WASH

1. WASH in Health
Facilities Project –
Overview
NATIONAL WASH COORDINATION
MEETING 9th Oct 2015
Implemented by ERC, MoHS & MoWR

2. In this presentation:
1. Health Sector Recovery Plan
2. Project Titles & Goal
3. Expected Results
4. Target Locations; Hospitals Vs Partners; CHCs Vs Partners
5. Scope of WASH activities
6. Expected Hardware Outputs in Hospitals and CHCs
7. Progress To-date
8. Challenges/Opportunities

3. Health Sector Recovery
Plan
Linked to the Presidential Health Sector Recovery Plan (1st phase - 9 months)
Health Sector Recovery Framework – 5 Outputs: Patient & Health worker Safety, Health work
force, Essential Healthcare Services, Community Ownership & Information & Surveillance.
Immediate outcome Indicators (ERC to contribute to)
% of health facilities compliant with infection prevention and control measures
% of 40 Hospitals and 149 CHCs with triage and isolation capacity
% of Hospitals and CHCs with access to safe water
% of PHUs with improved sanitation facilities

4. Project Titles & Goals
Project Titles:
Support to WASH facilities in Community Health Centres (CHCs)
Strengthening Infection Prevention Control & WASH Infrastructure in Government Hospitals in
Sierra Leone
Project Timelines:
25th May 2015 to 25th April 2016 – CHC Project
15th April 2015 to 28th February 2016 – Hospitals IPC Project
Goal (both projects): Resurgence of Ebola is Prevented
Outcome:
Increased safe access to comprehensive health services at CHCs for patients in Sierra Leone
Increased safe access to comprehensive health services at government hospitals for patients in
Sierra Leone.

5. Expected Results
CHC Project:
• To Improve water supply and distribution systems in 128 CHCs to meet the minimum water
demands in order to deliver safe health services and comply with IPC protocals
• To improve sanitation in 128 to meet the sanitation standards and improve IPC
• To improve the waste management infrastructure in 128 CHCs to meet the minimum standards for
IPC
• To improve the facility management of WASH infrastructure at 128 CHCs to ensure sustainability
of the system through proper operation and maintenance
• To ensure that all 128 CHCs have screening stations for out patients and safe isolation areas for
patients suspected of EVD or another highly communicable disease.
Hospitals IPC Project:
• To improve WASH services and infrastructure in 22 government hospitals to ensure staff are able
to adhere to IPC protocols and standards.

6. Target Locations
Koinadugu
Bombali
Port Loko Kono
Kenema
Kailahun
Bo
Pujehun
Bonthe
Moyamba
Tonkolili
Western
Area
Rural
Western
Area
Urban
Koinadugu
Oxfam GB
•WASH in CHCs
Kono
GOAL
•WASH in Koidu Government Hospital
MUWODA
• WASH in CHCs
Kenema
GOAL
•WASH in Kenema Government Hospital
•WASH in CHCs
Pujehun
Save the Children
•IPC & WASH in Pujehun Government
Hospital
•WASH in CHCs
Bonthe
Solidarities
•WASH in CHCs
Moyamba
ACF
•IPC & WASH in Moyamba Government
Hospital
• WASH in CHCs
Bombali
GOAL
•IPC & WASH in Makeni Government
Hospital
• WASH in CHCs
Kambia
ACF
•WASH in Kambia Government Hospital
•WASH in CHCs
Port Loko
GOAL
•IPC & WASH in Lungi Government
Hospital
•WASH in CHCs
Western Area
KINGS / WELBODI / GOAL
•WASH in Hospitals Bo
IRC
•WASH in Bo Government Hospital
GOAL
•WASH in CHCs
Tonkolili
Concern
•WASH in CHCs
•WASH in Magburuka Hospital
Kailahun
Save the Children
•WASH in Kailahun Government Hospital
•WASH in CHCs

7. Hospitals Vs Partners
District ERC partner Hospital
Kenema GOAL Kenema
Kono GOAL Koidu
Kailahun SAVE Kailahun
Kambia ACF Kambia
Tonkolili CONCERN Magburaka
Bombali GOAL Makeni
Port Loko GOAL Lungi
Moyamba ACF Moyamba
Bo IRC Bo
Pujehun SAVE Pujehun
Western Area Rural GOAL Lakka
Western Area Urban GOAL Kissy Mental
Western Area Urban GOAL Macauley Satellite
Western Area Urban Kings Lumley
Western Area Urban King's 34 Military
Western Area Urban King's Connaught
Western Area Urban King's King Harman Road
Western Area Urban IOM Kingtom Police
Western Area Urban IOM Prison
Western Area Urban Welbodi Ola During Children's
Western Area Urban Welbodi PCM
Western Area Urban Welbodi Rokupa

