Assessment of water, sanitation, and hygiene services in district health care facilities in rural area of Mekong Delta, Vietnam.

Autor: Hoang TK; Key Laboratory of Advanced Waste Treatment Technology & Faculty of Environment and Natural Resources, Ho Chi Minh City University of Technology (HCMUT), 268 Ly Thuong Kiet street, district 10, Ho Chi Minh City, 700000, Vietnam.; Vietnam National University Ho Chi Minh (VNU-HCM), Linh Trung Ward, Ho Chi Minh City, 700000, Vietnam., Binh QA; Dong Nai Technology University, Dong Nai, Bien Hoa City, Vietnam., Bui XT; Key Laboratory of Advanced Waste Treatment Technology & Faculty of Environment and Natural Resources, Ho Chi Minh City University of Technology (HCMUT), 268 Ly Thuong Kiet street, district 10, Ho Chi Minh City, 700000, Vietnam. bxthanh@hcmut.edu.vn.; Vietnam National University Ho Chi Minh (VNU-HCM), Linh Trung Ward, Ho Chi Minh City, 700000, Vietnam. bxthanh@hcmut.edu.vn., Le TH; Key Laboratory of Advanced Waste Treatment Technology & Faculty of Environment and Natural Resources, Ho Chi Minh City University of Technology (HCMUT), 268 Ly Thuong Kiet street, district 10, Ho Chi Minh City, 700000, Vietnam.; Vietnam National University Ho Chi Minh (VNU-HCM), Linh Trung Ward, Ho Chi Minh City, 700000, Vietnam., Dang BT; HUTECH University, 475A, Dien Bien Phu, Ward 25, Binh Thanh District, Ho Chi Minh City, Vietnam., Nguyen HH; Institute of Environmental Sciences, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam., Ngo TT; Key Laboratory of Advanced Waste Treatment Technology & Faculty of Environment and Natural Resources, Ho Chi Minh City University of Technology (HCMUT), 268 Ly Thuong Kiet street, district 10, Ho Chi Minh City, 700000, Vietnam.; Vietnam National University Ho Chi Minh (VNU-HCM), Linh Trung Ward, Ho Chi Minh City, 700000, Vietnam., Kohler P; EssentialTech Centre, Ecole Polytechnique Fédérale de Lausanne, Station 10, EPFL 1015, Lausanne, Switzerland., Makohliso S; EssentialTech Centre, Ecole Polytechnique Fédérale de Lausanne, Station 10, EPFL 1015, Lausanne, Switzerland., Maryna P; University of Applied Sciences & Arts, Northwestern Switzerland, Muttenz, Switzerland., Raab M; Swiss Tropical and Public Health, Allschwil, Switzerland., Vanobberghen A; Health Technology and Telemedicine Unit (HTTU) of the Swiss Centre for International Health (SCIH), Basel, Switzerland., Hayter A; World Health Organization, Geneva, Switzerland., Schönenberger K; EssentialTech Centre, Ecole Polytechnique Fédérale de Lausanne, Station 10, EPFL 1015, Lausanne, Switzerland.
Jazyk: angličtina
Zdroj: Environmental monitoring and assessment [Environ Monit Assess] 2022 Oct 18; Vol. 194 (Suppl 2), pp. 775. Date of Electronic Publication: 2022 Oct 18.
DOI: 10.1007/s10661-022-10179-5
Abstrakt: Access to sufficient water, sanitation, and hygiene (WASH) services is a crucial requirement for patients during therapy and general well-being in the hospital. However, in low- and middle-income countries, these services are often inadequate, resulting in increased morbidity and mortality of patients. This study aimed at assessing the current situation of WASH services in six District Health Care Facilities (DHCFs) in rural areas of the Mekong Delta provinces, Vietnam. The results showed that these services were available with inappropriate quality, which did not compromise the stakeholders' needs. The revealed WASH infrastructures have raised concerns about the prolonged hospital stays for patients and push nosocomial infections to a high level. The safety of the water supply was doubted as the high E. coli (> 60%) and total coliform incidence (86%) was observed with very low residual chlorine concentration (< 0.1 mg/L) in water quality assessment. Moreover, water supply contained a high concentration of iron (up to 15.55 mg/L) in groundwater in one DHCF. Technical assessment tool analysis proved that the improper management and lack of knowledge by human resources were the primary roots of the observed status WASH services. Improvement of the perceptions of WASH should be done for the hospital staff with collaboration and support from the government to prevent incidents in the future.
(© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE