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.
The Government of Eritrea, with support from UNICEF, has developed the 2019–2030 OneWASH Strategy and Investment Plan to achieve universal access to safe drinking water and sanitation. The plan’s strategic objectives reflect key Sustainable Development Goal 6 targets in which WASH in health centers is one of them. A total budget of US$674,357,0006 is required to implement OneWASH. Out of this, 55,643,000 USD will be required for establishing WASH services in institutions.
One of a series of situational analyses conducted by WHO in Ethiopia (November 2018), Ghana (February 2019) and Rwanda (June 2019). The analysis involved key informant interviews and facility visits and builds on an initial assessment conducted in July 2016.
This facilitator's guide was developed for Learning Lab 1 at the Global Meeting on WASH in health care facilities.
The guide takes participants through the steps needed to conduct a situational analysis and assessment. It is being used as the basis of a methodology paper on how to conduct a situational analysis, currently under development and due to be published at the end of 2019.