Universal Access to Water, Sanitation and Hygiene 2021 Priorities
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Global SDG Baseline for WASH in Health Care Facilities Practical Steps to Achieve Universal WASH in Health Care Facilities
Global SDG baseline for WASH in health care facilities Practical steps to achieve universal WASH in health care facilities Questions and Answers What is meant by WASH in health care facilities? The term “WASH in health care facilities” refers to the provision of water, sanitation, health care waste, hygiene and environmental cleaning infrastructure and services across all parts of a facility. “Health care facilities” encompass all formally-recognized facilities that provide health care, including primary (health posts and clinics), secondary, and tertiary (district or national hospitals), public and private (including faith-run), and temporary structures designed for emergency contexts (e.g., cholera treatment centers). They may be located in urban or rural areas. Why is WASH in health care facilities so important? WASH services are fundamental to providing quality care. Without such services, health goals, especially those for reducing maternal and neonatal mortality, reducing the spread of antimicrobial resistance and preventing and containing disease outbreaks will be not met. WASH is also critical to the experience of care. Services such as functional and accessible toilets with menstrual hygiene facilities and safe drinking-water support patient and staff dignity and fulfill basic human rights. With a renewed focus on primary health care services through the Astana Declaration and a renewed focus on preventing early childhood deaths through the Every Child Alive Campaign the opportunity to address WASH in health systems strengthening has never been greater. What are the current global estimates for WASH in health care facilities? The WHO and UNICEF Joint Monitoring Programme (JMP) 2019 SDG baseline report establishes national, regional and global baseline estimates that contribute towards global monitoring of SDG 6, universal access to WASH. -
Menstrual Hygiene Management TOOLKIT
Menstrual Hygiene Management TOOLKIT May 2015 About SPLASH: SPLASH (Schools Promoting Learning Achievement through Sanitation and Hygiene) is a comprehensive school-based water supply, sanitation, and hygiene (WASH) project funded by USAID/Zambia through field support. SPLASH is implemented through the WASHplus project, which supports healthy households and communities by creating and delivering interventions that lead to improvements in WASH and household air pollution (HAP). This five-year project (2010-2015), funded through USAID’s Bureau for Global Health (AID-OAA-A-10-00040) and led by FHI 360 in partnership with CARE and Winrock International, uses at-scale programming approaches to reduce diarrheal diseases and acute respiratory infections, the two top killers of children under age 5 globally. Recommended Citation: SPLASH, 2015. Menstrual Hygiene Management Toolkit. Washington D.C., USA. USAID/WASHplus Project. Contact Information: Justin Lupele Sandra Callier SPLASH Chief of Party WASHplus Project Director Plot 2473 Farmers’ Village, ZNFU Complex 1825 Connecticut Avenue, NW Tiyende Pamodzi Rd, Off Nangwenya Rd Washington, DC 20009-5721 Showgrounds Areas Office tel.: 202-884-8960 P.O. Box 51439 Ridgeway [email protected] Lusaka, Zambia Cell: 0971252490 [email protected] This toolkit is made possible by the generous support of the American people through the United States Agency for International Development (USAID) Bureau for Global Health under terms of Cooperative Agreement No. AID-OAA-A-10-00040. The contents are the responsibility of FHI 360, and do not necessarily reflect the views of USAID or the United States Government. May 2015 ACKNOWLEDGMENT WASHplus/SPLASH is indebted to USAID/Zambia for its financial and technical support to the SPLASH project and the Ministry of Education Science, Vocational Training and Early Education (MESVTEE), Eastern Province for supporting the development of this publication. -
TUTORIAL in BIOSTATISTICS: the Self-Controlled Case Series Method
STATISTICS IN MEDICINE Statist. Med. 2005; 0:1–31 Prepared using simauth.cls [Version: 2002/09/18 v1.11] TUTORIAL IN BIOSTATISTICS: The self-controlled case series method Heather J. Whitaker1, C. Paddy Farrington1, Bart Spiessens2 and Patrick Musonda1 1 Department of Statistics, The Open University, Milton Keynes, MK7 6AA, UK. 2 GlaxoSmithKline Biologicals, Rue de l’Institut 89, B-1330 Rixensart, Belgium. SUMMARY The self-controlled case series method was developed to investigate associations between acute outcomes and transient exposures, using only data on cases, that is, on individuals who have experienced the outcome of interest. Inference is within individuals, and hence fixed covariates effects are implicitly controlled for within a proportional incidence framework. We describe the origins, assumptions, limitations, and uses of the method. The rationale for the model and the derivation of the likelihood are explained in detail using a worked example on