Publication:
Costs of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa

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dc.contributor.authorHutton, Guy
dc.contributor.authorChase, Claire
dc.contributor.authorKennedy-Walker, Ruth Jane
dc.date.accessioned2024-02-26T15:52:49Z
dc.date.available2024-02-26T15:52:49Z
dc.date.issued2024-02-21
dc.description.abstractIn Sub-Saharan Africa, health care facilities face critical challenges in water supply, sanitation, and hygiene services; health care waste management; and environmental cleanliness. With coverage below 50 percent, these deficiencies pose significant health risks to patients and health care workers, contributing to health care–associated infections. Meta-analyses and individual studies estimate rates of health care–associated infections in Sub-Saharan Africa at between 13 and 30 percent of hospital admissions, impacting patients, families, and health care providers. Rising antimicrobial resistance further exacerbates health outcomes and costs. In Eastern and Southern Africa, an estimated 3.1 million health care–associated infections in 2022 incurred over 320,000 excess deaths, costing at least US$6 billion, or 1.14 percent of combined gross domestic product in 2022. Investing in comprehensive water supply, sanitation, and hygiene and health care waste management can yield substantial benefits, with a benefit-cost ratio of 5.8 for all economic costs. Beyond preventing health care–associated infections, improved cleanliness and infrastructure are crucial for patient satisfaction, impacting future health care–seeking behavior and health care worker job satisfaction. Sub-Saharan African countries should prioritize infrastructure investment, budget allocation, staffing, and behavioral improvements to enhance the quality of health care and mitigate these pressing challenges.en
dc.identifierhttp://documents.worldbank.org/curated/en/099428002212438578/IDU1fd9af37311cfe143471843c1e9de76a93d7e
dc.identifier.doi10.1596/1813-9450-10708
dc.identifier.urihttps://hdl.handle.net/10986/41106
dc.languageEnglish
dc.publisherWashington, DC: World Bank
dc.relation.ispartofseriesPolicy Research Working Paper; 10708
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectHEALTHCARE FACILITIES
dc.subjectHEALTHCARE ASSOCIATED INFECTIONS
dc.subjectHYGIENE
dc.subjectHEALTHCARE WASTE MANAGEMENT
dc.titleCosts of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africaen
dspace.entity.typePublication
okr.crossref.titleCosts of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa
okr.date.disclosure2024-02-21
okr.date.lastmodified2024-02-21T00:00:00Zen
okr.doctypePolicy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/099428002212438578/IDU1fd9af37311cfe143471843c1e9de76a93d7e
okr.guid099428002212438578
okr.identifier.docmidIDU-fd9af373-1cfe-4347-843c-e9de76a93d7e
okr.identifier.doi10.1596/1813-9450-10708
okr.identifier.doihttps://doi.org/10.1596/1813-9450-10708
okr.identifier.externaldocumentum34263410
okr.identifier.internaldocumentum34263410
okr.identifier.reportWPS10708
okr.import.id3246
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099428002212438578/pdf/IDU1fd9af37311cfe143471843c1e9de76a93d7e.pdfen
okr.region.geographicalWorld
okr.sectorWater Supply,Sanitation
okr.themeUrban Development,Mitigation,Rural Water and Sanitation,Rural Development,Environment and Natural Resource Management,Urban Water and Sanitation,Water Resource Management,Climate change,Urban and Rural Development,Adaptation,Water Institutions, Policies and Reform
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicHealth, Nutrition and Population::Health Policy and Management
okr.unitGlobal Solutions Water (SWAGL)
okr.unitWater Global Director (SWADR)
okr.volume
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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