Developing an Intensive Workshop on Water, Sanitation, and Hygiene in Healthcare Facilities for Emerging Leaders Restricted; Files Only

Abstract

Background: Water, sanitation, and hygiene (WASH) services in healthcare facilities (HCF) are

essential to reduce disease transmission and promote quality care, yet many obstacles exist to

reach adequate access. Nearly half of healthcare facilities globally lacked basic hygiene services,

and approximately 22% of facilities lacked access to basic water services (United Nations, n.d.).

One approach to improving WASH in HCF is to provide training on the critical role of WASH in

healthcare (World Health Organization, 2019). Using adult learning principles, this special

studies project will create content for a WASH in HCF short course/workshop for WASH &

health leaders. Methods: This special studies project extends prior work by the trainers from the

Center for Global Safe Water, Sanitation, and Hygiene at Emory University. Content for three

didactic PowerPoint sessions for WASH in HCF was created for an intensive short workshop

scheduled to take place in Uganda. Results: Through strategic integration of text, graphics, and

multimedia elements, the PowerPoint presentations are designed to foster enhanced

comprehension and retention of information via the principles of andragogy. Each presentation

lasts approximately one hour, with time for questions following the conclusion of the

presentation. Session topics include 1) gender equality, disability, and social inclusion (GEDSI),

2) healthcare facility resiliency, and 3) financing of WASH in HCF. While each session has

specific objectives, the overall goal of the sessions is to provide participants with the information

needed to conduct effective programming and advocacy in the field of WASH in HCF.

Discussion: The short-course workshop methodology emphasizes participatory learning

approaches and engages diverse participants, including healthcare workers, policymakers, and

other multidisciplinary representatives. Providing professionals with training on WASH in HCF

will position them to be more effective in creating change and making an impact on WASH in

HCF in their respective organizations and regions of operation. Future learning and research

opportunities from this special study might focus on strengthening the empirical evidence on

costing and evaluating the long-term impact of WASH interventions on specific healthcare

outcomes and targeted policy changes.

Table of Contents

Table of Contents

Introduction .................................................................................................................................... 1

Adult Teaching .......................................................................................................................... 2

Purpose Statement .................................................................................................................... 4

Literature Review of the Status of Water, Sanitation, and Hygiene in Healthcare Facilities .... 5

History of Hygiene in Healthcare Settings .............................................................................. 5

The Connection Between Hygiene and Infection Control ..................................................... 7

The Current Status of Water, Sanitation, and Hygiene (WASH) in Healthcare Facilities

.................................................................................................................................................... 11

Finance Practices ................................................................................................................. 12

Human Rights Considerations ............................................................................................ 13

Methods of Adult Learning .................................................................................................... 15

Continuing Education Approaches ..................................................................................... 17

Methodology for Workshops and Seminars ......................................................................... 18

Methods ........................................................................................................................................ 22

Project Background ................................................................................................................ 22

Intended Participants ............................................................................................................. 22

Preliminary Curriculum......................................................................................................... 23

Proposed Workshop Schedule................................................................................................ 24

Materials and Source Information ........................................................................................ 25

Creating Deliverables ............................................................................................................. 26

Feedback and Revision Process ............................................................................................. 26

IRB Considerations ................................................................................................................. 27

Results........................................................................................................................................... 28

Gender Equality, Disability, and Social Inclusion Deliverable ........................................... 28

Selected Slides from GEDSI Deliverable ............................................................................ 30

Resiliency Deliverable ............................................................................................................. 32

Selected Slides from Resiliency Deliverable ....................................................................... 33

Finance and Budget Deliverable ............................................................................................ 35

Selected Slides for Finance and Budget Deliverable .......................................................... 36

Discussion..................................................................................................................................... 38

Summary of the Special Studies Project ............................................................................... 38

Implications and Recommendations ..................................................................................... 39

Future Learning and Research Opportunities ..................................................................... 42

References .................................................................................................................................... 44

About this Master's Thesis

Rights statement

• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
关键词	HCF Water, Sanitation, and Hygeine WASH Healthcare Facilities
Committee Chair / Thesis Advisor	McGriff, Joanne A., Emory University

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