Improving water, sanitation, and hygiene (WASH), with a focus on hand hygiene, globally for community mitigation of COVID-19
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Published:2022-06-15
Issue:6
Volume:1
Page:e0000027
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ISSN:2767-3219
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Container-title:PLOS Water
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language:en
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Short-container-title:PLOS Water
Author:
Berendes DavidORCID, Martinsen Andrea, Lozier MatthewORCID, Rajasingham Anu, Medley AlexandraORCID, Osborne TaylorORCID, Trinies VictoriaORCID, Schweitzer RyanORCID, Prentice-Mott GraemeORCID, Pratt CarolineORCID, Murphy Jennifer, Craig ChristinaORCID, Lamorde Mohammed, Kesande Maureen, Tusabe FredORCID, Mwaki Alex, Eleveld AlieORCID, Odhiambo Aloyce, Ngere IsaacORCID, Njenga M. Kariuki, Cordon-Rosales Celia, Garzaro Contreras Ana Paulina, Call Douglas, Ramay Brooke M.ORCID, Skewes Ramm Ronald Eduardo, Then Paulino Cecilia Jocelyn, Schnorr Charles DanielORCID, De St. Aubin MichaelORCID, Dumas DevanORCID, Murray Kristy O., Bivens NicholasORCID, Ly Anh, Hawes EllaORCID, Maliga AdriannaORCID, Morazan Gerhaldine, Manzanero RussellORCID, Morey Francis, Maes PeterORCID, Diallo Yagouba, Ilboudo Marcelin, Richemond Daphney, El Hattab Omar, Oger Pierre Yves, Matsuhashi AyukoORCID, Nsambi Gertrude, Antoine Jeremie, Ayebare Richard, Nakubulwa TeddyORCID, Vosburgh Waverly, Boore AmyORCID, Herman-Roloff AmyORCID, Zielinski-Gutierrez Emily, Handzel Tom
Abstract
Continuity of key water, sanitation, and hygiene (WASH) infrastructure and WASH practices—for example, hand hygiene—are among several critical community preventive and mitigation measures to reduce transmission of infectious diseases, including COVID-19 and other respiratory diseases. WASH guidance for COVID-19 prevention may combine existing WASH standards and new COVID-19 guidance. Many existing WASH tools can also be modified for targeted WASH assessments during the COVID-19 pandemic. We partnered with local organizations to develop and deploy tools to assess WASH conditions and practices and subsequently implement, monitor, and evaluate WASH interventions to mitigate COVID-19 in low- and middle-income countries in Latin America and the Caribbean and Africa, focusing on healthcare, community institution, and household settings and hand hygiene specifically. Employing mixed-methods assessments, we observed gaps in access to hand hygiene materials specifically despite most of those settings having access to improved, often onsite, water supplies. Across countries, adherence to hand hygiene among healthcare providers was about twice as high after patient contact compared to before patient contact. Poor or non-existent management of handwashing stations and alcohol-based hand rub (ABHR) was common, especially in community institutions. Markets and points of entry (internal or external border crossings) represent congregation spaces, critical for COVID-19 mitigation, where globally-recognized WASH standards are needed. Development, evaluation, deployment, and refinement of new and existing standards can help ensure WASH aspects of community mitigation efforts that remain accessible and functional to enable inclusive preventive behaviors.
Funder
Centers for Disease Control and Prevention
Publisher
Public Library of Science (PLoS)
Reference56 articles.
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