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This fact sheet provides an overview of water, sanitation and hygiene services in health care facilities in Zimbabwe based on data from the Joint Monitoring Programme for Water Supply, Sanitation and Hygiene, the Vital Medicines Availability and Health Services Survey, and a regional scoping study on WASH in Health Care Facilities. Key Findings Include: • 1 in 5 HCFs in Zimbabwe does not have access to basic water services. • 1 in 10 HCFs in Zimbabwe does not have access to any water service. • 1 in 25 HCFs in Zimbabwe has access to basic sanitation services. • 4 in 10 HCFs in Zimbabwe do not have access to basic hygiene services. • 1 in 10 HCFs in Zimbabwe does not have access to any hygiene service. • 98.4% of HCFs in Zimbabwe have access to basic waste management services. • 3.2% of HCFs in Zimbabwe have access to basic WASH services.

A review of nine available assessment tools for WASH in HCF published in Reviews on Environmental Health.

Results of an assessment of WASH in health care facilities in Honduras, completed in 2018.

Results of an assessment of WASH in health care facilities in Peru, completed in 2018.

Results of an assessment of WASH in health care facilities in Paraguay, completed in 2018.

Results of an assessment of WASH in health care facilities in Panama, completed in 2018.

Results of an assessment of WASH in health care facilities in Guatemala, completed in 2018.

Results of an assessment of WASH in health care facilities in Bolivia, completed in 2018.

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 objectives of this brief are to review common and effective indicators for monitoring environmental health conditions and measuring improvements in maternal and newborn health care as well as recommend opportunities to enhance monitoring of environmental health in maternal and newborn health care settings.