biostudies-literatureMaina MEconomic and Social Research CouncilWorld Health OrganizationAfrican Academy of SciencesEPAWellcome Truste0226548https://www.ebi.ac.uk/biostudies/studies/S-EPMC6913973biostudies-literatureUnknown14(12)<h4>Background</h4>Poor water sanitation and hygiene (WASH) in health care facilities increases hospital-associated infections, and the resulting greater use of second-line antibiotics drives antimicrobial resistance. Recognising the existing gaps, the World Health Organisations' Water and Sanitation for Health Facility Improvement Tool (WASH-FIT) was designed for self-assessment. The tool was designed for small primary care facilities mainly providing outpatient and limited inpatient care and was not designed to compare hospital performance. Together with technical experts, we worked to adapt the tool for use in larger facilities with multiple inpatient units (wards), allowing for comparison between facilities and prompt action at different levels of the health system.<h4>Methods</h4>We aPloS oneExtending the use of the World Health Organisations'  water sanitation and hygiene assessment tool for surveys in hospitals - from WASH-FIT to WASH-FAST.PMC6913973001207522/Z/17/ZEP-C-15-003107769/Z/10/ZES/P004938/1207522DEL-15-003English MMcKnight JSchultsz CMaina MMontgomery MTosas-Auguet OMwaniki PZosi MKimemia GHayter AfalseExtending the use of the World Health Organisations'  water sanitation and hygiene assessment tool for surveys in hospitals - from WASH-FIT to WASH-FAST.<h4>Background</h4>Poor water sanitation and hygiene (WASH) in health care facilities increases hospital-associated infections, and the resulting greater use of second-line antibiotics drives antimicrobial resistance. Recognising the existing gaps, the World Health Organisations' Water and Sanitation for Health Facility Improvement Tool (WASH-FIT) was designed for self-assessment. The tool was designed for small primary care facilities mainly providing outpatient and limited inpatient care and was not designed to compare hospital performance. Together with technical experts, we worked to adapt the tool for use in larger facilities with multiple inpatient units (wards), allowing for comparison between facilities and prompt action at different levels of the health system.<h4>Methods</h4>We a2019-01-01T00:00:00Z20192026-06-04T00:59:28.012Z2025-05-29T20:25:17.714ZS-EPMC69139733184154010.1371/journal.pone.0226548