• ODA to water and sanitation has stagnated Universal access to water, sanitation and since before the SDGs were signed in 2015, hygiene (WASH), along with infection prevention and the proportion of overall ODA to water and control (IPC) in healthcare settings, and and sanitation has declined from 4.2% in vaccination together could avert 17.7% of 2014 to 2.5% in 2022. [...] 2 / The impact of healthcare-associated infections on hospitals and patients in low- and middle- income countries WaterAid/Fabeha Monir Methods 132 LICs and MICs were included in the analysis, representing 6.6 billion of the world’s 8 billion population in 2023. [...] Key results Population of LICs and MICs 6.62 billion Number of hospital admissions 620 million in LICs and MICs 10% of population hospitalised in 2023 Number of healthcare-associated 83 million infections in LICs and MICs Of which 37.4% women and 23.4% children Number of excess deaths due 9.5 million to HAIs Of which 33.9% women and 30.2% children Healthy life years lost due to 302 million prematu. [...] 8 / The impact of healthcare-associated infections on hospitals and patients in low- and middle- income countries “The first blind spot is that increased focus is on AMR in high-income nations, whereas the largest AMR burden and crisis are in [LICs and MICs1], which account for the greatest burden of infectious diseases, greatest use and abuse of antimicrobials, and a substantially poor capacity t. [...] Note: the original abbreviation (LMICs) has been changed for consistency of meaning – low-income and middle-income countries The impact of healthcare-associated infections on hospitals and patients in low- and middle- income countries / 9 Coverage (%) In the international recognition of the role of WASH in socio-economic development and improvin.
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Table of Contents
- Summary 1
- Impact on more vulnerable populations 1
- Prevention of AMR 1
- Water sanitation and hygiene is de-prioritised in spending despite its value-for-money in preventing healthcare associated infections 1
- Introduction 2
- Box 1. Algorithm for estimating number of healthy life years lost due to healthcare associated infections 3
- Methods 3
- Results 3
- Figure 2. Inpatient admissions and total healthcare associated infections in 2023 by region 4
- Figure 1. Key results 4
- Figure 3. Healthcare associated infections total by population sub-group left-side and percentages by region right-side 5
- Figure 4. Excess deaths attributed to HAIs total by population sub-group left-side and percentages by region right-side 6
- Figure 5. Healthy life years lost resulting from HAI-induced deaths total by population sub-group left-side and percentages by region right-side 7
- Discussion 8
- High and growing antimicrobial resistance rates underlines importance of preventive measures 8
- Box 2. Potential to address antimicrobial resistance through different strategies 8
- WASH is de-prioritised in spending despite its value-for-money in preventing HAIs 9
- Basic WASH coverage in healthcare facilities 2015-2021 global 9
- Figure 7. Total ODA to health population and water supply and sanitation since 2015 10
- References 12