Peter, Maryna
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Peter, Maryna
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- PublikationAssessment of water, sanitation, and hygiene services in district health care facilities in rural area of Mekong Delta, Vietnam(Springer, 18.10.2022) Hoang, Thi-Khanh-Dieu; Binh, Quach-An; Bui, Xuan-Thanh; Le, Thi-Hieu; Dang, Bao-Trong; Nguyen, Hong-Hai; Ngo, Thi-Tra-My; Kohler, Petra; Makohliso, Solomzi; Peter, Maryna; Raab, Martin; Vanobberghen, Alexandre; Hayter, Arabella; Schönenberger, Klaus [in: Environmental Monitoring and Assessment]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.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationAccess to water and sanitation infrastructures for primary schoolchildren in the south-central part of Côte d’Ivoire(MDPI, 23.08.2021) Kouame, Parfait; Galli, Anais; Peter, Maryna; Loss, Georg; Wassa, Diriassouba; Bonfoh, Bassirou; Utzinger, Jürg; Winkler, Mirko [in: International Journal of Environmental Research and Public Health]In rural settings of Côte d’Ivoire, access to water, sanitation, and hygiene (WASH) at schools is often lacking. The purpose of this study was to assess the availability, quality, and use of WASH infrastructure in schools in the south-central part of Côte d’Ivoire, and to determine the hygiene practices of schoolchildren. A cross-sectional study was conducted in 20 primary schools with (n = 10) or without (n = 10) direct access to drinking water. The survey was comprised of a questionnaire directed at schoolchildren aged 8–17 years, an assessment of the WASH infrastructure, and the testing of drinking water samples for Escherichia coli and total coliforms. Overall, 771 schoolchildren were enrolled in the study. One out of four children (24.9%) reported that they used available toilets. Among those children not using toilets, more than half (57.5%) reported that they practised open defecation. Drinking water infrastructure was limited in most schools because of poor storage tanks, the low flow of water, or broken wells. All drinking water samples (n = 18) tested positive for total coliforms and 15 (83.3%) tested positive for E. coli. The lack of WASH infrastructures in primary schools in the south-central part of Côte d’Ivoire, in combination with poor hygiene practices, might govern disease transmission and absenteeism at school, especially among females.01A - Beitrag in wissenschaftlicher Zeitschrift