Water, Sanitation and Hygiene In Health Care Facilities: Status in Low- and Middle-income Countries and Way Forward

This report presents, for the first time, a global assessment of the extent to which health care facilities provide essential water, sanitation, and hygiene (WASH) services. Drawing on data from 54 low- and middle-income countries, this report finds that 38 percent lack access to even rudimentary levels of water. The World Health Organization, UNICEF, governments, and other partners must develop a global plan to address the pressing needs and ensure that all health care facilities have WASH services

Supporting information for National, regional, and worldwide estimates of low birthweight rates in 2015, with trends from 2000: a systematic analysis

Data produced by the World Health Organization, UNICEF, LSHTM and Johns Hopkins University to estimate national low birthweight (LBW) and numbers for 195 countries. LBW data was collated through a systematic review of national routine/registration systems, nationally representative surveys, and other data sources, and subsequently modelled using restricted maximum likelihood estimation with country-level random effects. Data includes a list of 1447 rate data points used as an input to the modelled estimates, yearly national-level covariates for each of the 195 countries studied from 2000 to 2015, and information on estimated low birthweight rates from 2000 to 2015 for 148 countries with data. Stata code used to generate these estimates is provided

Evolutionary perspectives on human infectious diseases: Challenges, advances, and promises.

International audienc

Overflowing Cities: The State of the World's Toilets 2016

Human beings are now largely an urban species: for the first time in history, more than half of the world's population (54%, or 3.9 billion people) lives in towns, cities and megacities. By 2050, that's expected to rise to two-thirds.Many new urbanites, and particularly the poorest, are not moving into gleaming apartment blocks or regenerated postindustrial areas. They are arriving – or being born into – overcrowded, rapidly expanding slums. Economic growth is usually driven by urbanization, and all industrialized countries already have a mostly urban population. This means that nearly all the current urban population growth is happening in developing countries.UN Habitat estimates that more than one-third of the developing world's urban population – over 863 million people – live in slums.Often, city planning and infrastructure building have been unable to keep pace

Enhanced Breastfeeding Support Using Video Education to Improve Exclusive Breastfeeding Rates in a Baby-Friendly Acute Care Facility

Exclusive breastfeeding (EBF) provides health benefits and is recommended by professional health organizations including the American Academy of Pediatrics, The World Health Organization, and the Centers for Disease Control and Prevention. Healthcare facilities support families to achieve EBF by educating clinicians and patients about the benefits of exclusive breastfeeding, providing prenatal education and hospital support to patients, and by achieving Baby-Friendly Designation through the Baby-Friendly USA, as endorsed by the World Health Organization/UNICEF. Most pregnant patients desire to exclusively breastfeed yet multiple barriers exist to achieve this goal. Evidence supports the use of video learning as an effective way to achieve learning goals. Encouraging postpartum patients to view breastfeeding educational videos after delivery to provide an extra educational layer of support during the postpartum phase found the videos to be a great resource, a good refresher, and helpful to achieve EBF

A New Challenge for Global Companies: Successfully Managing MLO and NGO Relationships

A telltale sign of the growing importance of multilateral organizations (MLOs) and nongovernmental organizations (NGOs) to companies today is the increased human resources dedicated to managing relationships with them. Multinational companies today are investing the time and talent to ensure that their relationships with MLOs and NGOs are active and positive. Although the field is awash in articles about the importance of MLOs and NGOs to companies, remarkably little is documented about how companies can best engage these multilateral and nonprofit actor

Pneumonia in Bhutanese children: what we know, and what we need to know.

Background Pneumonia is the single largest cause of death in under-five children worldwide. We conducted a systematic review to identify the knowledge gaps around childhood pneumonia in Bhutan. Methods We searched PubMed, ScienceDirect and Google scholar from conception to 3rd December 2018, World Health Organization, UNICEF, Bhutan’s Ministry of Health and other local databases for relevant reports. We included any report describing pneumonia in Bhutanese children with regards to the burden of the disease, aetiology, related risk factors, clinical and prognostic characteristics, surveillance systems and national preventive strategies. Two review authors identified the records. We summarized the findings narratively. Results We included 44 records. Although with notable decreasing trends, pneumonia is still accountable for a high burden and mortality rate in Bhutanese children. The national surveillance system focuses mainly on influenza identification but has recently introduced other viral aetiology to monitor. We found very scarce or no data with regard to the bacterial aetiology, related risk factors and clinico-radiological and prognostic characteristics. Conclusion There is a dearth of data regarding the epidemiological, microbiological, clinical and radiological characteristics of pneumonia in children in Bhutan, leading to challenges while implementing evidence-based management and effective national preventive strategies

Pit latrines and their impacts on groundwater quality: a systematic review.

BackgroundPit latrines are one of the most common human excreta disposal systems in low-income countries, and their use is on the rise as countries aim to meet the sanitation-related target of the Millennium Development Goals. There is concern, however, that discharges of chemical and microbial contaminants from pit latrines to groundwater may negatively affect human health.ObjectivesOur goals were to a) calculate global pit latrine coverage, b) systematically review empirical studies of the impacts of pit latrines on groundwater quality, c) evaluate latrine siting standards, and d) identify knowledge gaps regarding the potential for and consequences of groundwater contamination by latrines.MethodsWe used existing survey and population data to calculate global pit latrine coverage. We reviewed the scientific literature on the occurrence of contaminants originating from pit latrines and considered the factors affecting transport of these contaminants. Data were extracted from peer-reviewed articles, books, and reports identified using Web of ScienceSM, PubMed, Google, and document reference lists.DiscussionWe estimated that approximately 1.77 billion people use pit latrines as their primary means of sanitation. Studies of pit latrines and groundwater are limited and have generally focused on only a few indicator contaminants. Although groundwater contamination is frequently observed downstream of latrines, contaminant transport distances, recommendations based on empirical studies, and siting guidelines are variable and not well aligned with one another.ConclusionsIn order to improve environmental and human health, future research should examine a larger set of contextual variables, improve measurement approaches, and develop better criteria for siting pit latrines

Sewerage: a return to basics to benefit the poor

Around 2.8 billion people, mostly in developing countries, currently lack adequate sanitation. Approximately half live in urban areas, where the most appropriate sanitation solution is commonly simplified sewerage. This paper presents the rigorous hydraulic design basis of simplified sewerage and compares this design approach with that used in the UK for conventional sewerage. It reviews simplified sewerage construction and how this achieves major cost savings and also avoids the problems commonly experienced with manholes