centres (TCs) is central in facilitating compliance with infection prevention and control protocols. However, data for the WASH status of COVID-19 TCs in Ghana are limited. We evaluated the WASH status of seven COVID-19 TCs in Ghana using the WHO/UNICEF water and sanitation for health facility improvement tool (WASH FIT). The water domain had the highest number of indicators meeting standards with an average percentage score of 90.5% (range: 66.7–100%) across the seven TCs, followed by management (66.9%) and hygiene (58.7%). The TCs performed poorly in the sanitation and healthcare waste domain, with an average percentage score of 44.6% (range: 22.2–75%). These findings highlight the challenges being faced by COVID-19 TCs in implementing WASH services. Specific WASH interventions are urgently required to strengthen WASH services in the COVID-19 TCs. This should precede the prioritisation of resources to WASH infrastructure in the treatment facilities coupled with actions that involve all stakeholders. HIGHLIGHTS Water, sanitation and hygiene (WASH) in healthcare facilities is crucial in preventing the transmission of highly infectious diseases.; We used the WHO/UNICEF water and sanitation for health facility improvement tool (WASH FIT) to evaluate the WASH status of COVID-19 treatment centres (TCs).; There were gaps in the performance of the TCs across the four WASH domains.; We call for the prioritisation of resources to WASH infrastructure in the TCs.; This is crucial in building a resilient WASH system in the treatment facilities.;
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spelling doaj.art-ab7a3c0275b14cc48b5b9298c873b97f2022-12-21T19:31:03ZengIWA PublishingJournal of Water, Sanitation and Hygiene for Development2043-90832408-93622021-05-0111339840410.2166/washdev.2021.254254Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approachMary Eyram Ashinyo0Kingsley E. Amegah1Stephen Dajaan Dubik2Gloria Ntow-Kummi3Maxwell Kudzo Adjei4Joyce Amponsah5John T. Ayivase6Serwah Amoah7Anthony Ashinyo8Sodzi Sodzi-Tettey9Hectoria Awekeya10Agnes Codjoe11Isaac Eyram Tegbey12Akosua Takyiwah O. Kwakye13Samuel Kaba Akoriyea14 Institutional Care Division, Ghana Health Service Headquarters, Accra, Ghana Department of Health Information, Hohoe Municipal Hospital, Hohoe, Ghana School of Allied Health Sciences, University for Development Studies, Tamale, Ghana Institutional Care Division, Ghana Health Service Headquarters, Accra, Ghana Institutional Care Division, Ghana Health Service Headquarters, Accra, Ghana Institutional Care Division, Ghana Health Service Headquarters, Accra, Ghana Institutional Care Division, Ghana Health Service Headquarters, Accra, Ghana Institutional Care Division, Ghana Health Service Headquarters, Accra, Ghana National AIDS/STI Control Programme, Ghana Health Service Headquarters, Accra, Ghana Department of Global Division, Institute for Healthcare Improvement,, Boston, MA, USA Department of Quality Assurance, Eastern Regional Hospital, Koforidua, Ghana Department of Adult Health, School of Nursing and Midwifery, University of Ghana, Legon, Ghana Weija-Gbawe Municipal Hospital, Weija-Gbawe, Accra, Ghana World Health Organization Country Office, Accra, Ghana Institutional Care Division, Ghana Health Service Headquarters, Accra, Ghana Access to improved water, sanitation and hygiene (WASH) is essential for the delivery of high-quality care in healthcare facilities and the prevention of hospital-acquired infections such as the transmission of the SARS-CoV-2. In addition, unimpeded access to WASH facilities in coronavirus disease 2019 (COVID-19) treatment centres (TCs) is central in facilitating compliance with infection prevention and control protocols. However, data for the WASH status of COVID-19 TCs in Ghana are limited. We evaluated the WASH status of seven COVID-19 TCs in Ghana using the WHO/UNICEF water and sanitation for health facility improvement tool (WASH FIT). The water domain had the highest number of indicators meeting standards with an average percentage score of 90.5% (range: 66.7–100%) across the seven TCs, followed by management (66.9%) and hygiene (58.7%). The TCs performed poorly in the sanitation and healthcare waste domain, with an average percentage score of 44.6% (range: 22.2–75%). These findings highlight the challenges being faced by COVID-19 TCs in implementing WASH services. Specific WASH interventions are urgently required to strengthen WASH services in the COVID-19 TCs. This should precede the prioritisation of resources to WASH infrastructure in the treatment facilities coupled with actions that involve all stakeholders. HIGHLIGHTS Water, sanitation and hygiene (WASH) in healthcare facilities is crucial in preventing the transmission of highly infectious diseases.; We used the WHO/UNICEF water and sanitation for health facility improvement tool (WASH FIT) to evaluate the WASH status of COVID-19 treatment centres (TCs).; There were gaps in the performance of the TCs across the four WASH domains.; We call for the prioritisation of resources to WASH infrastructure in the TCs.; This is crucial in building a resilient WASH system in the treatment facilities.;http://washdev.iwaponline.com/content/11/3/398covid-19ghanahealthcare facilitieshealthcare quality and safetyinfection prevention and controlwash
spellingShingle Mary Eyram Ashinyo
Kingsley E. Amegah
Stephen Dajaan Dubik
Gloria Ntow-Kummi
Maxwell Kudzo Adjei
Joyce Amponsah
John T. Ayivase
Serwah Amoah
Anthony Ashinyo
Sodzi Sodzi-Tettey
Hectoria Awekeya
Agnes Codjoe
Isaac Eyram Tegbey
Akosua Takyiwah O. Kwakye
Samuel Kaba Akoriyea
Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach
Journal of Water, Sanitation and Hygiene for Development
covid-19
ghana
healthcare facilities
healthcare quality and safety
infection prevention and control
wash
title Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach
title_full Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach
title_fullStr Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach
title_full_unstemmed Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach
title_short Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach
title_sort evaluation of water sanitation and hygiene status of covid 19 healthcare facilities in ghana using the wash fit approach
topic covid-19
ghana
healthcare facilities
healthcare quality and safety
infection prevention and control
wash
url http://washdev.iwaponline.com/content/11/3/398
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