Monitoring and Evaluation Plan Key to Basics Uptake and Scaling

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%.

Written by the BASICS team

BASICS will implement a robust monitoring and evaluation, learning and data use plan designed to be institutionalized and sustained within national and local government health systems.

Data from healthcare facilities in our four demonstration countries (Bangladesh, Cambodia, Nigeria and Tanzania) will be reported to district-level governments through established quality improvement or infection prevention systems, depending on the country context. Information related to infection prevention readiness, staff and patient behavior compliance, cleanliness, supply and antibiotic burn rates and health outcomes will be reported.

The BASICS team will validate the quality of this data through our monitoring systems at representative sentinel facilities.

This data will be aggregated and analyzed to assess infection preparedness, behavior compliance and health improvements.

During the first three years of BASICS’ implementation, we will use this rigorous data to demonstrate significant cost savings, improvements to quality healthcare and improvements in health outcomes for health systems. With this data in hand, we will also advocate for national scale in our demonstration countries and globally.

We will also develop an M&E toolkit that can be leveraged to contextualize and scale-up beyond the initial four countries.

How BASICS Will Adapt to Respond to Unique Cultural Barriers

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%.

BASICS (Bold Action to Stop Infections in Clinical Settings) will launch in four countries where governments have shown commitment to reducing infection risk. Yet, local cultural, economic and social barriers can pose unique challenges. We have received a number of questions on how we see BASICS adapt and flex to meet unique cultural contexts.


In this video, our staff on the ground share their perspective and experience on how they worked with behavior change interventions to achieve significant promising results in their countries.

To learn more about BASICS (Bold Action to Stop Infections in Clinical Settings), visit savethechildren.org.

How Behavior Change Interventions Can Be a Key to Improving Hygiene in Healthcare

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%.

Written by the BASICS Team

 The 100&Change competition has challenged us to think critically and creatively about developing a solution that tackles one of the world’s most forgotten problems: healthcare-acquired infections (HAIs). BASICS was designed to catalyze and support transformative changes in how healthcare staff practice good hygiene in order to reach dramatic reductions in HAIs across national heath systems, saving lives, reducing antibiotic use and freeing up much-needed resources.

There are many reasons why following effective hygiene protocols can be difficult for healthcare staff in low-resource settings, such as lack of sanitation infrastructure and clean water and broken supply chains that fail to deliver needed materials. These physical barriers present one set of challenges – changing health workers’ longstanding habits and practices are another.  Overcoming these challenges requires work at all levels, from influencing very personal behaviors to national health policies.

How do we realize such a bold ambition – reducing HAIs by half in four demonstration countries to start, and then scaling to other high-burden countries – when our solution relies on individual and group behavior change in a diversity of settings?

One of our key strategies is to ensure that healthcare staff feel truly invested in the BASICS approach, and are actively engaged in a process that works for their social, cultural and socio-economic reality, and other important factors related to behavioral change.

The BASICS’ framework is grounded in the proven Behavior Centered Design approach. Developed and refined over a decade by scientists at the London School of Hygiene and Tropical Medicine, it combines evolutionary and environmental psychology with the best marketing practices to create imaginative and provocative behavior change interventions.

Once BASICS launches, we will begin with in-depth formative research, which consists of participatory methods inspired by anthropology, psychology and other behavioral and social sciences. This will help us understand the individual, social, and cultural drivers of the infection prevention control behaviors that BASICS is designed to change.

These insights will then be used to tailor BASICS to the local context. This will maximize both individual and institutional acceptability and adoption of changes.

BASICS partners Save the Children, London School and WaterAid have already used the approach in one of BASICS’ four demonstration countries –Cambodia. This experience will help to give BASICS a firm fooothold there, and inform work in the three other demonstration countries of  Bangladesh, Nigeria and Tanzania.

In Cambodia, we found that many people believe that if their hands don’t look soiled, that means they’re clean. Open defecation is also socially accepted, especially when there’s abundant open space.

Save the Children has, over the past six years, run the NOURISH program, which targeted behaviors in health, water, sanitation and hygiene and agriculture. The impact of the changed behaviors is very significant, including a 75 percent drop in open defecation in the program areas.

WaterAid and the London School, in partnership with the National Institutes of Public Health and 17 Triggers, recently used Behavior-Centered Design to develop a novel intervention to improve hand hygiene compliance among Cambodian midwives.

