Access to and challenges in water, sanitation, and hygiene in healthcare facilities during the early phase of the COVID-19 pandemic in Ethiopia: A mixed-methods evaluation

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(5), P. e0268272 - e0268272

Published: May 13, 2022

Background Inadequate water, sanitation, and hygiene (WASH) in healthcare facilities (HCFs) have an impact on the transmission of infectious diseases, including COVID-19 pandemic. But, there is limited data status WASH settings Ethiopia. Therefore, this study aimed to assess related challenges HCFs Northeastern Ethiopia during early phase Methods An institution-based cross-sectional was conducted from July August 2020. About 70 were selected using a simple random sampling technique. We used mixed approach qualitative quantitative study. The collected by interviewer-administered structured questionnaire observational checklist, whereas key-informant interview head HCFs, janitors, coordinator HCFs. entered EpiData version 4.6 exported Statistical Package for Social Sciences (SPSS) 25.0 cleaning analysis. access reported WHO ladder guidelines, which include no access, basic triangulated with result. Results From survey three-fourths 53 (75.7%) clinics, 12 (17.2%) health centers, 5 (7.1%) hospitals. Most (88.6%) had water supply. absence specific budget facilities, non-functional pipes, water-quality monitoring systems, frequent interruptions major problems supply, occurred primarily clinics centers. Due separate latrine designated disabled people, none possessed sanitary facilities. Half (51.5%) sanitation latrines workers clients, as well female male staffs, unbalanced number functional latrines, poor cleanliness misuse latrine. Less than quarter 15 (21.4%) handwashing while half 35 (50%) did not. lack at expected sites around latrine, theft supplies visitors, two most serious Conclusion Despite fact that majority their physical infrastructure, quality maintain inappropriate utilization main Further investigation should be done enabling factors constraints provision, use, maintenance infrastructure

Language: Английский

---

Assessment of water, hygiene, and sanitation practice and associated factors among Bihari refugee camp in Bangladesh: A cross‐sectional study

Health Science Reports, Journal Year: 2024, Volume and Issue: 7(2)

Published: Feb. 1, 2024

The global significance of water, sanitation, and hygiene (WASH) cannot be overstated, extending far beyond the confines developing nations encompassing even most developed ones. This study, rooted in Bihari refugee camp Bangladesh, seeks to underscore universality WASH concerns.

Language: Английский

---

The critical need for WASH in emergency preparedness in health settings, the case of COVID-19 pandemic in Kisumu Kenya

Health & Place, Journal Year: 2022, Volume and Issue: 76, P. 102841 - 102841

Published: May 30, 2022

Language: Английский

---

Women in Health and their Economic, Equity and Livelihood statuses during Emergency Preparedness and Response (WHEELER) protocol: a mixed methods study in Kenya

BMJ Open, Journal Year: 2024, Volume and Issue: 14(2), P. e077778 - e077778

Published: Feb. 1, 2024

Introduction Kenya reported its first COVID-19 case on 13 March 2020. Pandemic-driven health system changes followed and unforeseen societal, economic effects reported. This protocol aims to describe the methods used identify gender equality equity gaps possible disproportional socioeconomic impacts experienced by paid unpaid (community volunteer) female healthcare providers in Kilifi Mombasa Counties, during pandemic. Methods analysis Participatory mixed framed human-centred design will be used. Research implementation follow four of five phases approach. Community research advisory groups local boards established ensure integration sustainability participatory design. Ethics dissemination Ethical approval was obtained from Institutional Scientific Review Committee at Aga Khan University Manitoba. study generate evidence root cultural, structural, political factors that perpetuate inequities disadvantage sectors. It also evidence-based policy options for future safeguarding workforce emergency preparedness, response recovery periods.

