‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya

Access to basic water, sanitation and hygiene, waste management and environment cleaning (WASH) in healthcare facilities (HCFs) is critical for infection prevention and control. The WHO/UNICEF 2019 global baseline report on WASH in HCFs indicates that 51 and 23% of those in sub-Saharan Africa have b...

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Autores principales:	Thelma Zulfawu Abu, Susan J. Elliott, Diana Karanja
Formato:	article
Lenguaje:	EN
Publicado:	IWA Publishing 2021
Materias:	emergencies governance healthcare facilities politics wash Environmental technology. Sanitary engineering TD1-1066
Acceso en línea:	https://doaj.org/article/c4523e62e9114d8380302e842b714f4a
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spelling	oai:doaj.org-article:c4523e62e9114d8380302e842b714f4a2021-11-05T19:34:20Z‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya2043-90832408-936210.2166/washdev.2021.238https://doaj.org/article/c4523e62e9114d8380302e842b714f4a2021-07-01T00:00:00Zhttp://washdev.iwaponline.com/content/11/4/558https://doaj.org/toc/2043-9083https://doaj.org/toc/2408-9362Access to basic water, sanitation and hygiene, waste management and environment cleaning (WASH) in healthcare facilities (HCFs) is critical for infection prevention and control. The WHO/UNICEF 2019 global baseline report on WASH in HCFs indicates that 51 and 23% of those in sub-Saharan Africa have basic access to water and sanitation, respectively. Guided by the political ecology of health theory, this research engaged with 13 key informants, 16 healthcare workers and 31 community members on their experiences on the implementation, use and management of WASH in HCFs. Interviews were conducted in one informal settlement and three rural dispensaries in Kisumu, Kenya from May to September 2019. Findings indicate improvement in water access, yet water quality and other WASH service components remain a challenge even in newly constructed maternity facilities, thus impacting local health promotion efforts. Institutional challenges such as limited financial resources and ecological factors like climate variability and disease outbreaks compromised WASH infrastructure and HCF resilience. To achieve Sustainable Development Goal 3, good health and well-being, as well as Sustainable Development Goal 6, clean water and sanitation, the prioritisation of WASH in HCFs is required at all levels, from the local to the global. HIGHLIGHTS Access to WASH is essential for quality healthcare services.; An HCF requires all WASH services components to function adequately.; Power and politics influence access to WASH in HCF.; An HCF requires adequate WASH to overcome recurring emergencies.; Intersectoral nature of WASH requires coordination among all relevant stakeholders to ensure access.;Thelma Zulfawu AbuSusan J. ElliottDiana KaranjaIWA Publishingarticleemergenciesgovernancehealthcare facilitiespoliticswashEnvironmental technology. Sanitary engineeringTD1-1066ENJournal of Water, Sanitation and Hygiene for Development, Vol 11, Iss 4, Pp 558-569 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	emergencies governance healthcare facilities politics wash Environmental technology. Sanitary engineering TD1-1066
spellingShingle	emergencies governance healthcare facilities politics wash Environmental technology. Sanitary engineering TD1-1066 Thelma Zulfawu Abu Susan J. Elliott Diana Karanja ‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya
description	Access to basic water, sanitation and hygiene, waste management and environment cleaning (WASH) in healthcare facilities (HCFs) is critical for infection prevention and control. The WHO/UNICEF 2019 global baseline report on WASH in HCFs indicates that 51 and 23% of those in sub-Saharan Africa have basic access to water and sanitation, respectively. Guided by the political ecology of health theory, this research engaged with 13 key informants, 16 healthcare workers and 31 community members on their experiences on the implementation, use and management of WASH in HCFs. Interviews were conducted in one informal settlement and three rural dispensaries in Kisumu, Kenya from May to September 2019. Findings indicate improvement in water access, yet water quality and other WASH service components remain a challenge even in newly constructed maternity facilities, thus impacting local health promotion efforts. Institutional challenges such as limited financial resources and ecological factors like climate variability and disease outbreaks compromised WASH infrastructure and HCF resilience. To achieve Sustainable Development Goal 3, good health and well-being, as well as Sustainable Development Goal 6, clean water and sanitation, the prioritisation of WASH in HCFs is required at all levels, from the local to the global. HIGHLIGHTS Access to WASH is essential for quality healthcare services.; An HCF requires all WASH services components to function adequately.; Power and politics influence access to WASH in HCF.; An HCF requires adequate WASH to overcome recurring emergencies.; Intersectoral nature of WASH requires coordination among all relevant stakeholders to ensure access.;
format	article
author	Thelma Zulfawu Abu Susan J. Elliott Diana Karanja
author_facet	Thelma Zulfawu Abu Susan J. Elliott Diana Karanja
author_sort	Thelma Zulfawu Abu
title	‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya
title_short	‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya
title_full	‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya
title_fullStr	‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya
title_full_unstemmed	‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya
title_sort	‘when you preach water and you drink wine’: wash in healthcare facilities in kenya
publisher	IWA Publishing
publishDate	2021
url	https://doaj.org/article/c4523e62e9114d8380302e842b714f4a
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‘When you preach water and you drink wine’: WASH in healthcare facilities in Kenya

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