Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania
Objectives: To determine coverage and the reliability of water, sanitation, hygiene (WASH) and healthcare waste management (HCWM) services in healthcare facilities (HCFs) in Tanzania. Study design: Cross-sectional study design. Methods: Data of 1066 HCFs in Tanzania from the 2014-15 Tanzania Service...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Public Health in Practice |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666535222000994 |
| _version_ | 1828090136740495360 |
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| author | Eugene Benjamin Meshi Keiko Nakamura Kaoruko Seino Sharifullah Alemi |
| author_facet | Eugene Benjamin Meshi Keiko Nakamura Kaoruko Seino Sharifullah Alemi |
| author_sort | Eugene Benjamin Meshi |
| collection | DOAJ |
| description | Objectives: To determine coverage and the reliability of water, sanitation, hygiene (WASH) and healthcare waste management (HCWM) services in healthcare facilities (HCFs) in Tanzania. Study design: Cross-sectional study design. Methods: Data of 1066 HCFs in Tanzania from the 2014-15 Tanzania Service Provision Assessment (TSPA) survey were analyzed. The availability of WASH and HCWM services was examined across facility locations, types, and managing authorities. Descriptive statistics, and bivariate and multivariate logistic regression analyses were performed. Results: HCFs with improved water sources, with functional improved latrines for patients, and using the incineration method to treat sharps waste before final disposal were 81.2%, 70.6%, and 41.3%, respectively. Among the HCFs with improved water sources and with functional improved latrines for patients, 50.9% and 50.6% respectively experienced water outages. Rural HCFs were less likely to have water sources on-site within 500 m (AOR 0.41; 95%CI 0.24–0.68), and soap, running water or alcohol-based hand rub (AOR 0.54; 95%CI 0.37–0.80). Rural HCFs were 0.25 times less likely to have functioning improved latrines for patients than urban HCFs (p < 0.001). Public HCFs were 0.5 times less likely to have an incineration method for sharps waste treatment than private HCFs (p < 0.001). Conclusion: Access inequity in WASH and HCWM was observed in HCFs in rural areas and those under public management. To attain equity and sustainability, investing in improving WASH and HCWM services for both new and renovations projects, must consider the circumstance status of the marginalized society. |
| first_indexed | 2024-04-11T05:52:30Z |
| format | Article |
| id | doaj.art-b56b3b0fda754f11a0544a4a1dc26333 |
| institution | Directory Open Access Journal |
| issn | 2666-5352 |
| language | English |
| last_indexed | 2024-04-11T05:52:30Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Public Health in Practice |
| spelling | doaj.art-b56b3b0fda754f11a0544a4a1dc263332022-12-22T04:42:02ZengElsevierPublic Health in Practice2666-53522022-12-014100323Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in TanzaniaEugene Benjamin Meshi0Keiko Nakamura1Kaoruko Seino2Sharifullah Alemi3Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8510, Japan; Department of Public Health, School of Nursing and Public Health, The University of Dodoma, P.O. BOX 259, Dodoma, United Republic of TanzaniaDepartment of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8510, Japan; Corresponding author.Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8510, JapanDepartment of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8510, JapanObjectives: To determine coverage and the reliability of water, sanitation, hygiene (WASH) and healthcare waste management (HCWM) services in healthcare facilities (HCFs) in Tanzania. Study design: Cross-sectional study design. Methods: Data of 1066 HCFs in Tanzania from the 2014-15 Tanzania Service Provision Assessment (TSPA) survey were analyzed. The availability of WASH and HCWM services was examined across facility locations, types, and managing authorities. Descriptive statistics, and bivariate and multivariate logistic regression analyses were performed. Results: HCFs with improved water sources, with functional improved latrines for patients, and using the incineration method to treat sharps waste before final disposal were 81.2%, 70.6%, and 41.3%, respectively. Among the HCFs with improved water sources and with functional improved latrines for patients, 50.9% and 50.6% respectively experienced water outages. Rural HCFs were less likely to have water sources on-site within 500 m (AOR 0.41; 95%CI 0.24–0.68), and soap, running water or alcohol-based hand rub (AOR 0.54; 95%CI 0.37–0.80). Rural HCFs were 0.25 times less likely to have functioning improved latrines for patients than urban HCFs (p < 0.001). Public HCFs were 0.5 times less likely to have an incineration method for sharps waste treatment than private HCFs (p < 0.001). Conclusion: Access inequity in WASH and HCWM was observed in HCFs in rural areas and those under public management. To attain equity and sustainability, investing in improving WASH and HCWM services for both new and renovations projects, must consider the circumstance status of the marginalized society.http://www.sciencedirect.com/science/article/pii/S2666535222000994WaterSanitationHygieneHealthcare wasteHealthcare facilityAccess |
| spellingShingle | Eugene Benjamin Meshi Keiko Nakamura Kaoruko Seino Sharifullah Alemi Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania Public Health in Practice Water Sanitation Hygiene Healthcare waste Healthcare facility Access |
| title | Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania |
| title_full | Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania |
| title_fullStr | Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania |
| title_full_unstemmed | Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania |
| title_short | Equity in water, sanitation, hygiene, and waste management services in healthcare facilities in Tanzania |
| title_sort | equity in water sanitation hygiene and waste management services in healthcare facilities in tanzania |
| topic | Water Sanitation Hygiene Healthcare waste Healthcare facility Access |
| url | http://www.sciencedirect.com/science/article/pii/S2666535222000994 |
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