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Government of Eritrea and the United Nations Children’s Fund analyzed bottlenecks hindering the delivery of water, sanitation and hygiene (WASH) services in Eritrea. The results identified the major bottlenecks for WASH in institutions to be (i). Lack of policy and legal framework that includes provisions for operational sustainability; (ii). Lack of a well-functioning coordinating body; (iii) Unsupportive conditions (lack of an enabling environment) for the application of service delivery models; (iv) Insufficient funding that arises from weak institutional and individual capacities to create a successful mechanism to raise funds and diversify sources of funding; (v) Lack of a well-established monitoring feedback system to improve decision-making at different levels; and (vi) Weak institutional, individual and financial capacities to develop a human resources strategy. The main underlying causes of the major bottlenecks for WASH in institutions are limited human, financial, institutional and organizational capacities of institutions, and low levels of commitment of policy- and decision-makers. The report cited that the total financing gap to implement the recommended activities to remove the bottlenecks to service delivery in WASH in institutions is about USD 3.73 million.

Global Framework for Urban Water, Sanitation and Hygiene has been developed in recognition that Urban WASH is an emerging area of focus in Global UNICEF Strategy for WASH 2016-2030. The Framework creates a common vision for UNICEF’s approach to Urban WASH programming. It is expected to support country, regional and global WASH teams to have a clear and shared sense of direction and common purpose in efforts to secure engagement in supporting the most marginalized urban children and their families with WASH services. This framework is designed to offer opportunities for partnerships and an alignment of approaches for addressing WASH challenges in urban areas including WASH in healthcare facilities. Thus, the document is useful for advocacy and raising awareness of UNICEF’s priorities and plans for urban WASH interventions while supporting engagement with external partners to move forward the global urban WASH agenda collectively. The framework mentions the assessment of WASH service delivery in urban healthcare facilities and public institutions (markets, public transport hubs/motor parks etc.) to be among the potential entry points and priority activities by programme thematic area, for service-level support, for engaging in urban WASH. It would equally serve as a basis for evidence generation.

This toolkit will walk through the steps taken to develop an advocacy strategy for WASH in health care facilities.

Example twitter messages for anyone to use during World Antibiotic Awareness Week and on World Toilet Day - join us to make sure we speak in one voice about committing to and improving water, sanitation and hygiene in health care facilities

In 2019, a World Health Assembly Resolution on WASH in health care facilities, agreed to by 194 member states, outlined concrete actions that countries can commit to. These include establishing national roadmaps and targets, implementing standards, integrating WASH and IPC indicators into health programming and monitoring and increasing domestic funding. This flyer summarises these actions. If you would like to make a commitment, please visit www.washinhcf.org/commitments

This flyer/infographic summarizes the 8 practical steps with a short explanation of what each steps involves. "WASH is a “best buy” for achieving safe, quality care for all. Join us in making a difference."

This directory provides key contacts and summaries of activities for stakeholders working on WASH in HCF in Uganda as of October 2019.

This document includes resources for advocacy around WASH in healthcare facilities, including important data points, links, and images.

This document provides a summary of commitments made by organizations in June 2019 to advance WASH in health care facilities. These were shared at a meeting held in Washington D.C. on 19th June 2019. Updated with commitments through January 2020 (100 commitments).

93 organizations and 77 individuals have signed a letter calling on Member States and the World Health Organization to support the WASH in health care facilities proposed resolution