Resource Type: publications

Global Framework for Action 2024–2030 for water, sanitation, hygiene, waste and electricity services in all health care facilities

The Framework serves to guide efforts to deliver safe and sustainable water, sanitation and hygiene (WASH), health care waste management and reliable electricity in all health care facilities. The ultimate aim is to provide quality care for all. The Framework reflects a global consultative process and includes data and recommendations articulated in recent WHO/UNICEF global reports on WASH, waste and electricity in health care facilities. It also provides an operational roadmap for implementing the 2023 United Nations General Assembly (UNGA) resolution on WASH, waste and electricity in health care facilities. The target audiences for this Framework include health leaders and programme managers at the global and national levels; policymakers; WASH, waste and energy leaders and technical experts; development partners and finance institutions; and actors and experts on gender equality, disability and social inclusion and climate; and, more generally, civil society. The Framework deals with the WASH, waste and electricity elements of the WHO comprehensive approach to build safe, climate-resilient and environmentally sustainable health care facilities. Find the framework here

Does WASH FIT improve water, sanitation, and hygiene and related health impacts in healthcare facilities? A systematic review

This systematic review evaluates whether WASH FIT improves environmental health services or associated health outcomes and impacts. The conducted methodology is a database searches to identify relevant studies and extracted data on study design, healthcare facility characteristics, and inputs, activities, outputs, outcomes, and impacts associated with WASH FIT. The study included 31 studies in the review. Find the study here!

Budgeting and advocacy to improve water, sanitation, and hygiene in healthcare facilities: a case study in Nepal

Barriers to achieving and sustaining access to water, sanitation, hygiene, waste management (collectively, “WASH”) in healthcare facilities include a supportive policy environment and adequate funding. While guidelines exist for assessing needs and making initial infrastructure improvements, there is little guidance on how to develop budgets and policies to sustain WASH services in the long-term. This research was conducted on costing and advocacy activities in Thakurbaba municipality, Nepal, with the aim of developing a budget and operations and maintenance policy for WASH in healthcare facilities in partnership with the municipal government. The objectives for this study are to (1) describe the process and methods used for costing and advocacy, (2) report the costs to achieve and maintain basic WASH services in the eight healthcare facilities of Thakurbaba municipality, and (3) report the outcomes of advocacy activities and policy development. Find more about the case study here!

A review of health-care waste management policies in the Western Pacific Region

A review was carried out on health-care waste management policies in the Western Pacific Region, encompassing 16 countries and areas with diverse systems and resources. This report presents key findings on policy comprehensiveness in relation to WHO guidance. The review process included examining essential components of the legal framework for health-care waste management in each country. It also sought to identify best practices in disaster and emergency preparedness and to determine whether advanced, environmentally friendly technologies, including low-carbon alternatives, had been adopted as recommended in national policies. Based on the findings, recommendations were made with the aim of enhancing health-care waste management policies, with a specific focus on addressing technical gaps. Find the review here!

UN General Assembly resolution: Sustainable, safe and universal water, sanitation, hygiene, waste and electricity services in health care facilities

The new resolution emphasizes the critical role these services play in achieving the 2030 Agenda for Sustainable Development and underscores the gaps in current global services. It also encourages Member States to integrate these services into national health planning and calls for improved international cooperation to support developing countries in this area. In addition, the Resolution highlights the need for cross-sectoral engagement, national roadmaps, adequate resourcing and regular monitoring and evaluation to ensure the provision of these essential services. Find the resolution here!