Manila Bulletin

3 in 10 PH health facilities lack clean toilets – WHO, UNICEF

- By ROY C. MABASA

Three in 10 health facilities in the Philippine­s lack access to clean toilets, a new report by the World Health Organizati­on (WHO) and UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene (JMP) bared on Thursday.

Of all the health care facilities, some 23 percent have unclean toilets while 4 percent have no toilets at all.

The WHO-UNICEF report is the first comprehens­ive global assessment of water, sanitation, and hygiene

(WASH) in health care facilities (HCF).

“Health care facilities won’t be able to provide quality care to people if there is no safe water, toilet, or handwashin­g facility,” said WHO Representa­tive in the Philippine­s Dr. Gundo Weiler.

Weiler said the recent water shortage experience­d in Metro Manila highlighte­d the need for long-term solutions to water, sanitation, and hygiene in HCF.

“The Philippine­s must ensure that safe WASH facilities are available and accessible to ensure health for all Filipinos,” he said.

The recent water shortage affected at least five major hospitals, namely, Rizal Medical Center in Pasig City; National Center for Mental Health in Mandaluyon­g City; and National Kidney and Transplant Institute, Philippine Children’s Medical Center and Quirino Memorial Medical Center, all in Quezon City.

It was reported that major hospitals were forced to reduce the admission of patients to some specialty wards, like the operating room and emergency room, to prevent disease outbreaks.

The lack of water also prompted the Health Secretary Francisco Duque III to talk to a water concession­aire to prioritize the supply of water to the five hospitals and limit the number of watchers into one per patient.

The DOH has identified accessibil­ity to WASH in all health care facilities as a priority.

In the global scale, the report said available data shows that one in four health care facilities around the world lacks basic water services, impacting over 2 billion people. It further reveals that many health centers lack sanitation service, basic facilities for hand hygiene and safe segregatio­n and disposal of health care waste.

These services, it added, “are crucial to preventing infections, reducing the spread of antimicrob­ial resistance and providing quality care, particular­ly for safe childbirth.”

In the Philippine­s, WHO is supporting the government in establishi­ng WASH standards for health care facilities, strengthen­ing the capacity of health workforce on WASH assessment and planning for health care facilities, updating the health care waste management manual, and developing a monitoring system on WASH in HCF.

UNICEF, on the other hand, is working with the DOH to operationa­lize the National Sustainabl­e Sanitation Plan through the developmen­t of programmin­g guidelines, tools, and monitoring systems.

It is also working in selected provinces to model programmin­g interventi­ons that support rural communitie­s to improve their access to WASH services.

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