Language: Английский

---

Enablers and barriers to vaccine uptake and handwashing practices to prevent and control COVID-19 in Kenya, Uganda, and Tanzania: a systematic review

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: March 27, 2024

The global emergence of coronavirus disease 2019 (COVID-19) posed unprecedented challenges, jeopardizing decades progress in healthcare systems, education, and poverty eradication. While proven interventions such as handwashing mass vaccination offer effective means curbing COVID-19 spread, their uptake remains low, potentially undermining future pandemic control efforts. This systematic review synthesized available evidence the factors influencing vaccine practices Kenya, Uganda, Tanzania context prevention control. We conducted an extensive literature search across PubMed, Science Direct, Google Scholar databases following Preferred Reporting Items for Systematic Review Meta-Analysis (PRISMA) guidelines. Out 391 reviewed articles, 18 were eligible inclusion. Some common barriers to included lack trust government’s recommendations or messaging on benefits hand hygiene access water, while some safety efficacy concerns inadequate awareness sites types. Enablers encompassed programs soap water those improved knowledge and, socio-economic like a higher level education. underscores pivotal role addressing these capitalizing enablers promote practices. Stakeholders should employ campaigns community engagement, ensure resources’ accessibility, leverage incentives Clinical trial registration : [ https://clinicaltrials.gov/ ], identifier [CRD42023396303].

Language: Английский

---

Contribution of water, sanitation, hygiene and basic education to reduce under-five mortality in Sudan

Journal of Water Sanitation and Hygiene for Development, Journal Year: 2024, Volume and Issue: 14(8), P. 616 - 632

Published: July 17, 2024

ABSTRACT Until 2015, the under-five mortality rate (U5MR) in Sudan was 65.9 per 1,000 livebirths, higher than MDG4 target, and it has to be reduced by 5.04% year from its 2020 level achieve SDG3.2 2030. This target cannot achieved without improvements access safe drinking water (ASW), sanitation hygiene (ISF) (WASH) basic education. An estimated autoregressive distributed lag bounds test model confirms a long-run equilibrium relationship between U5MR, WASH, education, economic growth health care. In short run, U5MR decelerates itself with coefficient of 0.56. Sanitation education significantly reduce U5MR. Collectively, care affect adversely. long declines are driven respectively sanitation, (a factor 1.79), 0.21), 0.18). The study recommends promotion investments 32 million $US annually 2030, order meet Sudan. Skilled physicians full vaccination children can more effective reducing dependent on progress WASH.

Language: Английский

---

Levels of handwashing and vaccine uptake in Kenya, Uganda, and Tanzania to prevent and control COVID-19: a systematic review and meta-analysis

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Nov. 9, 2023

Introduction Coronavirus Disease 2019 (COVID-19) presents a massive challenge in Africa due to overwhelmed and underresourced health systems, as well the existing burden of communicable non- diseases. Self-inoculation may occur when an individual touches their mucous membrane following direct contact between hands severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-contaminated surfaces. Therefore, handwashing can be used along with COVID-19 vaccines reduce spread SARS-CoV-2 COVID-19. We were interested investigating levels vaccine uptake control prevent Kenya, Uganda Tanzania using systematic review meta-analysis. Methods searched PubMed, African Index Medicus Journals Online for studies published since inception 31 st January 2023. included all that assessed: acceptance hesitance indicators uptake; on Tanzania. Study findings synthesized by meta-analysis get pooled effect measure. Three qualitatively high level heterogeneity measure precluding quantitative Results Our search identified 128 articles which 17 18,305 participants 622 vaccination sites reviewed 14 them being meta-analyzed. This reports at 67% (95% CI: 55, 78) 88% 73, 97), respectively. Vaccine among was low 31% 15, 49). Discussion Despite importance prevention COVID-19, some countries do not implement effectively. There is need public strategies raise awareness about vaccine. Systematic Review Registration https://www.crd.york.ac.uk/PROSPERO/ , PROSPERO ID CRD42023394698.

