facility evaluation tool (facet) for wash in institutions · intermediate method 32 unsafe...
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Facility Evaluation Tool (FACET)for WASH in Institutions
Health Care Facilities and Schools
www.sandec.ch
www.tdh.ch
Developed with the support of JMP (WHO, Unicef) and
• Short assessment and monitoring tool for WASH in Health Center Facilities (HCF) and Schools designed for mobile data collection on android smartphones/tablets in humanitarian and development settings
• Questions based on work recommended Core /Expanded Indicators by the WASH in HCF and the WINS working groups: led by the Joint Monitoring Programme JMP (WHO, Unicef) team
• Based on experience/ testing in over 400 HCF in seven countries in Sub saharan Africa and South Asia since 2016
Introduction to FACET
*
Progress on Drinking Water, Sanitation and Hygiene:
2017 Update and SDG Baselines.
Geneva: World Health Organization (WHO) and the
United Nations Children’s Fund (UNICEF) 2017.
License: CC BY-NC-SA 3.0 IGO.
General Services Area
• LADDERs
FACET is powered on KoBo Toolbox -- part of the Open Data Kit (ODK) set of tools :
� Developed by Harvard and hosted on UNOCHA server for the humanitarian and development community Open source/Free
� Build a form off/online; Collect data on a mobile; Upload to server;
Aggregate and extract for analysis/reporting
� Programmed in Excel using the XLSform survey conception standard
� Kobo is the most widely used mobile data collection tool in the humanitarian sector for various survey and monitoring needs
August 2017: 75’000 User accounts; 12.6M survey forms filled in & uploaded.
Mobile data collection www.kobotoolbox.org
Mobile data collection
FACET Components
1. User’s Manual
2. Coded XLS Survey forms
(Schools and HCF)
3. Analyzer (Excel)
4. Survey Report templates
(Word) in English &French
• Pre-coded XLS form for Schools and Health Facilities can be adapted to the situation: administrative levels, additional questions (Expanded)
• Constraints, hints and skip options used to limit errors andfacilitate the survey are already coded in FACET
• Different language options (EN, FR) possible at any time of thedata collection or analysis;
• Each WASH service level is calculated by FACET and displayed on the smartphone at the end of the survey
Mobile data collection
Adapt the FACET Survey XLS form to the country context
Open a Koboaccount and upload
the Survey form
Download ODK Collect application on smartphones
Test, Train, Plan and implement the
Survey
Upload survey data on the KoBo
account
Analysis of collecteddata (KoBo-account,
Excel)
1 2 3
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• Collected data can be uploaded on the KoBoaccount or temporarily saved on the phone if no network is present
• Data can be viewed and exported to othersoftware from KoBo
• Analyzer for Core Indicators
(Unique Excel file for Schools & Health Facilities)
Data storage and analysis
FACET Core Indicators Analyzer (Excel)
74 Region A; 48 HCF in Region B
2-day training, presided by the District Head Doctor
Training on Core questions & few Expanded questions
Field Testing and review
30 enumerators: 18 District Healthcare workers
12 Tdh staff
15 teams composed of 2 persons, each visiting 2 HCF per day for 4-5 days
Survey July 2017 in 122 Healthcare FacilitiesWest Africa
• Key take away: Training of enumerators is key priority!
• Improved vs. unimproved latrine?
• What is a protected well/spring vs. an unprotected well/spring?
• Functional vs. Non-functional toilet?
Experience: Preparation
• S1: Is there at least one usable and improved toilet for patients at the facility?
• S2: Is there at least one usable improved toilet designated for women and girls,
which provides facilities to manage menstrual hygiene needs?
• S3: Is there at least one usable improved toilet designated for staff?
• S4: Is there at least one usable improved toilet that meets the needs of people
with reduced mobility?
Example: Sanitation Indicator questionsThe importance of Orientation and Practice
• S1: Is there at least one usable [functional (1.unblocked, 2.water available for flush, 3. no cracks, 4. no leaks), private (5. walls without holes, 6. door can be locked) and accessible (7.unlocked door)] improved toilet [8. flush toilets, ventilated improved pit (VIP) latrines, pit latrines with slab, and composting toilets] available for patients at the facility?
• S2: Is there at least one usable improved toilet designated for women and girls, which provides facilities to manage menstrual hygiene needs [9. a bin with a lid on it within the cubicle, 10. water and soap available in a 11. private space (?) for washing]?
• S4: Is there at least one usable improved toilet that meets the needs of people with reduced mobility [12. can be accessed without stairs or steps, 13. the door is at least 80 cm wide, 14. the door handle and seat are within reach of people using wheelchairs or crutches/sticks]?
Example: Questions on sanitationThe importance of Orientation and Practice
Unofficial Results (copy-paste from FACET Excel Analyzer)
Results (close-up on sanitation questions)
S1. Toilets for patients
S2. Female toilets + MHM
Yes, at least one usable improved toilet 88
No, improved toilets are present but not usable 12
Only unimproved toilets or no toilet on premises 22
Unable to observe / Don't know 0
Yes 39
No 83
Don't know 0
S3. Toilets for staff
S4. Toilets for reduced mobility
Yes 4
No 118
Don't know 0
Yes 0
No, no menstrual hygiene facilities 67
No, there are no female-only toilets 55
Unable to observe / Don't know 0
Possibility to import/compare a two data sets
• Going through the process of using the JMP questions and definitions in FACET supports user learning and results can catalyze advocacy with stakeholders at the national level
• Humanitarian resources are often channeled to health care facilities & schools—FACET helps introduce the JMP indicators across the response-relief-development continuum.
• FACET provides an opportunity to set a baseline and monitor over the course of an intervention, however it is not an individual facility improvement tool like WASH FIT (WHO) of WASHCON (Emory).
Reflections
Facility Evaluation Tool (FACET)for WASH in Institutions
Health Care Facilities and Schools
www.sandec.ch
www.tdh.ch
Developed with the support of JMP (WHO, Unicef) and
Preview the HCF survey on your smartphone or computer in English or French here:
https://tinyurl.com/FACET-WIH
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On premises 94
Within 500 m 19
Farther than 500 m 9
W2. Location of main water supply
Yes, observed 112
Yes, reported but not observed 4
No 6
W3. Water availibility at the time of the visit
Improved water source 108
Unimproved water source 8
Other 6
W1. Main water supply
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Yes 20
No, not functional, or lacking materials 40
No, no hand hygiene stations are available 62
Unable to observe / Don't know 0
H2. Handwashing facilitiey with soap and water
(Toilets)
Yes 107
No, not functional, or lacking materials 12
No, no hand hygiene stations are available 3
Don't know 0
H1. Functional hand hygiene stations at point of care
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(Toilets)
M3. Infectious waste treatment / disposal
Safe treatment / disposal method 23
Intermediate method 32
Unsafe treatment / disposal method 66
Don't know / Other 1
M2. Sharp waste treatment / disposal
Safe treatment / disposal method 81
Limited treatment / disposal method 12
Unsafe treatment / disposal method 27
Don't know / Other 2
M1. Correct waste segragation in consultation area
Yes 6
Bins are present but don't meet all requirements 87
No 29
Unable to observe / Don't know 0
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JMP: Expert Group Meeting on Monitoring WASH in Schools in the Sustainable Development Goals
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Mapping Core Questions to the Service Ladders for WASH in Schools Responses from the core questions can be mapped to the JMP service ladders as
shown in the following table. The “Advanced Service” level is to be defined at
national level and is excluded from the table.