WASH in Health Facilities. Health of the Urban Poor (HUP) program. ICUH. 24th â 27th May, 2015. Population Foundation of India. Shipra Saxena, Dr. Sumoni ...
WASH in Health Facilities Health of the Urban Poor (HUP) program ICUH 24th – 27th May, 2015
Shipra Saxena, Dr. Sumoni Mukherjee, Dr. Nitin Bajpai Population Foundation of India
Outline
Introduction Objectives Data and Methods Results Conclusion Recommendations 2
Background
• Water, Sanitation and Hygiene are key determinants of health. • The Indian Public Health Standards (IPHS) mentions – Provision of safe drinking water – Separate clean toilets for men and women – Appropriate garbage disposal 3
Potential risks – infection spread
• • • • • •
Unsafe drinking water Water Stagnation Unclean toilets Poor Waste Water Disposal Body parts /blood cells, poor disposal Inadequate hand-washing by hospital staff and patients 4
Objective
The broad objective of this study was to gauge the situation of WASH in urban health facilities.
5
Methodology Number of facilities by cities
•
Study area: – 11 cities scattered into 6 EAG states of India. – Total 19 health facilities were covered
Ajmer Bhilai Dehradun
•
Selection criteria of the facility: All the facilities were of ≤30 bedded
2
1 1
2
•
Study tools : Structured questionnaire were used Duration: Data collection done during April – May 2014
1 1
1
•
Dhanbad
2
2
Jamshedpur Jodhpur Kota
1
5
Patna Raipur Ranchi 6 Raurkela
Availability of Drinking water at different points in Health Facility
63 53 47
16 5 Casuality
4 Labor room
5 Operation Theatre
Laboratory
Staff room
Wards
OPD
Waiting area
11
7
Provision of Toilets in different parts of Health Facility 16 PNC ward
68 37 37
Wards
68 58 37
OPD
68 63 47
Causality
37 26 47
Laboratory
26 26 53
Operation Theatre
21 21 8
Common
Female
Male
Hand washing
95
95
95 89
89
89
79
47 42 37 32 21
Casuality
32
21
OPD
Labour room
PNC Ward
Laboratory
Operation Theter
Staff room
Hand washing provision/scrub area at
Direct respons
As per norm Functional
9 and Functional hand-washing facility was available only in OT (42%), laboratory (37%) labor rooms (32%).
Bio-medical wastage (BMW) disposal
32
•
47% facilities are outsourcing the BMW management
•
53% of the facilities managing routine waste by designated person or pollution control board
Shredder
11
16
21
21
Colour coded bins
3 of the facilities did not have any specific measure
63
Dustbin
•
74
Syringe cutter
74% facilities were using color coded bins
Safety pit for sharp disposal
•
Way medical wastes disposed (%)
Incinerator
Facilities were using multiple methods to dispose BMW
No specific facility
•
10
Limitations of the Study
• Limited Sample size • Study was restricted only into 11 cities and only ≤30 bedded facilities.Therefore generalization of the study not possible. 11
Conclusions
• Lack of awareness of any WASH standards for Health Facility • Limited practice of health staff on key WASH behavior • Need for key health functionaries to prioritize WASH components at all the levels of health facilities • Limited practice of health staff on key WASH behavior
12
Suggestions
• Need for broader study on WASH, at government health facilities • Need for key health functionaries to prioritize WASH components at all the levels of health facilities • Standard operating procedure on WASH • Monitoring of WASH indictors at facility level 13
Thank You. 14 This document is made possible by the support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of the Population Foundation of India and do not necessarily reflect the views of USAID or the United States Government.
