Figures & Tables
Figures
- FIGURE 1.
10-Step Clean Clinic Approach for WASH Quality Improvements
Abbreviations: CCA, Clean Clinic Approach; HCF, health care facility; WASH, water, sanitation, and hygiene.
- FIGURE 2.
Guatemala Clean Clinic Assessment Scoring Distribution in Total, by Ward and Technical Areaa
aTotal Clean Clinic score is based on the average between wards.
- FIGURE 3.
Baseline and End Line Assessment of Overall Compliance Level of Clean Clinic Assessment Criteria Before and After Clean Clinic Approach Intervention, by Facility (N=11)
- FIGURE 4.
Baseline and End Line Assessment of Facility Compliance Level in Water, Sanitation, Hygiene, and Equipment Sterilization Before and After Clean Clinic Approach Intervention, by Facility (N=11)
During the baseline assessment of health care facilities, it was common to find shuttered but functional latrines (left door), resulting in a reduced number of sanitation facilities and gender-segregated bathrooms.Photo Credit: © 2018 Jason Lopez/MCSP
- FIGURE 5.
Baseline and End Line Assessment of Facility Compliance Level in Waste Management; Environmental Cleaning; Administration and Documentation; and Hot Water, Wastewater, and Stormwater Before and After Clean Clinic Approach Intervention, by Facility (N=11)
Nonverbal reliant signage and red biomedical waste bags were added to the maternal recovery ward in a hospital as a result of the Clean Clinic Approach intervention.Photo credit: © 2018 Jason Lopez/MCSP
Tables
- TABLE 1.
MCSP Facilities Implementing Clean Clinic Approach, Western Highlands, Guatemala, N=11
Level of Care Type of Facility No. Description Secondary Centers for integral attention of maternal and child health 2 Provide “normal and “uncomplicated” births
Open 24 hours/day
Capacity for minor surgeries including cesarean deliveries and postabortion care
Centers for permanent attention 5 Provide “normal and “uncomplicated” births
Open 24 hours/day
Tertiary District hospitals 3 Open 24 hours/day
Capacity for major surgeries
Regional hospitals 1 Open 24 hours/day
Capacity for major surgeries and specialties
Abbreviations: MCSP, Maternal and Child Survival Program.
Date Activities 2018 January Initial evaluation of health care facilities February Presentation of initial evaluation results to MSPAS and decision to move forward with CCA March Clean Approach implementation begins April Define quality standards, criteria, and weighting thereof May June Familiarize staff with tool in 11 health care facilities July August September Baseline assessment (first measurement) October Identify gaps and define plans for continuous quality improvement November Supervision of improvement plans, coaching, and mentoring December 2019 January Supervision of improvement plans and second measurement February Supervision of improvement plans and third measurement March Certification of establishments according to established categories: silver, gold, and diamond April Closures and delivery of recognition to establishments and staff - TABLE 3.
JMP Classifications for CCA Facilities at Baseline and End Line Assessment, by Ward and Overall Facility (N=11)
JMP Standards Service Category Overall, No. Emergency, No. Delivery, No. Postpartum, No. Baseline End line Baseline End line Baseline End line Baseline End line Water Basic 4 9 3 9 6 10 6 11 Limited 6 2 6 2 3 1 4 0 No Service 1 0 2 0 2 0 1 0 Sanitation Basic 0 5 0 6 1 5 2 8 Limited 8 5 8 4 5 5 5 2 No Service 3 1 3 1 5 1 4 1 Hygiene Basic 2 11 3 11 3 11 2 11 Limited 7 0 6 0 7 0 8 0 No Service 2 0 2 0 1 0 1 0 Waste Management Basic 1 6 1 6 1 6 1 7 Limited 7 4 7 4 7 4 5 4 No Service 3 1 3 1 3 1 5 0 Environmental Cleaning Basic 0 6 0 6 3 6 1 6 Limited 2 1 2 5 1 5 3 5 No Service 9 4 9 0 7 0 7 0 Abbreviations: CCA, Clean Clinic Approach; JMP, World Health Organization/United Nations Children’s Fund Joint Monitoring Programme.
Supplemental material
- Supplement 1 -
Supplement 1
- Supplement 2 -
Supplement 2
- Supplement 1 -
