Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria

06.01.2020
Infections acquired during labour and delivery are a significant cause of maternal and child morbidity and mortality. Adherence to hand hygiene protocols is a critical component of infection prevention strategies, but few studies have closely examined the hand hygiene of health care providers with sufficient detail to understand infection risks and prioritize prevention strategies. : This observational study was conducted in six healthcare facilities in Nigeria. In each, five women were observed from the onset of labour through to delivery of the placenta. Hand hygiene infection risk was estimated for all procedures requiring aseptic technique compared against adherence to proper hand hygiene protocol and potential recontamination events. This study highlights that hand hygiene remains a barrier to delivering high-quality and safe care in health facilities. Improving hygiene practices during labour and delivery will require strategies that extend beyond infrastructure provision.

Energy access in Malawian healthcare facilities: consequences for health service delivery and environmental health conditions

12.11.2019
Many healthcare facilities (HCFs) in low-income countries experience unreliable connectivity to energy sources, which adversely impacts the quality of health service delivery and provision of adequate environmental health services.

WASH in health care facilities – Global baseline report 2019

03.04.2019
The first global baseline estimates for WASH in health care facilities, prepared by the Joint Monitoring Programme.

Environmental conditions in health care facilities in low- and middle-income countries: Coverage and inequalities

26.03.2018
This paper presents the first coverage estimates of environmental conditions and standard precaution items in HCFs in low- and middle-income countries (LMICs) and explores factors associated with low coverage.