vaccine safety. Code for fitting the model in the statistical package STATA is described. Two further vaccine safety data sets are used to illustrate a range of modelling issues and extensions of the basic model. Some brief pointers on the design of case series studies are provided. The data sets, STATA code, and further implementation details in SAS, GENSTAT and GLIM are available from an associated website. key words: case series; conditional likelihood; control; epidemiology; modelling; proportional incidence Copyright c 2005 John Wiley & Sons, Ltd. 1. Introduction The self-controlled case series method, or case series method for short, provides an alternative to more established cohort or case-control methods for investigating the association between a time-varying exposure and an outcome event. -
Car Washing Poster
WHEN YOU’RE WASHING YOUR CAR IN THE DRIVEWAY, YOU’RE NOT JUST WASHING YOUR CAR IN THE DRIVEWAY. Storm drains run directly into lakes, rivers or marine waters. When you wash your car in your drive way, the soap can go down the storm drain and pollute our waters. Don’t feed soap to the storm drain. Wash your car right. Keep your waters clean. A message from the Washington Departments of Ecology, Health, Washington Parks & Recreation Commission, Washington Conservation Commission, Puget Sound Partnership, WSU Extension Service, U.S. Environmental Protection Agency and Thurston County Stream Team. When you’re washing We all need clean water. your car in the We drink it, fish in it, play in it. We enjoy all it adds to our lives. In fact, we need it to driveway, you’re not survive. Fish and wildlife do, too. More than 60 percent of water pollution just washing your car comes from things like cars leaking oil, fer- tilizers and pesticides from farms and gar- in the driveway. dens, failing septic tanks, pet waste, and fuel spills from recreational boaters. Clean water is important to all of us. It's up to all of us to make it hap- All these small, dispersed sources add up pen. In recent years sources of water pollution like industrial wastes to a big pollution problem. But each of us from factories have been greatly reduced. Now, most water pollution can do small things to help clean up our comes from things like cars leaking oil, fertilizers from farms and gar- waters too—and that adds up to a pollution dens, and failing septic tanks. -
Water, Sanitation and Hygiene (WASH)
July 2018 About Water, Sanitation and UNICEF The United Nations Children’s Fund (UNICEF) Hygiene (WASH) works in more than 190 countries and territories to put children first. UNICEF WASH and Children has helped save more Globally, 2.3 billion people lack access to basic children’s lives than sanitation services and 844 million people lack any other humanitarian organization, by providing access to clean drinking water. The lack of health care and immuni these basic necessities isn’t just inconvenient zations, safe water and — it’s lethal. sanitation, nutrition, education, emergency relief Over 800 children die every day — about 1 and more. UNICEF USA supports UNICEF’s work every 2 minutes — from diarrhea due to unsafe through fundraising, drinking water, poor sanitation, or poor advocacy and education in hygiene. Suffering and death from diseases the United States. Together, like pneumonia, trachoma, scabies, skin we are working toward the and eye infections, cholera and dysentery day when no children die from preventable causes could be prevented by scaling up access and every child has a safe to adequate water supply and sanitation and healthy childhood. facilities and eliminating open defecation. For more information, visit unicefusa.org. Ensuring access to water and sanitation in UNICEF has helped schools can also help reduce the number of increase school children who miss out on their education — enrollment in Malawi through the provision especially girls. Scaling up access to WASH of safe drinking water. also supports efforts to protect vulnerable © UNICEF/UN040976/RICH children from violence, exploitation and abuse, since women and girls bear the heaviest Today, UNICEF has WASH programs in 113 burden in water collection, often undertaking countries to promote the survival, protection long, unsafe journeys to collect water. -
Water, Sanitation and Hygiene in Health Care Facilities: Driving Transformational Change for Women and Girls Wateraid/ James Kiyimba Wateraid
