This document outlines the Terms of Reference for the national technical working group (TWG) on WASH in health care facilities in Kenya. It defines the TWG’s objectives, roles, guiding principles, and membership structure, aiming to support national WASH FIT roll-out, improve coordination and resource mobilization, guide policy, and strengthen infection prevention and climate resilience.
Year Issued: 2023
Kenya Health Facility Census Report (2023) (English)
A comprehensive national census of all health facilities in Kenya, this report provides a baseline on facility readiness, infrastructure, basic amenities (like water and power), availability of health services, workforce, and linkage to community health units. It includes data on access to water, hand hygiene facilities, IPC capacity, and gaps in tracer medicines, laboratory equipment, and disability-friendly infrastructure.
Health Care Waste Management Guidelines (2023) (English)
This publication provides comprehensive national guidelines for managing health care waste in Kenya. It outlines the types of healthcare waste, risk categories, legal and policy frameworks, and technical procedures for segregation, storage, collection, treatment, and disposal. The guidelines promote environmental protection, occupational health and safety, and compliance with infection prevention and control (IPC) standards.
Costed Road Map of Water, Sanitation and Hygiene (WASH) in Healthcare Facilities of I.R. Iran (2023) (English)
This comprehensive national roadmap presents Iran’s multi-year plan to strengthen WASH services in healthcare facilities. It follows WHO/UNICEF guidance and builds on the 2021 national WASH situational analysis. Developed through stakeholder consultation and technical working groups, the roadmap includes national objectives, regulatory review, costing of environmental health services using UNC’s toolkit, and defines short- and medium-term targets to improve quality of care, IPC, waste management, and access to WASH for vulnerable populations.
Naskah Teknokrasi Upaya Kesehatan Lingkungan di Fasilitas Layanan Kesehatan: Rumah Sakit, Puskesmas, dan Klinik (2023) (Bahasa) / Technocratic manuscript on environmental health efforts in health care facilities: hospitals, health centers, and clinics
Situational analysis and policy recommendations for environmental health (Kesling) in hospitals, Puskesmas, and clinics, supporting the Ministry of Health’s 2025–2029 strategic planning.
Health National Adaptation Plan for Building Climate Resilient Health Systems in Lao People’s Democratic Republic (2023)
This Health National Adaptation Plan (H-NAP) is Lao PDR’s first comprehensive climate-health strategy. It provides a roadmap for strengthening the resilience of the health system to climate change, focusing on priority health risks such as WASH, food insecurity, heat-related illnesses, vector- and water-borne diseases, and disaster-related health service disruptions. Developed through intersectoral collaboration with WHO, the plan is structured around the 10 components of the WHO Operational Framework for Climate Resilient Health Systems and aims to guide adaptation actions at national, provincial, and facility levels through 2025 and beyond.
Country Case Study: Lao National WASH Survey 2021 (2023)
This report presents the results of the first-ever national assessment of water, sanitation, and hygiene (WASH) and health-care waste management services, including climate resilience, in health care facilities (HCFs) in the Lao People’s Democratic Republic. Conducted from 2020–2021, the survey covered 1,225 HCFs nationwide. It offers critical insights into the current state of WASH services and gaps at both national and provincial levels, and outlines evidence-based actions and a monitoring framework to guide improvements in WASH and health system resilience through 2025 and beyond.
Evaluation of Water, Sanitation and Hygiene (WASH) Services in Health Care Facilities in Morocco [Évaluation des services eau assainissement et hygiène (EAH) au niveau des établissements de santé au Maroc] (2023)
Description (en français) :
Ce rapport présente les résultats de la première évaluation nationale des services EAH (Eau, Assainissement et Hygiène) dans les établissements de santé au Maroc. Réalisée en 2022 avec l’appui de l’OMS et de l’UNICEF, elle couvre environ un tiers des établissements du pays (1 185 sur 3 399). Le rapport fournit une analyse approfondie sur l’approvisionnement en eau, l’assainissement, l’hygiène des mains, la gestion des déchets biomédicaux, ainsi que le nettoyage des locaux. Il s’agit d’une base essentielle pour améliorer la qualité des soins, renforcer la résilience du système de santé et atteindre les cibles des ODD, notamment les ODD 3 et 6.
Description (in English):
This report presents the results of Morocco’s first national assessment of Water, Sanitation, and Hygiene (WASH) services in health care facilities. Conducted in 2022 with support from WHO and UNICEF, it evaluated approximately one-third of the country’s facilities (1,185 out of 3,399). It offers a detailed analysis of water supply, sanitation, hand hygiene, medical waste management, and facility cleanliness. The report serves as a foundation for improving healthcare quality, strengthening system resilience, and achieving SDG targets, particularly SDGs 3 and 6.
Costed Roadmap on WASH in health care facilities of Islamic Republic of Iran (2023)
This road map for health-systems strengthening developed based on the pre-determined objectives which were initiated from a precise reviewing the first step of WASH in healthcare facilities in Iran conducted during 2021 for 730 statistically representative HCFs regarding to the establishment of a reliable framework for conducting the roadmap. The objective of this National Coordination Mechanism and WASH Costed Roadmap in Healthcare Facilities is providing a framework to articulate a pathway that will strengthen all HCFs in Iran to provide standardized and effective WASH services and generate a new way of public quality healthcare, with consideration of the costs associated with the suggested interventions. Please find the costed roadmap here!
National WASH Standards and Implementation Guidelines for healthcare facilities-Bangladesh
This document is the National WASH and waste standards in healthcare facilities in Bangladesh (2023).