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剖析 WASH 评估工具,并为印度医疗保健设施推一个全面的工具
Poonam Trivedi1, Priya Bhavsar2, Pachillu Kalpana2,3
1Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, Gujarat, India.
Risk management and healthcare policy
|August 24, 2023
概括
在医疗保健设施中,适当的水污染和卫生 (WASH) 是至关重要的. 这项研究审查了WASH评估工具,发现了不一致性和差距,导致了印度医疗保健设施的新型综合监测工具.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 医疗保健管理的管理
背景情况:
- 在医疗保健设施 (HCF) 中,充分的水卫生和卫生 (WASH) 对于实现可持续发展目标 (SDGs) 和全民健康覆盖 (UHC) 至关重要.
- 显著缺乏关于WASH在HCF (WinHCF) 的统计数据,阻碍了改进战略.
- 现有的WASH评估工具缺乏详细的比较和标准化指标.
研究的目的:
- 剖析国家和国际WASH评估工具对HCFs.
- 通过对现有工具与标准进行比较,提出全面的WASH指标.
- 开发一种新的,全面的工具来监测印度HCF中的WASH.
主要方法:
- 对国家和国际WASH评估工具的系统审查.
- 搜索的数据库包括PubMed,Scopus,ScopeMed,Cochrane和谷歌学者等.
- 七种工具 (WASH FIT 2, Facet, SARA, SPA, TOOL BOX-II, CDC, Kayakalp) 在八个组件 (水,卫生,手部卫生,废物,清洁,基础设施,劳动力,政策) 中进行了比较.
主要成果:
- 大多数工具都涵盖了类似的指标,但方法和定义各不相同.
- 很少有工具捕捉到联合监测计划 (JMP) 推的基本指标.
- 政策,协议,清洁,IPC实践和气候弹性等关键指标往往缺失;开发了一个新的综合工具.
结论:
- 现有的HCF的WASH评估工具在定义,方法和实施方面存在局限性.
- 为印度的HCF开发了一个全面的,简短的监测工具,包含基本指标和JMP建议.
- 新工具旨在帮助日常监测,提高护理质量,并加强感染预防和控制 (IPC) 实践.
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