The Clean pilot study: evaluation of an environmental hygiene intervention bundle in three Tanzanian hospitals

Healthcare associated infections (HAI) are estimated to affect up to 15% of hospital inpatients in low-income countries (LICs). A critical but often neglected aspect of HAI prevention is basic environmental hygiene, particularly surface cleaning and linen management. TEACH CLEAN is an educational intervention aimed at improving environmental hygiene. The authors evaluated the effectiveness of this intervention in a pilot study in three high-volume maternity and newborn units in Dar es Salaam, Tanzania.

Elevating the Role of Cleaners in Healthcare Facilities: A Guidance Note

This document is a guidance note on elevating the role of cleaners in healthcare facilities written by Hayley Schram, Lindsay Denny, and Global Water 2020 in preparation for 'Thank Your Cleaner Day' on October 21. This document proposes 12 actions to elevate cleaners in healthcare facilities and provides resources for key stakeholders, organizations, and individuals working with or interested in environmental cleanliness and cleaners.


Slides from a webinar series on WASH in HCF and COVID-19 in April 2020. The recording is available at

Best Practices for Environmental Cleaning in Healthcare Facilities in Resource-Limited Settings

This document provides guidance on best practices for environmental cleaning procedures and programs in healthcare facilities. It was developed as a collaboration between the Centers for Disease Control and Prevention (CDC) and the Infection Control Africa Network (ICAN) with contributions from WHO. To download the document, visit the CDC site:

WASHinHCF Webinar Series Summary

The document provides a summary of the 12 month WASH in Healthcare Facilities webinar series with short descriptions of each webinar.

Template to develop an aide memoire – building workforce capacity for WASH in HCF

This template was used at a workshop in Zambia in September 2019. The template should be printed in A1 size i.e. very big (!) and used in workshop exercises for participants to write on while they discuss each point. The final product can be used as an aide memoire for countries to take steps in building workforce capacity to support WASH in health care facilities improvement.

Environmental Cleaning Collaborative: Best Practices and Implementation Toolkit

Presentation given at the 2019 Global Meeting on WASH in health care facilities, held in Livingstone, Zambia (9-11 September 2019). This provides an overview of a set of new resources for environmental cleaning, developed by CDC and ICAN.

WASH: Histoire de Réussite

L’approche Centre de Santé Assaini (CSA) a démarré dans 2 Divisions Provinciales de la Santé (DPS) regroupant 35 Centres de Santé (CS) avec appui USAID’s flagship Maternal and Child Survival Program (MCSP). The Clean Clinic Approach has been rolled out in 2 provincial health districts, including 35 health centres with support from USAID's flagship program, MCSP.