Year Issued: 2024

WASH Matters: Assessing Sanitation and Hygiene in Critical Facilities in host and refugee communities in Turkana and Garissa

An assessment of the WASH Practices and Needs in Schools and Health Facilities in Garissa and Turkana Counties

Supported by the Government of the Netherlands and UNICEF, this WASH assessment was conducted in June 2024 by REACH in collaboration with the County Governments of Garissa and Turkana, the Ministry of Education, the Ministry of Health, UNHCR, and the Refugee Affairs Secretariat. The assessment aimed to provide evidence-based information to influence humanitarian planning and responses within the WASH sector. Schools and HFs in Turkana and Garissa Counties were targeted in the host communities, Kalobeyei integrated settlement, and in Dadaab and Kakuma refugee camps. A descriptive study design, census methodology, and quantitative approach were employed to collect and analyze the data. The assessment included 723 public primary schools and 306 public HFs in the two counties and camps. The findings revealed that communities face diverse priority WASH needs, underscoring the critical importance of developing tailored responses that address specific gaps and challenges in each facility.

WASH-related Needs Assessment in Schools and Health Facilities in Turkana County, Kenya (REACH Initiative)

The floods experienced in the last quarter of 2023 caused extensive damage to property and infrastructure in Turkana County, impacting the host community, refugees, and internally displaced persons (IDPs). An assessment targeting all public primary schools and healthcare facilities in the host communities and refugee camps in Turkana County in Kenya was undertaken in June 2024.

État des lieux des services Eau, Hygiène et Assainissement dans les établissements de santé au Mali (2024) (French); Assessment of WASH Services in Health Facilities in Mali

Ce rapport national complet d’évaluation EHA examine l’accès à l’eau potable, à l’assainissement, à l’hygiène, à la gestion des déchets et à la prévention des infections dans les établissements de santé au Mali. Il analyse les lacunes, met en lumière les disparités (notamment liées au genre et au handicap) et oriente la planification des améliorations des services. Réalisée en 2024, l’évaluation guide les mises à niveau des infrastructures, la formation du personnel et l’harmonisation des politiques.

This comprehensive national WASH assessment report evaluates access to safe water, sanitation, hygiene, waste management, and infection prevention in Mali’s health care facilities. It analyzes gaps, highlights disparities (including gender and disability), and informs planning for service improvements. Conducted in 2024, the findings guide infrastructure upgrades, staff training, and policy alignment.

Feuille de route de mise à niveau des services WASH dans les établissements de santé au Mali (2024) (French); Roadmap for Upgrading WASH Services in Health Facilities in Mali

Cette feuille de route définit une stratégie nationale pour améliorer les services EHA dans les établissements de santé au Mali. Élaborée en cohérence avec les engagements de la WHA72 et les objectifs de développement durable 3 et 6, elle identifie les principales lacunes et propose des actions concrètes, notamment le développement des infrastructures, la formation du personnel, des mécanismes de suivi et la mobilisation communautaire. Elle s’appuie sur une évaluation nationale réalisée en 2024 et vise à garantir un accès universel à l’eau potable, à l’assainissement et à l’hygiène dans les structures de soins d’ici 2030.

This roadmap sets out a national strategy for improving WASH services in health care facilities in Mali. Developed in alignment with WHA72 commitments and SDG targets 3 and 6, the document identifies key gaps and proposes concrete actions, including infrastructure development, workforce training, monitoring mechanisms, and community engagement. It is based on a 2024 national assessment and aims to ensure universal access to safe water, sanitation, and hygiene in healthcare settings by 2030.

National Standards and Guidelines for Water, Sanitation, and Hygiene in Health Facilities (2024) (English)

These standards define the national benchmarks for WASH in Malawi’s health facilities, addressing water access, sanitation, hygiene, waste management, environmental cleaning, climate resilience, and emergency preparedness. Developed by the Ministry of Health with development partners, the guidelines support facility-level implementation and align with SDGs 3 and 6.

National Healthcare Waste Management Policy (2024) (English)

This policy provides strategic guidance for safe and sustainable healthcare waste management in Malawi. It addresses governance, infrastructure, human capacity, social behavior change, and environmental health. The policy is aligned with Malawi Vision 2063 and SDGs 3 and 6, with an emphasis on coordinated implementation across sectors, including development partners, local governments, and the private sector.

Health Care Waste Management Guidelines (2024) (English)

These updated national guidelines provide a structured approach to managing healthcare waste in Malawi. They include guidance on waste minimization, segregation, transport, treatment, disposal, risk mitigation, and the integration of private sector services. The guidelines align with national and international legal frameworks and support implementation planning and monitoring across all levels of the healthcare system.

National Infection Prevention and Control Policy (2024) (English)

This policy outlines Malawi’s national framework for Infection Prevention and Control (IPC) in healthcare settings. Developed by the Ministry of Health’s Quality Management Directorate, the document aims to reduce healthcare-associated infections (HAIs) and antimicrobial resistance (AMR), promote evidence-based practices, and integrate IPC into the national health system. It includes clear governance structures, implementation plans, monitoring frameworks, and links to the Health Sector Strategic Plan III and Vision 2063.