WHO, together with UNICEF, published their first comprehensive global assessment of water, sanitation, and hygiene (WASH) in healthcare facilities compiling data from 125 countries, representing over 560,000 facilities. It reports that one in four health care facilities lack basic water services and one in five has no sanitation service – impacting 2.0 billion and 1.5 billion people, respectively. The report also reveals that many health centres lack basic facilities for hand hygiene and safe segregation and disposal of health care waste. Inequities are highlighted, including that non-hospitals, such as primary health care facilities, are twice as likely to have no water or sanitation services.
The report estimates that 1 in 5 births globally takes place in least developed countries where half of the healthcare facilities have basic water services. Each year 17 million women give birth in facilities with inadequate water, sanitation, and hygiene.
You can download the report here and/or visit the data portal here.
The press release for the report can be found here.
For 2019, the “SAVE LIVES: Clean Your Hands” campaign led by WHO calls on everyone to be inspired by the global movement to achieve universal health coverage (UHC) in promoting hand hygiene. If you haven’t signed up for the campaign already, please do so here. You can find the entire campaign toolkit following this link.
The Infection Prevention and Control (IPC) unit at WHO is coordinating a global survey on the current level of progress in IPC programmes and hand hygiene activities in healthcare facilities in the context of the annual WHO hand hygiene campaign –scheduled for 5 May 2019.
The survey has two levels, involving the completion of two tools at the facility:
On 5 and 6 September 2018, the Global Sepsis Alliance held their Second World Sepsis Congress. Every session was recorded and is now available as a YouTube video or podcast. There was an entire session on the challenges of maternal and neonatal sepsis.
Please use the following link to see the YouTube video of this session and this link to access the podcast on this and other sessions.
For more information on the World Sepsis Congress, please visit their website here.
World antibiotic awareness week (WAAW) is coming up and WHO has developed many communication materials available for download. We encourage you all to participate and contribute in spreading the word around these two important messages:
“Think twice. Seek advice”
“Misuse of antibiotics puts us all at risk”
During WAAW we encourage you to make use of the following resources:
The GLOSS research team –principal investigators from participating countries, PhD students leading secondary analyses, data analysts, and WHO staff– met in Rio de Janeiro on 12-13 October to discuss the preliminary results of the study. Almost 60 people were present and participated in active discussions about the findings of the study and the campaign. The group discussed plans for development of manuscripts to be published early in 2019.
Many of the GLOSS researchers stayed on for the FIGO conference, also held in Rio de Janeiro. In fact, WHO hosted special sessions and several of our colleagues presented on maternal sepsis. All sessions were recorded so make sure to check on the FIGO website for a video of the presentations.
Our colleague, Wisal Nabag from Sudan, was awarded a prize by FIGO in recognition of her work in obstetrics and gynaecology in her home country. Congratulations, Wisal!
Our colleagues in Colombia have just published an article that aimed to compare the characterization of an obstetric population diagnosed with sepsis using two scales: the systemic inflammatory response syndrome (SIRS) and sepsis”related organ failure assessment (SOFA). They included 688 pregnant women who were admitted in the high-complexity obstetric unit and intensive care unit in a hospital in Cali, Colombia. They found that using the SIRS scale could promote early sepsis management by identifying patients who require admission to the high-dependency units. However, they found low concordance between these two scales, suggesting the need to create diagnostic scales specifically for obstetric populations.
In recognition of this day and the hard work by all the providers and country coordinators participating in GLOSS, WHO just published an article showcasing Mexico. Although an awareness campaign accompanied the study to be implemented in all participating facilities, the country coordinator in Mexico decided to implement it country-wide, even in facilities that were not participating in GLOSS. This decision was made as a result of their own assessments at hospitals in every state in Mexico; they discovered that infections were among the top causes of death among women during or after pregnancy. Women had acquired these infections in both hospitals and communities. Dr Herrera Maldonado (GLOSS country coordinator) and her collaborators decided they must do more to understand how maternal sepsis was identified and managed.
“If we suspect sepsis we can have an impact on the reduction of maternal deaths from a preventable cause.” Dr Herrera Maldonado
With a better understanding of maternal sepsis, and with improved awareness of how to prevent, recognise and treat the condition, Dr Herrera Maldonado felt the GLOSS campaign would help Mexico to prevent maternal deaths nationwide.
Over the course of 17 sessions, more than 100 speakers from 30 countries will discuss all aspects of sepsis and its wide-ranging consequences. There will be sessions on prevention of infections and sepsis, two session on maternal and pediatric sepsis, and one session on awareness and education.
The session on maternal sepsis is scheduled for Thursday 6 September starting at 14:30h UTC. Please refer to the programme for more information.
Our GLOSS colleagues in the Netherlands just co-authored a new publication on sepsis-related maternal mortality in Suriname. Through a nation-wide survey they identified and surveyed all maternal deaths. Forty-five percent of all the maternal deaths identified were sepsis-related; substandard care factors were identified for monitoring, diagnosing, and treating women.
Please read the full article here: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200281