Language: Английский

---

Women in Health and their Economic, Equity and Livelihood statuses during Emergency Preparedness (WHEELER) Protocol: A mixed methods study in Kenya

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: June 12, 2023

Abstract Introduction : Kenya reported its first COVID-19 case on March 13, 2020. Pandemic-driven health system changes followed, as did mitigation measures. These measures had unintended health, economic, and societal consequences: Kenyan women in paid unpaid employment bore the brunt. This protocol aims to identify potential gender equality equity gaps, possible disproportional socio-economic impacts experienced by female care providers Kilifi Mombasa Counties during COVID − 19 pandemic. It will also evidence-based policy options for future safeguarding of work force emergency preparedness, response recovery periods. Methods Participatory mixed methods framed a equity, analysis human-centred design be used engage workforce research. Research implementation follow four five phases human centred approach which include, empathize phase, define ideate &synthesis prototype/critical review testing phase. Data collection phase utilize qualitative (focus group discussions in-depth interviews) quantitative (survey questionnaire) explore perceptions, experiences, needs priorities relation COVID-19. then further explored contextualised In ideate& synthesis workshops with key stakeholders brainstorm propose many equitable transformative solutions pandemic preparedness based findings from prototype critical proposed critically appraised packaged strategic recommendations that are gender- sensitive transformative. Community research advisory groups local boards established ensure integration sustainability participatory design. Discussion Globally, seven out ten workers women. study generate evidence root cultural, structural, political factors perpetuate inequities disadvantage sector. Such is realization women’s rights, well-being livelihoods, development systems can withstand emergencies structural shocks.

Language: Английский

---

Assessment of the Incidence and Contributing Factors of Diarrheal Episodes in Children Under Five Years Admitted to Hoima Regional Referral Hospital, Hoima District

IDOSR JOURNAL OF BIOLOGY CHEMISTRY AND PHARMACY, Journal Year: 2023, Volume and Issue: unknown, P. 8 - 20

Published: Sept. 20, 2023

Diarrhea is a major public health concern worldwide, with 2.5 billion cases occurring annually among children under five. Nearly three-quarters of child deaths are due to diarrhea, 16,000 five dying daily from preventable causes like pneumonia, and malaria. This study aimed determine factors influencing diarrhea in admitted at Hoima Regional Referral Hospital. A crosssectional was conducted, 238 mothers randomly sampled the population whose were admitted. The prevalence Hospital 24.4% time data collection. Factors this high include child's vaccination status, introduction supplementary foods an early age, weaning, age. Mothers often do not practice exclusive breastfeeding, but introduce their other very coupled weaning practices.

Language: Английский

---

Levels of handwashing and vaccine uptake in Kenya, Uganda, and Tanzania to prevent and control COVID-19: a systematic review and meta-analysis

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: May 19, 2023

Abstract Introduction: Coronavirus Disease 2019 (COVID-19) presents a massive challenge in Africa due to overwhelmed and underresourced health systems, as well the existing burden of communicable non- diseases. Self-inoculation may occur when an individual touches their mucous membrane following direct contact between hands severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-contaminated surfaces. Therefore, handwashing can be used along with COVID-19 vaccines reduce spread SARS-CoV-2 COVID-19. We were interested investigating levels vaccine uptake control prevent Kenya, Uganda Tanzania using systematic review meta-analysis. Methods: searched PubMed, African Index Medicus Journals Online for studies published since inception 31 st January 2023. included all that assessed: acceptance hesitance indicators uptake; on Tanzania. Study findings synthesized by meta-analysis get pooled effect measure. Three qualitatively high level heterogeneity measure precluding quantitative Results: Our search identified 128 articles which 17 18,305 participants 622 vaccination sites reviewed 14 them being meta-analyzed. This reports at 67% (95% CI: 55, 78) 88% 73, 97), respectively. Vaccine among was low 31% 15, 49). Conclusions: Despite importance prevention COVID-19, some countries do not implement effectively. There is need public strategies raise awareness about vaccine. Registration: PROSPERO ID CRD42023394698; registered 6 th

Language: Английский

---