8. CHCs Vs Partners

9. Scope of WASH Activities
Water Supply:
Establishing sustained water supply through rehabilitation of existing/establishing new water sources, rehabilitation of
existing/installing new storage facilities, rehabilitating water distribution systems and ensuring functional water access
points at all locations where medical procures are undertaken through rehabilitation of the existing non-functional
facilities/installation of new facilities.
Water Quality:
Supporting Hospital staff and the MoWR on water quality testing and monitoring
Sanitation:
Establishing toilets and shower/bathroom facilities through rehabilitating existing dilapidated facilities/constructing new
ones, rehabilitation of existing waste water systems and onsite waste water disposal facilities (septic tanks) or
construction of new ones where applicable.
Healthcare Waste Management:
Establishing health care waste segregation system through provision of color coded waste collection bins at all
locations where waste is generated. Establishing health care waste management facilities (Incinerators, Ash pits,
Organic pits and sharps pits) through rehabilitation of the dilapidated existing facilities/construction of new ones.
Training:
Support Strengthening the capacity of hospital staff in operation, maintenance and management of the WASH facilities in
Health Facilities.

10. Expected Hardware
outputs in CHCs
Water Supply & Quality:
• New/rehabilitated water supply sources equipped with pumps
• New/rehabilitated water storage tanks - elevated
• New/rehabilitated water distribution systems; water access points
• Existing water quality testing, treatment and monitoring mechanism
Sanitation:
• New/rehabilitated gender disaggregated toilets/latrines and showers/bathroom facilities
• New/rehabilitated septic tanks, soak away pits
• Functional hand washing facilities
• Surface run off drainage systems (where applicable)
Healthcare Waste Management:
• Provision of waste collection bins and onsite transportation
• Functional waste pits [organic/placenta, sharps]
• New/repaired incinerators with ash pits
• Fenced off waste management area
Screening & Isolation Facilities:

11. Expected Hardware
outputs in Hospitals
Water Supply & Quality:
• New/rehabilitated water supply sources equipped with pumps (shared with UNOPS)
• New/rehabilitated water storage tanks - elevated
• New/rehabilitated water distribution systems; water access points
• Existing water quality testing, treatment and monitoring mechanism
Sanitation:
• New/rehabilitated gender disaggregated toilets/latrines and showers/bathroom facilities
• New/rehabilitated septic tanks, soak away pits
• Functional hand washing facilities
• Surface run off drainage systems (where applicable)
Healthcare Waste Management: (Fully being undertaken by UNOPS)
• Provision of waste collection bins and onsite transportation [ERC Partners]
• Functional waste pits [organic/placenta, sharps]
• New/repaired incinerators with ash pits
• Fenced off waste management area
Screening & Isolation Facilities:

12. Progress to-date:
• All Coordination efforts between ERC and UNOPS completed – Water sources and Health care
waste management facilities activities in 20 Hospitals
• Working towards strengthening coordination efforts between ERC and FWC
• Strengthened coordination efforts with all actors targeting health facilities for any infrastructure
activities (ERC, UNFPA, UNOPS, UNICEF)
• All ERC partners have resubmitted their SLAs as required by the MoHS (Approvals, reviews)
• Engagement of partners and MoHS in developing ‘Standards/Basic Guidelines and Designs’ to
harmonize WASH infrastructure activities in health facilities
• Out of 20 Hospitals, 1 has made substantial progress in water supply (sources, storage, access
points within various service points) and sanitation activities. Activities on going in the other
targeted Hospitals (after UNOPS/ERC coordination matrix completed)
• MoHS & MoWR supported by ERC partners led WASH assessments targeting PHUs in 12 districts
led by MoHS & MoWR – MoHS to lead in generating the Assessment report.

13. Challenges/Opportunities
• Strengthening Coordination of (WASH) Infrastructure activities in all health facilities; also be part of
National WASH Coordination forum.
• Strengthened MoHS involvement in Coordinating activities through introduction of the SLA
approach for all projects targeting health facilities
• An opportunity for all partners implementing WASH in Health facilities, MoHS and MoWR to start
thinking of developing basic guidelines/standards for WASH in health facilities (Harmonized)
• Access to in-door sanitation facilities by the disabled persons in some of the existing health
facilities???
• Screening/Isolation Guidelines/Procedures at Various facility levels – define scope of facilities to be
put up
• Increased scope of assessments to cover all PHUs in 12 districts; having information on coverage
is critical for future planning of improvements.
• Availability of certain critical project inputs in the local market – refractory bricks, Taps, pumps

14. THANK
YOU