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Article

Using the Water and Sanitation for Health Facility Improvement Tool (WASH FIT) in Zimbabwe: A Cross-Sectional Study of Water, Sanitation and Hygiene Services in 50 COVID-19 Isolation Facilities

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United Nations Children’s Fund (UNICEF), Harare, Zimbabwe
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Ministry of Health and Child Care, Government of Zimbabwe, Harare, Zimbabwe
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Ministry of Lands, Agriculture, Fisheries, Water, Climate and Rural Settlement, Government of Zimbabwe, Harare, Zimbabwe
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Action Contre la Faim, Harare, Zimbabwe
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World Health Organization, Harare, Zimbabwe
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United Nations Children’s Fund (UNICEF), New York, NY 10017, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Ryan Cronk, Irving Hoffman and Tisungane Mvalo
Int. J. Environ. Res. Public Health 2021, 18(11), 5641; https://doi.org/10.3390/ijerph18115641
Received: 28 April 2021 / Revised: 13 May 2021 / Accepted: 18 May 2021 / Published: 25 May 2021
The availability of water, sanitation and hygiene (WASH) services is a key prerequisite for quality care and infection prevention and control in health care facilities (HCFs). In 2020, the COVID-19 pandemic highlighted the importance and urgency of enhancing WASH coverage to reduce the risk of COVID-19 transmission and other healthcare-associated infections. As a part of COVID-19 preparedness and response interventions, the Government of Zimbabwe, the United Nations Children’s Fund (UNICEF), and civil society organizations conducted WASH assessments in 50 HCFs designated as COVID-19 isolation facilities. Assessments were based on the Water and Sanitation for Health Facility Improvement Tool (WASH FIT), a multi-step framework to inform the continuous monitoring and improvement of WASH services. The WASH FIT assessments revealed that one in four HCFs did not have adequate services across the domains of water, sanitation, health care waste, hand hygiene, facility environment, cleanliness and disinfection, and management. The sanitation domain had the largest proportion of health care facilities with poor service coverage (42%). Some of the recommendations from this assessment include the provision of sufficient water for all users, Menstrual Hygiene Management (MHM)- and disability-friendly sanitation facilities, handwashing facilities, waste collection services, energy for incineration or waste treatment facilities, cleaning supplies, and financial resources for HCFs. WASH FIT may be a useful tool to inform WASH interventions during the COVID-19 pandemic and beyond. View Full-Text
Keywords: water; sanitation; hygiene; health care waste management; infection prevention and control; WASH; health care facility water; sanitation; hygiene; health care waste management; infection prevention and control; WASH; health care facility
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MDPI and ACS Style

Hirai, M.; Nyamandi, V.; Siachema, C.; Shirihuru, N.; Dhoba, L.; Baggen, A.; Kanyowa, T.; Mwenda, J.; Dodzo, L.; Manangazira, P.; Chirume, M.; Overmars, M.; Honda, Y.; Chouhan, A.; Nzara, B.; Vavirai, P.; Sithole, Z.; Ngwakum, P.; Chitsungo, S.; Cronin, A.A. Using the Water and Sanitation for Health Facility Improvement Tool (WASH FIT) in Zimbabwe: A Cross-Sectional Study of Water, Sanitation and Hygiene Services in 50 COVID-19 Isolation Facilities. Int. J. Environ. Res. Public Health 2021, 18, 5641. https://doi.org/10.3390/ijerph18115641

AMA Style

Hirai M, Nyamandi V, Siachema C, Shirihuru N, Dhoba L, Baggen A, Kanyowa T, Mwenda J, Dodzo L, Manangazira P, Chirume M, Overmars M, Honda Y, Chouhan A, Nzara B, Vavirai P, Sithole Z, Ngwakum P, Chitsungo S, Cronin AA. Using the Water and Sanitation for Health Facility Improvement Tool (WASH FIT) in Zimbabwe: A Cross-Sectional Study of Water, Sanitation and Hygiene Services in 50 COVID-19 Isolation Facilities. International Journal of Environmental Research and Public Health. 2021; 18(11):5641. https://doi.org/10.3390/ijerph18115641

Chicago/Turabian Style

Hirai, Mitsuaki, Victor Nyamandi, Charles Siachema, Nesbert Shirihuru, Lovemore Dhoba, Alison Baggen, Trevor Kanyowa, John Mwenda, Lilian Dodzo, Portia Manangazira, Musiwarwo Chirume, Marc Overmars, Yuhei Honda, Ajay Chouhan, Boniface Nzara, Placidia Vavirai, Zvanaka Sithole, Paul Ngwakum, Shelly Chitsungo, and Aidan A. Cronin 2021. "Using the Water and Sanitation for Health Facility Improvement Tool (WASH FIT) in Zimbabwe: A Cross-Sectional Study of Water, Sanitation and Hygiene Services in 50 COVID-19 Isolation Facilities" International Journal of Environmental Research and Public Health 18, no. 11: 5641. https://doi.org/10.3390/ijerph18115641

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