Operational Training and Learning in Ethiopia supports improved WASH and Safe Surgery


SPECT provided sterile processing training to selected staff from 42 hospitals in Tigray and Amhara regions as part of the Safe Surgery 2020 initiative, and in four hospitals in Addis Ababa in conjunction with Lifebox©. Topics included microbiology, infection prevention, cleaning, instrument assembly and packaging, sterilization, sterile storage and transport. The availability of soap and water and appropriate brushes was also addressed.

The ministry of health, supported by the Safe Surgery 2020 initiative and funded by the GE Foundation were instrumental in the project. SPECT and Lifebox were implementation partners in this program.

SPECT trained 117 staff who have since taught others, resulting in over 300 staff newly trained in safe sterilizing processes. The biggest difference was noted in the cleanliness of the instruments post training – the answer to the question “where did we get all the new instruments?” was, “we didn’t get new instruments, we just learned how to clean them properly!”

Removal of 0.5% chlorine solution from practices (as instruments were being soaked) was achieved as WHO guidelines advise against this practice [2].


  1. Strengthening emergency and essential surgical care and anesthesia as a component of universal health coverage. Sixty-eighth World Health Assembly – Agenda item 17.1. Available from http://apps.who.int/gb/ebwha/pdf_files/WHA68/A68_R15-en.pdf?ua=1
  2. World Health Organization and Pan American Health Organization. Decontamination and reprocessing of medical devices for health-care facilities. WHO Document Production Services, Geneva, Switzerland. 2016. p.45 https://www.who.int/infection-prevention/publications/decontamination/en/

Find out more about such projects https://www.lifebox.org/