Water, sanitation and hygiene in health care facilities: driving transformational change for women and girls WaterAid/ James Kiyimba WaterAid/ 1 Water, sanitation and hygiene in health care facilities: driving transformational change for women and girls Access to clean water, sanitation and hygiene (WASH) in healthcare facilities is a fundamental component of Universal Health Coverage (UHC) and underpins the delivery of safe, quality health services for all, especially women and girls. As the main users of health services and the primary caregivers for family members in many countries around the world, the burden of poor WASH in healthcare facilities falls disproportionately on women. Improving access to WASH in healthcare settings, designed with gender considerations, can contribute to sustainable improvements in the quality of healthcare services, supporting core aspects of UHC including equity and dignity, and ultimately, to positive health and empowerment outcomes for women and their families. Despite being a fundamental component of health systems, WASH services are too often neglected and under-prioritised by governments and development partners. In 2018, the United Nations Secretary General issued a Global Call to Action to elevate the importance of, and prioritize action on, WASH in healthcare facilities. This is in line with the SDGs WaterAid/ James Kiyimba WaterAid/ on health (SDG 3) and clean water and sanitation (SDG 6), and supports a long-term vision that all healthcare facilities provide quality care in a safe, clean environment -
Breaking the Cycle of Poverty in Young Families
POLICY REPORT | APRIL 2015 Breaking the Cycle of Poverty in Young Families TwO-GEneration Policy RecommEnd ations The two-generation approach is a poverty reduction strategy meeting the unique needs of both parents and children simultaneously, which differs from other models that provide service provision to parents or their children separately. The focus of this two-generation research was specifically young families, which are defined as out-of-school, out-of-work youth 15–24 with dependent children under the age of 6. Families in poverty can best be served by addressing parental needs for education, workforce training, and parental skills, while also addressing child development essentials. The recent economic downturn has tremendously impacted communities and families in the United States, especially young families. Over 1.4 million youth ages 15–24 are out-of-school, out-of-work and raising dependent children. When youth are out of the education system, lack early work experience, and cannot find employment, it is unlikely that they will have the means to support themselves.1 Too often, this traps their families in a cycle of poverty for generations. With generous support from the Annie E. Casey Foundation and ASCEND at the Aspen Institute, the National Human Services Assembly (NHSA), an association of America’s leading human service nonprofit organizations, set out to identify policy and administrative barriers to two- generation strategies. The NHSA engaged its member organizations and local affiliates to better understand their two-generation programs, challenges to success, and strategies for overcoming. It also convened advo- cates, experts, and local providers together to determine the appropriate government strategies to break the cycle of poverty in young families. -
WASH MHM Resource Guide 2015.Pdf
Water, Sanitation, and Hygiene and Menstrual Hygiene Management: A Resource Guide WASH Advocates December 2015 Water, sanitation, and hygiene (WASH) play a large role in the lives of adolescent girls and women, both biologically and culturally. Gender equity becomes an issue when women and girls lack access to WASH facilities and appropriate hygiene education, affecting a girl’s education, sexual and reproductive health, and dignity. Lack of adequate facilities and materials for menstrual hygiene has been linked to absenteeism of girls from school during their periods.1 Many may permanently drop out of school with the onset of puberty if the toilet facilities are not clean or do not provide privacy to girls while they are menstruating.2 Menstruation is a taboo subject in many cultures and can create stigma, shame, and silence among young girls, which often continues into adulthood and perpetuates the cycle of gender inequality. Around the world, girls try to keep their menstruation a secret while they are in school. Without adequate sanitation facilities, girls are unable to manage their menstruation safely, hygienically, and with dignity and will be unlikely to use the facilities if there is no guarantee to privacy. Due to social and WASH-related issues, many girls choose to stay home during their menstruation instead of having to manage their period at school.3 Other times, girls do attend school but face challenges such as leakage, odor, discomfort, or difficulty concentrating. When child-friendly educational programs that raise awareness about menstrual hygiene management (MHM) are coupled with safe, private, and single-gender sanitation facilities; an accessible water supply; and a means for safe disposal of menstrual waste, they can help alleviate the burden girls face at school during menstruation.4 Access to these facilities at home and at health clinics is also important to allow women and girls a safe means to manage their menstruation at all times. -
Poverty Reduction Strategies for the US
