Understanding Barriers to Quality of Care

World Health Organization

"This document describes an approach for conducting a national situational analysis of water, sanitation and hygiene (WASH) as a basis for improving quality of care.

A situational analysis is the first of the eight practical steps recommended by WHO and UNICEF as a means to trigger action to improve and sustain WASH in health care facilities, a prerequisite for providing quality care.

This document describes the process from the initial preparatory stages, including triggers for action, through data collection and analysis to the dissemination of results....The approach described here is based on the experiences of previous analyses undertaken in Cambodia (2017), Ethiopia (2016 and 2018), Ghana (2019), Hungary (2019), Rwanda (2019), Serbia (2019) and Tajikistan (2018) (2–6). In addition, this approach was discussed and improved during the 2019 WASH in health care facilities global meeting held in Livingstone, Zambia (7)."

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