They identified the personal, institutional and cultural drivers of hygiene practices and are now testing a model that combines traditional infection prevention control training, emotional messaging that reinforces midwives’ desire to provide quality care to mothers and newborns and environmental cues to trigger hand hygiene at key moments.

Midwives’ compliance with good hand hygiene practices during childbirth will be measured later this year. These learnings will be very useful once we implement BASICS in the country.

In Bangladesh, we’re very excited about the impact of our programs addressing HAIs. When we started, there were quality standards for infection prevention in place, but they were simply not complied with. Staff were not adequately trained, supplies were limited at best, and there were no systems in place to ensure that healthcare facilities practiced effective hygiene.

We had to also address the widespread use of traditional, but harmful, practices like applying cow dung or corrosive mustard oil to a newborn’s umbilical cord. We were successful in helping staff to transition to the use of chlorhexidine through guidelines, training and the development of effective supply chains.

It was a long process, but it worked. Some 85,000 healthcare staff in 64 districts were trained. Independent monitors found that 86 percent of healthcare staff were proficient in the use of chlorhexidine. They also found great improvements in the sanitizing of medical equipment such as bag masks and suction devices.

As we’ve seen in Cambodia, Bangladesh and in many other countries, sustainable behavior change is possible at both the individual and institutional levels. BASICS will draw upon hard evidence and our collective eperiences to advance this bold solution in health facilities and across national health systems.

Fostering a Culture of Learning in Rwanda

Written by Nazanine Scheuer, Save the Children
This post originally appeared on Aspen Network of Development Entrepreneurs

Fostering a Culture of Learning in Rwanda
How can you learn if you can’t get books in your own language? And how can that situation be remedied if 1) your nation has only three local publishers and 2) they’ve published just 12 children’s books in the language spoken by the vast majority of your country’s citizens?

That was the challenge faced by schoolchildren in Rwanda – until Save the Children stepped in to create a social enterprise partnership platform that engaged the private sector in local book publishing. By enabling the start-up and training of Rwanda-based publishers and linking them to key actors across the value chain, we strengthened the supply of locally created, quality reading materials, stimulated demand and helped local entrepreneurs build thriving businesses.

The result? By providing students with vastly improved access to books that are both culturally relevant and language-appropriate, the venture is making significant strides toward creating a culture of literacy and learning in Rwanda. We have helped local publishers produce over 1,000 stories, of which more than 600 were approved for use in schools by the Rwanda Education Board. At the same time, the project has built – and continues to build – a new industry that’s making significant contributions to the local economy.

Why Local Publishing?
As Save the Children enters our second century of creating innovative approaches to improving life for children, women and their families around the world, we are increasingly engaging in market-based, impact driven solutions to social and economic challenges. Investment in these initiatives has become a driver of our strategy to build and strengthen local market systems and underpin long-term, self-sustaining economic development.

In the case of Rwanda, it was widely recognized that a shortage of books in their mother tongue, Kinyarwanda, was preventing millions of girls and boys from building literacy skills and discovering the joy of reading. Furthermore, what was available was poorly written, edited, illustrated and designed and/or for the wrong age group. Not only did local publishers lack the skills, knowledge and experience to produce high quality children’s books, but, as a result of low demand for non-textbook materials, they lacked incentives to produce good quality reading materials.

An added hurdle to availability of appropriate books was the lack of access to or within schools, as well as a lack of the skills necessary for teachers to use the books effectively.

Traditional literacy initiatives addressed the gap in book availability by developing materials externally or facilitating the translation of foreign-sourced materials into Kinyarwanda. While that approach was somewhat effective in the short term, it did not offer a pathway to sustainable solutions. Equally important, it largely ignored the role local publishers could play in enhancing their communities’ economies by building and expanding profitable business ventures with long-term viability.

Creating an Economic Eco-System
In 2013, with an initial investment from public- and private-sector partners, we designed and implemented the Rwandan Children’s Book Initiative (RCBI). The goal was to foster a reading and learning environment to improve literacy. By developing a local publishing industry through a comprehensive, multi-pronged approach, we were able to strengthen all aspects of the book value chain, from developers to end users. We created a thriving new industry in Rwanda and also achieved our objective of improving literacy outcomes and creating a culture of reading among children. In 2016, we received an additional investment that enabled us to further expand the model, building on the eco-system already created.

We focused our model on five key activities central to success:

Skills Development

o   Provide quality, relevant training and ongoing mentoring to the publishing industry and its constituents;

o   Work in partnership with private sector, book-publishing actors to tap into resources and expertise (i.e. a partnership with Penguin Random House.)

