PDF(Pubmed)
Abstract：
Providing adequate Water Sanitation and Hygiene (WASH) in Health Care Facilities (HCFs) has many benefits, including achieving Sustainable Development Goals (SDGs) and Universal Health Coverage (UHC). However, there is a significant shortage of statistics on the status of WASH in Healthcare Facilities (WinHCF), resulting in roadblocks in developing improvement strategies. Further, there is a lack of detailed comparison of WASH components covered in available tools against the standards. The present study aims to dissect the national and international tools for WASH assessment in HCFs to suggest comprehensive WASH indicators. The databases like PubMed, Scopus, ScopeMed, Cochrane and Google Scholar were used to extract the available tools. The assessment process, methodology, and components of national and various international tools were compared and synthesized. A total of seven tools, namely WASH FIT 2, Facet, SARA, SPA, TOOL BOX-II, CDC and Kayakalp, were compared on eight components: water, sanitation, hand hygiene, healthcare waste, environmental cleaning and hygiene, infrastructure, workforce management, policy and protocols. Although most tools have covered the same indicators, the methodology and definitions differ. Few of the tools fail to capture the basic indicators defined by Joint Monitoring Programme (JMP). The critical indicators of policy and protocols are only covered in WASH FIT 2, Kayakalp, and TOOL BOX-II. Likewise, most tools fail to capture the indicator of cleaning, IPC practices and climate resilience. The present review also highlighted the limitations of selected tools regarding definitions, methodology and implementation. Hence, based on the review findings, a comprehensive short tool has been developed to monitor WASH in HCF of India. It comprises all the essential fundamental indicators identified from various tools, and recommended by the JMP service ladder with proper definitions. This tool can be helpful for hospital staff and managers for the routine monitoring of WASH in HCFs and improve the quality of care and IPC practices in HCFs.
摘要：
在卫生保健设施（HCF）中提供足够的水卫生和卫生（WASH）有许多好处，包括实现可持续发展目标（SDG）和全民健康覆盖（UHC）。然而,医疗保健设施中WASH(WinHCF)状况的统计数据严重短缺，导致在制定改进策略时遇到障碍。Further,缺乏可用工具中涵盖的WASH组件与标准的详细比较。本研究旨在剖析HCF中WASH评估的国家和国际工具，以建议全面的WASH指标。像PubMed这样的数据库，Scopus,ScopeMed,Cochrane和GoogleScholar被用来提取可用的工具。评估过程,方法论，比较和综合了国家和各种国际工具的组成部分。总共七个工具，即WASHFIT2，刻面，萨拉,SPA,工具箱-II,CDC和Kayakalp,在八个组件上进行了比较：水，卫生，手部卫生,医疗废物,环境清洁和卫生，基础设施,劳动力管理，政策和协议。尽管大多数工具都涵盖了相同的指标，方法和定义不同。很少有工具无法捕获联合监测计划（JMP）定义的基本指标。政策和协议的关键指标仅涵盖在WASHFIT2，Kayakalp，和工具箱-II。同样，大多数工具无法捕获清洁指标，IPC实践和气候适应力。本审查还强调了选定工具在定义、方法和实施。因此，根据审查结果，已经开发了一种全面的短期工具来监测印度HCF中的WASH。它包括从各种工具中确定的所有基本指标，并由具有适当定义的JMP服务阶梯推荐。该工具有助于医院工作人员和管理人员对HCF中的WASH进行常规监测，并提高HCF中的护理质量和IPC实践。