Poverty Reduction Strategies for the US August 2008 Mary Jo Bane Harvard Kennedy School Prepared for the Charles Stewart Mott Foundation “Defining Poverty Reduction Strategies” Project Contact Information: Mary Jo Bane Thornton Bradshaw Professor of Public Policy and Management Littauer 320 Kennedy School of Government Harvard University Mailbox 20 79 JFK Street Cambridge, MA 02138 617-496-9703 617-496-0811 (Fax) Email: [email protected] Strategy #1: Construct the infrastructure for practical, well-managed poverty alleviation initiatives, including appropriate measures for assessing success and learning from experience. This strategy recognizes that “poverty” is a complex set of problems, and that poverty alleviation can only be accomplished by a portfolio of policies and programs tailored to specific aspects of the problem. It recognizes that poverty alleviation efforts must reflect the best practices in public management, including the specification of concrete goals, the assessment of the strategies and the ability to learn and improve. In this context, the current official measure of poverty is nearly useless either for figuring out what the problems are, for assessing whether any progress has been made in addressing the problems or for stimulating systematic and creative approaches to trying out and evaluating solutions to different variants of poverty problems. This strategy sets the stage for problem solving efforts at the community as well as the national level to identify specific problems that can be tackled, to create -
Poverty Reduction Strategies from an HIV/AIDS Perspective
APRIL 2005 • LISA ARREHAG AND MIRJA SJÖBLOM POM Working Paper 2005:6 Poverty Reduction Strategies from an HIV/AIDS Perspective Foreword The Department for Policy and Methodology within Sida (POM) is responsible for leading and coordinating Sida’s work on policy and meth- odological development and for providing support and advice to the field organisation and Sida’s departments on policy and methodological issues relating to development cooperation. It links together analysis, methodo- logical development, internal competence and capacity development and advisory support. The department undertakes analyses and serves as a source of knowl- edge on issues pertaining to poverty and its causes. Learning and exchanges of experiences and knowledge are essential to all aspects of development cooperation. This series of Working Papers aims to serve as an instrument for dissemination of knowledge and opin- ions and for fostering discussion. The views and conclusions expressed in the Working Papers are those of the authors and do not necessarily coincide with those of Sida. HIV/AIDS has fundamental implications on virtually all aspects of social and economic development in the worst affected countries and constitutes one of the most difficult obstacles to human development facing the world today. The present study provides a review and analysis of poverty reduction strategies (PRS) from eight countries, primarily in sub-Saharan Africa, from an HIV/AIDS perspective. It examines the extent and manner in which HIV/AIDS is taken into account in these strategies with regard to the three main perspectives; prevention, treat- ment and consequences. It is our hope that the study will stimulate reflection and discussion. -
Global Progress Report on WASH in Health-Care Facilities 2020
GLOBAL PROGRESS REPORT ON WASH IN HEALTH CARE FACILITIES Fundamentals first Global progress report on water, sanitation and hygiene in health care facilities: fundamentals first ISBN 978-92-4-001754-2 (electronic version) ISBN 978-92-4-001755-9 (print version) © World Health Organization 2020 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/rules/). Suggested citation. Global progress report on water, sanitation and hygiene in health care facilities: fundamentals first. Geneva: World Health Organization; 2020. -
Guide to Menstrual Hygiene Materials May 2019
Guide to menstrual hygiene materials May 2019 First edition Supply Division / Water, Sanitation & Education Centre Programme Division / Water, Sanitation & Hygiene 3 United Nations Plaza New York, NY 10017 USA www.unicef.org Commentaries represent the personal views of the authors and do not necessarily reflect the positions of the United Nations Children’s Fund (UNICEF). The designations employed in this publication and the presentation of the material do not imply on the part of UNICEF the expression of any opinion whatsoever concerning the legal status of any country or territory, or of its authorities or the delimitations of its frontiers. Edited by Phil Poirier and designed by Noha Habaieb Cover illustration credits : © Noha Habaieb For more information on this document, please contact: Anne Cabrera-Clerget, Contracts Manager [email protected] Brooke Yamakoshi, WASH Specialist, [email protected] Guide to menstrual hygiene materials Contents Acknowledgements 6 Key terms 7 Overview 8 Introduction 9 Procuring menstrual hygiene materials and supplies 12 Consulting with girls and women 16 Understanding menstrual hygiene materials 20 Menstrual cloth 22 Reusable pad 24 Disposable sanitary pad 26 Tampon 28 Menstrual Cup 30 Summary of materials 32 Monitoring and learning 34 Annex I: Additional resources 36 Guide to menstrual hygiene materials 5 © UNICEF/UNI132359/Nesbitt Guide to menstrual hygiene materials Acknowledgements This guidance was prepared by Sophia Roeckel, menstrual hygiene management intern, Anne Cabrera-Clerget,