Demand Generation

o   Support the establishment of communities of practice for each segment of the industry;

o   Invest in initiatives that established a market for the newly developed, local-language books.

Supply Strengthening:

o   Maintain a book-review committee to provide feedback to publishers, assess quality and inform procurements;

o   Establish incentive-driven agreements to encourage publishers with low capital to invest in quality materials;

o   Facilitate an understanding of quality criteria to allow negotiation of better prices/more affordability;

o   Formulate quality-assurance guidelines;

o   Create a book purchasing consortium comprised of different projects/programs/organizations.

Advocacy

o   Invest in advocacy and policy formulation work to create a conducive book-publishing environment;

o   Engage relevant decision makers and build evidence to support the importance of a local publishing industry;

o   Build coalitions around the importance of involving the private sector to develop and maintain quality materials, educational opportunities and a knowledge based society;

o   Raise awareness through meetings, conferences, campaigns and media.

Through this model, we demonstrated the value of a “whole chain” approach that connects publishers with government agencies, the private sector and local communities. In doing so, we increased collaboration between these actors to establish a self-sustaining industry that draws on the local mix of skills and expertise.

Compelling Results
Thanks to RCBI, the quality, quantity and range of local-language children’s books published and distributed in Rwanda has grown significantly. In fact, there are now more than 1,000 books for children from 0 to 9 years of age available from publishers that received our support. An added bonus of the project is that girls are increasingly likely to be the protagonists in these stories and are more often portrayed in positive roles. By 2019, almost a third of the children’s books featured girls as main characters.

As for the impact on local economies, most of the participating publishing houses have grown, often from just one person to an entire staff. Notably, a third of the active publishers are women! With a stronger capital base, these publishers are able to compete for contracts and access markets that were previously unavailable to them. Additionally, the publishers are diversifying their activities beyond Kinyarwanda children’s books and even beyond the boundaries of Rwanda. Some have begun co-publishing textbooks in foreign countries, while others have sold rights for publishing their books in additional languages or sold rights overseas.

This is important because generating income allows them to invest in the production of more books and other learning materials. For example, many publishers are investing in digital educational materials such as animations, alphabet apps and audio books and are building online e-bookstores. They’re also forming partnerships with local schools, writing books for older readers and offering books on important topics that align with national development priorities.

In all, we’ve counted more than 250 new actors contributing to the industry, whether as authors, illustrators/artists, editors, designers, booksellers or administrators, underscoring the thriving industry created by the project.

“There were no trainings for publishers and no local publishing schools. I had an interest in this field because I am a writer, and I worked in a printing company. When I started my company, I wanted to create products children would enjoy, but didn’t know which way to go to achieve that goal…. So Save the Children helped me bring my vision to life.”

– A Rwandan publisher trained by Save the Children

What’s Next?
The bottom line is that the RCBI project has exceeded its goals, helping children learn while also building a flourishing children’s book publishing industry in a nation that previously had no such aspiration. In our next phase, we plan to increase distribution across the country including in remote communities, amplify women’s empowerment and further improve literacy outcomes. Concrete examples include: establishing micro-libraries; starting women’s authorship groups; developing innovative, income-generating activities to increase book sales and incentivize reading.

Thanks to the support of our committed partners in the U.S. and Rwanda, this project has effectively changed the lives of children, women and entire communities. To learn more or get involved, please contact Nazanine Scheuer at nscheuer@savechildren.org. And do stay tuned for the next chapter!

A mother cradles her newborn baby at a hospital in Kenya.

The Unintended Consequences of COVID-19 on Mothers and Newborns

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%.

Written by the BASICS team

The unintended dangerous effects of pandemics on maternal and newborn health are not new.

During the Ebola crisis of 2015-16, more women and girls died of obstetric complications than the infectious disease itself.

For COVID-19, the situation is no different. While some emerging evidence suggests that COVID-19-infected pregnant women may be at higher risk of pre-term birth[1] and that pregnant women with pre-existing conditions may face complications, it appears that healthy pregnant women face few direct adverse effects of the virus. There is also no evidence of vertical mother-to-newborn transmission during pregnancy or via breastfeeding, and the few infants with confirmed COVID-19 have experienced mild illness.[2] Current guidance on caring for babies of mothers with COVID-19 are available here.  

