Improved water, sanitation, hygiene and waste services in health-care facilities, Ukraine
2025

Improving Water and Sanitation Services in Ukrainian Health-Care Facilities

Sample size: 9 publication 10 minutes Evidence: moderate

Author Information

Author(s): Maggie Montgomery, Arkadii Vodianyk, Nataliia Piven, Arabella Hayter, Ryan Schweitzer, Tetyana Skapa, Bruce Gordon, Oliver Schmoll

Primary Institution: World Health Organization

Hypothesis

Can the implementation of the WASH FIT tool improve water, sanitation, hygiene, and waste services in Ukrainian health-care facilities?

Conclusion

The implementation of the WASH FIT tool led to significant improvements in water, sanitation, hygiene, and waste management services in Ukrainian health-care facilities.

Supporting Evidence

  • After implementing WASH FIT, the average score increased from 66 to 83 out of 100.
  • Improvements were noted in waste management practices and hand hygiene.
  • Engaged local leaders and regular training were critical to the improvements.
  • Two hospitals and one primary care facility increased their scores by 40% or more.

Takeaway

This study shows that by using a special tool, health-care facilities in Ukraine were able to make their water and sanitation services much better, helping to keep patients safe.

Methodology

The study involved training facility staff, conducting baseline assessments, and implementing improvement plans using the WASH FIT tool.

Limitations

The assessment may have overestimated the availability of basic services as it did not include water quality or reliability.

Participant Demographics

The study involved health-care facilities in Ukraine, primarily serving over 12,000 patients per month.

Digital Object Identifier (DOI)

10.2471/BLT.24.291716

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