{"id":2414,"date":"2023-05-05T08:00:00","date_gmt":"2023-05-05T06:00:00","guid":{"rendered":"https:\/\/waterconsortium.ch\/?p=2414"},"modified":"2025-04-04T14:12:57","modified_gmt":"2025-04-04T12:12:57","slug":"strengthening-health-systems-together-we-can","status":"publish","type":"post","link":"https:\/\/waterconsortium.ch\/fr\/strengthening-health-systems-together-we-can\/","title":{"rendered":"Renforcer les syst\u00e8mes de sant\u00e9 : ensemble, nous le pouvons !"},"content":{"rendered":"\n

(version fran\u00e7ais ci-dessous)<\/em><\/p>\n\n\n\n

Author: Tanmoy Das and Tdh Health team, India
Video credits: Tdh India<\/em> <\/p>\n\n\n\n

The COVID-19 pandemic has exposed the devastating economic and social consequences of an infectious disease spreading unchecked. The risks for other pandemics in the future are expected to increase significantly because of climate change. The pandemic has also taught us how lives can be saved by handwashing at critical times with soap and water. Infection prevention and control (IPC), particularly in healthcare facility settings, is of utmost importance to containing and controlling the spreading of infectious diseases and antimicrobial resistance. The latter is contributing to 5 million deaths per year especially in low and middle-income countries[1]<\/a>.<\/p>\n\n\n\n

In India, the world\u2019s most populous country and a climate change hotspot, the lack of adequate water, sanitation and hygiene (WASH) services in healthcare facilities (HCFs) is creating environments where harmful bacteria thrive. Tdh India with support from SWSC, implemented a WASH in HCFs project in the climate-sensitive and geographically challenging Sundarbans region.  <\/p>\n\n\n\n

HCFs in the region lacked adequate WASH services including hand hygiene facilities. Therefore, medical service providers were facing challenges in washing their hands at points of care. Inadequate sanitation facilities and missing handwashing facilities for staff and patients were contributing to repeated disease outbreaks. They were often treated with antibiotics which in turn contributed to an increase in antibiotic resistance. Tdh India worked closely with government authorities from the beginning of the project by supporting the national Kayakalp programme initiated by the Government of India for maintaining cleanliness in HCFs. The project supported construction\/renovation of WASH facilities and involved HCF authorities in the WASH FIT cycle. The main challenge was to ensure the operation and maintenance of improved WASH facilities for sustainability of the project interventions.<\/p>\n\n\n\n

The Tdh India team has been successful in advocating with the government at different levels for sustaining improved WASH facilities constructed\/renovated under the project. Local government authorities (Gram Panchayats) have assumed the responsibility for the operation and maintenance of WASH facilities in HCFs under their jurisdiction through advocacy initiated by the project. This commitment has been documented in the meeting resolutions of Gram Panchayats. Accordingly, they have allocated human resources in two HCFs which had shortages of cleaning service providers.<\/p>\n\n\n\n

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The film from Tdh India (in English)<\/em><\/a><\/figcaption><\/figure>\n\n\n\n

Moreover, local authorities have allocated financial resources to support the operation and maintenance in HCFs in Gram Panchayat Development Plan (GPDP) for financial year 2023-24 and submitted to State authority for approval. District authorities have supported Tdh\u2019s advocacy initiative for integrating WASH FIT with National guidelines (Kayakalp).<\/p>\n\n\n\n

Advocacy is the key for successful health system strengthening, for improving WASH in HCFs through mobilizing investment in WASH to break the cycle of transmission of microorganisms in HCFs, and for reducing the incidences of healthcare associated infections.<\/p>\n\n\n\n

Tdh India has documented the process through a film<\/a> that will take you through the journey of system strengthening involving key stake holders – HCF authorities, local government, and district health authorities.<\/p>\n\n\n\n

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Renforcer le syst\u00e8me de sant\u00e9 : Ensemble, nous pouvons !<\/strong><\/h1>\n\n\n\n

Auteur: Tanmoy Das et Tdh Health Team Inde
Vid\u00e9o photos: Tdh Inde<\/em><\/p>\n\n\n\n

La pand\u00e9mie de COVID-19 a mis en \u00e9vidence les cons\u00e9quences \u00e9conomiques et sociales d\u00e9vastatrices d’une propagation incontr\u00f4l\u00e9e des maladies infectieuses. Les risques d’autres pand\u00e9mies \u00e0 l’avenir devraient augmenter de mani\u00e8re significative en raison du changement climatique. La pand\u00e9mie nous a \u00e9galement appris qu’il est possible de sauver des vies en se lavant les mains \u00e0 l’eau et au savon \u00e0 des moments critiques. La pr\u00e9vention et le contr\u00f4le des infections (PCI), en particulier dans les \u00e9tablissements de soins de sant\u00e9 (ESS), sont d’une importance capitale pour contenir et contr\u00f4ler la propagation des maladies infectieuses et la r\u00e9sistance aux antimicrobiens. Cette derni\u00e8re contribue \u00e0 5 millions de d\u00e9c\u00e8s par an, en particulier dans les pays \u00e0 revenu faible ou interm\u00e9diaire[1]<\/a>.<\/p>\n\n\n\n