However, Save the Children’s own experiences responding to disease outbreaks in low- and middle-income countries, modeling data and other evidence point to a number of worrying indirect effects the pandemic may have on mothers and newborns. The myriad complications of the COVID-19 pandemic – from overwhelmed health systems to government lockdowns that may restrict a woman’s access to health care, and to families simply being unable to afford transportation to a distant health post because of lost incomes – are conspiring to disrupt maternal and newborn care and jeopardizing hard-won progress in reducing maternal and newborn mortality.

  • Facility care may be disrupted or diminished as health staff and materials, including those necessary for infection prevention and control (IPC), are re-deployed or prioritized for departments likely to see COVID-19 patients.
    • Fear of physical proximity may limit or alter care provision. Social distancing and the fear of spreading the virus may lead health workers to deny laboring mothers an outside birth companion or to separate newborns from mothers after delivery. We are aware of such instances occurring through the country programs we support and the working groups and forums we participate in. Essential care for every newborn should include immediate skin-to-skin contact and early initiation of breastfeeding. This is especially critical for pre-term and small babies whose survival relies on the practice of Kangaroo Mother Care, which includes – among other practices – early, continuous and prolonged skin-to-skin contact between the mother and the newborn.
    • Government-ordered curfews and lockdowns may prevent or inhibit women’s access to routine antenatal care or emergency care, or to cause them to give birth at home without the support of a trained midwife or health worker.
    • Families’ economic shocks from lost jobs and livelihoods may make the cost of transportation to a health facility or facility fees prohibitive.
    • Mixed messages about how the virus can be transmitted and fear of physical closeness may reduce breastfeeding rates.

Over the past two decades, individuals, families, communities and countries have achieved significant improvements in health outcomes for mothers and newborns. Maternal death rates globally fell 38.3 percent, from 342 deaths per 100,000 live births in 2000 to 211 per 100,000 live births in 2017[3]. Newborn death rates declined by 43 percent, from 31.5 deaths per 1,000 live births in 2000 to 17.7 per 1,000 live births in 2017[4]. The increased access to safe healthcare has been one of the main reasons for these improvements. For example, the percentage of births globally that were attended by skilled personnel increased from 64% in 2000 to 81% in 2019.[5]

The impacts of COVID-19 can easily erode some of these hard-won gains in reduced mortality over the past two decades.

So what can we do? It is essential to ensure mothers feel safe going to a health facility and health providers are empowered with knowledge and tools. WHO, Save the Children and other partners recommend that health facilities: 

  • Maintain and promote essential, evidence-based maternal and newborn health services such as antenatal care for pregnant women, skilled attendance during labor and delivery and essential newborn care; 
    • Practice IPC in all departments and wards, but especially in the spaces where pregnant women, laboring mothers and newborns receive care. This includes routinely cleaning and disinfecting surfaces to help prevent the spread of disease, and practicing strict hand hygiene (handwashing) before and after contact with the mother and newborn;
    • Encourage mother-baby contactinstead ofisolation. Mothers and newborns should not be separated. Mothers should be encouraged to breastfeed and practice immediate skin-to-skin contact for low weight/preterm babies while following the appropriate protective measures. For asymptomatic and non COVID 19 exposed mothers, this means practicing respiratory hygiene, avoiding touching the mouth and face, practicing hand washing with soap and running water or using sanitizer where possible, following distancing recommendations and reporting symptoms.
    • Engage mothers and communities to understand their needs, questions and fears, which will help to tailor approaches and health messages to communicate effectively, both about the risks of COVID-19 and the benefits of essential maternal and newborn health services. 

These are basic yet powerful actions that will ensure pregnant women, mothers and their newborns continue receive quality care during the pandemic and that those caring for them will help keep them healthy and thriving. Maternity and newborn wards, in which all staff are trained in and practicing strict hygiene and IPC protocols as second nature, become safer environments and places where the risk of acquiring an infectious disease is greatly reduced.

The BASICS model ensures IPC measures are embedded in the delivery of health care to pregnant women, mothers and newborns –in the midst of COVID-19 as well as for the future so that if the next pandemic hits, health systems will be prepared.


[1] https://www.sciencedirect.com/science/article/pii/S2589933320300379?via%3Dihub

[2] https://www.healthynewbornnetwork.org/resource/covid19-interim-guidance-who/

[3] https://www.who.int/reproductivehealth/publications/maternal-mortality-2000-2017/en/

[4] https://data.unicef.org/topic/child-survival/neonatal-mortality/

[5] https://data.unicef.org/topic/maternal-health/delivery-care/

WaterAid Tanzania (Project was funded by the Canadian Government)

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%.

