Thesis Open Access

Assessment of Water, Sanitation, and Hygiene (WASH) Facilities among Public and Private General Hospitals in Addis Ababa, Ethiopia

Angasa, Alemu

Background: Globally, many health care facilities lack access to water, sanitation and hygiene; in low and middle income countries, 38% of health care facilities do not have an improved water supply, 19% lack improved sanitation and 35% lack water and soap for hand washing. The Ethiopian national census of healthcare facilities indicated that water coverage 32% and sanitation coverage 85%. Objectives: To assess water, sanitation and hygiene (WASH) facilities among public and private general hospitals in Addis Ababa, Ethiopia, 2017 Methods: A facility based mixed quantitative (descriptive cross-sectional) and qualitative method was conducted on 22 general hospitals in Addis Ababa from 21st April to 15 may of 2017. Convenient total samples of 24 general hospitals were taken for this study. Observation check list for WASH facilities infrastructure and key informant interview guide was used to collect the data for compliance with availability and functionality of WASH facilities. Results: From hospitals included in the study those have flush latrine 4/24 have no running water for OPD toilets and 20/22(90.9%) hospital have no accessible latrine for people with disability. Nine out of 22 hospitals have no separated male and female latrine for OPD patients. Two hospitals have no OPD patient latrine hand washing facility. About 20(36.4%), 66 (55.5%) and 26(78.8%) functional hand washing facility have no soap as cleansing agent for OPD, delivery rooms and pediatric ward patient respectively at study period. Hospital those had hand washing with soap at all washing station was 5/22(22.7%). All hospitals have pipe line water sources in their compound. Conclusion and Recommendation: There is improved sanitation since all hospitals have flush toilet. Twenty (90.9%) hospital lacks accessible toilet for people with disability. There is a gap in soap availability whereas soap coverage at all hand washing facility was at 5/22(22.7%). All hospitals have improved water sources. Availability and accessibility of toilet for people with disability needs improvement.

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