En Inde, le pays le plus peupl\u00e9 du monde et un point chaud du changement climatique, le manque de services ad\u00e9quats d’eau, d’assainissement et d’hygi\u00e8ne (WASH) dans les ESS cr\u00e9e des environnements o\u00f9 les bact\u00e9ries pathog\u00e8nes se d\u00e9veloppent. Tdh Inde, avec le soutien du SWSC, a mis en \u0153uvre un projet WASH dans les ESS dans la r\u00e9gion des Sundarbans, une r\u00e9gion sensible au climat et g\u00e9ographiquement difficile. <\/p>\n\n\n\n

Avant l\u2019intervention du projet, les ESS ne disposaient pas de services WASH ad\u00e9quats, notamment d’installations d’hygi\u00e8ne des mains. Par cons\u00e9quent, les prestataires de services m\u00e9dicaux avaient du mal \u00e0 se laver les mains sur les lieux de soins. L’insuffisance des installations sanitaires et l’absence de dispositifs de lavage des mains pour le personnel et les patients, favorisaient l’apparition r\u00e9p\u00e9t\u00e9e de maladies souvent trait\u00e9es par antibiotiques, ce qui contribuait \u00e0 l’augmentation de la r\u00e9sistance aux antibiotiques.<\/p>\n\n\n\n

Tdh Inde a travaill\u00e9 en \u00e9troite collaboration avec les autorit\u00e9s gouvernementales d\u00e8s le d\u00e9but en soutenant le programme national Kayakalp initi\u00e9 par le gouvernement indien pour maintenir la propret\u00e9 dans les ESS. Le projet a appuy\u00e9 la construction\/r\u00e9novation des installations WASH et a impliqu\u00e9 les autorit\u00e9s des ESS dans le cycle WASH FIT. Le principal d\u00e9fi \u00e9tait d’assurer le fonctionnement et l’entretien des installations WASH am\u00e9lior\u00e9es pour assurer la durabilit\u00e9 des interventions du projet.<\/p>\n\n\n\n

L’\u00e9quipe de Tdh Inde a r\u00e9ussi \u00e0 plaider aupr\u00e8s du gouvernement \u00e0 diff\u00e9rents niveaux pour le maintien des installations WASH am\u00e9lior\u00e9es construites\/r\u00e9nov\u00e9es dans le cadre du projet. Les autorit\u00e9s locales (Gram Panchayats) ont assum\u00e9 la responsabilit\u00e9 du fonctionnement et de l’entretien des installations WASH dans les ESS sous leur juridiction gr\u00e2ce au plaidoyer initi\u00e9 par le projet. Cet engagement a \u00e9t\u00e9 document\u00e9 dans les r\u00e9solutions des r\u00e9unions des Gram Panchayats. En cons\u00e9quence, ils ont allou\u00e9 des ressources humaines dans deux ESS, qui manquaient de prestataires de services de nettoyage.<\/p>\n\n\n\n

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Le film de Tdh Inde (en anglais)<\/em><\/figcaption><\/figure>\n\n\n\n

De plus, les autorit\u00e9s locales ont allou\u00e9 des ressources financi\u00e8res pour soutenir le fonctionnement et l\u2019entretien dans les HCF dans le plan de d\u00e9veloppement du Gram Panchayat (GPDP) pour l’ann\u00e9e financi\u00e8re 2023-24 et soumis \u00e0 l’autorit\u00e9 de l’Etat pour approbation. Les autorit\u00e9s du district ont soutenu l’initiative de plaidoyer de Tdh pour l’int\u00e9gration de WASH FIT dans les directives nationales (Kayakalp). Le plaidoyer est la cl\u00e9 d’un renforcement r\u00e9ussi du syst\u00e8me de sant\u00e9, de l’am\u00e9lioration des installations WASH dans les ESS \u00e0 travers la mobilisation des investissements dans le secteur WASH pour briser le cycle de transmission des micro-organismes dans les ESS et r\u00e9duire l’incidence des infections associ\u00e9es aux soins.<\/p>\n\n\n\n

Tdh Inde a document\u00e9 le processus \u00e0 travers un film,<\/a> qui vous emm\u00e8nera dans le voyage du renforcement du syst\u00e8me impliquant les parties prenantes cl\u00e9s – les autorit\u00e9s des ESS, le gouvernement local, les autorit\u00e9s sanitaires du district.<\/a><\/p>\n\n\n\n

<\/p>\n\n\n\n

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[1]<\/a> https:\/\/appg-on-antibiotics.com\/assets\/APPG_WASH_AMRreport_FINAL.pdf<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Un article de Tdh Inde en anglais et en fran\u00e7ais et un film en anglais<\/p>","protected":false},"author":7,"featured_media":2415,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"french_title":"","footnotes":""},"categories":[35,75,1,67,72,45],"class_list":["post-2414","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advocacy-policy-development","category-india","category-news","category-phase-3","category-success","category-wash-in-health-centres"],"_links":{"self":[{"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/posts\/2414","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/comments?post=2414"}],"version-history":[{"count":1,"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/posts\/2414\/revisions"}],"predecessor-version":[{"id":3055,"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/posts\/2414\/revisions\/3055"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/media\/2415"}],"wp:attachment":[{"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/media?parent=2414"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/waterconsortium.ch\/fr\/wp-json\/wp\/v2\/categories?post=2414"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}