BASICS is built around the Clean Clinic approach, which incentivizes healthcare leadership to create a hygiene compliant health system at a low cost, and TEACH CLEAN, which empowers health care workers so that hygiene becomes second nature, are essential to reducing the number of Healthcare Associated Infections and deaths in Least Developed Countries (LDCs). But how can health workers practice the needed hygiene when there are no facilities to wash their hands or water to clean contaminated surfaces? A critical component of BASICS is to ensure Water Sanitation and Hygiene (WASH) infrastructure is available to make our efforts successful. In rural Tanzania, healthcare workers, like Regina Kasanda, experience firsthand what it is like to provide care in a maternal ward with little to no access to water. Close access to clean water means healthcare workers, who have been trained to practice hygiene, can now implement what they learnt, mothers are able to stay long enough to receive the care they need but most importantly, unnecessary and sometimes fatal infections can be avoided.

To learn more about BASICS (Bold Action to Stop Infections in Clinical Settings), visit savethechildren.org.

Disinfection You Can See

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%.

What happens when a healthcare worker or sanitation employee can’t discern whether or not surfaces, protective equipment, tools and supplies are properly disinfected after use?

BASICS partner, Kinnos Inc., is a social venture who won USAID’s Fight Ebola Grand Challenge with an innovative product. They developed Highlight, a color additive, to increase the efficiency and effectiveness of cleaning and disinfection by making chlorine visible and changing the chlorine’s liquid properties to achieve full surface coverage. The blue color fades automatically once optimal disinfection time has passed. Clean Clinics and Teach Clean (watch our videos to learn more) will employ this innovative additive to train health workers on effective cleaning and disinfection methods. See this video and you will be impressed!

To learn more about BASICS (Bold Action to Stop Infections in Clinical Settings), visit savethechildren.org.

Basics’ Partners Mobilize Global Responses to Combat Pandemic’s Impacts

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%.

With frightening speed, COVID-19 has turned the world on end. Over 1.9 million cases had been confirmed in 213 countries or territories as of April 15, according to the World Health Organization. Borders have been sealed, travel bans and lockdowns have been implemented, and health systems are under immense pressure.

All four BASICS partners have pivoted quickly to help. We have mobilized responses that put us on the front line – producing research, guidance and recommendations for governments and task forces; strengthening the ability of health systems in low- and middle-income countries to respond through training, supplies and water, sanitation and hygiene (WASH) infrastructure; and helping to directly alleviate the pandemic’s impact on vulnerable populations.

Here are highlights of the ways that Save the Children, the London School of Hygiene and Tropical Medicine, WaterAid and Kinnos are leveraging our expertise in global health – the same expertise that BASICS draws on – to react to this unprecedented crisis. 

Save the Children
Save the Children has mobilized a response unlike any other humanitarian mission in its more than 100 years of alleviating the needs of vulnerable and marginalized children. It was among the very first international aid organizations to deliver critical supplies to health workers and provide families with trusted information to reduce transmission and keep children safe.

It is supporting 500,000 community health workers and plans to support another 100,000 over the next six months by providing them with resources, tools and skills to deliver essential services to treat common childhood illnesses and malnutrition, and to recognize symptoms and prevent COVID-19. Many of its country offices are working with Ministries of Health to equip local health workers with protective equipment and medical supplies, training and emotional and professional support.

It is supporting 500,000 community health workers and plans to support another 100,000 over the next six months by providing them with resources, tools and skills to deliver essential services to treat common childhood illnesses and malnutrition, and to recognize symptoms and prevent COVID-19. Many of its country offices are working with Ministries of Health to equip local health workers with protective equipment and medical supplies, training and emotional and professional support.

  • In-country and international health staff in Kenya, Mozambique, South Sudan and Tanzania are participating in and advising national COVID-19 task forces or technical working groups.
  • In Malawi, Save the Children teams have collaborated with the Ministry of Health to develop and disseminate simple messages on handwashing and have set up sample handwashing stations at the Ministry building.
  • In Sierra Leone, Save the Children has reprised its role in the 2015-16 Ebola outbreak response by engaging in COVID-19 coordination mechanisms at the national level and in its districts of operation. National staff attend daily COVID-19 coordination meetings and have an active part in the development and dissemination of national COVID prevention messages. They are collaborating with the government on training community health workers on COVID prevention, so that they can pass accurate information to their communities.
  • In select refugee contexts where populations are extremely vulnerable and social distancing is impossible in overcrowded camps and settlements, such as camps of Rohingya refugees in Bangladesh, the agency will work with local health authorities to support isolation and treatment of those with COVID-19.

