Health facilities must be clean and Safe fist.

1. Clean and Safe Health facilities
Initiative (CASH)

2. Presentation outline
 Introduction
 Objectives
 Scope
 Principles
 Governance
 Strategies
 Action points
 Measures

3. Introduction to CASH
Cleanness
 Cleaning is a common activity performed to maintain a
healthy, safe, and aesthetically pleasing environment
 While cleaning is common in nearly all industry sectors
and in homes, it is particularly important in healthcare
which requires intensive and frequent cleaning and uses
a wide range of cleaning and disinfecting products.

4. Introduction….cont
Health facility Safety
 The prevention of harm to patients, staffs and
visitors produced by medical care
 HCAI is a major problem for patient safety
 Patients and healthcare workers are the most
likely sources of infectious agents and are also
the most common susceptible hosts
 The impact of HCAI implies prolonged hospital
stay, long-term disability, increased resistance
of microorganisms to antimicrobials, massive
additional financial burden, high costs for
patients and their families, and excess deaths

5. Hospital Toilet

6. Hospital toilet

7. Hospital ward hand washing
sink

8. Hospital ward hand wash sink

9. Our Hospital Kitchen

10. Our Hospital Laundry..

11. Objective of CASH
To make health facilities clean, safe and comfortable
to patients, visitors , staff and the community

12. Specific objectives
To increase awareness of staff and the
public on hospital cleanliness and safety
To engage all staffs in cleaning activities
To create ownership and accountability of
cleaning and safety activities at all staff
To mobilize the public and other

13. Scope of CASH
• Hospital service areas(clinics and wards)
• Hospital Utilities(Water, Kitchen, Laundry,
Toilet, hand washing facilities, Shower and
sewerage system)
• Hospital building and compound
• Administrative staff areas
• Health care waste mgt
• Surrounding places
All health facilities with
particular focus on hospitals

14. CASH principles
1. Clean Care is Safer Care
 HCAI is the most frequent
harmful event in health-
care delivery and occurs
worldwide in both
developed and
developing countries

15. Cont….principles
2.Cleanness is about attitude not structure
 waste is generated by daily human activity not by being old
building or new building)
3.Cleanliness is everybody’s responsibility
 This responsibility applies to everybody working and
visiting a healthcare facility, including administrators,
staff, students, patients and their family .

16. cont…..principles
4.Health facilities should be healing places
 Healing is not the same as curing, which is about
fixing problems, eradicating disease, and
decreasing symptoms
 physical environment of hospitals is a factor to
health outcomes
 Thus, a noisy, confusing hospital room might leave
a patient not only feeling worried, sad, or helpless
but also might raise his or her blood pressure and
heart rate and increase muscle tension.

17. Governance of CASH
Executive
Committee
Project Team
Audit Team

18. Strategies
 Governance structure establishment
at all level
 Sustained advocacy through political
leaders, local investors and national
celebrities
 Intersectoral collaboration

19. Strategies of CASH…
 Regular sustained cleaning campaigns lead
by seniors
 Innovation & Best practice scale-up
 Recognition of innovative hospitals

20. CASH Action Points
 Preparation phase
Conduct baseline assessment
Reaching consensus between federal, regions,
Hospitals and partners
Development of national CASH project document
with clear plan and budget
Launching of the program at national, regional
and hospital level in the presence of higher
government officials, investors and professionals

21. CASH Action Points…
Implementation phase
 Advocacy through political leaders, private investors and
national celebrities
 Establishment of CASH management structure at all level
 Mobilization of resource
 Construction and renovation of infrastructure
 Sustained regular campaigns lead by seniors

22. CASH Action Points…
 Monitoring and evaluation
Development of Audit tools
Conduct supportive supervision
Regular monitoring and evaluation
Recognition of facilities
Clustering hospitals for experience sharing

23. Measures of CASH
 Shift in attitude to zero tolerance for unclean
services and physical environment.
 Implementation of national minimum IPPS and
HCWM standards
 Client Satisfaction Score
 HCAI through national KPI data base

24. Duties and Responsibilities
FMOH
 Is responsible to oversea the initiative nationally
 Prepares national policy , manuals guideline and
tools
 Providing capacity building for RHB and hospitals
 Support the efforts by providing financially, material
and technically
 Mobilize resources for the initiative
 Conduct sustained advocacy and communication
 Develop monitoring and evaluation frame work and
conduct regular M&E
 Documents best practices and scale up

25. Cont…duty and responsibility
RHB
 Is responsible to oversee the initiative regionally
 Establish relevant regional governance structure
 Mobilize resources for the initiative
 Conduct sustained advocacy and communication
 Develop monitoring and evaluation frame work and
conduct regular M&E
 Documents best practices and scale up

26. Cont…duty and responsibility
Health facilities
 Organize multi profession team at facility level
 Conduct assessment and prepare implementation
plan
 Develop their own strategies
 Prepare and sign service level agreements with
wards and staffs
 Mobilize all the hospital community and establish
networks
 Implement the different standards

27. For discussion
 Starting from the time in which the
initiative was implemented, have you
observed a significant change in your
region/hospital? What are the
challenges?
 What are the opportunities to achieve the
initiative in your respective
region/hospital?

28. (THANK YOU)