02492nas a2200313   4500000000100000008004100001260001900042653005700061653001400118653003400132653003300166653001600199653001000215653003700225653002600262653001300288653002200301653002700323653001000350100001300360700001400373700001400387700001500401245017400416856026000590300000900850520129400859022002502153       2024                            d  bIWA Publishing10aPublic Health, Environmental and Occupational Health10aPollution10aWaste Management and Disposal10aWater Science and Technology10aDevelopment10aGhana10ahealthcare-associated infections10ahealthcare facilities10aInequity10aInfection Control10asanitation and hygiene10aWater1 aDubik SD1 aAmegah KE1 aKwakye AT1 aAshinyo ME00aExamining factors driving inequities in water, sanitation, hygiene, and waste management services in healthcare facilities in Ghana: An analysis of routine national data  uhttps://watermark.silverchair.com/washdev2024118.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAABD8wggQ7BgkqhkiG9w0BBwagggQsMIIEKAIBADCCBCEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMQHZ7LeHrAAPck-OJAgEQgIID8quFnPBRGmQX15uZ7IG-2DnNrJgsoifHx7tpTQAZ  a1-133 a<p>In Ghana, little is known about the drivers of inequities of basic water, sanitation, and hygiene (WASH) services in healthcare facilities (HCFs). We aim to examine the status and factors driving access to basic WASH services in Ghana. This survey involved an analysis of routine health service data submitted to the District Information Management System 2 (DHIMS 2). Complete data were available for 1,646 HCFs across Ghana for analysis. Coverage of basic WASH services was 69, 58, and 64%, respectively. About 50% had a WASH-infection prevention and control (IPC) action plan, and 67% had a WASH-IPC manager who is responsible for the day-to-day WASH management. Regional inequities in access to basic WASH services exist, with the newly established regions and those in Northern Ghana being disadvantaged. Significant drivers of basic WASH services were the location of HCF, the level of service delivery, and availability of a trained facility-based assistant WASH manager. WASH services in Ghanaian HCFs have improved, but it is still not up to the standards set by the Sustainable Development Goals for WASH. Universal access to basic WASH services can be attained by mounting targeted WASH interventions and appointing WASH-IPC managers at all levels of the health system.</p>
  a2043-9083, 2408-9362