The London School of Hygiene and Tropical Medicine

LSHTM experts are involved in a diverse range of COVID-19 research initiatives and are providing technical support and guidance to governments and organizations. LSHTM has a strong track record of responding to emergencies and major outbreaks, whether through research or by providing immediate information, advice, courses and action on the ground.

There are a number of specific LSHTM COVID-19 responses directly related to the goals of BASICS. The School is hosting a massive open online course summarizing the latest evidence on COVID-19. Members of the LSHTM community are actively involved in providing expert commentary on COVID-19 response relevant to low- and middle-income countries, including the role of cleaning and the risks from hand-touch sites by Professor Wendy Graham from the BASICS team.

LSHTM experts are providing technical support to the UK government and Unilever’s Hygiene Behaviour Change Coalition. Its researchers have also developed and are coordinating the COVID-19 Hygiene Hub – a broad partnership that will provide technical resources and dedicated support to government and organizations implementing hygiene programs to combat COVID-19 transmission and provide a platform for communication and learning among partners.

Water Aid

The first phase of WaterAid’s COVID-19 response is focused on delivering key hygiene behavior change campaigns in coordination with national governments, distributing materials such as soap, water, personal protection equipment and, where possible, handwashing stations. WaterAid’s experts are providing technical support to national governments and key coordinating mechanisms.

  • In Bangladesh, WaterAid’s ‘Fight Corona’ campaign, which uses social media and radio, has reached over 3 million people. It has installed free handwashing facilities in public areas such as bus stops, railway stations, markets and shopping malls.
  • In Pakistan, 22 million people across the country have been reached through a similar WaterAid awareness campaign on the importance of handwashing with soap and social distancing. The campaign uses regional and local languages and has been broadcast over radio, local cable networks and through SMS service. WaterAid has also installed handwashing facilities in hospitals, quarantine centers and public places in Islamabad, Lahore, Multran, Muzzaffargarh, Mardan and Quetta districts in close coordination with the district administrations.
  • In Zambia, WaterAid is working with celebrities and artists to record hygiene promotion videos that are being posted on social media. For example, Pompi, a popular musician, produced a music video on handwashing and promoted a #handwashingchallenge #Kutuba2020
  • In Malawi, WaterAid has developed a pedal handwashing device to reduce contact with soap and taps.
  • In Cambodia, through the Building and Wood Workers Trade Union of Cambodia, WaterAid is providing guidance and online training for members to create simple hand hygiene facilities using local recycled materials. It is providing hand hygiene facilities and materials to hospitals and medical students for training. WaterAid and the National Institute of Public Health are also undertaking a rapid assessment of the role of cleaners during the COVID-19 response and identifying knowledge gaps.

Kinnos

Kinnos provided its Highlight® color additive technology to hospitals in China during the onset of the COVID-19 outbreak. It is now supplying various EMS/fire departments with Highlight® to help decontaminate ambulances and PPE equipment, and to hospitals for disinfecting screening rooms. Kinnos has also started manufacturing hand sanitizers to aid in the shortage and has provided them to multiple medical organizations.

Making Health Care Clean: Steve Sara, Save the Children, On How an Approach to Clean Clinics Can Be Cheap and Sustainable

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%. Tanzania is one of the four countries where BASICS’ rollout is planned

Implementing clean care and quality infection prevention and control in healthcare facilities in low-income countries can be simple, cheap and show quick progress. How can we save money for governments, the health systems and families but ensure a lower rate of infection, saved lives and saved time? WASH expert Steve Sara takes you through the power of the Clean Clinics approach.

Teaching the Science of Cleaning: Professor Wendy Graham of LSHTM on the Crucial Importance of “Basics” in Fighting Infections

This post is part of a series authored by the BASICS (Bold Action to Stop Infections in Clinical Settings) team. BASICS is a new initiative that will transform healthcare and reduce healthcare-associated infections (HAIs) by at least 50%. Tanzania is one of the four countries where BASICS’ rollout is planned

Cleaning is a science, but cleaning staff in low resourced healthcare facilities are often not equipped with the right training, supplies or the power to ask for what they need to carry out effective cleaning and effective change in behavior.

How can we make teaching the science of clean easy, practical and unforgettable for those who hold the power of ensuring hygiene in healthcare is safe, of high quality and successful? Professor Wendy Graham takes you through the power of TEACH CLEAN.