Inadequate water supply, lack or insufficient sanitation facilities, such as poor facilities for safe disposal of water and other domestic waste and lacking or poor toilet facilities together with unhygienic practices represent the sanitation challenges in Sierra Leone. The National Water, Sanitation, and Hygiene (WASH) Policy provides a comprehensive framework for promoting optimal, sustainable, and equitable development and use of water resources in Sierra Leone.
The WHO guidelines on hand hygiene in health care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore, this concept applies to all settings where health care is permanently or occasionally performed.